Gastric ulcers affect an estimated 40-90% of performance horses and are a significant welfare problem linked to management practices including feeding patterns, stress and anti-inflammatory drug use.
Equine gastric ulcer syndrome is closely linked to management practices that deviate from the evolutionary norm of continuous grazing. Horses stabled for more than 12 hours, fed two large meals daily and exercised on empty stomachs are at highest risk. Management changes that maximise forage access reduce ulcer incidence significantly without pharmaceutical intervention.