_The symptoms_ vary in the different forms of the disease. Pain is the most characteristic symptom. The sensitive or vascular structure of the foot has an abundant supply of sensory nerves, and, as it is situated between the hoof and the bony core, the pressure and pain resulting from the inflammation are severe. In the _acute form_ general symptoms are manifested. The appetite is impaired, the body temperature elevated and the pulse beats and respirations quickened. If the inflammation is severe, the animal prefers to lie down. This is especially true if all four feet are inflamed. In most cases the horse stands with the forefeet well forward and the hind feet in front of their normal position and under the body. The affected feet are feverish and very sensitive to jarring or pressure. Moving about increases the pain in the feet, and it may be very difficult to make the animal step about the stall. In the _subacute form_ the symptoms are less severe. The irregularity in the gait is especially noticeable when the animal is turned quickly. The local symptoms are less marked than in the acute form and the general symptoms may be absent. _The chronic form_ is characterized by changes in the shape and appearance of the hoofs (Fig. 43). The wall shows prominent ridges or rings, the toe may be concave, thick and long and the sole less arched than usual, or convex. The degree of lameness varies. It is more noticeable when the horse is moved over a hard roadway than if moved over soft ground. One attack of laminitis may predispose the animal to a second attack. _The prognosis_ depends on the character of the inflammation and the promptness and thoroughness of the treatment. Acute laminitis may respond to prompt, careful treatment in from ten to fourteen days. Subacute laminitis responds readily to treatment. The prognosis is least favorable in the chronic form. _The preventive treatment_ is very important. Dietetic causes are responsible for a large percentage of the cases of this disease. Horses that are accustomed to being fed and watered at irregular periods and after severe or unusual exercise seem to be able to stand this treatment better than animals that are more carefully cared for, but even this class of animals do not always escape injury. Stockmen should realize the danger of producing an inflammation of the feet by feeding grain and giving cold water to horses immediately after severe exercise. Overfeeding should also be avoided. Careful nursing may prevent the occurrence of laminitis as a complication of other diseases. [Illustration: FIG. 43.--This foot shows the changes in shape and appearance of wall and sole occurring in chronic laminitis.]