10/12/2026
Many of my clients come to me after their horse has been diagnosed with gastric ulcers, often looking for answers about what they should be feeding and what else they can do to help. And understandably so. Ulcers can be frustrating to manage, especially when a horse isn’t responding to treatment as expected or the problem keeps coming back. But managing ulcers involves more than choosing the right feed or adding a supplement. Understanding the type of gastric disease, working with your veterinarian on appropriate treatment, and looking at the horse’s overall diet, daily management, environment, and stress levels are all important pieces of the puzzle.
That’s one of the reasons I was so pleased that we had the opportunity to talk with Dr. Ben Sykes on Scoop & Scale. This conversation tackles some of the confusion around squamous and glandular gastric disease, so-called hindgut ulcers, treatment options, and the role of management and welfare. If you’re navigating an ulcer diagnosis with your horse, I hope you’ll give this episode a listen. And if you’re struggling to work out how nutrition fits into your horse’s overall ulcer management, please reach out.
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𝐄𝐪𝐮𝐢𝐧𝐞 𝐆𝐚𝐬𝐭𝐫𝐢𝐜 𝐔𝐥𝐜𝐞𝐫𝐬: 𝐖𝐡𝐚𝐭 𝐖𝐞 𝐊𝐧𝐨𝐰, 𝐖𝐡𝐚𝐭’𝐬 𝐂𝐡𝐚𝐧𝐠𝐞𝐝 & 𝐖𝐡𝐚𝐭 𝐖𝐞’𝐫𝐞 𝐆𝐞𝐭𝐭𝐢𝐧𝐠 𝐖𝐫𝐨𝐧𝐠 𝐰𝐢𝐭𝐡 𝐃𝐫. 𝐁𝐞𝐧 𝐒𝐲𝐤𝐞𝐬 | 𝐄𝐩. 𝟖𝟔
Equine gastric ulcer syndrome (EGUS) is a common concern for horse owners, but not all gastric ulcers are the same. In this episode of Scoop & Scale, we’re joined by Dr. Benjamin Sykes, an equine internal medicine specialist and leading researcher on equine gastric ulcer disease. Together we discuss squamous gastric disease, glandular gastric disease, and the confusion surrounding so-called hindgut ulcers in horses.
We explore how these conditions differ, how veterinarians diagnose and treat gastric ulcers, and why some horses struggle to heal despite treatment. We also discuss current research on ulcer medications, nutrition, stress, management, and equine welfare, including practical steps owners can take to support digestive health and reduce ulcer risk.
In this episode, we discuss:
-Equine gastric ulcer syndrome (EGUS), including the differences between squamous and glandular ulcers
-Common signs of digestive discomfort, and why accurate diagnosis matters
-Gastric ulcer diagnosis and treatment, including gastroscopy, omeprazole, sucralfate, misoprostol, and newer treatment options
-Risk factors for gastric ulcers, including stress, exercise, nutrition, and daily management, plus why some ulcers are harder to treat than others
-Practical strategies for ulcer prevention and recovery, including management changes, equine welfare, supporting digestive health, and so much more
-Whether your horse has been diagnosed with EGUS, has recurring gastric ulcers, is not responding to treatment, or is showing signs of digestive discomfort, this episode offers an evidence-based discussion of equine gastric ulcer diagnosis, treatment, nutrition, and management.
Dr. Ben Sykes is an equine internal medicine specialist and internationally recognized researcher in equine gastric ulcer syndrome. He was the lead author of the 2015 European College of Equine Internal Medicine (ECEIM) consensus statement on equine gastric ulcer syndrome, which helped establish the distinction between squamous and glandular gastric disease.
This episode is brought to you by Boehringer Ingelheim, makers of GASTROGARD® (omeprazole) oral paste.
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