What is Colic in Horses? Signs, Causes, and Prevention

Last updated July 6, 2026 🗓️ Book a Free Coaching Session
Close up of horses racing representing the topic of colic in horse racing

Key points

  • Definition of Colic: Colic is not a single disease, rather, it is a clinical term used to describe any form of abdominal pain in horses.
  • Veterinary Emergency: Because of the unique anatomy of the equine digestive system, colic is always a medical emergency that requires immediate professional evaluation.
  • Recognizable Symptoms: Early warning signs include pawing at the ground, looking at the flank, rolling excessively, and a sudden loss of appetite.
  • Primary Categories: The condition is generally categorized into gas, impaction, spasmodic, and displacement or torsion colic.
  • Racing and Handicapping Impact: Colic is a frequent cause of late scratches and can severely disrupt a horse's training schedule, directly affecting past performance data.

For horse owners, caretakers, and horse racing handicappers alike, few words cause as much immediate concern as colic. In the equine world, colic is a major health threat and a leading cause of premature death in domesticated horses.

To the general public, the term might sound similar to the temporary crying spells experienced by human infants. In horses, however, colic refers to a wide range of conditions that cause acute abdominal pain. Because of the unique, highly sensitive nature of the equine gastrointestinal tract, what starts as mild discomfort can rapidly escalate into a life-threatening veterinary emergency.

Understanding colic, recognizing its earliest signs, and knowing how it affects a horse's physical capabilities is essential. For owners, this knowledge saves lives. For handicappers, it provides critical context when evaluating a horse's fitness, training interruptions, and sudden changes in racing form.


Recognizing the Early Signs of Colic in Horses

Early detection is the single most critical factor in surviving a colic episode. Because horses are prey animals, they instinctively attempt to hide pain and weakness. By the time a horse shows obvious distress, the underlying issue may already be advanced.

Careful observation of daily habits, feeding behavior, and manure production is vital. The early signs of colic in horses can range from subtle behavioral shifts to violent expressions of pain:

  • Pawing at the ground: A horse may repeatedly scrape the ground with its front hooves, expressing discomfort or frustration with internal pain.
  • Looking at the flank: Horses frequently turn their heads to bite, nudge, or stare at their abdomen or flank area, pointing directly to the source of the pain.
  • Rolling excessively: A horse in pain will lie down, get up, and roll repeatedly. In severe cases, they may roll violently, which can risk injury or worsen an intestinal twist.
  • Loss of appetite: Refusing grain, leaving fresh hay untouched, or suddenly stopping eating mid-meal is one of the most common early indicators of illness.
  • Stretching out: A horse may stand with its front and hind legs stretched far apart, mimicking the posture used to urinate, in an attempt to relieve abdominal pressure.
  • Curling the upper lip: Known as the Flehmen response, this gesture is often displayed when a horse experiences internal discomfort.
  • Sweating and elevated heart rate: Patchy or profuse sweating when the weather is cool, accompanied by rapid breathing and a heart rate above the normal range of 28 to 40 beats per minute, indicates severe distress.
  • Decreased or absent gut sounds: Listening to the abdomen with a stethoscope should reveal regular gurgling and rumbling. Complete silence in any of the four abdominal quadrants is a warning sign of reduced gastrointestinal motility.

Common Types of Equine Colic

The equine digestive system is incredibly complex, featuring a long, winding path where food travels through the stomach, small intestine, cecum, and large colon. Because the colon is not physically attached to the abdominal wall in several places, it can easily shift, trap gas, or become blocked.

Gas Colic

Gas colic occurs when gas buildup stretches the intestinal walls, causing mild to moderate pain. This is often triggered by excess fermentation of feed in the hindgut, sudden dietary changes, or high-starch diets. Gas colic typically responds well to medical treatment, such as pain relievers and walking, which helps stimulate gut movement.

Impaction Colic

An impaction occurs when partially digested feed, sand, or foreign material becomes firmly lodged in the gastrointestinal tract, blocking the passage of waste. Impactions commonly form in the pelvic flexure, a narrow, 180-degree bend in the large colon. Dehydration in horses is a primary driver of impaction colic, as dry food material cannot pass easily through these tight turns.

Spasmodic Colic

Similar to indigestion or cramping in humans, spasmodic colic involves hyperactive, painful contractions of the muscles in the intestinal wall. It is often linked to stress, sudden weather changes, or parasite burdens. Spasmodic colic usually resolves quickly with veterinary administration of antispasmodic medications and mild sedatives.

Displacement and Torsion

These are the most severe and life-threatening forms of colic. In a displacement, a portion of the intestine moves out of its normal anatomical position within the abdomen. In a torsion, or intestinal twist, the bowel rotates on its mesenteric axis, completely cutting off the blood supply to the tissue. Torsion causes rapid tissue death and shock, requiring immediate emergency colic surgery to save the horse's life.


What Causes Colic in Horses?

While some cases of colic occur without an obvious trigger, most episodes are linked to specific environmental, dietary, or physical factors. Understanding these causes is the first step in preventing colic.

  • Sudden Dietary Changes: The microbes in a horse's hindgut are highly specialized. Introducing a new batch of hay, changing grain brands, or transitioning a horse from dry hay to lush spring pasture too quickly can disrupt this microbial balance, leading to excessive gas buildup or impaction.
  • Dehydration: Horses require large amounts of clean water daily, typically 5 to 10 gallons. If water is too cold in the winter, or if a horse is working hard in hot weather without adequate hydration, the digestive tract dries out, significantly increasing the risk of impaction colic.
  • Parasite Infestations: Large roundworms, tapeworms, and strongyles can cause physical blockages in the intestines or damage the blood vessels supplying the gut, leading to localized tissue damage and colic.
  • Ingestion of Sand or Foreign Materials: Horses grazing on sandy pastures or fed directly off the ground can ingest significant amounts of sand over time. This sand accumulates in the large colon, causing irritation, inflammation, and heavy impactions.
  • Stress and Management Changes: Confinement to a stall for long periods, sudden changes in training intensity, transport, or changes in herd dynamics can elevate stress hormones, which slows down normal digestive motility.

Immediate Steps: What to Do If You Suspect Colic

If a horse shows signs of abdominal pain, taking prompt, organized action can mean the difference between a successful recovery and a tragic outcome.

  1. Call Your Veterinarian Immediately: Do not wait to see if the symptoms pass. Describe the horse's behavior, take their temperature, heart rate, and respiration rate if it is safe to do so, and note if they have passed any manure.
  2. Remove All Access to Food: Immediately take away grain, hay, and treats. If the horse has an impaction or a blockage, eating more food will only worsen the obstruction and increase pressure on the stomach. Keep clean water available, though the horse may not want to drink.
  3. Walk the Horse Safely: If the horse is restless, pawing, or attempting to lie down and roll, walk them at a slow, steady pace. Walking helps prevent injury from violent rolling and can stimulate intestinal motility. Do not exhaust the horse; if they are exhausted or want to stand quietly, let them rest.
  4. Do Not Administer Medication Without Instructions: Avoid giving pain relievers like flunixin meglumine (Banamine) before the veterinarian arrives unless explicitly instructed to do so. Pain medications can mask clinical signs, making it difficult for the vet to get an accurate diagnosis and determine if the horse needs surgery.
  5. Prepare for Transport: If the horse's condition is severe, they may need to go to a surgical clinic. Make sure your trailer is accessible, hooked up, and ready to roll in case emergency transport is required.

How Colic Impacts Racehorses and Handicapping

For handicappers evaluating horses at the track, understanding colic is not just a matter of general equine knowledge, it is a vital piece of the performance puzzle. A horse's health history directly influences its training consistency, physical readiness, and race-day performance.

The Dreaded Late Scratch

On race day, a horse experiencing early signs of colic will be scratched by the track veterinarian. This is done to protect the welfare of the horse and to maintain the integrity of the race. When a horse is scratched late due to colic, it is often because the stress of shipping, changes in routine, or pre-race excitement triggered a mild gas or spasmodic episode.

Disruptions to Training and Past Performance Data

When analyzing past performance data, handicappers should look closely at gaps in a horse's workout history. A sudden, unexplained break of several weeks or months in an otherwise consistent training schedule often points to a health setback.

If a horse suffered from a moderate impaction or gas colic that required medical management, they may lose several weeks of training. During this time, the horse's cardiovascular fitness and muscle tone decline. When they return to the track, their first few workouts or races may show a noticeable drop in speed figures, late-race stamina, and overall competitiveness.

Recovery from Colic Surgery

If a racehorse undergoes colic surgery, the recovery process is long and demanding. The surgeon must open the abdomen, resolve the displacement or twist, and close the abdominal wall. The horse typically requires three to four months of complete rest to allow the abdominal incision to heal fully and regain its strength.

While many horses successfully return to racing after colic surgery, handicappers should approach their first few starts back with caution. Look for clues in their workout patterns:

  • Are they recording consistent, progressive workouts, or are the works spaced far apart?
  • Have they returned to their previous speed figures in morning trials?
  • Is there a drop in class, suggesting the connections are testing the horse's fitness in easier company?

A history of colic surgery does not mean a horse cannot win again, but it does introduce variables that must be factored into any data-driven handicapping model.


Frequently Asked Questions

Can a horse survive colic without surgery?

Yes, the vast majority of colic cases (80% to 90%) are resolved with medical management on the farm. Treatments such as pain relief, intravenous or oral fluids, and walking are often highly effective for gas, spasmodic, and mild impaction colic.

What is the survival rate for a horse that undergoes colic surgery?

With modern veterinary techniques, the survival rate for horses undergoing colic surgery is quite high, often exceeding 80% for those that make it through the procedure itself. However, survival rates depend heavily on how quickly the horse is referred to a surgical facility. Delays that lead to intestinal tissue death significantly lower the chances of a successful outcome.

How does a vet diagnose the specific type of colic?

A veterinarian will perform a physical exam, check vital signs, and conduct a rectal palpation to feel for impactions or displacements. They may also pass a nasogastric tube through the nose into the stomach to check for fluid buildup (reflux) and perform an abdominal ultrasound to visualize the intestines.

Can you prevent colic entirely?

While it is impossible to eliminate the risk of colic completely due to the horse's natural anatomy, you can greatly reduce the likelihood of an episode. Consistent feeding schedules, gradual dietary changes, constant access to clean water, regular dental care, and an effective parasite control program are the cornerstones of colic prevention.