Fox Run Equine Center

Fox Run Equine Center Full Service Equine Hospital and Specialty Center for Horses since 1984. Emergency services are available 24/7/365. Dedicated. Experienced. Focused on the horse.
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Variety of medical/surgical procedures from basic to complex diagnostics and treatments. Located in Washington Township, Westmoreland County, Fox Run Equine Center is a full service medical and surgical hospital for horses. Farm visits are also offered. Emergencies are taken 24/7. Dr. Burks is a Diplomate of the American Board of Veterinary Practitioners, in Equine Practice, meaning he is a Board-

Certified Equine Specialist. We offer many services, including:

Farm Visits
Emergency/Critical Care for horses 24/7
Internal Medicine
Ophthalmology
Cardiology
Surgery- routine and emergency (Colic, etc.) surgical procedures
Stem Cell Therapy
IRAP/PRP
Nuclear Scintigraphy
Sports Medicine
Vaccinations/Preventative Care
Geriatric Care
Endocrine Disorders
Castration
Foal/neonatal medicine
Reproductive services
Laser surgery
Arthroscopy
Digital Video Endoscopy for airways, stomach, and other cavities
Digital Radiography and Ultrasound
Large Animal Rescue
Therapeutic Laser
Veterinary Orthopedic Manipulation/Chiropractic

Water Consumption in HorsesBrian S. Burks, DVMDiplomate of the American Board of Veterinary Practitioners®394 Fox RoadAp...
06/20/2026

Water Consumption in Horses
Brian S. Burks, DVM
Diplomate of the American Board of Veterinary Practitioners®
394 Fox Road
Apollo, PA 15613

(724) 727-3481
www.foxrunequine.com

There is an old adage that says “You can lead a horse to water but you can’t make him drink.” Veterinarians have ways around this for dehydrated and impacted horses, but the idea is to prevent dehydration in the first place. It sounds simple, does it not? Unfortunately, getting horses to drink is not always that simple. Water consumption changes with a multitude of factors: age, body condition, fitness level, workload, reproductive status, environmental conditions, diet, and disease processes. Additionally, water temperature, freshness, purity, and palatability also play a role.

Adult horses are about 60% water, and water is the most important nutrient for life. Horses require water for almost every body function, including vision, breathing, joint lubrication, protection of the CNS, digestion, waste excretion, and thermoregulation. Provision of fresh, clean water is paramount as it is incorporated into every cell of the trillions in the equine body.

Daily, horses have a minimum need for water to survive at rest, which is about 5-10 gallons per day for an average horse, with an ambient temperature of 68 degrees. If the horse is working, the temperature is high, lactating, or the horse has a medical issue, this can more than double or triple. Water comsumption will range between 11 and 15 gallons for the same horse at 86 degrees F, and 19-24 gallons when exercising moderately in 95-degree heat. Water is excreted through urine, f***s, respiration, skin losses and sweat, as well as in milk during lactation.

Hormones regulate water balance and hydration in mammals. Antidiuretic hormone (ADH) from the pituitary gland regulates sodium and water levels in blood, so that if not enough water is consumed, ADH signals the kidneys to retain water in order to dilute blood. Urination will be less and urine will be more concentrated. If there is inadequate sodium intake, the hormone aldosterone signals the kidneys to retain sodium and excrete potassium. Monitoring fluid balance is a function of electrolytes, which are either positive or negative ions, which can create shifts of body fluids and electrolytes to adjust for hydration and health.

It is important to monitor water intake and your horse’s hydration status by monitoring for an elevated heart or pulse rate (28-40 beats per minute is normal for an adult horse). Watch the manure for moistness and for mucus. Heavy mucus indicates that f***s have been sitting in the GIT for too long. The horse should be examined by a veterinarian. You can also check the gums for color and moistness; when the gums are blanched by pushing on them with your thumb, the pink color should return in under two seconds. Longer than that is an indication of dehydration. Pinching the skin on the upper eyelid will indicate dehydration if it does not quickly return to its normal state.

Changes to those vital signs will occur when the horse is 4-6% dehydrated. Visual signs such as a sunken eyes and a tucked up appearance to the abdomen are also indicators, but they are typically seen with increased levels of dehydration approaching 8-10% dehydrated. Unfortunately, the horse’s performance (work, competition, or reproduction) will become adversely affected when the horse becomes 2% dehydrated, before visual signs become evident. Get to know what is normal for your horse, which will make abnormal more easily recognized.

Water intake may decrease if on lush pasture, as fresh green grass is about 60-80% water. Maintaining a horse in a dry lot on hay with 12-15% moisture increases water consumption. The amount of protein in the diet also influences water intake. Horses fed alfalfa hay with 21% protein will consume more water than one on 9% protein grass hay.

Water consumption has been studied and researchers have found that water consumption is best when the water temperature is between 45° to 65° F, with more consumption occurring at the warmer temperatures. Natural water sources may not be these temperatures, weather dependent. When water freezes, consumption dramatically decreases, and impaction colic may occur when the ingesta no longer has enough water to progress. Adding a few tablespoons of table salt to the forage or grain several times per day can help keep horses drinking. Salt blocks vary widely in actual salt content, and mineral blocks do not have enough minerals to make sure the horse receives enough. With plenty of fresh water available, salt overages are not a problem; however, some horses will leave salt on the bottom of the feed trough, eating all the grain. (Do not go too crazy on the salt- it can cause problems).

Water palatability and cleanliness also influences how much water the horse consumes. Horses will consume creek water that is fresh and not stagnant, low in contaminants such as fertilizers or herbicides, and has acceptable salinity. Horses are overly sensitive to changes in taste or smell of water, making water a problem when traveling. For instance, if the horse drinks un-chlorinated well water normally and is taken to a show where chlorinated city water is available, consumption often decreases. Horses can be conditioned to drink chlorinated water or that with a different mineral content by using something to mask the taste. These include Gatorade®, Kool-Aid®, cherry Jell-O® or even Coca-Cola®. The masking can be started ahead of anticipated changes, and the amount of additive can be gradually decreased as the horse begins to consume the new water source.

Horses that have never had access to natural water sources, drinking from troughs and buckets or automatic water sources, may not initially drink from a creek or spring. Having other horses around that are used to this, they will learn by example. Close observation is critical to make sure that the horse does not become dehydrated. Some horses may have to be offered a bucket if they are not drinking from the natural water source. Most horses have no problem with the transitions.

When horses do not consume enough water, they become dehydrated. Mild dehydration can be corrected by offering fresh, clean water in most cases. As dehydration worsens, more than 5% dehydration, a veterinarian will need to be consulted for appropriate fluid and electrolyte therapy, along with treating any underlying medical condition causing the dehydration. It is imperative that owners and caretakers recognize signs of dehydration before there is a serious problem. Make sure that horses are offered clean, fresh, palatable water as this can adversely affect performance.

It may seem simple to put water out and lead the horse to it, but there are many factors involved in getting a horse to drink. Water is the most important nutrient in the diet.
Hydration Tips and Tricks

• Fresh, clean water should always be available. Hot, humid weather conditions will increase water consumption.
• Salt should be available free choice or administered daily to satisfy maintenance requirements of sodium. Electrolyte supplementation is specifically to replace minerals (especially salt) lost through sweat.
• Plain white salt should be made available as a block or as loose salt, even while traveling at horse shows. Avoid mineralized (red) blocks as some horses will not consume them because of the bitter taste. Or, if they are sweetened with sugar or molasses, equines may consume too much. Horses do not self-regulate mineral consumption (with the exception of edible salt). Such blocks often do not contain enough salt.
• A 5-pound salt block (white) should be consumed within two months. If a horse is not consuming at this approximate rate, try offering loose salt instead. Salt blocks and bricks were created for cattle with rougher tongues, and some horses do not like to use that form. Loose salt may be useful to try especially in cold weather when the blocks can freeze and are less inviting to use.
• For maintenance purposes, an ounce of salt (about 2 tablespoons) is an appropriate amount to add to a horse’s daily diet in cool weather and can be doubled in hot and humid conditions.
• Supplementary electrolytes may be necessary to replace those minerals lost in sweat from hot temperatures, humidity or heavy work.
• Horses need access to fresh water after receiving electrolytes. If electrolytes are offered in the water, provide an additional fresh water source as well.
• To prevent ulcers, give electrolytes with feed, or wait until after the horse has eaten to administer. For orally syringed electrolytes, use a liquid antacid or small amount of vegetable oil as the carrier for electrolyte powder.
• Administer electrolytes immediately after the horse has had a drink, preferably after a few gallons.
• Electrolytes are minerals with a very long shelf life. Keep some on hand at the barn for when needed.
• Check the label. Electrolyte supplements should not contain sugar. Salt should be the first and primary ingredient and at least 75% of the total.

Fox Run Equine Center



www.foxrunequine.com

(724) 727-3481

Gastric Ulcer TreatmentsBrian S. Burks, DVMDiplomate of the American Board of Veterinary Practitioners®394 Fox RoadApoll...
06/19/2026

Gastric Ulcer Treatments
Brian S. Burks, DVM
Diplomate of the American Board of Veterinary Practitioners®
394 Fox Road
Apollo, PA 15613

(724) 727-3481
www.foxrunequine.com

Gastric ulcers are quite common in the horse and can limit performance or lead to equine colic. The horse produces gastric acid continuously throughout each day, producing about 8 gallons of acid per day, regardless of whether there is food in the stomach or not.

The squamous region of the horse’s stomach has a phospholipid surfactant-like layer (think of the consistency of detergent), which contributes to the mucosal barrier; however, it lacks a significant mucous layer, has poor blood supply, and has a variable ability to heal spontaneously once injured. On the other hand, the glandular region is where the acid glands are located, so it secretes a thick mucous and bicarbonate layer to protect the mucosa.

There are several medications available for the treatment of gastric ulcers in horses. The best available at this time is omeprazole in the form of GastroGard.

Cimetidine (tagamet) and ranitidine competitively inhibit H2 receptors (histamine type 2 receptors). Histamine causes gastric acid production via parietal cells in the glandular portion of the stomach. The latter is 10 times more potent than cimetidine. The drawback is that it must be given three times daily. Note- the H2 receptor has nothing to do with allergic reactions, which requires H1 receptors. Typical allergy medications block H1 receptors and are therefore ineffective in treating gastric ulcers.

Omeprazole is a proton pump inhibitor. Other PPIs include famotidine and pantoprazole, which may be used in small animals, but are not currently used in horses. By inhibiting hydrogen ions (proton) from exchanging with potassium (to maintain electroneutrality) hydrochloric acid production is diminished. It is five times more potent than ranitidine.

GastroGard is the current omeprazole product used in horses. Generally, 28 days is enough to heal most ulcers, but we always recommend scoping before and after (when possible) to ensure that healing is complete. Unless the horse is showing or ill, one course of treatment is often enough. During the show season, low doses of omeprazole can be used in ulcer prone horses to prevent gastric ulcer formation. This medication should be given on an empty stomach after an overnight fast, feeding hay approximately one hour post treatment.

Please note that the only difference between GastroGard and UlcerGard is the label and the plunger. The latter's plunger is marked for 4 doses. One could certainly break a GastroGard tube into four doses. The same amount of omeprazole is in each tube of Ulcer or GastroGard. The rebates available on GastroGard are better, and are only available on product purchased via your veterinarian.

To treat gastric glandular ulcers, although GastroGard is helpful, additional therapies are required: misoprostol and/or sucralfate. The former is a prostaglandin E analog; prostaglandin is required for mucosal healing. The latter is a cytoprotectant that forms a paste over the ulcer bed to protect the open ulcer. Sucralfate is a locally acting substance that in an acidic environment (pH < 4) reacts with hydrochloric acid in the stomach to form a cross-linking, viscous, paste-like material capable of acting as an acid buffer for as long as 6 to 8 hours after a single dose. It should be given before GastroGard as this medication will increase the pH of the stomach by preventing acid secretion.

Finally, if it is not one of the products depicted here, it will not work. There are numerous 'generic' products floating around without FDA approval. Currently, there is NO GENERIC PRODUCT available. These other products may or may not even contain active ingredient and may or may not be harmful to your horse. These are compounded medications and have not been tested for safety or efficacy by the FDA. There has been an attempt to circumvent rules by mixing omeprazole and sucralfate or omeprazole and ranitidine, but these products do not work well together, are compounded, and their source is unknown. Many compounding pharmacies use unapproved bulk drug sources, rather than compounding from an FDA-approved product. This is both illegal and dangerous as toxins or cancer-causing agents may be unknowingly introduced to the horse.

Environmental, Feeding and Medication Recommendations for Horses Diagnosed with Equine Gastric Ulcer Syndrome:

1. Turn horse out on pasture as much as possible.
2. Have hay always available while the horse is in the stall. Some horses on pasture may also require hay to help treat and prevent ulcers. The horse's stomach should have hay constantly to help buffer stomach acid. Horses eat for about 16 hours per day. The use of a slow feeder can help by increasing salivary production; saliva is high in bicarbonate, which helps neutralize acid in the stomach. Make sure that the hay is low in carbohydrate (10%). Horses should consume 2% of body weight in hay per day (20 # to and average sized horse).
3. Alfalfa hay is helpful in buffering stomach acid due to its high level of calcium and protein. Alfalfa hay should be fed every 5 to 6 hours and can be mixed with grass hay. Feeding a flake of alfalfa in the morning after GastroGard administration is helpful.
4. Limit grain (sweet feed) in the ration. High levels of grain (oats, corn, barley) can increase gastric acid secretion and exacerbate recurrence of ulcers. Feeds higher in fat and based upon beet pulp, such as Triple Crown Senior are ideal, if concentrates are needed for additional energy.
5. Fat supplementation in the form of certain vegetable oils (not corn oil) might help reduce gastric ulcer risk, as this provides certain fats needed for cell membranes. Corn oil is high in omega-6 FAs, which are pro-inflammatory, and thus flax seed is recommended as it is primarily omega-3 FAs, which are anti-inflammatory. Up to 480ml of oil may be fed per day, gradually increased over several weeks, to allow accommodation of the GIT to this new food source. It is worth noting that fats are more calorically dense and are not appropriate for overweight horses. Fats also increase the need for supplemental vitamin E.
6. Use of antiulcer medication to promote healing. The antiulcer medication GastroGard™ is the only FDA approved medication to treat and prevent recurrence of gastric ulcers in horses. The recommended dose to treat ulcers is 1 tube per 1000 to 1250 # horse once daily for 28 days. The recommended dose to prevent recurrence is ¼ the healing dose daily. Some horse owners will put their horse without ulcers on ¼ to ½ dose of GastroGard during the show season or when the horse is stressed the most to prevent ulcers from occurring.
7. Feeding supplements like U-gard, NeighLox, G.U.T., or Nutrient Buffer to buffer stomach acid are not particularly beneficial. I have scoped horses that have been on these products for month that have still have severe gastric ulceration. Do not feed at the same time an antiulcer medication is given, or complete absorption may be inhibited.
8. The polysaccharide product Relyne has been touted to heal and/or prevent gastric ulcers in horses. There is limited study by the maker of the product. There is no independent study, to my knowledge. Limited use in this practice has proven to be ineffective.
9. Stop exercising the horse unless using medicine proven effective during training. For prevention, 2-3 days of rest during the week is quite useful.
10. Massage and soft, relaxing music can help with gastric glandular ulcerations.
11. Protek GI is a supplement that has been shown to help prevent EGGD. It contains pectin, lecithin, and Saccharomyces cerevisiae. It also contains magnesium and calcium, which are known to help neutralize gastric acid. Pectins form a protective barrier on the stomach lining and lecithin repels acid from the stomach wall.
12. Purina Outlast is another calcium-magnesium supplement that may help prevent gastric ulcers when fed 4-6 times per day. These special mixtures of calcium and magnesium neutralize acid for about 4 hours.



Fox Run Equine Center

www.foxrunequine.com

(724) 727-3481

This is a recent patient with chronic colic. During gastric endoscopy,  both squamous and glandular ulcers were noted.  ...
06/17/2026

This is a recent patient with chronic colic. During gastric endoscopy, both squamous and glandular ulcers were noted. The glandular ulcers were primarily at the pylorus, where the duodenum hooks to the stomach. Ulcers around the pylorus and cause scarring and stricutre of the area. This area is not amenable to surgery in the adult horse; it cannot be reached to perform a bypass into the duodenum. Once it scars and constricts, there is nothing else that can be done.

This is why it is so important to perform gastroscopy- pathology will be missed without it, and the incorrect problem will be treated. The squamous ulcers and glandular ulcers are treated completely differently, so throwing the horse on ulcergard may not be enough, or the incorrect medication altogether. Yes, gastroscopy is and expense, but treating the incorrect gastric disease is much more costly.

Do not guess! Bring your horse for gastroscopy if there are signs of chronic colic, pain after eating, not eating well, diarrhea, lethargy, etc. Your horse is talking, if you will take the time to listen.



Fox Run Equine Center

(724) 727-3481

www.foxrunequine.com

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394 Fox Road
Apollo, PA
15613

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