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Health20. April 2026 · 7 min

Avoiding sand colic — how sand gets into the gut and out again

On short grazed-down, sandy pastures the horse takes up sand, which can accumulate in the hindgut. Why clean feeding and plenty of forage are the most effective levers — and how honestly psyllium must be classified.

ER

Equiterna Redaktion

Veterinarian · Sports medicine

Article image: Avoiding sand colic — how sand gets into the gut and out again

Sand colic describes abdominal pain that arises from sand accumulated in the gut. The horse does not take up this sand on purpose, but unnoticed with the feed: above all where it tears grass on short grazed-down, sandy pastures right down close to the ground or takes up hay and concentrate directly from the sandy floor. With every bite fine sand particles migrate along into the digestive tract.

Why sand accumulates in the gut

Sand is heavier than the feed slurry. In the hindgut, especially in the wide gut segments with their bends, it can settle and accumulate at the lowest point instead of being fully transported onward. Smaller amounts the horse usually excretes again unnoticed. But if larger amounts deposit over weeks, the sand irritates the gut mucosa, disturbs the gut motility and can lead to impaction and thus to colic — in part accompanied by diarrhoea and a loss of performance.

Sand burden · main source
Boden-Fütterung
uptake via short grazed-down, sandy pastures and feed from the sandy floor · not from the clean ground

Prevention begins on the ground

The most effective lever is to keep the sand uptake small from the outset. Hay and concentrate belong on a clean ground — on mats, in racks or troughs instead of directly on the sandy floor. Overgrazed, short grazed-down paddocks on sandy ground are the classic risk source and should be relieved or avoided. A plentiful, continuous forage supply keeps the gut moving and supports the natural transport-away of sand; juicy, high-quality grass and a healthy hindgut milieu work in the same direction.

That is at the same time good general colic prevention: plenty of fibre, short feeding pauses, clean feed and sufficient movement. Whoever keeps horses on a sandy site can roughly observe the sand content in the faeces and adjust the pasture management accordingly — but the classification of a concrete finding belongs in veterinary hands.

“Most sand is not prevented in the gut, but at the feeding place. What is never taken up does not have to be laboriously gotten out again either.”
From internal medicine herd care

Traditionally, psyllium husks are named, whose mucilage is supposed to bind sand and promote its transport-away. Here honesty is worthwhile: the evidence for a reliable sand removal by orally fed psyllium in usual amounts is limited. A controlled study found no significant advantage of a psyllium-containing product over management alone for sand excretion; in the clinic psyllium is used rather in high dosing via a nasogastric tube and mostly in combination — that is treatment, not prevention. As an everyday cure-all psyllium is thus not suited; the more robust lever remains the avoidance of the sand uptake.

Emergency note: a colic is always a veterinary emergency. Signs such as pawing, flank watching, frequent lying down and rolling, sweating or absent faecal passage require immediate veterinary action. This article describes prevention via feeding and pasture management; it replaces neither diagnosis nor treatment and gives no healing promise.

Sources

PMID:32534763Hassel/Curley/Hoaglund, J Equine Vet Sci 2020 — Fecal sand clearance with probiotics/prebiotics/psyllium (no significant advantage)
Niinistö EVE 2022Niinistö et al., Equine Vet Educ — Diagnosis and management of sand enteropathy in the horse
MSD Vet ManualMSD Veterinary Manual (Equine) — Sand enteropathy / sand colic

Usage note

This content is for information and education. It does not replace veterinary diagnosis or treatment. If your horse shows signs of illness, consult a veterinarian.

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