- Clinical Signs of milk fever
Milk fever occurs in three stages:
Stage 1 (Early stage) – Excitement stage
Duration: short (often missed). clinical signs include:
- Restlessness
- Hypersensitivity
- Muscle tremors
- Ear twitching
- Mild weakness
Stage 2 (Sternal recumbency stage)
Is the most commonly observed stage. Clinical Signs:
- Sternal
recumbency
- Depression
- Cold ears and
muzzle
- Dilated pupils
- Reduced rumen
motility
- Constipation
- Tachycardia
(weak pulse)
- Body
temperature may be normal or low
- Characteristic S-shaped
neck

Figure (1): sternal recumbency in a cow with milk fever.
Stage 3 (Lateral recumbency stage - comatosed)
Severe stage (emergency): signs include:
- Lateral
recumbency
- Severe
depression
- Coma
- Bloat
- Severe
hypothermia (cold ears and extremities)
- Weak heart
sounds
- Death if
untreated