Metabolic hypophospathemia (postparturient hemoglobinuria PPH)

- Clinical Signs

1-Early Signs

• Sudden drop in milk yield
• Anorexia, depression
• Pale or icteric mucous membranes

2- Hemoglobinuria

• Passage of dark red to coffee-colored urine
• Normal consistency (distinguishes from myoglobinuria)

3- Systemic Manifestations

• Tachycardia, dyspnea due to anemia
• Weakness, reluctance to move
• Constipation or reduced rumen motility

4- Severe Cases

• Recumbency
• Hypothermia
• Death within 2–3 days if untreated

Figure (2): A buffalo with hemoglobinuria due to hypophosphatemia