The BO called me back and said the vet had looked at Ashke and wasn't concerned about the injury. He expected the nasal bleeding to continue for 24 to 48 hours but said it wasn't anything to worry about. I got home and told J I needed to run out and check on him, so we headed north.
There was a small abrasion just under his eye.
The side of his face was pretty swollen.
I'm pretty sure I know what happened. He does turnout with a very sweet horse named Cory and the two of them play gelding games pretty much non-stop. There is no kicking but there is a lot of face fighting and rearing. I think Ashke swung his head away from Cory and smacked the fence.
Hi cheekbone, jaw and jowl were all swollen. He was eating and bright eyed, but a little cranky with it.
His cheek between his jaws was a bit swollen.
And his nostril was dripping blood.
I took pics and sent them to Saiph, then gave him horse crack and kisses and headed home.
When I got up the next morning I had a series of texts from Saiph asking questions about how he was feeling, what the swelling felt like and what I had seen. She was worried about air having gotten between his skin and his cheek from the abrasion on his face or a perforated airway that was allowing the same thing. She wanted me to have the vet come back out and double check, including an xray of his skull to rule out skull fracture.
I pretty much freaked and called the vet, texted my boss I was going to be late and J and I headed to the barn. The vet ruled out the air in his jowl, ruled out a perforated airway, dosed him with banamine to help bring the swelling down and told me to alternate hot and cold on that side of his face to help with the swelling. He didn't think an xray was warranted unless Ashke was worse and there was nothing we could do about the bloody nose except pack the nostril, which would put him in more distress than the slight bleeding that was happening. An examination up his nose did not show anything to him that would indicate needing xrays. (I also don't think he had the xray machine with him.) He concurred with the earlier vet's assessment, that Ashke had given himself a black eye and a bloody nose.
Saiph had some choice words to say about Western vets. She still thinks an xray was warranted and that the vets she knows and has worked with would have done that without hesitation. My experience has been that the vets here are a bit more hands off. Not sure if that is Western callousness or a regional difference in training. My options were limited because CSU is closed to all but emergency life or death situations involving surgery, since they had horses at am AQHA world reining championships that were exposed to the neurological form of EHV-1 and have closed their campus to outside horses.
J hitched up the trailer to take it to get the yearly maintenance done and I went to work alternating hot and cold on his face (I had brought the stuff with me after I had talked to the vet on the phone.) I did that for about an hour and a half, until J got back from dropping off the trailer.
He really liked the hot pad on his face.
My arms had gotten tired of holding it up, so I figured out how to tighten the halter to hold it in place.
He just hung out while I gave him a good grooming, washed the urine and mud out of his mane, and tried to deal with the heavy shedding he has started.
The swelling was about half what it was when I started. He was in a good mood and was very affectionate. He was still bleeding a bit, but the vet had said it could take 24 to 48 hours for that to stop. He went out into his run in the sunshine (by himself) at the end of our hot and cold sessions. I gave him a bunch of kisses, told him not to flip his head into the fence and headed for work.