Equine Gastric Ulcer Syndrome
Drs. Foster & Smith Educational Staff
Ulcers are a common medical condition in horses and foals. It is estimated that almost 50% of foals and 1/3 of adult horses confined in stalls may have mild ulcers. Up to 60% of show horses and 90% of racehorses may develop moderate to severe ulcers. Because they are so common, and can occur as a result of a number of factors, the condition is often called "equine gastric ulcer syndrome" (EGUS) or "equine gastric ulcer disease" (EGUD).
How the horse's stomach works
To understand why horses are prone to ulcers, it is helpful to know some horse anatomy. Holding only about 4 gallons, the horse's stomach is small compared to humans. It is divided into two distinct parts. The non-glandular portion (also called the esophageal region) is lined by tissue similar to the lining of the esophagus. The glandular portion is lined with glandular tissue, which produces hydrochloric acid and pepsin, an enzyme needed for the digestion of food. This part of the digestive system also produces substances to protect the stomach from the effects of the acid and enzymes. In humans, eating stimulates the production of hydrochloric acid. In the horse, however, hydrochloric acid is constantly being produced. So, if a horse does not eat, the acid accumulates in the stomach, and can start to irritate the stomach, especially the non-glandular portion.
Causes of gastric ulcers in horses
There are multiple factors that can increase the risk of ulcers in horses, including:
Fasting (not eating) - Horses evolved to graze, eating many small meals frequently. This way, the stomach is rarely empty and the stomach acid has less of a damaging effect. If horses and foals do not eat frequently, the acid builds up and ulcers are more likely to develop.
Type of feed - The type and amount of roughage play a role in ulcer development. Roughage, because it requires more chewing, stimulates the production of more saliva. The swallowed saliva helps to neutralize stomach acid. There is an increase in acid production when concentrates are fed. The type of roughage is also important. Alfalfa is higher in calcium, and it is thought that this may help decrease the risk of ulcers.
Amount of exercise - As the amount of exercise increases, there is often a change in feeding (e.g., more times of fasting, less roughage), which increases the risk of ulcer development. In addition, exercise may increase the time it takes for the stomach to empty, so large amounts of acid can remain in an empty stomach for a prolonged period of time. Stress itself may decrease the amount of blood flow to the stomach, which makes the lining of the stomach more vulnerable to injury from stomach acid.
Medications - Chronic use of non-steroidal anti-inflammatory drugs (NSAIDS) such as phenylbutazone(Bute) and flunixin meglumine (Banamine® Paste) blocks the production of a particular chemical called PgE2. PgE2 decreases acid production, so when PgE2 levels are low, acid levels are high, contributing to the development of ulcers.
Signs of gastric ulcers in horses
In foals, signs of gastric ulcers include:
Intermittent colic, often after nursing or eating
Poor appetite and nursing for only very short periods
Lying on the back
In adult horses, signs of gastric ulcers include:
Weight loss and poor body condition
Poor hair coat
Mental dullness or attitude changes
Lying down more than normal
If a gastric ulcer is suspected, a veterinarian will use a combination of medical history, clinical signs, laboratory tests, and special examinations to make the diagnosis. Gastric ulcers can be life-threatening. If your horse or foal is showing signs of gastric ulcers, contact your veterinarian immediately.
Treatment of gastric ulcers in horses
Medications and changes in management practices are the cornerstones of therapy for equine gastric ulcers. Different medications are used for three purposes: (1) to decrease acid production, (2) to buffer the acid that is produced, and (3) to protect the lining of the stomach from the effects of the acid.
H2 blockers: These are medications that block the action of histamine. Histamine stimulates the production of stomach acid. Example: Cimetidine, ranitidine.
Proton pump inhibitors: These are medications that inhibit the production of acid by the stomach
Buffers: Antacids buffer the action of the stomach acid. Because acid is constantly being produced in the horse, antacids are effective for only a short time (less than an hour) and require large amounts be given. This makes them relatively impractical in the horse, though their use on the day of performance or a stressful event may be beneficial.
Protectants: Certain drugs can block acid from coming into contact with the stomach lining. Unfortunately, these do not appear to be as effective in the esophageal portion of the stomach. Example: Sucralfate.
In addition to medications, changes in management are almost always necessary including:
Increasing the amount of roughage in the diet.
Increasing the number of feedings by increasing the amount of time the horse is actually eating. Putting the horse on pasture would be the best alternative.
Avoiding or decreasing the amount of grain. Use supplements to add the vitamins and minerals, and vegetable oils to add the calories the horse may need.
Giving probiotics to aid in digestion.
Many ulcers in foals heal without treatment. In adults, the clinical signs may improve within 1-2 days of starting treatment, but it takes far longer for the ulcer to actually heal. Be sure to follow your veterinarian's treatment recommendations. If you stop the treatment earlier than your veterinarian suggests, the ulcer may not completely heal.
Insect Control in 3 Easy Steps
Drs. Foster & Smith Educational Staff
Oftentimes, equine insect control seems like a never-ending battle. Flies continually gather around your horse's legs. Mosquitoes bombard anyone who enters the barn. A day on the trail can turn into an evening of tick removal. But there are simple steps you can take to control flies, mosquitoes, gnats, ticks, and other pests around your horse, barn, stable, pasture, and home.
Step One: Prevent Equine Insects
Most insects thrive in barns and pastures. Flies flourish in moist, dirty manure piles. Mosquitoes relish standing water in troughs and buckets. Ticks seek longer pasture grasses. Therefore, one way to control most species of insects is to eliminate the locations in which they find refuge. Ideal preventive measures include:
Clean Often - Muck stalls and remove manure daily with a suitable fork and bucket. Keep grass cut short, especially near the barn. Rake away excess grass, hay, and leaves. Store treats, supplements, grains and foods in suitable storage bins.
Feed Smart - Lift grains, hay, and treats off of the ground with a suitable feeder. Not only will this help prevent food sources from soaking up moisture, but it also gives flies one less location in which to lay their eggs.
Remove Standing Water - Empty buckets and eliminate standing water around all livestock troughs. Stagnant water is a popular breeding site for mosquitoes and some flies.
Circulate Air - Plug in or install fans throughout your barn or stable. Stagnant air traps moisture and the scent of manure and garbage, which attract flies and mosquitoes.
Step Two: Reduce Insect Exposure
Some insects travel great distances to find food. Unfortunately, this means flies, mosquitoes, gnats, and other pests could invade your barn, pasture, and home, even if they do not inhabit the immediate area. However, there are a variety of perimeter sprays, traps, and control techniques you can use to kill and repel these traveling nuisances. Effective environmental controls include:
Spray the Perimeter - Spray a suitable insecticide throughout your barn. Several styles of perimeter sprays are available to make the area inhospitable to insects.
Set Traps - Lure, catch, and contain insects with a suitable trap. These devices emit combinations of scent, heat, moisture, carbon dioxide, or vibrations to entice insects.
Reduce Light - Turn off or dim stall, barn, pasture, porch, and house lights at night. Mosquitoes, flies, moths, and more are attracted to lights.
Befriend Birds and Bats - Install bat or bird houses around your property. Mosquitoes, flies, and other bugs are a favorite food of birds and bats.
Step Three: Protect Individual Horses
Insects are nothing if not resilient. Despite your best efforts to eliminate fly, mosquito, and insect habitats and control the environment throughout your barn, pasture, and home, insects may still annoy your horse. Plus, chances are your horse spends at least some time on the riding trail or at competitions, which are far away from the areas in which you've worked to control insects. Thankfully, there are a variety of insect control products available. Individual insect control methods to protect your horse include:
Dress Your Horse - Protect your horse with a suitable fly mask and fly sheet.
Use Repellents - Spray, wipe-on, roll-on, or dust an insect repellent onto your
Deworm Your Horse - Control internal parasites in your horse on a regular basis to help keep him healthy.
The Importance of Insect Control
At their most basic, flies, mosquitoes, ticks, and other insects are a nuisance to you and your horse. But even the annoyance of just a few insects has resulted in some serious equine injuries. Horses have barreled through pasture fences to escape a swarm of mosquitoes. Hooves have been injured due to continual stomping in response to a few pesky flies. Normal feeding habits have been interrupted and serious cases of colic have ensued.
Worse, many insects are carriers of potentially serious diseases. Flies are known to transmit typhoid, dysentery, and tuberculosis. Mosquitoes carry West Nile Virus and equine encephalitis. Ticks can spread Lyme disease. True, some insect-borne diseases have no effect on your horse. However, they can affect you and your family.
Because of their resilience, insect control may seem like a daunting task. However, working to eliminate suitable insect habitats, control the environment around your barn and pasture, and individually protect your horse will offer the best protection possible.