Colic is the leading cause of death in horses and causes significant acute suffering, but many cases are preventable through evidence-based management practices.
Colic causes severe acute pain that distresses horses rapidly and can escalate to life-threatening levels within hours. The welfare priority in colic management is immediate veterinary assessment and appropriate pain management — delay in seeking veterinary attention is the primary preventable cause of colic death. Prevention through management that supports digestive health is equally important and substantially within owner control.