Free Fecal Water Syndrome Explained

Find out what causes watery feces in horses and whether you should be concerned. Read more in this article from the Winter 2023 issue of The Horse.

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Find out what causes watery feces in horses and whether you should be concerned.

picking horse manure from bedding in stall
If you’ve ever noticed a watery component to your horse’s manure, that’s a sign of free fecal water syndrome. | iStock

Muck bucket and rake in hand, each day’s stall cleaning gives you a measure by which to monitor your horse’s well-being: The number and quality of his manure piles. You’re probably highly aware of the amount you collect.

Have you ever noticed “horse apples” that are not completely normal, having a watery component along with formed fecal balls? Then you investigate your horse’s hind end and find manure stains where there should be none. Is this a cause for concern?

One reason a horse might have manure soiling his rump and rear legs is free fecal water syndrome (FFWS). Alicia Long, DVM, of the University of Pennsylvania’s New Bolton Center School of Veterinary Medicine, in Kennett Square, explains how FFWS differs from diarrhea: “Diarrhea tends to be frequently passed loose or watery feces lacking in solid fecal matter. In contrast, a horse experiencing FFWS defecates a relatively solid pile of manure, which is then followed by wet feces or liquid. The liquid phase doesn’t always come just at the end—it may also pass at the beginning of or during ­defecation.”

What Are the Consequences of FFWS?

Jamie Higgins, DVM, Dipl. ACVIM, of Idaho Equine Hospital, in Nampa, notes that FFWS is mostly just bothersome to owners, making it difficult to keep horses—especially show horses—clean. “There are not many significant effects to the horse,” she says, “other than possible irritation or scalding of skin (dermatitis) from manure adhered to the hind limbs, tail, and perineal region around the anus. Some horses seem irritated while passing manure, likely due to fluid dripping on their legs.”

Another concern, Long notes, is liquid manure staining the legs and hind end might attract more flies, adding to the annoyance. “Reproductive health may be affected in mares with poor perineal conformation,” adds Higgins. “They are at greater risk of fecal contamination of the vaginal vault.” 

Horses with FFWS often show no other clinical signs, appetite changes, differences in weight or body condition, or discomfort aside from irritation/tail-swishing when voiding fecal water, says Long. “The amount of water lost does not appear to be substantial enough to cause clinical dehydration,” she adds.

“There also doesn’t seem to be a strong association with development of colic and FFWS in the literature, and this fits with my clinical experience,” she says. However, in one study (Kienzle et al., 2016) the authors note about 25% of horses with FFWS had a history of colic, compared to the general population colic incidence of 3.5-10.6%.

“In horses recovering from colitis (colon inflammation) from a variety of causes, there may be a prolonged period of free fecal water during the recovery period, but this is secondary to the primary colon disease and not the cause of colon disease,” says Higgins

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We at The Horse work to provide you with the latest and most reliable news and information on equine health, care, management, and welfare through our magazine and Our explanatory journalism provides an understandable resource on important and sometimes complex health issues. Your subscription will help The Horse continue to offer this vital resource to horse owners of all breeds, disciplines, and experience levels.


Written by:

Nancy S. Loving, DVM, owns Loving Equine Clinic in Boulder, Colorado, and has a special interest in managing the care of sport horses. Her book, All Horse Systems Go, is a comprehensive veterinary care and conditioning resource in full color that covers all facets of horse care. She has also authored the books Go the Distance as a resource for endurance horse owners, Conformation and Performance, and First Aid for Horse and Rider in addition to many veterinary articles for both horse owner and professional audiences.

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