Equine grass sickness (EGS) is a debilitating and often fatal disease which commonly presents as impaired activity of the gut, caused by nervous system damage, which prevents food from travelling through the digestive system properly. 

Cases are common in northern European countries, particularly Great Britain. The disease occurs almost exclusively in horses with access to grass, but even though the condition was first identified around 1909, the true cause of EGS remains unknown. 

The disease can present as acute (sudden onset), subacute (milder clinical signs) and chronic (slow onset). 

Acute and subacute clinical signs include, but are not limited to: 

  • Absence of gut sounds 
  • Increased heart rate 
  • Gastric reflux (food out of nostrils) 
  • Colic 
  • Difficulty swallowing 

Clinical signs in chronic cases can include: 

  • Rapid otherwise unexplained weight loss 
  • Tucked up abdomen 
  • Drooping eyelids 
  • Muscle tremors.  

Contact your vet immediately if you suspect your horse is displaying signs of grass sickness.  

Fast Facts guide to Equine grass sickness

The front cover of the Fast Facts Equine grass sickness guide showing a chestnut horse grazing in a field surrounded by trees.

This Fast Facts guide includes:

  • Clinical signs of the different types of grass sickness
  • Treatment of grass sickness
  • Risk factors and prevention strategies

Become a member and get insured

World Horse Welfare membership with insurance gives you peace of mind for the horses you love while helping the world’s most vulnerable horses.

Popular advice in Health

Mud fever in horses

Mud fever in horses

Read more
Mites: how to treat them in horses

Mites: how to treat them in horses

Read more
View all Health advice

Other advice categories


Welfare Wednesday Webinars

Wild Wisdom: Enhancing horse enrichment 

Wild Wisdom: Enhancing horse enrichment 

All webinar categories:

Call our Advice Line

+44 (0)1953 497 238

Not found the advice or answer you were looking for here? Then our Advice Line is available during office hours, or you can email us on education@worldhorsewelfare.org to let us know what topics you were looking for.

Sign up for our email newsletter

Join over 55,000 other horse lovers

Follow our story on social networks

We use cookies to help provide you with the best experience when you visit our websites. By using this site you consent to the use of cookies on your device. You can change your cookie settings at any time by clicking ‘Manage cookies’. For more information see our cookie policy.