Equine Extension

Calcium and Phosphorus – Two Important Macro Minerals for the Horse

Calcium (Ca) and phosphorus (P) comprise around 70% of the mineral content of a horse’s body. The majority of Ca is found in teeth and bones. Calcium’s major role is to provide bone strength but it is also necessary for blood coagulation, temperature regulation, enzyme activity regulation, neuromuscular functions as well as energy generation. Phosphorus works with Ca to give strength to bone. It also has a role in energy metabolism, cell membranes, and buffering fluctuations in pH.

As show in Figure 1, Ca is typically 6 times higher than P in legume pasture or hay. Grass hay usually have more Ca than P, while cereal grains are inherently low in Ca and high in P. Calcium supplements include Ca carbonate (limestone) and dicalcium phosphate. Phosphorus is present in most hays and high in cereal grains (figure 1). Dicalcium phosphate is a common Ca and P supplement. Calcium and phosphorus must be provided in the horses’ diet in the correct quantities and ratio to one another. Requirements for Ca ranges from 0.3 to 0.8% and P ranges from 0.2% to 0.5% of the total diet. The upper safe levels are 2% of the diet for Ca, and 1% of the diet for P. It is important that the dietary Ca: P ratio be maintained within the range of 1:1 to 3:1 for growing horses and between 1:1 and 6:1 for mature horses.

When there is a dietary Ca or P deficiency, the skeleton may mobilize Ca and P to maintain plasma concentrations and non-skeletal functions. Either a deficiency or excess of Ca or P can result in skeletal diseases. Over-supplementation with Ca rich supplements is the most common cause of Ca excess. The ratio of Ca:P can be less than 1:1 when insufficient Ca is fed, when excess P is fed, or when more P than Ca is fed. If excess dietary P is fed, it may bind Ca and prevent its absorption that may result in a Ca deficiency. The following situations can result in a less than 1:1 ratio.

  1. If a diet containing a high proportion of unfortified cereal grains is fed, there may be more P than Ca. Commercial grain products always balances the Ca and P in the product.
  2. A diet consisting of a high percentage of wheat bran. Bran contains a high concentration of P and diets with a high percentage of bran commonly have a Ca: P ratio that is less than 1:1.
  3. A diet that contains an excess of a P containing mineral supplement.
  4. A diet based on a pasture which has a low Ca and normal to high P concentration.
  5. Horses grazing pastures in a region with P deficient soils or are fed hay from a region with P deficient soils can result in a dietary P deficiency.
Calcium and phosphorus in selected feedstuffs for horses

Figure 1. Calcium and Phosphorus (%) in Selected Feedstuffs

Calcium and P are two very important macro minerals required by horses. The ratio of Ca:P is as important as the total amount fed. Generally, if one feeds a commercial grain with either a grass or legume hay the Ca:P ratio should be met. The ratio is less than 1:1 with overfeeding Ca or P supplements, feeding excess bran or the soil has excess P resulting in forages with excess P.  Always look at the total ration when assessing if the nutrient requirements are being met for a horse.

Stomach Ulcers in Horses

Stomach ulcers are a health issue that affects many horses, and can be difficult to manage and treat. These stomach ulcers appear along the lining of the stomach, and can cause many issues with digestion as well as create discomfort & pain for a horse. Stomach ulcers are more prevalent in equine athletes, as 50-90% of horses with this health issue perform athletically, such as racing, showing, endurance, etc.

Ulcers can be formed due to multiple reasons, mostly in relation to exercise, lack of food availability, and stress. Primarily for equine athletes, ulcers develop when during exercise, a horse’s stomach produces more gastric acid and blood flow is redirected to the muscle, therefore blood flow to the gastrointestinal tract decreases. As the horse is active during exercise, stomach acid splashes around, coating the sensitive upper parts of the stomach. This creates irritation as the stomach acid destroys the stomach lining in regions that the stomach is not equipped to handle the acidity. As a result, ulcers form in these sensitive regions of the stomach. Another common way that stomach ulcers develop is when horses are not given constant access to hay to feed and digest. When a horse’s stomach becomes completely empty as food has been fully digested, the stomach continues to produce stomach acid. With a lack of food present, there is nothing to neutralize the stomach acid, which begins to erode the lining of the stomach wall. This creates open sores, which in turn become ulcers. Lastly, horses can become more prone to developing ulcers when they are given frequent doses of NSAIDS (non-steroidal anti-inflammatory drugs). These drugs can include but are not limited to banamine, ketoprofen, and phenylbutazone. These medications decrease the amount of mucus that the stomach produces. Since the stomach mucus is a key component to the stomach lining as a protective barrier to stomach acid, a decrease in stomach mucus exposes parts of the stomach wall to acid. The stomach lining then continues to become aggravated, and forms ulcers. The image below illustrates the parts of the equine stomach.

Parts of the equine stomach

Since stomach ulcers are not an external health concern that can be easily identified, there are a few behavioral manners and physical symptoms that may indicate the presence of ulcers. Horses that begin to exhibit poor appetite, weight loss, poor body and hair condition, and experience low grade colic may be at risk or have already developed stomach ulcers. Behavioral symptoms of stomach ulcers include dullness, change in attitude, sudden irritability with getting saddled or tacked up, reluctance to work and exercise, and decreased performance. Physical signs that indicate a horse has most likely developed ulcers and requires veterinary care is grinding of the teeth, visible abdominal pain, horse often laying on its back to relieve pain, and disinterest in its food. In addition, ulcers are uncommon but can also develop in foals. Ulcers in foals can be characterized by intermittent colic following feeding, decrease in nursing time, diarrhea, a pot-belly appearance, grinding of the teeth, frequent laying down, and over salivation in the mouth.

There are two types of stomach ulcers experienced by horses ; gastric ulcers and hindgut ulcers. Gastric ulcers can appear in the esophagus, stomach, or small intestines. Types of gastric ulcers are listed below.

  • Squamous ulcers appear in the upper third part of the stomach, referred to as the squamous region.
  • Glandular ulcers are located in the lower section of the stomach.
  • Pyloric ulcers are found throughout the opening between the stomach and small intestines

Hindgut ulcers are located in the large intestines. This includes the caecum, large and small colon, rectum, and anus. The most commonly seen hindgut ulcer is right dorsal colitis, where the large intestines come in contact with the right body wall. This ulcer appears in the upper right section of the colon. The main cause for this ulcer  is overuse of NSAIDS and hindgut acidosis, which is excessive levels of lactic acid in the hindgut.

Gastric endoscopy or gastroscopy is a common method to diagnose the presence of ulcers. This procedure entails an endoscope being placed in the stomach of a horse to check for sores. This is a minimally invasive technique, and a rigid and/or bulging stomach lining is an indicator of ulcers.

The image below shows an equine normal stomach and a stomach with ulcers. Photo credit: UC Davis Center for Equine Health

Equine normal stomach compared to a stomach with ulcers

Currently, there is only one FDA approved drug to be used for gastric ulcer treatments in horses, which is omeprazole. This medication can be found in liquid or paste form, and different variations of this drug can be administered as prevention or treatment of ulcers. Following treatment, an endoscopy should be repeated to check if the ulcers within the stomach have healed. A medication that can be administered as an ulcer pain relief is sucralfate. This drug coats the lining of the stomach wall, preventing further irritation of ulcers from stomach acid. Omeprazole and sucralfate cannot be administered concurrently as these two drugs will interfere with each other.

Ulcers are a difficult condition to treat, and there are several preventative measures. A horse should be given access to free pasture, allowing them to feed constantly and buffer the pH within their stomach. Decreasing the amount of grain and concentrates with an increase of alfalfa in the diet can lower the probability of ulcer development. Additionally, minimizing the use of NSAIDS and exposure to stressful situations will aid in the prevention of ulcers.

References

Admin. Equine Gastric Ulcer Syndrome (EGUS). Camden Equine Centre.

Andrews, Frank M. Gastric Ulcers in Horses - Digestive System. Merck Veterinary Manual, Merck Veterinary Manual.

Equine Gastric Ulcers: Special Care and Nutrition. AAEP.

Young, Amy. Equine Gastric Ulcer Syndrome. School of Veterinary Medicine,

Feeding Behavior in Horses

Horses are strongly motivated to forage (eating hay and grazing pasture) based on their inherent nature. In free-ranging horses, 70-80% of their time is spent eating. Pastured horses show a similar pattern to free-ranging horses. They will eat 10 to 12 hours daily in 30 to 180-minute bouts. The amount eaten during a grazing bout is related to the type and availability of forage, level of nutrient demand, satiety cues, taste and textures of the feed, and external cues. Free-ranging horses never fast for more than 3 to 4 hours.  

Horses have mobile lips and large mouths. When grazing, the horse’s head is down, and the upper and lower incisor teeth bite several blades of grass, tearing off the grass close to the ground. The cheek teeth or molars grind the vegetation into smaller pieces before the horse swallows it.  It will then take a step or two before repeating the process. Grazing occurs preferentially during hours of light, with peak activity occurring from dawn to midmorning and then again in the late afternoon and evening. Night grazing increases during the summer months. Domesticated pastured horses will exhibit the same feeding patterns.

A horse grazing

Horses are selective and spot grazers. Horses select forages based on their maturity rather than botanical species. They prefer immature, leafy forages. Horses continually graze immature forages and leave more mature forage, which causes uneven growth throughout a pasture. Within a pasture, they will eat portions of a pasture down to the bare ground, while an area next to the bare spot may be lush and green. Thus, a feeding site can be easily overgrazed. Horses avoid grazing near feces resulting in the grass in elimination areas growing taller. When forages are sparse, a horse may eat other available forages and browse by chewing on wood, trees, tails, weeds, etc.

Horses are good at separating desirable and undesirable things from feeds. With grazing, a horse can shake the dirt from the roots of the grasses they pulled up. A horse can selectively choose the tasty part of hay and leave the stems and undesirable parts. Horses also separate medication from grains, even when owners take great measures to hide the taste. Olfaction is the primary sense used for avoidance of medications.

Horses without available pasture or free-choice forage should be fed at least twice daily to decrease the time between meals when a horse is without feed. If feeding concentrates, a good practice is to feed forage first. Feeding forage increases the time horses spend eating and results in slower digestion. Allowing large periods between meals may be linked to gastric ulcers and has been associated with an increased frequency of stereotypic behaviors.

Recommended Feeding Practices

  1. Employ feeding strategies that allow horses to forage (e.g., grazing pasture or eating hay in a dry lot). Self-exercise also stimulates gut motility.
  2. Allow horses to mimic their natural feeding behavior by implementing strategies to slow feed intake. Slowing forage intake can be accomplished by placing hay in multiple locations, using slow-feed hay nets and trickle feeders. Grazing muzzles can help slow pasture intake. Also, slow grain intake by spreading grain out in a shallow trough or placing large objects in a grain bucket (e.g., large, smooth rocks or bocce balls).
  3. Maximize the time horses have access to forage. Free-choice feeding of forage, feeding forage multiple times per day, or using slow feeding devices can increase the time horses have access to forage.
  4. Allow horses to feed in a head-down position when possible. This results in natural dental wear and reduces the risk of respiratory conditions.

Horses eating netted hay

Photo Credits: Adobe Stock