What are the signs of colic in horses?

Restlessness, rolling, pawing, flank watching, reduced droppings, sweating, rapid breathing, and abnormal gum colour. The British Horse Society uses the REACT acronym to help owners recognise signs quickly.

Should I stop my horse from rolling if they have colic?

According to current UK colic research, preventing rolling does not prevent a twisted gut. Prioritise safety — do not enter a stable with a thrashing horse. Call your vet immediately.

Is colic always an emergency?

Yes. Colic is the most common equine emergency in the UK. Some cases resolve with medical treatment; others need surgery. Early veterinary assessment improves outcomes.

A–Z topic · C

Colic in horses

Quick answer

**Colic** is abdominal pain and the most common equine emergency in the UK. According to the British Horse Society, use the **REACT** signs — Restless, Eating/droppings reduced, Abdominal pain, Clinical changes, Tired — and call your equine vet **immediately**. Do not wait for symptoms to worsen.

Key takeaways

Restlessness, rolling, pawing, flank watching, reduced droppings, sweating, rapid breathing, and abnormal gum colour. The British Horse Society uses the REACT acronym to help owners recognise signs quickly.
According to current UK colic research, preventing rolling does not prevent a twisted gut. Prioritise safety — do not enter a stable with a thrashing horse. Call your vet immediately.
Yes. Colic is the most common equine emergency in the UK. Some cases resolve with medical treatment; others need surgery. Early veterinary assessment improves outcomes.

The full guide

Causes, symptoms, treatment options and when to call your vet — in the complete plain-English guide.

Read: Horse Colic in the UK Check symptoms

Frequently Asked Questions

What are the signs of colic in horses?: Restlessness, rolling, pawing, flank watching, reduced droppings, sweating, rapid breathing, and abnormal gum colour. The British Horse Society uses the REACT acronym to help owners recognise signs quickly.
Should I stop my horse from rolling if they have colic?: According to current UK colic research, preventing rolling does not prevent a twisted gut. Prioritise safety — do not enter a stable with a thrashing horse. Call your vet immediately.
Is colic always an emergency?: Yes. Colic is the most common equine emergency in the UK. Some cases resolve with medical treatment; others need surgery. Early veterinary assessment improves outcomes.