Equine gastric ulcer syndrome is endemic in sport horses, causing chronic pain and affecting performance; management changes can dramatically reduce prevalence and individual suffering.
Equine gastric ulcers represent a welfare problem of enormous scale in sport horse populations. The combination of high-grain diets, restricted forage access, intensive training, frequent transport, and the social stress of competitive environments creates conditions highly conducive to ulcer development. The pain from gastric ulcers is chronic and can be severe, affecting every aspect of a horse's daily experience. Many horses with ulcers are treated for behavioural problems or poor performance without the underlying pain condition being addressed. Prevention through management is both more effective and more welfare-positive than repeated treatment cycles. The high prevalence of ulcers in sport horses represents a systemic failure of management practices that prioritise performance over welfare.