Colic is the leading cause of premature death in horses and causes severe welfare harm, yet many cases are preventable through evidence-based management practices.
Colic prevention through management represents one of the highest-impact welfare interventions available to horse owners given the severity of colic pain and its frequent preventability. The most effective prevention focuses on maintaining continuous fiber access to support normal gut motility, avoiding abrupt diet changes, ensuring adequate water intake particularly in cold weather, and regular dental care enabling proper feed processing. Prompt veterinary assessment at first signs of colic pain reduces suffering duration and enables early identification of cases requiring emergency surgical intervention where timing significantly affects outcomes.