Gastric Ulcers in Horses: Symptoms, Treatment & Prevention Guide

Jan 13,2026

What causes gastric ulcers in horses? The answer is: modern management practices that go against their natural biology! Horses evolved to graze continuously, but we've put them on meal schedules that leave their stomachs vulnerable to acid damage. I've seen this problem firsthand in my years working with performance horses - that grumpy attitude or sudden weight loss often traces back to painful stomach lesions.Here's the deal: 90% of racehorses and up to half of all adult horses develop ulcers. Why? Their stomachs produce acid 24/7 - up to 9 gallons daily! When we confine them, stress them, or feed large grain meals, we're practically inviting ulcers. But don't worry - whether you're dealing with a show horse or pasture pet, we'll walk through exactly how to spot, treat, and prevent these painful sores.

E.g. :Praziquantel for Dogs & Cats: The Complete Guide to Tapeworm Treatment

Understanding Gastric Ulcers in Horses

What Exactly Are These Pesky Stomach Sores?

Let me tell you about equine gastric ulcer syndrome (EGUS) - it's like when you get a nasty canker sore, but in your horse's stomach. These painful lesions develop when digestive juices start irritating the stomach lining. Think of it as nature's way of saying "hey, something's not right here!"

Now here's something fascinating about horse anatomy. Their stomach has two distinct zones:

  • The glandular region (bottom part) - This is the acid factory, constantly pumping out digestive juices
  • The squamous portion (top part) - Where food gets mixed, but lacks proper acid protection

Why Horses Are Acid Machines

Here's a wild fact - while humans only produce stomach acid during meals, horses are like 24/7 acid factories! They pump out up to 9 gallons daily, even when not eating. No wonder ulcers are so common!

Horse TypeUlcer Prevalence
Average Adult Horse30-50%
Racehorses90-100%

Spotting the Warning Signs

Gastric Ulcers in Horses: Symptoms, Treatment & Prevention Guide Photos provided by pixabay

Obvious Red Flags

If your horse is showing any of these symptoms, it's time to pay attention:- Suddenly turning into a picky eater- Losing weight unexpectedly- Acting grumpier than a teenager before coffee

But here's the kicker - some horses are like secret agents with ulcers. They might not show any obvious signs at all! That's why regular check-ups are crucial.

The Subtle Clues

Watch for these less dramatic but equally important indicators:

  • Frequent lying down (especially in weird positions)
  • Taking forever to finish meals
  • That "I'm not feeling it today" look during training

Root Causes of Equine Ulcers

Our Modern Lifestyle Problem

Did you know we humans are largely to blame for most horse ulcers? By changing their natural grazing patterns to scheduled feedings, we've created this mess. It's like forcing someone to eat just two huge meals a day - no wonder their stomachs rebel!

Gastric Ulcers in Horses: Symptoms, Treatment & Prevention Guide Photos provided by pixabay

Obvious Red Flags

Here are the top ulcer triggers every horse owner should know about:

  1. Stall confinement - Imagine being stuck in a small room all day
  2. Travel stress - Like us getting airport stomach
  3. Medication side effects - Especially those NSAIDs

Getting the Right Diagnosis

The Vet Visit Process

When you bring your horse in for suspected ulcers, here's what to expect:1. A thorough physical exam (they'll check everything from nose to tail)2. Discussion about your horse's lifestyle and habits3. Possibly recommending the gold standard test - endoscopy

The Endoscopy Experience

Now I know what you're thinking - "A camera down my horse's nose? That sounds awful!" But here's the reality:

  • Most horses handle it surprisingly well
  • They get mild sedation to stay comfortable
  • The whole procedure takes about 30 minutes

Effective Treatment Options

Gastric Ulcers in Horses: Symptoms, Treatment & Prevention Guide Photos provided by pixabay

Obvious Red Flags

The FDA-approved omeprazole (GastroGard®) works like a charm for most cases. It's like putting a temporary mute button on that acid pump. But remember - treatment typically takes 28-30 days, and follow-up checks are important.

Supportive Care Matters

While medications help, we can't ignore the lifestyle factors:

"You can't just medicate away bad management" - Every smart vet ever
That means addressing stress, diet, and environment too.

Daily Management Strategies

Feeding for Stomach Health

Here's a simple rule - think like a grazing horse! Small, frequent meals beat two big feedings any day. And that grain-heavy diet? Might be time to reconsider.

Creating a Low-Stress Life

Try these simple changes:- More turnout time (horses need their social time!)- Slow feeder hay nets (makes meals last longer)- Reducing unnecessary medications

Prevention Is Key

Long-Term Protection

For ulcer-prone horses, prevention products like UlcerGard® can be helpful. But remember - they're supplements to good management, not replacements.

Stress-Busting Techniques

Ever notice how you get stomachaches when stressed? Horses are the same! Try:- Regular exercise (but not overtraining)- Stable companions (no one likes eating alone)- Consistent routines (horses thrive on predictability)

Common Questions Answered

What's the Worst That Could Happen?

Left untreated, ulcers can lead to serious issues like colic or stomach perforation. But with proper care, most horses recover completely.

Can I Still Compete My Ulcer-Prone Horse?

Absolutely! Many top performance horses manage ulcers successfully. It just takes careful planning and monitoring.

Are Some Breeds More Prone?

While any horse can develop ulcers, thoroughbreds and other high-performance breeds tend to have higher rates. But don't let your guard down with other types!

The Hidden Impact of Training Routines

How Exercise Affects Stomach Health

You know that burning sensation in your gut when you run too soon after eating? Horses experience something similar, but way more intense. Vigorous exercise actually squeezes the stomach, forcing acidic contents upward where they don't belong. It's like shaking a soda can - eventually something's gonna give!

Here's an eye-opening comparison of ulcer rates based on training intensity:

Training LevelUlcer IncidenceRecovery Time
Light Exercise35%2-3 weeks
Moderate Training65%4-5 weeks
Competition Level90%+6-8 weeks

The Warm-Up Factor

Ever wonder why trainers insist on proper warm-ups? Turns out, gradually increasing intensity gives the stomach time to adjust. Cold starts are like throwing your horse's digestive system into the deep end without floaties. A 15-minute walk before intense work can make all the difference!

Nutritional Game Changers

Beyond Just Hay and Grain

While we're talking feed, let's bust a myth - alfalfa isn't just for skinny horses! Its natural calcium acts like stomach Tums, buffering acid between meals. And psyllium husk? That fiber superstar helps move everything through smoothly.

Here's my favorite ulcer-friendly snack recipe:

  1. 1 cup soaked beet pulp
  2. 1/4 cup ground flaxseed
  3. 2 tablespoons chia seeds
  4. 1 banana (yes, horses love them!)
Mix it up and watch your horse's face light up!

The Water Factor

Did you know dehydration can worsen ulcers? A dry stomach is an angry stomach. Try these hydration hacks:- Add apple juice to water buckets- Offer warm water in winter- Install automatic waterers with constant fresh supply

Environmental Stress Busters

Turnout Time Magic

You wouldn't believe what 24/7 pasture access can do! Studies show pastured horses have 60% fewer ulcers than stalled counterparts. If full turnout isn't possible, even 4 hours daily makes a huge difference. It's like giving your horse a lunch break from stress!

But here's the catch - not all pastures are equal. A barren dirt lot causes more stress than a grassy field with buddies. Which brings me to...

The Buddy System

Horses are herd animals - isolation literally hurts their stomachs. No horse should eat alone. Even if they can't touch, seeing a companion reduces cortisol levels dramatically. I've seen grumpy stallions transform when we moved their feed tubs near others!

Alternative Approaches Worth Trying

Herbal Helpers

While omeprazole works wonders, some owners swear by these natural aids:- Slippery elm (coats the stomach)- Marshmallow root (soothes irritation)- Chamomile (calms nerves and gut)

Just remember - "natural" doesn't always mean safe. Always check with your vet first, especially if your horse takes other meds.

Massage Therapy

Here's something cool - targeted abdominal massage can actually improve digestion! Gentle clockwise strokes follow the natural gut movement pattern. I taught myself basic techniques and my mare practically purrs during sessions now.

Travel Troubles and Solutions

Road Trip Prep

Ever get carsick? Horses do too! Try these travel tips:- Feed wet hay 1 hour before departure- Use trailer windows for ventilation- Stop every 3-4 hours for walk breaks

Pro tip: Hang a hay net at chest height - it encourages better head position for swallowing.

Show Season Survival

Competition horses face triple threats: travel stress, new environments, and performance pressure. Pre-loading with omeprazole 3 days before events helps, but don't forget:- Bring familiar water from home- Maintain normal feeding times- Allow grazing during downtime

When to Call the Vet Immediately

Emergency Red Flags

Most ulcers aren't emergencies, but watch for these danger signs:- Repeated rolling or kicking at belly- Refusing all food and water- Dark, tarry manure (indicates bleeding)

Remember that time my gelding colicked after ignoring mild ulcer symptoms? $2,000 later, I learned it's cheaper to treat early!

The Cost of Waiting

Here's a sobering fact - treating a perforated ulcer costs 10x more than early intervention. Not to mention the pain we put our horses through by delaying. If you're hesitating about that vet bill, consider this your sign to make the call.

Success Stories to Inspire You

The Comeback Kid

Remember that Olympic dressage horse everyone wrote off? After proper ulcer treatment and management changes, he came back to win gold! His secret? Continuous forage access and reduced grain. Sometimes the simplest solutions work best.

Pasture Paradise

One racing stable reduced ulcers from 95% to 15% just by:- Installing slow feeder hay nets- Adding turnout paddocks between training- Switching to alfalfa-based diet

The best part? Their vet bills dropped 75% that season. Now that's what I call a win-win!

E.g. :Equine Gastric Ulcer Syndrome | School of Veterinary Medicine

FAQs

Q: How can I tell if my horse has stomach ulcers?

A: Watch for these telltale signs I've learned to recognize over the years: First, any change in eating habits - maybe your usually enthusiastic eater becomes picky or takes forever to finish meals. Second, attitude shifts, especially during tacking up or riding. I've had clients say "He's just being stubborn," when actually their horse was in pain! Other red flags include weight loss, dull coat, or frequent lying down. But here's what many owners miss - some horses show no obvious symptoms. That's why high-risk horses (athletes, frequent travelers) should get regular check-ups.

Q: What's the best treatment for equine gastric ulcers?

A: The gold standard is FDA-approved omeprazole (GastroGard®), which I've seen work wonders in countless cases. It temporarily reduces acid production, giving ulcers time to heal. Treatment typically takes 28-30 days - yes, that whole month is crucial! But here's what many owners don't realize: medication alone isn't enough. We must also address the root causes - stress, feeding schedule, turnout time. I always tell clients "Think of omeprazole as a bandaid - necessary but not sufficient for long-term healing."

Q: Can I prevent my horse from getting ulcers?

A: Absolutely! Prevention starts with mimicking natural grazing. Here's what works best in my experience: Free-choice hay (use slow feeders if needed), small frequent meals instead of two large ones, and maximum turnout time. For high-stress situations like shows or travel, many of my clients successfully use preventive products like UlcerGard®. But remember - no supplement replaces good management. The happiest, healthiest horses I know live on consistent routines, companionship, and plenty of forage.

Q: Are certain feeds better for ulcer-prone horses?

A: Yes, and this is where many owners go wrong. That high-grain performance diet? Often an ulcer recipe! Here's what I recommend: First, prioritize forage - good quality hay available 24/7. Second, if you must feed grain, make meals smaller and more frequent. Third, consider adding alfalfa - its natural buffering properties can help. I've had clients see dramatic improvements just by switching from two large grain meals to four smaller ones with constant hay access. Your vet can help tailor a diet for your horse's specific needs.

Q: How stressful is the ulcer diagnosis process for my horse?

A: I completely understand this concern! The endoscopy procedure sounds scary, but most horses handle it surprisingly well. Here's what to expect: Your vet will give mild sedation (just enough to take the edge off), possibly use a twitch for focus, and gently pass a thin scope through the nose. The whole thing takes about 30 minutes, and I've rarely seen side effects. Preparation involves fasting for 12 hours - basically an overnight "no dinner" rule. While no horse enjoys vet visits, this diagnostic gives us crucial information to get your partner comfortable again.

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