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Milk fat depression is a poor and insensitive indicator of subacute ruminal acidosis in dairy herds. Cows and herds with severe subacute ruminal acidosis may have normal milk fat tests. Thus, it is vitally important not to exclude the diagnosis in a dairy herd that has a normal milk-fat test.  
 
Milk fat depression is a poor and insensitive indicator of subacute ruminal acidosis in dairy herds. Cows and herds with severe subacute ruminal acidosis may have normal milk fat tests. Thus, it is vitally important not to exclude the diagnosis in a dairy herd that has a normal milk-fat test.  
 
===Clinical Signs===
 
===Clinical Signs===
 
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Clinically, SARA is characterised by:
Loose faeces with excessive faecal soiling of hindquarters. Closer examination of the faeces may revela fibrin casts, undigested cereal grains and long fibres. Cows swishing their tails when there are no flies due to gut and or urine irritation. Reduction in milk butterfat. Reduction in milk yoeld. with cows not milking to expectation. REduction in DMI. Individual animals variably go off their food with a consequent reduction in milk yeild. Cows spilling their cud whilts ruminating. Increased incidence of nutritional-related diseases, such as NEB/acetonaemia, LDAs, poor fertility, lameness and other peri-parturient diseases e.g. mastitis.
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* Variable faccal coinsistenicy, with many cows within a
The major clinical manifestation is reduced or cyclic feed intake, or both. Other associated signs include decreased efficiency of milk production, reduced fat test, poor body condition score despite adequate energy intake, unexplained diarrhea, and episodes of laminitis. High rates of culling or unexplained deaths may be noted in the herd. Sporadic nosebleeds due to caudal vena cava syndrome may also be observed. The clinical signs are delayed and insidious. Actual episodes of low ruminal pH are not identified; in fact, by the time an animal is observed to be off-feed, its ruminal pH has probably been restored to normal. Diarrhea may follow periods of low ruminal pH; however, this finding is subtle and difficult to evaluate.
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gTroup having loose faeces. This occurs following the
 
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development of osmIlotic diarrhoea due to colonic fermentation
One consequence of feeding excessive amounts of rapidly fermentable carbohydrates in conjunction with inadequate fiber to ruminants is subacute ruminal acidosis, characterized by periods of low ruminal pH, depressed feed intake, and subsequent health problems. Chronic disease conditions secondary to subacute ruminal acidosis can negate the production gains accomplished by high grain feeding. Dairy cattle, feedlot cattle, and feedlot sheep are all at high risk for developing this condition. Although dairy cattle are typically fed diets that are higher in forage and fiber compared with feedlot animals, this advantage is offset by their much higher dry-matter intakes.
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of foodstuff's. However, if colonic pH falls
Depressed dry-matter intake becomes especially evident if ruminal pH falls to <~5.5. Intake depression may be mediated by pH receptors and/or osmolality receptors in the rumen. Inflammation of the ruminal epithelium (rumenitis) could cause pain and contribute to intake depression during subacute ruminal acidosis.
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excessively. the colonic flora is killed off and hind gut
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fermentation ceases, reSsulting in the production of
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coarse, firmer faeces which are rathei- sticky to the touch
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(probably due to the preseince of undigested, short chain
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polysaccharides in the t'aeces):
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* Fibrin casts in the faeces. This is indicative of severe
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acid-induced damage to the colonic mucosa fArgenLio
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aind Meuten 199 1);
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* Excessive faecal soiling, especially of the tail, udder
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and rump;Cow's swishing their tails in the absence of flies. This is
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likely to be associated with irritation caLused by the production
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ot' acidic urine and faeces. Tail swishing leads to
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rump faecal soiling, a common finding in affected herds;
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* Rumlleni hypomotility and hypophagia. Individual cows
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will be seen to be 'off their food' with no other clear
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presentinr sig'ns. The condition usually resolxes spontaneously
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within 24 to 48 hours; this is attributable to a
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reduction in appetite, accompanied by a tendency to
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select and consume forage rather than smaller high energy
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particles;
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* Cows 'dropping the cud' while ruminatincy;
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* Reduced feed efficiency (Krajcarski-Hunt and others
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2002). This is caused by reduced rumeni digestive efficiency
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with the subsequent passag-e of undigested foodstuLffs
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in the t'aeces. It is common in such situations for blame to be attributed to the feedstuff quality rather than
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suboptimal rumen function;
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* Reduced milk yield (albeit this may not be recognised
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on farms where the problem is continuously present);
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* Reduced milk butterfat. There is some debate on the
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precise aetiology of reduced milk butterfat. Traditionally,
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butterfat yield was thought to be dependent on acetate
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production from dietary neutral detergent fibre (NDF),
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although recent work suggests that interference with ruminal
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biohydrogenation of fatty acids may be the underlying
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mechanism behind reduced milk fat (Bauman and Griinari
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2001). However, since rumen pH is dependent on the
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amount of long fibre (physically effective NDF or peNDF)
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in the diet, and milk fat is dependent on the amount of
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NDF in the diet, it is possible to have a situation where
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butterfat levels are acceptable in the face of a ruminal acidosis
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if the fibre being fed is too short to be effective;
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* Increased numbers of cases of digestive disease,
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including displacement of the abomasum;
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* Laminitis. SARA predisposes to laminitis (Nordlund
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2000). Affected herds may have a high prevalence of foot
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lameness. However, there is a time lag between the period
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of nutritional insult and the resultant lameness. While the
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exact mechanism by which SARA predisposes animals to
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laminitis has not been elucidated, it may involve the products
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of colonic fermentation rather than SARA per se;
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* Reduced dry matter intake (Garrett and others 1999);
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* Excessive weight loss in early lactation. This can
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occur as cows affected by SARA fail to increase their
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dry matter intake as a coping strategy for negative energy
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balance;
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* Increased incidence of ketosis;
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* Poor reproductive performance. This is a reflection
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of both reduced conception rates and a reduction in the
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intensity and duration of oestrous behaviour;
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* Environmental mastitis. Levels may be increased due
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to poor hygiene and a reduction in the cow's immune
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function. Negative energy balance occurring secondarily
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to SARA is recognised as impacting
    
===Pathology===
 
===Pathology===
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