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 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>  

*'''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.<ref>Nadeau, J.A, Andrews, F.M, Mathews, A.M, Argenzio, R.A, Blackford, J.T, Saxton, A.M (2000) Evaluation of diet as a cause of gastric ulcers in horses.  ''Am J Vet Res'', 61:784-790.</ref><ref>Lybbert, T, Gibbs, P, Cohen, N, Scott, B, Sigler, D (2007) Feeding alfalfa hay to exercising horses reduces the severity of gastric mucosal ulceration.  ''Proc Am Ass Equine Practnrs'', 53:525-526.</ref>  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.(44 in Sanchez)

*'''Stress:''' minimise handling wherever possible, provide company and toys for stabled horses, encourage good feeding habits of foals.(44 in Sanchez)