Mycotoxin Poisoning in Horses: Moldy Feed and Hay Risks

Poison Emergency

Think your pet may have been poisoned?

Call the Pet Poison Helpline for 24/7 expert guidance on poisoning emergencies. Don't wait — early treatment can be lifesaving.

Call (844) 520-4632
Quick Answer
  • Mycotoxin poisoning happens when a horse eats feed or forage contaminated by molds that produce toxins, not just visible mold.
  • Common concerns include fumonisins in moldy corn-based feeds and aflatoxins in improperly stored grain, hay, or concentrates.
  • Signs can range from poor appetite, weight loss, and diarrhea to jaundice, neurologic changes, weakness, or sudden severe illness.
  • See your vet promptly if your horse seems dull, stops eating, shows colic-like signs, develops tremors, stumbles, presses the head, or acts neurologically abnormal.
  • Diagnosis often involves a feed history, physical exam, bloodwork, and testing suspect feed or hay for specific toxins.
Estimated cost: $250–$2,500

What Is Mycotoxin Poisoning in Horses?

Mycotoxin poisoning is illness caused by toxins made by certain molds growing on feed ingredients, grain, corn, hay, or other stored forage. A bale or feed bag does not have to look dramatically moldy to be risky. Some toxins are present even when the feed only smells musty or has a few discolored areas.

In horses, the biggest concern is often fumonisin exposure from contaminated corn or corn-containing feed, which can cause a serious neurologic disease called equine leukoencephalomalacia. Aflatoxins are another important group because they can damage the liver and affect appetite, weight, and overall health. Other molds may irritate the airways or contribute to digestive upset, poor performance, and reproductive problems.

The effects depend on the toxin, the amount eaten, and how long the horse has been exposed. Some horses become sick quickly. Others show vague signs over days to weeks, which can make the problem easy to miss at first. That is why a careful feed history matters so much when your vet is trying to connect the dots.

Symptoms of Mycotoxin Poisoning in Horses

  • Reduced appetite or refusing feed
  • Lethargy or poor performance
  • Weight loss over days to weeks
  • Diarrhea or loose manure
  • Mild colic signs
  • Coughing or worsening heaves with dusty or moldy hay exposure
  • Depression or dull mentation
  • Weakness or incoordination
  • Stumbling, circling, or head pressing
  • Muscle tremors or abnormal behavior
  • Jaundice or yellowing of gums and eyes with liver injury
  • Easy bruising or bleeding problems in severe liver-related cases
  • Pregnancy loss or poor reproductive performance in some toxin exposures
  • Sudden collapse or death in severe neurologic toxicosis

Mild signs like decreased appetite, loose manure, coughing, or a drop in energy can happen early and may look like many other problems. More serious signs, especially stumbling, head pressing, circling, tremors, marked depression, jaundice, or collapse, need urgent veterinary attention.

See your vet immediately if your horse has neurologic signs, cannot safely stand or walk, stops eating, or if more than one horse on the property is affected. When possible, save the suspect hay, grain, or feed tag so your vet can help decide whether testing is worthwhile.

What Causes Mycotoxin Poisoning in Horses?

Mycotoxin poisoning starts with mold growth on feed or forage. Moisture, heat, poor ventilation, delayed drying before baling, damaged grain, and long storage times all increase risk. Corn and corn-based feeds are especially important because Fusarium molds can produce fumonisins, while Aspergillus molds can produce aflatoxins in warm, humid conditions or in poorly stored feed.

Hay can also become a problem when it is baled too wet, stored where rain or condensation reaches it, or develops hot spots inside the bale. Even if the main issue is respiratory irritation from mold and dust, some moldy hay and forage can also carry toxins that affect the gut, liver, immune system, or nervous system.

Not every moldy-looking feed contains dangerous toxin levels, and not every toxin can be seen or smelled. That is one reason horses should not be fed visibly moldy hay or feed. Mixing questionable feed with clean feed is risky because it dilutes the appearance, not necessarily the toxin.

How Is Mycotoxin Poisoning in Horses Diagnosed?

Diagnosis usually begins with history and pattern recognition. Your vet will ask what your horse has been eating, whether a new hay lot or grain batch was started, how the feed has been stored, and whether other horses are showing similar signs. A physical exam helps your vet decide whether the main concern is digestive, liver-related, respiratory, or neurologic.

Bloodwork is often the next step. A complete blood count and chemistry panel may show liver injury, dehydration, inflammation, or other organ stress. Depending on the signs, your vet may also recommend clotting tests, urinalysis, or additional neurologic evaluation. These tests do not always identify the exact toxin, but they help measure how sick the horse is and guide supportive care.

Confirming mycotoxin exposure often requires testing the suspect feed, grain, or hay. Feed testing is most useful when samples are collected early and from the actual batch the horse was eating, because toxin levels can vary from one area of a bale or bin to another. In severe fumonisin cases, diagnosis may be supported by neurologic signs plus feed history, and confirmed after death with characteristic brain lesions. Because many illnesses can mimic mycotoxin exposure, your vet may also rule out colitis, liver disease from other causes, botulism, EPM, and other neurologic conditions.

Treatment Options for Mycotoxin Poisoning in Horses

Spectrum of Care means you have options. Here are treatment tiers at different price points.

Budget-Conscious Care

$250–$700
Best for: Mild cases with vague signs such as reduced appetite, mild diarrhea, or poor performance, when the horse is stable and not showing neurologic deficits.
  • Urgent farm call or clinic exam
  • Immediate removal of suspect hay, grain, or concentrate
  • Basic supportive care plan from your vet
  • Hydration support by mouth if appropriate
  • Diet change to clean forage and feed
  • Limited baseline bloodwork when finances are tight
  • Monitoring appetite, manure, temperature, and neurologic status at home
Expected outcome: Often fair to good if exposure stops early and organ damage has not become severe.
Consider: Lower upfront cost, but less testing may leave uncertainty about the exact toxin and may miss worsening liver or neurologic injury.

Advanced / Critical Care

$1,800–$5,000
Best for: Horses with neurologic signs, severe depression, jaundice, inability to eat or drink normally, multiple organ involvement, or rapid deterioration.
  • Hospitalization or referral care
  • Continuous IV fluids and intensive supportive treatment
  • Frequent neurologic and metabolic monitoring
  • Expanded bloodwork, clotting tests, and repeated chemistry panels
  • Aggressive management of liver-related complications or severe dehydration
  • Safer confinement and nursing care for horses with weakness or incoordination
  • Advanced diagnostics and consultation with a diagnostic laboratory
Expected outcome: Guarded to poor in severe fumonisin-associated neurologic disease. Prognosis is better when signs are caught early and the horse responds quickly after contaminated feed is removed.
Consider: Provides the highest level of monitoring and support, but cost range is substantial and some toxins, especially fumonisins causing brain injury, may have limited treatment success even with intensive care.

Cost estimates as of 2026-03. Actual costs vary by location, clinic, and individual case.

Questions to Ask Your Vet About Mycotoxin Poisoning in Horses

Bring these questions to your vet appointment to get the most out of your visit.

  1. Do my horse’s signs fit mycotoxin exposure, or are there other problems you are more concerned about first?
  2. Which blood tests would help check for liver damage, dehydration, or other organ effects?
  3. Should we test the hay, grain, or concentrate, and how should I collect the sample?
  4. Do I need to remove all horses from this feed source right away?
  5. What warning signs mean my horse needs emergency care or hospitalization?
  6. If my horse improves after the feed is removed, do we still need repeat bloodwork?
  7. Are there safer replacement forage or feed options while my horse recovers?
  8. What storage changes would most reduce the risk of this happening again on my farm?

How to Prevent Mycotoxin Poisoning in Horses

The safest rule is straightforward: do not feed visibly moldy hay or feed to horses. Horses are especially sensitive to some mycotoxins, and trying to use up questionable forage can backfire. Check hay for musty odor, unusual heat, discoloration, clumping, excess dust, or damp spots. Inspect grain and pelleted feed for caking, moisture, off smells, insect damage, or obvious mold growth.

Storage matters. Keep hay and feed dry, well ventilated, and protected from leaks, condensation, and ground moisture. Rotate inventory so older feed is used first, and avoid buying more than you can store properly. Corn-containing feeds deserve extra attention because fumonisins are a major equine concern.

If a new batch of hay or feed seems suspicious, stop feeding it and contact your vet before more horses are exposed. Save labels, lot numbers, and representative samples. On farms with repeated forage quality issues, your vet may suggest working with a reputable feed supplier, improving storage conditions, or submitting suspect lots for laboratory testing before they are fed.