Equine Colic 101

In this comprehensive episode of Ask the Horse Live, host Haley Pepper and expert panelists Dr. Matt Fergaro and Dr. Bianca Rusty dive deep into equine colic—a term for abdominal pain with numerous potential causes, from gas buildup and impactions to intestinal twists and surgical emergencies. The discussion covers early recognition of signs like flank watching, pawing, rolling, elevated heart rate, and behavioral changes, emphasizing that even subtle symptoms warrant prompt veterinary attention. The panel stresses the importance of monitoring horses closely, especially during environmental shifts or routine changes, and highlights that colic is not always gastrointestinal in origin—musculoskeletal issues can mimic colic. They explore prevention strategies such as consistent feeding, dental care, hydration, and minimizing stress, while cautioning against abrupt dietary changes and overuse of supplements. A major focus is on the realities of colic surgery: high costs (ranging from $10,000 to $30,000+), the critical importance of early intervention, and the significant post-op care required. Insurance is discussed as a partial solution, though with major limitations including age and value restrictions, exclusions for prior colic, and high deductibles. The episode concludes with nuanced guidance on when euthanasia may be the most humane choice, especially in cases of intestinal rupture, underscoring the emotional weight of these decisions for both owners and veterinarians.