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By Michael Lowder, DVM, MS

'Colic' is one word the horse owner finds objectionable on any given day. It is generally used to refer to an acute onset of abdominal pain in the horse. Frequently, colic will require the horse owner to seek emergency treatment for her horse from a veterinarian.

Most colics can be managed medically, but some do require surgical treatment. Treatment cost can range from a few hundred dollars to thousands for surgery and aftercare. In order to prevent an episode of colic occurring on one's farm or with one's horse, it is helpful to know what causative factors are associated with the disease.

Colic is known to have multiple causes in the horse, and the epidemiology of colic is important in identifying and reducing the risk factors for colic. Some of the most common factors known to date include the following:

  • Change in diet

  • Change in batch or type of hay

  • Level of activity

  • Stabling conditions

  • History of a previous colic

  • History of a previous abdominal surgery

There are many theories as to why each of the above listed factors may influence an episode of colic. The one dominant factor that seems to be repeated in several epidemiological studies is a change in hay or batch (cutting) of hay. The incidence of colic seems to be the highest within approximately two weeks of changing the hay. This could be due to several factors including hay maturity (what height the hay was cut at), type of hay (switching from grass to legume), drying and handling of the hay during harvesting, and type and duration of storage.

Poor quality or moldy hay may affect the way hay is chewed and processed by the horse. If the hay has a poor taste, the horse may not chew it properly. This may lead to the swallowing of long stems, ultimately predisposing your horse to impaction colic.

Hays that have more stem and less leaf will have a higher percentage of fiber. While fiber is needed in the diet, there is a point where it is not beneficial to have more. As the fiber content of the hay increases, the digestibility of the hay decreases.

Colic is not associated as much with hay when a horse is being fed alfalfa, coastal Bermuda or Bermuda hay. In contrast, when feeding wheat hay, Bahia grass hay, oat hay, Timothy hay, cane hay or Alicia hay, the chances for a colic increase as these hays are higher in fiber and lower in protein. Feeding hay from round bales has been associated with a higher incidence of colic as the method of storage usually yields a lesser quality hay with more stem and greater propensity for mold. Have you ever noticed that horses always seem to eat the center of the round bales? The center of the bale has less exposure to the elements and is better tasting and more digestible. In addition, your horse has indiscriminate ingestion of hay with round bales. This may lead to colic due to over consumption (impaction colic from eating very dry hay). Another drawback to feeding round bales is that when horses attempt to feed from the center of the bale, there is a greater chance that they might injure their eyes from the hard stems of hay.

Switching from stem hay to cube hay may decrease the incidence of colic in older horses with poor dentition if the change is made gradually. It is often helpful to soak the hay cubes (for 5-10 minutes) prior to feeding to geriatric horses to reduce the duration of chewing (gumming!) by some.  Hand in hand with changes in hay, changes in grain are often made and can be associated with an increased risk of colic. These changes include both concentrate [sweet feed and pellets] and grains (e.g., oats, corn, etc.). Most horses like a change in their grain diet, and subsequently rapidly ingest their new grain, which may lead to gastric distension. The microflora of the digestive tract may also be altered by changes in their grain diet leading to a digestive upset.

Part II  examines changes in type of grain, amount of grain fed, pasture availability, breed of horse, de-worming schedule, feeding practices, and changes in the weather.


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Last Updated: January 02, 2010


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