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===Clinical Signs===
 
===Clinical Signs===
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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.
 
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.
 
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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