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.<ref name="Orsini">Orsini, J (2000) Tutorial Article Gastric ulceration in the mature horse: a review. ''Equine Vet Educ'', 12(1):24-27.</ref>  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..<ref name="Andrews 2006">Andrews, F.M, Frank, N, Sommardahl, C.S, Buchanan, B.R, Elliott, S.B, Allen, V.A (2006) Effects of intravenously administrated omeprazole on gastric juice pH and gastric ulcer scores in adult horses.  ''J Vet Intern Med'', 20(5):1202-6.</ref>  Horses prone to, or at risk of, EGUS should be fed the minimum amount of concentrates necessary.<ref name="Nadeau"> In: Nadeau, J.A, Andrews, F.M (2009) ''Science: Overviews'' Equine gastric ulcer syndrome: The continuing conundrum.  ''Equine Vet J'', 41(7):611-615.</ref>  

*'''Diet:''' ideally turnout to good quality grass.(Murray 1994)  Stabled horses should have continuous access to hay and should be offered this before calorific needs are met by concentrates.<ref name="Orsini">Orsini, J (2000) Tutorial Article Gastric ulceration in the mature horse: a review. ''Equine Vet Educ'', 12(1):24-27.</ref>  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.<ref name="Andrews 2006">Andrews, F.M, Frank, N, Sommardahl, C.S, Buchanan, B.R, Elliott, S.B, Allen, V.A (2006) Effects of intravenously administrated omeprazole on gastric juice pH and gastric ulcer scores in adult horses.  ''J Vet Intern Med'', 20(5):1202-6.</ref>  Horses prone to, or at risk of, EGUS should be fed the minimum amount of concentrates necessary.<ref name="Nadeau"> In: Nadeau, J.A, Andrews, F.M (2009) ''Science: Overviews'' Equine gastric ulcer syndrome: The continuing conundrum.  ''Equine Vet J'', 41(7):611-615.</ref>  

*'''Stress:''' minimise handling wherever possible, provide company and toys for stabled horses, encourage good feeding habits of foals.

*'''Stress:''' minimise handling wherever possible, provide company and toys for stabled horses, encourage good feeding habits of foals.

Most of these suggestions would be difficult if not impossible to achieve for horses in race training, thus prophylactic medication should be considered.<ref name="Orsini">Orsini, J (2000) Tutorial Article Gastric ulceration in the mature horse: a review. ''Equine Vet Educ'', 12(1):24-27.</ref>

Most of these suggestions would be difficult, if not impossible, to achieve for horses in race training, thus prophylactic medication should be considered.<ref name="Orsini">Orsini, J (2000) Tutorial Article Gastric ulceration in the mature horse: a review. ''Equine Vet Educ'', 12(1):24-27.</ref>

====Prophylaxis====

====Prophylaxis====

Omeprazole paste at a 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.<ref name="Orsini">Orsini, J (2000) Tutorial Article Gastric ulceration in the mature horse: a review. ''Equine Vet Educ'', 12(1):24-27.</ref>

*Treating ulcers in asymptomatic performance horses may lead to improved performance.<ref name="Orsini">Orsini, J (2000) Tutorial Article Gastric ulceration in the mature horse: a review. ''Equine Vet Educ'', 12(1):24-27.</ref>