Colic is the most common equine emergency and a leading cause of suffering and death in horses, requiring prompt recognition and veterinary response.
Colic causes intense abdominal pain and is distressing to witness and experience. Horses with surgical colic deteriorating while owners attempt home management endure prolonged suffering that could be avoided by earlier veterinary referral. The welfare goal is prompt pain assessment and escalation to emergency surgical care when conservative treatment is insufficient, based on clinical indicators rather than the financial barrier of surgical costs.