21/04/2026
𝐓𝐡𝐞 𝐓𝐫𝐮𝐭𝐡 𝐀𝐛𝐨𝐮𝐭 𝐔𝐥𝐜𝐞𝐫 𝐌𝐞𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 )𝐇𝐨𝐫𝐬𝐞𝐬)
Straight talk—because this space gets muddy fast:
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1. Not all “ulcer treatments” are actual treatments
Only a few products (like Omeprazole) actively reduce acid and allow ulcers to heal. Most supplements are supportive, not curative.
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2. Acid suppression works—but it’s not a long-term fix
Omeprazole is effective, but once you stop it, acid returns quickly. If management isn’t right, ulcers often come straight back.
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3. There are two different ulcer types—and they behave differently
* Squamous ulcers (ESGD) → respond well to acid suppression
* Glandular ulcers (EGGD) → often need more complex treatment + management
Treating them the same is where many programs fail.
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4. “Natural” doesn’t mean effective
Aloe, marshmallow root, slippery elm—these can soothe, but they don’t replace proven treatment when ulcers are active.
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5. Bicarbonate-based products are a grey area in competition
They can act as buffers and may raise red flags under FEI and Equestrian Australia swabbing rules.
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6. Buffering the stomach isn’t the same as healing it
Short-term pH changes ≠ repairing the stomach lining. It’s symptom control, not resolution.
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7. Feeding strategy matters as much as medication
No medication can outwork:
* Long periods without forage
* High starch diets
* Stress + travel
Ulcers are often a management disease first.
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8. Overuse of acid suppressors has downsides
Long-term use may affect mineral absorption and gut balance—not something to ignore.
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9. Many horses are treated… but never scoped
Without scoping, you’re often guessing the type, severity, and if it’s actually ulcers at all.
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10. The real fix is a system, not a product
Best outcomes come from:
* Correct diagnosis
* Targeted treatment
* Feed + management overhaul
Not just throwing another supplement at it.✅
🐴Not all ulcer prone horses struggle to hold condition !
