Equine grass sickness is a devastating and often fatal condition affecting the autonomic nervous system of horses, causing intense suffering and high mortality.
Grass sickness causes intense suffering across its clinical spectrum. Acute cases develop severe colic pain, profuse sweating, muscle tremors, and difficulty swallowing before rapid death — a profoundly distressing final illness. Subacute cases develop over days with abdominal pain, inability to swallow, and progressive debilitation. Even chronic cases that have a survival chance face months of profound weakness, weight loss, and difficulty eating before potential recovery. The decision to attempt treatment versus humane euthanasia in chronic cases requires honest assessment of the severity of ongoing suffering against the probability of recovery. Many affected horses that reach the chronic stage still die or are euthanised during recovery due to complications.