Changes

===Management===

===Management===

*'''Diet:'''ideally turnout to good quality grass,(Murray 1994) stabled horses should have continuous access to hay and should be offered this before calorifc needs are met by concentrates(Orsini). Alfalfa or other high calcium or high protein forages may be preventative by increasing gastric pH.(Nadeau et al. 2000; Lybbert et al. 2007; Ralston 2007)  Concentrates should be fed at no more than 0.5kg per 100kg body weight and not more frequently than every 6 h.(Andrews 2006)  Horses prone to or at risk of EGUS should be fed the minimum amount of concentrates necessary.(Nadeau 2009)  

*'''Diet:''' ideally turnout to good quality grass.(Murray 1994) Stabled horses should have continuous access to hay and should be offered this before calorifc needs are met by concentrates.(Orsini)  Alfalfa, or another high calcium or high protein forage may be preventative by increasing gastric pH.(Nadeau et al. 2000; Lybbert et al. 2007; Ralston 2007)  Concentrates should be fed at no more than 0.5kg per 100kg body weight and not more frequently than every 6 hours.(Andrews 2006)  Horses prone to, or at risk of, EGUS should be fed the minimum amount of concentrates necessary.(Nadeau 2009)  

*'''Stress:''' minimise wherever possible, provide company and toys for stabled horses.

*'''Stress:'''minimise wherever possible, provide company or toys for stabled horses

Most of these suggestions would be difficult if not impossible to achieve for horses in race training, thus prophylactic medication should be considered.(Orsini)

Most of these suggestions would be difficult if not impossible to achieve for horses in race training, thus prophylactic medication should be considered.(Orsini)

===Prophylaxis===

===Prophylaxis===

*Omeprazole paste at lower dose (1-2mg/kg) daily for 3-4 weeks (100, 107-109 in Sanchez)

Omeprazole paste at a lower dose (1-2mg/kg) daily for 3-4 weeks.(100, 107-109 in Sanchez)

**Prevented ulcers in horses maintained under ulcerogenic conditions (White et al. 2003; McClure et al. 2005a,b,c;White et al. 2007).

*Prevented ulcers in horses maintained under ulcerogenic conditions (White et al. 2003; McClure et al. 2005a,b,c;White et al. 2007).

**Treating ulcers in asymptomatic performance horses may lead to improved performance.(Orsini)

*Treating ulcers in asymptomatic performance horses may lead to improved performance.(Orsini)

**Prophylaxis in foals controversial as gastric acidity may be protective against bacterial translocation (Sanchez).

*Prophylaxis in foals controversial as gastric acidity may be protective against bacterial translocation (Sanchez).

**May benefit foals receiving substantial doses of NSAIDs for orthopaedic pain (Sanchez)

*May benefit foals receiving substantial doses of NSAIDs for orthopaedic pain (Sanchez)

==References==

==References==