Gastric ulcers affect the majority of performance horses and many leisure horses, causing pain and behaviour changes. Prevention through management and diet is as important as treatment.
Gastric ulcers cause chronic pain that significantly impairs quality of life in horses. The pain of acid contacting ulcerated mucosa explains many common behaviour problems including reluctance to work, aggression, and stereotypic behaviours. Prevention requires management matching the horses evolutionary physiology: continuous access to forage, limited high-starch concentrate feeds, and minimising time without hay or grass. Treatment without management change leads to rapid recurrence.