Colic is the most life-threatening welfare emergency in horses, with management decisions significantly affecting survival and the duration of suffering.
Colic causes significant pain ranging from mild discomfort to extreme agony in severe cases. Delayed veterinary assessment allows treatable conditions to progress to potentially fatal ones while prolonging suffering. Welfare-centred colic management requires prompt veterinary assessment for all cases, appropriate pain relief, and honest evaluation of surgical candidacy when indicated. The quality of life implications of surgical recovery are significant and must be considered alongside survival probability. Euthanasia may be the most welfare-positive decision for severe cases with poor prognosis.