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Neither is ideal but of the two dirt is preferable. Sand in a horse's digestive system can cause what is called 'sand colic'. It's real colic caused by an accumulation of sand in the horse's gut. If there is enough of it the vet can actually hear is with a stethoscope.

If you do have a dirt floor in you stall, if you can afford it place rubber matts over the dirt and then a thick layer of shavings or straw. This is the cleanest and best bedding for your horse. It does cost more but your horse will be happier and healthier.

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Q: Is sand or dirt better in horse stalls?
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