Gastrointestinal health in horses encompasses the study of the structure, function, and disorders of the equine digestive system. The equine gastrointestinal tract is complex, consisting of the stomach, small intestine, cecum, and large intestine, each playing a specific role in digestion and nutrient absorption. Research in this area often focuses on common disorders such as colic, gastric ulcers, and parasitic infections, which can impact a horse's overall health and performance. Investigations examine factors affecting gastrointestinal health, including diet, management practices, and the microbiome. This page compiles peer-reviewed research studies and scholarly articles that explore the physiology, pathology, and management of gastrointestinal health in horses.
Balantidium coli is a ciliated protozoan that inhabits the large intestine of swine, man, rodents, and nonhuman primates. Frequently this organism is associated with enteric diseases in man and nonhuman primates, with rare manifestations of disease in swine and other mammalian species. This report describes a case of B. coli-induced enteric disease in a 15-yr-old, mare, Finnish Horse after an acute onset of colic. Severe hemorrhagic and eosinophilic colitis with intense infiltration of intralesional B. coli-like ciliated protozoan were found histologically.
A 25-year-old pony mare was presented to the clinic with preliminarily reported severe acute colic. The pony during the previous week had shown inappetence, apathy and fever of unknown origin. Clinical examination and placement of a gastric tube were indicative of a secondary gastric dilation. Rectal exploration found moderate caecal meteorism with a tensed and painful medial taenia as well as a dilated and fluid-filled small intestine. In addition, a solid, mobile, non-painful structure of approximately 10 cm diameter was palpated ventrally. A hyperechogenic mass close to the caecum was detec...
Schank N, Cottone A, Wulf M, Seiter K, Thomas B, Miller LMJ, Anderson SL, Sahyoun A, Abidi AH, Kassan M, Verma A.Equine colic remains a prevalent and potentially life-threatening condition with multifactorial origins, including dietary imbalances, stress, and microbial dysbiosis. Central to equine gut health is the production of short-chain fatty acids (SCFAs), primarily acetate, propionate, and butyrate, generated through microbial fermentation of dietary fibers in the hindgut. These metabolites not only serve as vital energy sources but also play crucial roles in maintaining intestinal barrier integrity, modulating motility, and suppressing inflammation. This review explores the role of SCFAs in equine...
James AL, Vettorato E, Moura RA, Azevedo TMBPR, Mallicote MF, Chiavaccini L.Sedation with α₂-agonists can impair microcirculation and oxygen delivery. This prospective randomized crossover study investigated whether administering acepromazine maleate before detomidine hydrochloride maintains higher peripheral tissue oxygen saturation (StO₂) in sedated horses. Eight healthy adult horses randomly received intravenous detomidine (10 μg/kg) either alone (D) or in combination with acepromazine (20 μg/kg; DA), with a one-week washout. Hemoglobin concentration and central venous oxygen saturation (ScvO₂) were measured at baseline. Tissue oxygen saturation, tissue ...
Hansen S, Tecles F, Cerón JJ, From C, Carstensen H, Muñoz-Prieto A.The number of horses with equine squamous gastric disease (ESGD) and equine gastric glandular disease (EGGD) recurrence when pharmacological treatment is discontinued is high. Objective: To examine if a commercially available nutraceutical compound containing lecithin, pectin, and meadowsweet could prevent recurrence of both ESGD and EGGD after omeprazole treatment, evaluated by repeated gastroscopic examinations and saliva biomarkers. Methods: Blinded, randomised, placebo-controlled clinical trial. Methods: Thirty horses of mixed breeds and sex with a recent diagnosis and treatment of both ES...
Amaje J, Upton S, Garba UM, Jolayemi KO.Hay nets and slow feeders are designed to mimic natural grazing by prolonging forage intake, thereby supporting digestive health and reducing stress-related behaviours. Their design and use, however, can influence effectiveness and may introduce risks. Objective: This semi-systematic review evaluated the use of hay nets and slow feeders in feeding horses, focusing on their impact on feeding time, behaviour, forage management and health management. Methods: A semi-systematic search across PubMed, ScienceDirect, Google Scholar, and Scopus identified 26 full-text studies published between 2009 an...
Gentilini F, Ogundipe TG, Turba ME, Romagnoli N, Lambertini C, Pollera C, Cremonesi P, Stancampiano L.Gastrointestinal nematode infections significantly impact equine health and welfare, with rising anthelmintic resistance demanding alternative control strategies. Emerging evidence suggests that parasitic nematodes harbour distinct microbiomes, potentially influencing host-parasite dynamics and parasite survival. This study aimed to characterize and compare the microbiomes of equine gastrointestinal nematodes and their hosts, focusing on differences in composition, diversity, and core microbiota structure across different intestinal sites, nematode subfamilies, and sexes. Faecal and nematode s...
Franzan BC, da Silva Coelho I, Ramos EM, de Souza ARP, de Almeida FQ, Silva VP.This study aimed to investigate the gradual adaptation of the fecal bacterial community and in vitro fermentative capacity of horses fed a complete extruded diet (CED). Twelve geldings weighing 370 kg were removed from a native pasture and fed coastcross hay (Cynodon spp) for 7 days. In the second week, horses were assigned to two groups: one group was fed exclusively with coastcross hay (HAY) for 28 days and the other group fed with weekly increases of CED (30%, 60%, and 100%) to replace HAY. Fecal samples were collected on Days 7, 14, 21, and 28 for microbiota and in vitro fermentati...
Nowicka B, Łopuszyński W, Krajewska-Wędzina M, Biazik A, Sobuś M, Polkowska I, Szacawa E.Gastrointestinal mycobacteriosis in horses is difficult to diagnose because of the pathogen's intracellular nature and the non-specific clinical symptoms. Effective accurate diagnosis facilitates prognosis and treatment. Current diagnostic procedures and methods of collecting material do not permit definitive antemortem diagnosis. However, culturing, acid-fast bacilli staining, histopathology, PCR and immunological marker evaluation may prove useful. Unassigned: Three horses were admitted to a clinic for intensive care and a final diagnosis. Physical examination and additional tests were perfo...
Wang C, Wang J, Ma B, Liu T, Yuan X, Meng J, Zeng Y.: This study investigated the effects of dietary bamboo leaf extract (BLE) on milk parameters and intestinal microbiota in lactating mares. : Twenty-four mares of similar age (10 ± 2 years), weight (360.62 ± 15.23 kg) and body condition were selected for this study and randomly divided into four groups of six mares each: an untreated control group (CG) and three experimental groups (EG1, EG2, EG3) were fed a basal diet supplemented with 0, 10, 20, or 30 g/day of BLE, respectively, for 60 days. Then, horse milk composition, antioxidant activity, and immunoglobulin levels along with the rela...
Wei L, Wei J, Liu X, Chen W, Wang C, Khan MZ, Zhang Z.Donkeys () remain nutritionally understudied despite their critical roles in agriculture across developing regions, with current feeding practices inappropriately extrapolating horse standards without accounting for species-specific digestive physiology. No comprehensive synthesis has integrated how dietary modifications systematically alter gut microbial communities to drive measurable health outcomes in donkeys, preventing development of evidence-based feeding strategies. This review critically synthesizes current evidence on donkey nutritional requirements and gut microbiota dynamics to est...
Cabaret J.Resistance to anthelmintics in gastrointestinal nematodes (GINs) is highly prevalent, as these parasites have been treated with anthelmintics for decades in ruminants and horses. Anthelmintics belong to different classes, each with a different mode of action. The most used are benzimidazoles and macrocyclic lactones and, to a lesser extent, levamisole and pyrantel in herbivores, as estimated from the literature. Combining these classes should be effective in controlling GIN. However, several farmers' practices tend to promote GIN resistance. Therefore, it is unclear whether the use of anthelmi...
Daniels S, Martin S, Harris P, Moore-Colyer M.The in vitro gas production system (GPS), developed to estimate degradation of ruminant feedstuffs, has been adapted for equine use. This study aimed to characterise the bacterial community profile and metabolome of donor faeces and faecal inoculum within the GPS when fermenting the same diet as faecal donors. Six Welsh ponies on identical diets were faecal donors with samples collected for microbiome profiling and system inoculation. Gas production (manual pressure transducer technique) was performed for 156 h with 2 replicate bottles from each donor harvested at 8,20,28 and 36 h. Faecal an...
Muñoz-Caro T, Gavilán P, Villanueva J, Oberg C, Herrera C, Fonseca-Salamanca F, Hidalgo A.Parasitic infections are among the most important causes of morbidity and mortality in horses worldwide. In the Andean mountainous regions of Chile, horses are a highly valued specie, playing a key role as working animals also providing support in cattle transhumance grazing into high mountainous areas during dry season. The breeding and maintenance of horses in the mountainous region of La Araucanía in Chile is a key issue allowing to the subsistence economy of communities with a strong ethnic component represented by Mapuche-Pehuenche origin families. However, the health status of these ani...
