Equine grass sickness is a poorly understood and often fatal neurological condition with a particular prevalence in Scotland that causes severe welfare impacts in affected horses.
Acute grass sickness causes profound depression, colic, difficulty swallowing and rapid deterioration requiring euthanasia. Subacute cases involve persistent distress from colic and dysphagia. Chronic cases require months of intensive nursing including hand-feeding, supportive care and rehabilitation. Welfare priorities include prompt recognition and diagnosis, early euthanasia for acute and severe subacute cases, and dedicated nursing for chronic cases showing recovery potential.