Equine squamous gastric ulcer disease (ESGD) is a prevalent condition affecting around 90% of performance horses. It is characterised by the erosion of the stomach lining, often caused by repeated exposure to acidic gastric fluid during intense exercise. This acidic fluid, normally found in the glandular region of the stomach, can come into contact with the non glandular squamous mucosa, leading to inflammation and ulceration. This is especially likely in horses that are unfed during exercise, as the increased pressure within the abdomen can force acidic contents upward. This painful condition can result in various symptoms, including:

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