Unlike many other mammals, horses lack the ability to be sick or vomit. This is due to certain physiological differences in their digestive system that ensures any food they ingest stays down.
A horse’s lower oesophageal sphincter muscles are much stronger than in other animals, making it nearly impossible to open that valve under backward pressure from the stomach. The equine oesophagus also joins the stomach at a much lower angle, so when the stomach is distended it presses the valve even more tightly closed.
Plus, due to its location deep inside the rib cage, the equine stomach cannot be readily squeezed by the abdominal muscles. Because horses cannot vomit, if the stomach becomes distended when the horse is unwell – normally during a colic episode – the stomach is at serious risk from rupture.