When a horse has ulcers, stall size becomes critical because stress and confinement can worsen the condition. Our editorial team emphasizes that a larger stall, ideally at least 12×12 feet, is recommended to allow free movement and reduce the risk of ulcer flare-ups. However, even more important is ensuring the horse has frequent turnout or access to a paddock to mimic natural grazing behavior.

Horses with ulcers require a low-stress environment that promotes constant forage intake. A cramped stall can increase cortisol levels and stomach acid production, aggravating ulcers. Therefore, the focus should be on stall size combined with management practices that prioritize turnout and feeding schedules.

Why Stall Size Matters for Horses with Ulcers

Stall size directly impacts a horse’s stress levels and feeding behavior. Horses with ulcers need to eat small, frequent meals to buffer stomach acid, and a cramped stall can limit their ability to move and access hay. A minimum 12×12 foot stall is recommended, but larger is better to allow the horse to lie down comfortably and change positions.

Research shows that confinement stress can elevate cortisol, which increases gastric acid secretion and reduces mucosal blood flow, making ulcers worse. A spacious stall reduces this stress and allows the horse to exhibit natural behaviors like walking and grazing (if hay is provided).

Optimal Stall Dimensions and Design

For horses with ulcers, the ideal stall size is at least 12×12 feet for a typical riding horse (15 to 16 hands). Larger breeds or horses that are stalled for extended periods benefit from a 12×14 or 14×14 foot stall. Ceiling height should be at least 9 feet to allow good ventilation and prevent respiratory issues that can add stress.

Stall design should include a safe, non-slip floor (e.g., rubber mats over compacted stone dust) and walls that allow visual contact with other horses to reduce isolation stress. Windows or grills between stalls can help maintain a calm atmosphere.

Turnout and Exercise Requirements

No matter the stall size, turnout is essential for horses with ulcers. Continuous access to pasture or a paddock is ideal because grazing naturally buffers stomach acid. If turnout is limited, aim for at least 12 hours per day. A small paddock attached to the stall (run-in shed) can provide freedom while protecting from weather.

Exercise should be regular but low-intensity to avoid further stress. Hand walking or light hacking is preferable to intense work that can increase acid production. Always provide free-choice hay during and after exercise to prevent the stomach from becoming empty.

Feeding Management in the Stall

Stall-fed horses with ulcers require constant access to forage. Use slow feeder hay nets or multiple hay piles to extend eating time. Avoid long periods without food, as an empty stomach increases acidity. Provide hay before and after grain meals, and never feed grain on an empty stomach.

Water should be fresh and clean at all times. Some horses with ulcers prefer slightly warm water in cold weather. Avoid stalling a horse immediately after feeding; allow time for digestion to reduce stress.

Environmental Enrichment and Stress Reduction

A stall for a horse with ulcers should be enriched to reduce boredom and stress. Place a mirror, stable toys (like Jolly Balls), or allow visual contact with other horses. Soft lighting and calming colors (e.g., muted earth tones) can help.

Maintain a consistent daily routine for feeding, turnout, and cleaning. Horses thrive on predictability, which lowers stress hormone levels. Ensure the stall is well-ventilated but draft-free, and keep bedding clean and dry to prevent respiratory issues that can exacerbate ulcers.