20/10/2026
Understanding Gastric Ulcers in Off-The-Track Thoroughbreds 🐴
Equine Gastric Ulcers are one of the most common health concerns affecting Off-The-Track Thoroughbreds (OTTBs). They are the result of progressive erosion of the lining with the distal oesophagus, stomach and proximal small intestine, caused by gastric acid. They are most often present on the upper lining of the stomach, and at the junction between the upper and lower regions. It can be a painful condition, and have various health implications.
While ulcers can occur in any horse, Thoroughbreds are particularly susceptible due to the unique management, feeding and training practices associated with racing. In fact, studies have indicated as much as 85-95% of racehorses show some grade of ulceration, with many carrying these ulcers into retirement and retraining. Thus, understanding why ulcers develop, recognising the signs and knowing how to manage them can help support your OTTB’s health and performance.
Why Are OTTBs More Prone to Gastric Ulcers?
Unlike humans, horses produce stomach acid continuously, whether they are eating or not. In a natural environment, horses may spend up to 16 hours a day grazing, which provides a constant flow of forage and saliva to help buffer stomach acid.
Racehorses however, often experience several factors that can increase ulcer risk, including:
🟤High-grain, energy-dense diets
🟤Periods without access to forage
🟤Intensive exercise programs
🟤Frequent travel
🟤Changes in environment and routine
🟤Stabling for extended periods
🟤Racing and training stresses
Even after retirement from racing, many OTTBs remain at increased risk, particularly during the retraining period when management, diet and workload are transitioning.
Signs, Symptoms and Diagnosis
The signs of gastric ulcers can vary significantly between horses. Some horses show obvious symptoms, while others continue working despite considerable discomfort.
Common signs include:
🟤 Poor appetite or fussy eating
🟤Weight loss or difficulty maintaining condition
🟤Poor, dull or dry coat quality
🟤Changes in behaviour or attitude, particularly more nervous or erratic temperaments
🟤Girthiness
🟤Development of behavioural stereotypies such as weaving, stall walking or wind sucking
🟤Reduced performance
🟤Reluctance to move forward under saddle
🟤Mild recurrent colic
🟤Poor recovery after exercise
These signs can be an indication but are not necessarily exclusively caused by ulcers. They can be associated with many other health conditions, thus Veterinary advice for a diagnosis and/or prescription treatment is required. The only way to definitively diagnose gastric ulcers is through gastroscopy, which allows your veterinarian to examine the stomach lining and determine the location and severity of any ulceration.
It is important to note that a prescription drug, such as a Ranitidine or Omeprazole, are the only registered treatments for ulceration. Over-the-counter options can be useful aids and incorporated into management programs, but are not registered “treatments”. Your veterinarian can develop an appropriate treatment plan and monitor your horse’s response throughout recovery.
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Understanding Gastric Ulcers in Off-The-Track Thoroughbreds Equine Gastric Ulcers are one of the most common health concerns affecting Off-The-Track Thoroughbreds (OTTBs). They are the result of progressive erosion of the lining with the distal