Colic is the leading cause of death in horses and causes severe acute suffering, making rapid recognition and response a critical welfare competency for all horse owners.
Colic welfare depends entirely on the speed and quality of owner response, making horse owner education the most critical welfare intervention. The acute suffering caused by colic, particularly impaction, displacement, or torsion colic, is severe. Horses in severe colic pain show rolling that can cause further intestinal trauma, and the progression from reversible to irreversible intestinal damage can occur in hours. Owners who can recognise colic early, assess severity with heart rate and gut sounds, contact a veterinarian promptly, and prevent self-injury through careful monitoring save animals from both suffering and death. Prevention through management that promotes gut motility, including adequate water, fibre, turnout, and dental health, reduces incidence significantly. The welfare challenge is that colic recognition and emergency response are skills that require training before they are needed in a crisis.