Update - tried Forco for a month but had a hard time getting horse to eat their recommended dose. Stopped when I got sucralfate (ablers) and hes been on that for 2/3 weeks and seems to be getting worse. Not finishing grain and spends more time digging in the snow and eating dead grass/snow then eating hay these days.
So frustrated - I have a call into my vet and am considering putting him on omeprazole but worried if its hind gut omeprazole could make it worse. Checking to see if vet will ultrasound to confirm hind gut inflammation.
Also have a lameness vet coming out to see if there could be any pain related issues causing the symptoms (poor topline, now lack of appetite and lethargic).
Considering an allergy test…? Horse did better before moving to a new location within the same region - could it be something in the hay that isn’t in the hay an hour away?
While hind gut ulcers as a diagnosis seems to make sense to me I feel like I’ve never really gotten to the root cause or completely resolved the horses issue despite changes to lifestyle, hay, grain, supplements, succeed, sucralfate and omeprazole.
This is the third winter I’ve spent banging my head against the wall and I’m not sure what to do next.