La Santé Equine

La Santé Equine La Santé Equine is an exclusively equine sports medicine practice servicing the Hill Country of Texas
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04/12/2026
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04/12/2026

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The UC Davis Weill School of Veterinary Medicine has once again secured the top spot in the nation in the 2026 U.S. News & World Report rankings of professional and graduate programs, marking its 10th consecutive year as No. 1.The rankings, based on peer assessment surveys from academic leaders acro...

02/16/2026

Situational Awareness
I’m going to say this the same way I used to say it to new deputies riding with me: situational awareness isn’t a “nice extra.” It’s not a personality trait. It’s not a vibe. It’s a skill, and it’s a survival skill. Back then, it could mean the difference between me going home or somebody else having to make a phone call they never wanted to make. And even though I’ve been out of law enforcement for a few years now, that skill didn’t just switch off like a light. I still walk into a restaurant, and I’m automatically reading the room. I notice what doesn’t fit. I notice the person who’s watching too hard. I notice the table that’s too close to the door and the guy who keeps checking it. I notice the energy. My wife can see it on me before I ever say a word. She’ll look at my face, and she already knows, “Something is making you uncomfortable.” Most of the time, I’m not being dramatic. I’m just processing information that other people don’t even register.

And here’s what a lot of horse people don’t realize: the same kind of awareness that keeps you safe around people can keep your horse alive.

That’s not an exaggeration.

When I went from field training officer to full-time horse trainer, I didn’t leave that part of me behind. It came with me. It shaped how I work. It shaped how I see. It shaped what I catch early—before it becomes a wreck. Because in horses, the difference between “no big deal” and “emergency” is often nothing more than time, minutes, or hours. One feeding. One missed clue that was sitting right in front of you.

Most problems in horses don’t start as explosions. They start as whispers.

A horse doesn’t usually go from “fine” to “crashing colic” in a single frame like a movie. A horse doesn’t usually go from “sound” to “three-legged lame” without a bunch of little changes leading up to it—changes that are easy to miss if you’re walking through the barn on autopilot. And that’s the part I want to fix in owners, because I want your horse to stay alive and stay healthy. Because I want you to catch the whisper and not have to deal with the scream.

In law enforcement, situational awareness meant I was always scanning: people, exits, hands, body language, what’s normal, what’s not, what changed since the last time I was here. In the horse world, it’s the same process. Different environment, different threats. But the mindset is identical.

The barn is a “scene.” The pasture is a “scene.” The feed room is a “scene.” Your horse is a “scene.” And if you want to be a good horseman—if you want to be the kind of owner who prevents problems instead of reacting to disasters—you need to learn how to read the scene.

I’m going to make this practical.

Situational awareness in the barn means you notice what’s “off” before it becomes obvious

Routine is one of the biggest early-warning systems you have. If your horse normally nickers at feed time, and today he doesn’t? That matters. If she usually meets you at the gate, and today she doesn’t? That matters. If a horse usually finishes feed, and today there’s a half-inch left? That matters. If the manure count is different, if the stall looks different, if the bedding is disturbed in a weird pattern, if the horse’s coat looks duller, if the eyes don’t look right—those are all pieces of a puzzle.e..
That’s not “just a bucket.” That’s a data point. If it’s too full, your horse might not be drinking. If it’s too empty, your horse might be drinking more than normal, or the bucket might be leaking, or the horse might be playing in it, or another horse might be stealing it, or the weather might be changing consumption. Any one of those could matter. Noticing it early gives you options. Ignoring it until tomorrow gives you problems.

A horse hanging out in an odd place.
Horses are routine animals. They have habits. They have preferred spots. They have social patterns. When a horse is standing away from the herd, or standing with their head in the corner, or not coming up to the gate like they always do, or they’re parked in the shade when it’s cold, or standing in the sun when it’s hot—those little choices can be clues. Pain changes behavior. Discomfort changes behavior. Early sickness changes behavior. Herd dynamics change behavior. If you’re paying attention, you catch the change while it’s still small.

A horse out of routine.
This is what I mean when I tell my help to go look at something because something seems off. Sometimes they go look, and they don’t see it. That’s not because they’re dumb. It’s because situational awareness is trained. It’s built over years. You don’t get it by “being around horses.” You get it by practicing noticing and then checking your noticing against reality.bedding is disturbed in a weird pattern, if the horse’s coat looks duller, if the eyes don’t look right—those are all pieces of a puzzle.

A feed scoop not where it goes.
That sounds silly until you’ve lived long enough to know that “silly” is how accidents happen. Maybe someone changed something. Maybe a new helper did chores differently. Maybe the wrong grain got used. Maybe a supplement was missed. Maybe a horse got double-fed. Maybe a lid got left off. Maybe a rodent got into the feed. Situational awareness isn’t paranoia. It’s noticing small changes that have big consequences.

This is what I mean when I tell my help to go look at something because something seems off. Sometimes they go look and they don’t see it. That’s not because they’re dumb. It’s because situational awareness is trained. It’s built over years. You don’t get it by “being around horses.” You get it by practicing noticing and then checking your noticing against reality.

In my law enforcement days, new officers missed things all the time. Not because they didn’t care—because their brain wasn’t trained to sort the important from the background noise. The barn is the same way. Most owners see the big obvious stuff. They miss the quiet details.

Every time you walk into the barn, do the same mental scan in the same order. Water. Feed. Manure. Posture. Eyes. Legs. Environment. Routine. It takes two minutes once it becomes a habit.ally see their horse. They see a shape in a stall, not a living system giving them feedback.dback.k.om the herd. If you catch that early, you can intervene early. You can call the vet sooner. You can walk, monitor, check vitals, adjust feed, check water, check manure. If you don’t notice until the horse is down and thrashing, you’ve lost time you can’t buy back.

In law enforcement, I taught rookies to watch hands. To watch posture. To watch where someone’s eyes go. To watch how people position themselves relative to exits and others. In horses, I’m watching a different set of indicators—but the concept is identical.

Here are some of the “tells” that experienced horse people see without even thinking:

Posture changes: a horse standing camped out, a horse resting a leg differently, a horse shifting weight, a horse with a tight back, a horse standing stretched out like they’re trying to ease belly pressure.

Expression changes: dull eyes, worried eyes, tight muzzle, pinned ears that don’t match the situation, a different look than yesterday.

Movement changes: shorter stride, toe dragging, reluctance to turn, reluctance to back, stiffness that doesn’t warm out the way it normally does.

Behavior changes: not finishing feed, not coming to the gate, more reactive than normal, unusually quiet, unusually “clingy,” unusually aggressive.

Environment changes: broken fence board, a gate chain unhooked, a water heater unplugged, a new object near the gate that wasn’t there yesterday, a patch of ice, a slick spot, a mud hole that grew overnight.

None of those things alone automatically means “emergency.” That’s important. Situational awareness doesn’t mean you panic every time something is different. It means you notice it, log it mentally, and follow up with a calm, systematic check.

That’s what good cops do. That’s what good horsemen do.

Situational awareness is how you stop small problems from becoming expensive problems

Let me give you a few real-world examples of how this plays out, because owners need to understand the stakes.

Example 1: Early colic signs
A horse that’s starting to feel gut discomfort might not be violently rolling yet. Early on, they might just stand a little different. They might not finish grain. They might drink less. They might look at their side. They might not want to move. They might be away from the herd. If you catch that early, you can intervene early. You can call the vet sooner. You can walk, monitor, check vitals, adjust feed, check water, check manure. If you don’t notice until the horse is down and thrashing, you’ve lost time you can’t buy back.

Example 2: Injury before it becomes a blown-up leg
A horse might have a small cut or a tiny puncture that doesn’t look like much at first. But if that leg starts to swell and heat builds, it turns into a much bigger deal. If you notice the horse standing oddly or not moving normally, you can find it early—clean it, monitor it, treat it, and avoid complications. If you miss it for a day because you weren’t paying attention, now it’s a swollen mess and you’re behind.

Example 3: Dehydration and water issues
A horse not drinking enough can look “fine” until they aren’t. That’s why the water bucket matters. That’s why the trough matters. That’s why noticing “too full” matters. It’s not you being picky. It’s you catching the kind of thing that causes impaction colic and performance issues and general misery.

Example 4: Feed mistakes and routine mistakes
People roll their eyes about feed room organization until the day a horse gets the wrong grain or a double dose of something that didn’t need doubled. Organization is not aesthetics. It’s safety. Just like on patrol, the little routines keep you from making big mistakes when you’re tired, rushed, or distracted.

The difference between “aware” and “unaware” is usually the difference between proactive and reactive

A lot of owners live reactive. They don’t mean to. They just do. They show up, do chores, throw hay, scroll their phone, leave. They see their horse every day but they don’t actually see their horse. They see a shape in a stall, not a living system giving them feedback.

Situational awareness turns you into a proactive owner. It’s the habit of constantly, quietly asking:

What’s normal for this horse?

What’s different today?

What changed in the environment?

What changed in routine?

What’s the simplest explanation?

What’s the worst-case explanation?

What can I check right now that gives me useful information?

And here’s the part I really want to underline: you don’t need to be dramatic. You don’t need to be anxious. You just need to be disciplined.

How I recommend owners build this skill on purpose

If I was training you like a rookie officer, I wouldn’t just tell you “be aware.” I’d give you a system. So here’s a barn version of that.

1) Build a baseline—know what “normal” looks like
You can’t notice “off” if you don’t know “normal.” Learn your horse’s normal water intake, normal manure output, normal feed behavior, normal herd position, normal attitude, normal movement out of the stall. Most owners don’t know these things until something goes wrong. Flip that.

2) Use a consistent scan every time
Every time you walk into the barn, do the same mental scan in the same order. Water. Feed. Manure. Posture. Eyes. Legs. Environment. Routine. It takes two minutes once it becomes habit.

3) When something feels off, don’t argue with yourself—verify
This is where people fail. They feel something and then talk themselves out of it because they don’t want to be “that person.” I’d rather you be “that person” than be the person who missed the early signs. If something seems off, check vitals. Watch the horse move. Check the bucket. Put hands on legs. Look at gums. Count breaths. You don’t have to jump to conclusions, but you do need to confirm reality.

4) Teach everyone around you to see the same way
Your help, your kids, your spouse—whoever does chores—needs the same standard. If you’re the only one with awareness, you become the bottleneck. This is exactly why I used to “send them to look” and then go show them what they missed. That’s training. That’s building their eyes. Don’t just correct them—teach them what to look for next time.

5) Keep a simple log when you need to
If a horse is borderline or you’re monitoring a potential issue, write down water, manure, temp, appetite, attitude. You’d be amazed how fast patterns show up when you stop relying on memory.

I learned situational awareness for my survival. I use it now for my horse’s survival.

That’s the core of this whole idea. In law enforcement, my brain learned to pay attention because the price of missing something could be catastrophic. In horse ownership, the price is different—but it’s still real. Horses don’t get to tell you what hurts with words. They tell you with behavior. They tell you with routine changes. They tell you with the quiet little stuff that most people ignore.

If you want to be the kind of horse owner who keeps your horse safer, healthier, and more comfortable, I’m telling you the truth: develop your situational awareness like your horse’s life depends on it—because sometimes it does.

I’m not asking you to be paranoid. I’m asking you to be present. I’m asking you to stop walking through the barn like a tourist and start walking through it like someone responsible for a living animal that can’t speak for itself.

Notice the bucket. Notice the feed. Notice where your horse stands. Notice what changed. Take a mental note. Follow up calmly. Catch the whisper.

That’s how you prevent the scream.

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11/19/2025

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Edited to add:
BVEH NAVASOTA HAS NO CASES ONSITE IN NAVASOTA. It is safe to bring your horse for their normal appointments, we will have additional biosecurity protocols before and in between appointments. We are working to set up an offsite location to triage potential sick horses. We will have updates tomorrow for you. Dr. Buchanan will go live here on Facebook at 8:15am tomorrow (Wednesday) morning.

BVEH Advisory:

EHV-1 Cases in Horses Returning From a Recent Event

Brazos Valley Equine Hospitals wants to notify horse owners that we are aware of multiple confirmed cases of EHV-1 in surrounding hospitals, and several suspected cases including several horses with neurologic signs (EHM) currently being diagnosed in the barrel horse community. BVEH has not admitted and is not treating and EHV or EHM cases.

The State of Texas Animal Health Commission is aware of the outbreak.

At this time, 5–10 horses are known to us to be sick, but the true number is likely higher as many cases go unreported.

________________________________________

What Horse Owners Should Do Right Now:

1. Keep all horses at home!
Please avoid hauling, clinics, lessons, shows, or mingling horses for the next several weeks until more information is available.

Movement is the #1 factor that spreads EHV-1.
________________________________________

2. Check temperatures twice daily!
Fever is usually the first sign (often before nasal discharge or neurologic symptoms).
• Temp at or above 101.5°F = call your veterinarian.
________________________________________

3. Notify your veterinarian immediately if your horse exhibits:
• Fever
• Weakness or incoordination
• Standing with hindlimbs wide
• Tail tone changes
• Difficulty urinating
• Lethargy or decreased appetite

Early intervention improves outcomes.
________________________________________

4. Discuss treatment options with your veterinarian.

For febrile or exposed horses, your vet may recommend:
• Valacyclovir
• Aspirin or other anti-thrombotics
• Anti-inflammatories
• Supportive care

(These should only be used under veterinary direction.)
________________________________________

5. Biosecurity matters.
• Do not share water buckets, hoses, tack, grooming tools, or stalls.
• Disinfect trailers, thermometers, and crossties.
• Isolate any horse with fever immediately.
________________________________________

About Vaccination.

Current evidence shows vaccines do not prevent EHM, but they can reduce viral shedding and shorten viremia, which lowers barn-wide spread and is important to the community.

Boosters are helpful when:
• A horse was vaccinated > 90 days ago, or
• You are preparing for high-risk environments (events, hauling, mixing populations).

What the research shows:
• Booster vaccination increases IgG1 and IgG4/7, the antibody classes linked with limiting viremia.
• Reduced viremia = reduced likelihood of severe disease and decreased transmission.
• Boosters are most effective in younger horses, previously vaccinated horses, and non-pregnant horses.

Vaccines do NOT stop a horse already incubating EHV-1 from developing signs, and they do not eliminate the risk of neurologic disease. For horses already exposed or febrile, do not vaccinate until cleared by your veterinarian.
________________________________________

We Will Continue to Update You!

BVEH is actively monitoring cases and communicating with veterinarians across Texas and neighboring states. We will continue to provide updates as more information becomes available. If your horse is showing fever or any neurologic signs, please contact your veterinarian or call BVEH immediately.

Please ask any questions in this post and we will work to answer them quickly. Stay tuned for additional updates, including a Live Q and A with Dr. Ben Buchanan tomorrow (Wednesday).

We have documents on our website www.bveh.com specific to EHV and biosecurity. Additional resources included below.

Stay safe, monitor closely, and thank you for helping limit the spread.

— Brazos Valley Equine Hospitals

Link to BVEH documents regarding EHV-1:
http://www.bveh.com

Link to ACVIM consensus statement: https://www.acvim.org/research/consensus-statements

Link to AAEP EHV documents:https://aaep.org/wp-content/uploads/2024/02/EHV1-4-guidelines-2021.pdf

Link to Equine Disease Center:https://aaep.org/wp-content/uploads/2024/02/EHV1-4-guidelines-2021.pdf

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08/01/2025

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Colonic Ulceration in Horses
Brian S. Burks, DVM, Diplomate, ABVP
Board-Certified in Equine Practice

Ulceration of the large colon of horses is a syndrome with an incompletely known etiology. Right Dorsal Colitis (RDC) secondary to NSAID administration is the most recognized form of colonic ulceration. Clinical signs of RDC include weight loss, diarrhea, bouts of colic, anorexia, peripheral edema and profound hypoproteinemia (low total protein) due to protein losing enteropathy (PLE). Colonic ulceration may also occur in the absence of NSAID administration, and the ulcers may form in any of the four quadrants of the large intestine. Performance horses that are fed diets low in roughage and high in grain are thought to be at risk of colonic ulceration. Available research on colonic ulceration is scarce, largely because visualizing the colonic mucosa in a live horse is not possible.

Gastric ulceration in performance horses is a common and a well-recognized problem, which can only be diagnosed by gastric endoscopy. Performance horses are at risk of developing colonic ulcers; however, colonic ulcers are more difficult to diagnose, as the colonic mucosa cannot visualized. The large colon cannot be completely examined without exploratory surgery or necropsy.

One study involved the necropsy of over 500 horses. One hundred and eighty of these horses were known to be performance horses, and colonic ulcers were found in 63% of these horses (87% had gastric ulcers). In the remaining group of horses, 44% had colonic ulcers and 55% had gastric ulcers.

The prevalence of gastric ulcers in the performance horses in this study approximated the prevalence of gastric ulcers in performance horses, so the prevalence of colonic ulcers may be higher than was previously thought. Necropsies performed at Fox Run Equine Center often find colonic ulceration. Ulcers have also been noted during endoscopy in the small intestine of miniature horses overdosed with phenylbutazone.

Etiology and Pathophysiology of Colonic Ulcers in Horses

Gastric ulcers and colonic ulcers can both occur secondarily to NSAID administration. Phenylbutazone, administered at high doses, or over a long period of time, poses a particular risk. Phenylbutazone (PBZ) is one of the more commonly used NSAIDs for musculoskeletal pain in horses, and it is a non-specific COX inhibitor (COX 1,2,3- cyclooxygenase), the combination of which contributes to phenylbutazone being closely associated with RDC development. Many NSAIDs can induce RDC, mainly PBZ, flunixin meglumine and ketoprofen. The COX-2 selective inhibitors such as meloxicam and firocoxib may cause ulcers when administered at doses well above the recommended dose, but are well-tolerated at normal doses and even three times normal doses.

Some horses are thought to be more sensitive to the side effects of NSAIDs and can develop ulcers at normal, and even lower than normal doses. Whether some of these horses have an underlying disease that predisposes them to RDC is unknown. Ulceration tends to be worse in the right dorsal colon; however other parts of the colon may also be affected.

Possible, but unproven, causes of non-NSAID-induced colonic ulceration include:

1. Acidosis of the hindgut from fermentation of carbohydrate-rich foods (i.e., grains) When sweet feed is fed at >1.0% of body weight per day, starch and sugar will not be fully absorbed by the small intestine, spilling over into the colon.
2. Helminth migration or small strongyle larval encysted in the colon wall.
3. Chronic stress resulting in chronically high endogenous plasma cortisol concentrations.

A combination of these factors is likely.

The pathology of colonic ulceration includes mucosal ulceration of varying severity, with thickening of the underlying submucosa and lamina propria resulting from edema and inflammation. Fibrosis and the formation of internal strictures are possible sequelae.

Clinical Presentation of Colonic Ulceration in Horses

All ages and breeds of horses can be affected; however, young performance horses are considered to be at greatest risk. The earliest symptoms of colonic ulceration may be subtle, and could possibly include:

1. Vague signs of abdominal discomfort such as resentment to the tightening of a saddle or resentment to being ridden.
2. Low-grade colic symptoms, that wax and wane. Between episodes, the horse may appear to be normal.
3. Decreased performance.
4. Decreased appetite.
5. Rough dull hair coat.
6. Weight loss.
7. Diarrhea.

With severe disease, the horse may develop ventral and peripheral limb edema, anorexia, colic, lethargy, fever, dehydration and endotoxemia. Complications of severe disease can include laminitis, infarction of the colon, and bowel rupture.

Blood work is useful with colonic ulceration. Hypoalbuminemia is a common feature of PLE. Hypocalcemia usually occurs concurrently with hypoalbuminemia, as a large percentage of blood calcium is bound to albumin. Hematology results are variable and may show an elevated white cell count or a low red blood cell count. Fibrinogen or serum amyloid A may be elevated.

Abdominocentesis findings are non-specific; there may be an increased white cell count and increased total protein, depending on the severity of disease.

Diagnosis for Colonic Ulcers in Horses

An accurate diagnosis of colonic ulceration cannot be made without visualizing the colonic mucosa; however, a presumptive diagnosis can be made based on a combination of the following findings:

1. History of NSAID administration (if there is no NSAID exposure, colonic ulcers cannot be ruled out, especially if the following signs are present).
2. Intermittent colic, especially if combined with diarrhea, weight loss and/or peripheral edema.
3. Hypoalbuminemia
4. Abdominal ultrasound finding of a thickened wall of the right dorsal colon or other areas of the colon.
5. Ruling out of more common diseases, that have a similar presentation, i.e. gastric ulcers, salmonellosis, intestinal parasitism etc.
6. Gastric ulcers can occur concurrently with colonic ulcers. Gastric ulcers are unlikely to cause hypoalbuminemia or diarrhea.

Abdominal ultrasound is able to image a limited portion of the right dorsal colon on the right side between the 11-15th intercostal spaces, below the lung margin and axial to the liver. Normal wall thickness is less than 0.4 cm; horses with RDC may have wall thickness >0.6cm. Although the sensitivity of abdominal ultrasound findings is low, ultrasound is a useful tool in combination with the rest of the physical examination.

Nuclear scintigraphy, using technetium-99m hexamethylpropyleneamine oxime to radiolabel white blood cells, has been described as a method of imaging inflammatory lesions in the large colon. This technology may be available in some specialist centers.

Treatment for Colonic Ulceration

Diet plays a significant role in the health of the equine intestinal tract. Many performance horses are fed diets that are high in grain and low in roughage. This feeding practice leads to abnormal patterns of fermentation in the large bowel and to alterations of the intestinal microbes. Mimicking natural feeding habits (high roughage diets) may go a long way to preventing colonic ulcer formation and may also help treat low-grade ulceration. Horses are continuous grazing animals, so frequent, small meals and/or continuous access to forage help prevent gastric and colonic ulcers.

Horses with moderate-to-severe colonic ulceration should discontinue NSAID medication, using COX-2 inhibiters, if needed, or other pain medication. Stress should be minimized. These horses should be fed frequent, small meals at regular intervals (4-6 times daily), along with a low residue diet to decrease the bulk in the colon during healing (no hay). There are a number of complete feeds available that are low in carbohydrates, but have at least 30% fiber. Short periods of grazing fresh grass (10-15 minutes, 2-3 times per day) are also good for stress levels and to lower the colonic load. Omega-3-rich oils can also be used to provide calories without bulk, and the necessary fats for cell membrane formation. They also help limit inflammation. Psyllium mucilloid is an amylase-resistant fermentable fiber hydrolysed by colonic bacteria into short-chain fatty acids (SCFAs). The SCFAs are an important energy source for colonocytes and can help improve the function of the cells, and promote faster colonic. Sucralfate may bind to the ulcer bed and act as a protective cover over the ulcer; it may stimulate the release of protective prostaglandins. Sucralfate has not been clinically proven with colonic ulcers, and I have not found it to be particularly helpful.

Horses with severe hypoproteinemia and edema benefit from plasma (the acellular portion of blood). Replacing the albumin deficit increases the plasma oncotic pressure, which improves tissue perfusion and helps reduce edema, both peripheral edema and edema in the colon, which benefits colonic mucosal healing. Vetstarch is a less expensive alternative than plasma for increasing the plasma oncotic pressure, but it will not improve the hypoalbuminemia.

Horses with colonic ulcers should be encouraged to drink so as to maintain hydrated intestinal contents. Adding salt to grain, hay, or water often improves water intake.

Improvements in clinical signs should be seen within 1-2 weeks; however the colon will take longer to heal – on average 3-4 months, but some horses take longer to heal. Blood work can be monitored regularly, as improvements in blood albumin concentrations will indicate that the treatment is working.

Medications used to treat gastric ulcers have not been found to be beneficial in treating colonic ulcers. Misoprostol, a synthetic form of prostaglandin E2, is cytoprotective and improves healing. The side effects of Misoprostol include abdominal cramping, diarrhea, sweating, and abortion in pregnant mares (and women- so do not handle this medication if you are, or could be, pregnant).

In cases where abdominal pain from colonic ulceration is severe and uncontrollable, a bypass surgery has been reported that alleviates discomfort.

Prevention of Colonic Ulceration
Administer NSAIDs at appropriate doses and for no longer than necessary. Ensure horses are fed an appropriate diet that constitutes primarily roughage, such as grass, hay and chaff. Continuous access to forage helps to buffer acids in the stomach and colon. Carbohydrate-rich supplements such as grain should only be added to the diet as necessary to fulfill energy requirements- in other words, couch potatoes do NOT NEED GRAIN, only those with consistent exercise that increases energy requirements above what hay/grass alone can provide. Consider beet pulp and Omega-3 rich oils as alternative energy sources to grain. Excessive carbohydrate is dumped into the colon and may lead to hind gut acidosis, causing changes to the colonic microflora and erosion of the intestinal lining. Do not kill your horse with kindness.

Fox Run Equine Center

www.foxrunequine.com

(724) 727-3481

Address

Johnson City, TX
78636

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+18304543668

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