My guy was extremely reactive to me touching left side when girthing, and making horrible “hiccup” noises when I did so, and when I rode him away at a walk to check out things, he threw his head and repeatedly did the same thing, along with being extremly overreactive when I touched his left side asking for LY. So, went in and had him scoped. Interesting watching the whole procedure. He had two different types of ulcers and we are on 3 different drugs for 30 days, and hopefully when he is scoped again in 30 days, they will be healed. That said, you really don’t know what you are dealing with if they are not scoped. And, they need to be 100% addressed and cured. He has been on the meds for 4 days and I rode him today for the first time, and he was wonderful moving, and happy as a clam. They are such delicate creatures, and we need to listen to them. He’s on Gastrogard in the morning, then another med. (pink pills), don’t recall the name, 10 of them soaked and syringed into his mouth 20-30 min. after the Gastrogard, then, he can eat 1 hr. after the Gastrogard, along with 5 little white pills, whatever they are called. I think my vet is spot on always, and has the best interest of my equine partner.