Volume 2024, Issue 1 5595475
Research Article
Open Access

Induced Ruminal Lactic Acidosis in Sheep Treated with Various Remedial Agents in Libo Kemkem Districts, Northwest Ethiopia

Balemual Abebaw

Corresponding Author

Balemual Abebaw

Department of Veterinary Science , P.O. Box: 272, Debre Tabor University , Debre Tabor , Ethiopia , dtu.edu.et

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Achenef Melaku

Achenef Melaku

Department of Veterinary Pharmacology , P.O. Box: 196, University of Gondar , Gondar , Ethiopia , uog.edu.et

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Shimelis Dagnachew

Shimelis Dagnachew

Department of Para-clinical Studies , P.O. Box: 196, University of Gondar , Gondar , Ethiopia , uog.edu.et

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First published: 11 July 2024
Academic Editor: Sumanta Nandi

Abstract

Background. Grain overload is a ruminant metabolic disorder associated with overingestion or a sudden change to rapidly fermentable concentrate feeds. Objective. A randomized clinical trial was carried out in Libo Kemkem districts to investigate vital signs, ruminal fluid, and hematological changes in sheep related to grain overload and to assess the treatment efficacy of various remedial agents in Farta sheep breeds. Methods. All sheep were selected by using the simple random process, and categorized into four groups of eight animals groups I, II, and III in which each sheep was given 80 g of wheat flour per kg of body weight then baking soda, Magnalax, and digestive powder were treated successively, but group IV was the negative control group. Results. The current clinical trial explained that all acidotic sheep had statistically significant (p < 0.0002) lower body temperature, rumen motility, protozoa activity, and ruminal fluid pH with 38.48 ± 0.20, 0.5 ± 0.89, 6 (75%), and 5.37 ± 0.34 mean value successively. Nevertheless, there were significant (p < 0.0059) increments in hematological variables including total red blood cell, total white blood cell, packed cell volume, and hemoglobin estimation with 14.05 ± 1.27, 12.71 ± 0.99, 40.78 ± 5.24, and 14.78 ± 1.83 mean value, respectively, before treatment in acidotic sheep. There were also vital sign increments including pulse rate, respiratory rate, skin turgor, and capillary refill time with 123.5 ± 27.1, 73.75 ± 12.71, 3 ± 1.78, and 3.37 ± 1.77 mean values, respectively, before medical treatment in acidotic sheep. Digestive powder was the first drug of choice, followed by Magnalax, and baking soda was ranked at the end based on clinical recovery. Conclusion. The treatment effectiveness illustrated that all treatments could cure the grain overload. Nevertheless, digestive powder is the drug of choice based on the clinical and systemic recovery of the sheep. In addition to this, sheep should be introduced gradually to concentrate rations over 2–3 weeks with a mixture of concentrate in the milled feed containing roughage.

1. Introduction

Ruminal lactic acidosis is a metabolic disorder defined by decreased blood pH and bicarbonate, caused by overproduction of ruminal D-lactate [1]. It results from the high production of lactic acid in the rumen after ingestion of large quantities of readily digestible carbohydrates, particularly grain. Wheat, barley, and corn are the most readily digestible grains; oats are less digestible [2]. Rumen overload in sheep occurs due to the ingestion of grains, which helps the development of Streptococcus bovis bacteria [3]. Morbidity rate and mortality rate vary based on the type of grain, the dose of grain eaten, and body condition score [2].

The clinical signs of grain overload include reduction of appetite, fluid and electrolyte loss due to diarrhea, ataxia, grinding of teeth, grunting, and abdominal distension [4]. The treatment of ruminal acidosis depends on the degree of severity of the case. A variety of treatments can be given like antibiotics to reduce the growth of Gram-positive bacteria and fluid and electrolytes to maintain circulating blood volume [5]. Sodium bicarbonate, magnesium hydroxide, and digestive powder are remedial agents that correct the disturbed blood pH to a normal level. Digestive powder is an appetizer, which induces reticulorumen motility. It consists of different components: paracetamol, glucose monohydrate, sodium propionate, and sodium hydrogen carbonate. Sodium chloride oral solution is given to treat fluid and electrolyte loss due to diarrhea [6]. Sodium bicarbonate or magnesium hydroxide is applied to alkalinize the rumen pH (power of hydration). Fiber supplementation is given for the prevention of ruminal acidosis. Sheep should be introduced gradually to concentrate rations over 2–3 weeks, beginning with a mixture of ≤50% concentrate in the milled feed containing roughage [7].

Sheep and goat production in Ethiopia contributes a main role to the GDP (gross domestic product) of the country [8]. Nevertheless, grain overload has a significant economic impact by resulting in delayed marketing, condemnation of entire carcasses, reduced weight gain, reduction of appetite, and death of sheep [9].

Various remedial agents have different scientific names but are used for the correction of disturbed parameters related to ruminal lactic acidosis. It includes magnesium hydroxide or Magnalax, sodium bicarbonate or baking soda, and digestive powder, which are used to correct the disturbed ruminal and systemic acidosis to the normal required level of pH value in animals. Therefore, they have similar characteristics as the alkalinizer of ruminal acidosis [10]. However, differentiation among remedial agents for the treatment of ruminal and systemic acidosis due to gain overload is essential for accurate and rapid therapy of this disease. There has been no study about acute carbohydrate engorgement in sheep and its treatment efficacy of various remedial agents in Farta sheep breeds in Libo Kemkem districts, North West Ethiopia Therefore, the objective of this study is to investigate the treatment efficacy of various remedial agents of induced carbohydrate engorgement in Farta sheep breeds.

2. Materials and Methods

2.1. Study Area

The study was carried out in the Libo Kemkem district. It is placed in the south Gondar zone of the Amhara regional state (Figure 1). The district has a latitude and longitude of 12°07′N 37°47′E and an elevation of 1975 meters above sea level. The animal population consists of 124,607 cattle, 157,811 small ruminants, 27,329 equines, 199,950 poultry, and 21,381 honeybee hives [11].

Details are in the caption following the image
Map of the study area (we created the map with QGIS version 3.10.2 software) (https://qgis.org/en/site/forusers/download.html).

2.2. Study Design

A randomized clinical trial was carried out in Libo Kemkem districts.

2.3. Study Population

Indigenous sheep breeds (Farta sheep) were brought from the market with a variety of ages and sexes selected in the Libo Kemkem district.

2.4. Study Animals

A total of 32 Farta sheep breeds were selected by using the simple random method with a mean body weight of 28 kg (range 25–34 kg). The sheep were given straw before and during the clinical trial. Sheep was off feed for twenty-four hours before the start of the clinical trial. During the clinical trial, each group was penned separately in their room. For this experiment, 32 sheep were randomly divided into 4 groups of eight animals in each group. On day zero, all sheep were offered 80 g of wheat flour per kg of body weight. The flour was offered as a suspension in warm water by using a stomach tube [12].

2.5. Study Methodology

2.5.1. General Examination

All groups were observed three times in day associated with their posture, appetite, rumination, and diarrhea. General examination with clinical signs of anorexia, apathy, grinding of teeth, grunting, abdominal distension, ruminal stasis, watery diarrhea, ataxia, and recumbency were observed after the grain was offered to sheep. Systemic examinations were carried out before and after treatment [6, 11].

(1) Pulse and Respiration Taking. The pulse rate was taken at the femoral artery [13]. The fingers were put on the femoral artery and gentle pressure was applied until the wave was determined. The respiration rate was counted by numbering the movements of the rib cage and abdomen [14].

(2) Temperature Taking. The body temperature was measured using a digital clinical thermometer. The digital thermometer was gently inserted into the rectum. It was kept in the rectum for two minutes [15, 16].

2.5.2. Observation of Ruminal Fluid

(1) Ruminal Fluid pH. Rumenocentesis was done to collect ruminal fluid by using 16 gauge needles with a disposable syringe. The penetration site was the ventral rumen on the left side five cm posterior to the last rib. The procedure was done based on the standard [17]. The ruminal fluid was used for the evaluation of ruminal pH, which was measured using pH indicator paper or pH meter [18]. The ruminal fluid was placed on the paper and pH was observed by changing the color of the litmus paper and differentiating it from the standard colors of the indicator paper. The ruminal fluid was placed in a beaker and then a pH meter was inserted into it. So, the pH value was evaluated as the mean value [19].

(2) Protozoa Activity Test. A drop of ruminal fluid was put on a glass slide. The coverslip was placed on it. Then, it was observed under a low-power microscope for the presence or absence of ruminal protozoa. Protozoan motility was assessed in four groups: highly motile (++++) and very confined (good): >10 movable protozoa per field; motile (+++) and confined (fair): 6–9 movable protozoa per field; retarded movability (++) and few numbers (subnormal): 3–5 motile protozoa per field; + no or sporadic alive fauna (very low): <3 motile protozoa per field [20].

2.5.3. Assessing of Hematological Parameter

(1). Blood Sample Collection. Blood sample collection was sampled from the jugular vein containing five ml with tubes without anticoagulant and tubes containing EDTA (ethylene diamine tetra acetic acid). Total white blood cell count (TWBC), total red blood cell (TRBC), hemoglobin estimation (Hb %), and packed cell volume (PCV) were evaluated by using an automatic haem-analyzer. The hematological evaluation was done through an automated hematology analyzer [16].

(2) Determination of Blood pH. A blood sample was taken from the jugular vein by using a test tube containing 5 ml. The sample was permitted to clot at room temperature for one hour to obtain serum [17]. The serum pH was evaluated by using pH indicator paper and pH meter [20]. The pH indicator paper was inserted into serum and the color of the strip was differentiated from the standard colors [18]. The serum was put into a beaker and a pH meter was inserted into it. The mean value of both readings was evaluated [21].

2.5.4. Clinical Trials

Clinical trials were carried out to differentiate the best remedial agents. Bicart-sodium bicarbonate, digestive powder, and Magnalax-magnesium hydroxide treatment options were used for ruminal lactic acidosis as indicated in Table 1. The remedial agents were offered randomly to each group. Group I animals were given baking soda at a dose of 1 g/kg body weight. Group II was given Magnalax-magnesium hydroxide at a dose of 1.11 g/kg body weight. Animals in group III were treated with digestive powder at a dose of 0.8 g/kg. The remaining sheep were considered as negative control (group IV). Sampling was performed before the onset of therapy and thereafter on post-treatment [21, 23].

Table 1. Therapeutic trial for the treatment of ruminal acidosis in sheep.
Group Number of sheep Drugs Composition Dose (g/k.g) Dosage (ml/k.g) and route Frequency and duration of treatment
Group I (positive control) 8 Baking soda Chloride, lead, calcium, iron, and arsenic 1 10 orally Once a day for 4 days
Group II (Pc) 8 Magnalax MgOH (Mg+, OH) 1.11 10 orally Once a day for 4 days
Group III (Pc) 8 Digestive powder Sodium propionate 37.5 g, paracetamol 12.5 g, glucose monohydrate 12.5 g, and sodium hydrogen carbonate 37.5 g 0.8 8 orally Twice a day for 4 days
Group IV (negative control) 8 Without treatment Without treatment Untreated Untreated No treatment
  • Source: [22].

The therapeutic effectiveness was evaluated based on the disappearance of clinical signs, change of disturbed vital signs, ruminal pH, and hematological variable to the normal range [24]. It was also evaluated by the survival rate. Finally, the accuracy of the remedial agent was assured based on the clinical recovery of the sheep and rumen function tests [23].

2.6. Data Analysis

Data were collected and entered into an MS Excel spreadsheet. Then, it was processed using Stata MP 17. The data were analyzed using ANOVA and t-test. The hematological variable, ruminal, and clinical variables before and after therapy were calculated by one-way ANOVA. The acidotic groups were differentiated before and after therapy from the negative control group by paired t-tests. P value <0.05 was considered as statistically significant.

3. Results

3.1. Physical Parameter

The summary of clinical variables results is described in Table 2. The mean rectal temperature values recorded before treatment were 38.48 C° ± 0.20, 38.6 C° ± 0.21, 38.71 C° ± 0.54, and 39.32 C° ± 0.27 for groups I, II, III, and IV, respectively, as indicated in Table 2. The mean rectal temperatures calculated after treatment were 39.02 C°± 0.32, 39.11 C° ± 0.14, 39.23 C° ± 0.33, and 39.32 C° ± 0.27 for groups I, II, III, and IV, respectively. The mean pulse rate values before treatment for groups I, II, III, and IV were 123.5/min ±27.15, 115.5/min ±18.89, 117.25/min ±21.29 and 82/min ±6.19, respectively, as shown in Table 2. After treatment, the pulse rate of the groups I, II, III, and IV were again determined. The mean pulse rate values calculated after treatment were 93.5/min ±30.61, 88/min ±6.68, 86/min ±7.37, and 82/min ±6.19 for groups I, II, III, and IV, respectively. The mean skin turgor values counted before treatment were 3.37 ± 1.77, 4.12 ± 2.43, 3.12 ± 1.88 and 1 ± 0.00 second for groups I, II, III, and IV, respectively, as shown in Table 2. There was a significant (p < 0.05) increment in skin turgor of all groups of acidotic sheep as compared to healthy control. The mean skin turgor values of groups I, II, III, and IV after treatment were 2.25 ± 1.48, 2 ± 1.78, and 1.37 ± 0.86 and 1 ± 0.00 seconds, respectively.

Table 2. Clinical variables for a variety of groups due to grain overload effect (values are mean ± SE).
Clinical variables Group I Group II Group III Group IV P value
Sodium bicarbonate Magnesium hydroxide Digestion powder No treatment
Temperature (C°) Before therapy 38.48  ± 0.20 38.6  ± 0.21 38.71  ± 0.54 39.32 ± 0.27 0.0002
After therapy 39.02 ± 0.32 39.11 ± 0.14 39.23 ± 0.33 39.32 ± 0.27 0.0063
  
Pulse rate/min Before therapy 123.5  ± 27.15 115.5  ± 18.89 117.25  ± 21.29 82 ± 6.19 0.001
After therapy 93.5 ± 30.61 88 ± 6.68 86 ± 7.37 82 ± 6.19 0.1596
  
Respiratory rate/min Before therapy 73.75  ± 12.71 60.5  ± 13.93 57  ± 12.51 36.75 ± 6.67 0.001
After t 44 ± 25.21 40 ± 4.37 37.5 ± 3.89 36.75 ± 6.67 0.2822
  
Rumen motility/2 min Before therapy 0.5  ± 0.89 0.37  ± 0.86 0.62  ± 1.24 2.5 ± 1.54 0.001
After therapy 2.12 ± 1.65 1.75 ± 1.18 2.37 ± 1.24 2.5 ± 1.54 0.3244
  
Capillary refill time in sec Before therapy 3  ± 1.78 2.87  ± 0.69 2.12  ± 1.39 1 ± 0.00 0.00001
After therapy 1.75 ± 1.73 1.5 ± 0.44 1.12 ± 0.59 1 ± 0.00 0.0752
  
Skin turgor in sec Before therapy 3.37  ± 1.77 4.12  ± 2.43 3.12  ± 1.88 1 ± 0.00 0.001
After therapy 2.251 ± 1.48 2 ± 1.78 1.37 ± 0.86 1 ± 0.00 0.00083
  • Superscripts indicate statistical significance at p < 0.05 as it differentiated to group IV.

3.2. Ruminal Fluid Examination

3.2.1. Ruminal Fluid pH

The rumen pH mean values before treatment were 5.37 ± 0.34, 5.28 ± 0.58, 5.42 ± 0.48, and 6.65 ± 0.25 for groups I, II, III, and IV successively (Table 3). The rumen pH mean values observed after the remedial agent were 6.31 ± 0.43, 6.58 ± 0.30, 6.42 ± 0.37, and 6.65 ± 0.25 for groups I, II, III, and IV successively. The increase in ruminal fluid pH value after remedial agent in all groups of acidotic sheep was statistically significant (p < 0.05) as assessed to their pretreatment value.

Table 3. Ruminal fluid analysis was performed in indigenous sheep breed to check protozoal activity (values are mean ± SE).
Ruminal fluid Analysis Group I Group II Group III Group IV
Sodium bicarbonate Magnesium hydroxide Digestion powder No treatment
Rumen PH Before therapy 5.37  ± 0.34 5.28  ± 0.58 5.42  ± 0.48 6.65 ± 0.25
After therapy 6.31 ± 0.43 6.58 ± 0.30 6.42 ± 0.37 6.65 ± 0.25
  
Protozoa activity Before therapy Absent 6 (75%) 7 (87.5%) 5 (62.5%) 0%
Mild 2 (25%) 1 (12.5%) 3 (37.5%) 1 (12.5%)
Moderate 0% 0% 0% 3 (37.5%)
High 0% 0% 0% 4 (50%)
After therapy Absent 1 (12.5%) 4 (50%) 0% 0%
Mild 4 (50%) 3 (37.5%) 4 (50%) 1 (12.5%)
Moderate 3 (37.5%) 1 (12.5%) 3 (37.5%) 3 (37.5%)
High 0% 0% 1 (12.5%) 4 (50%)
  • Superscripts describe statistical significance at p < 0.05 as it contrasted to group IV.

3.2.2. Protozoa Activity

Ruminal protozoa want appropriate pH for their survival. There was a significant (p < 0.05) reduction in protozoa motility of acidotic sheep as we differentiated to negative control. After the remedial agent, the protozoa activity test was carried out for all groups. The protozoa motility in group II was the lowest as we contrasted to groups I, III, and IV as summarized in Table 3. The improvement in protozoa motility after medical treatment in all the groups of acidotic sheep was statistically significant (p < 0.05) as contrasted to their pretreatment value.

3.3. Hematological Variables

The summary of hematological variables is shown in Table 4. The average total erythrocyte count in ruminal acidotic sheep of groups I, II, and III was 14.05 ± 1.27, 14.08 ± 1.75, and 13.6 ± 1.46 over 11.32 ± 0.54 group IV before treatment. The average total erythrocyte count (x106/µL) in acidotic sheep of groups I, II, III, and IV after treatment was 12.71 ± 1.99, 11.8 ± 0.92, 11.5 ± 0.85, and 11.32 ± 0.54, respectively, as described in Table 4. The total leukocyte count of ruminal acidotic sheep of groups I, II, and III was evident from values of 12.71 ± 0.99, 12.3 ± 1.82, and 11.83 ± 1.12, respectively, over 9.05 ± 0.80 of group IV before treatment. The increment in total leukocyte count in all three ruminal acidotic groups was highly significant (p < 0.05) as compared to the healthy control group. The total leukocyte count declined to 10.95 ± 1.73, 10.51 ± 1.20, 10.3 ± 0.89, and 9.05 ± 0.80 in groups I, II, III, and IV, respectively, after therapy in acidotic sheep as shown in Table 4. The average hematocrit (PCV) in ruminal acidotic sheep of groups I, II, and III were 40.78 ± 5.24, 40.5 ± 5.93, and 39.28 ± 20.86 over 29.41 ± 3.25 of group IV before treatment. The hematocrit values declined to 35.27 ± 6.24, 33.87 ± 3.78, 31.68 ± 2.71, and 29.41 ± 3.25 in groups I, II, III, and IV, respectively, after treatment as indicated in Table 4. The blood pH of all ruminal acidotic sheep before treatment was found to be lower than the blood pH of the healthy control group. The mean blood pH values recorded before treatment were 6.91 ± 0.44, 6.92 ± 0.24, 7.02 ± 0.24, and 7.26 ± 0.17 for groups I, II, III, and IV, respectively. The blood pH values obtained after treatment were 7.11 ± 0.28, 7.31 ± 0.18, 7.21 ± 0.20, and 7.26 ± 0.17 for groups I, II, III, and IV, respectively, as shown in Table 4.

Table 4. Hematological variables change in indigenous sheep breed due to grain overload (values are mean ± SE).
Hematological variables Group I Group II Group III Group IV P value
Sodium bicarbonate Magnesium hydroxide Digestion powder No treatment
TRBC (x106/µL) Before therapy 14.05  ± 1.27 14.08  ± 1.75 13.6  ± 1.46 11.32 ± 0.54 0.001
After therapy 12.71 ± 1.99 11.8 ± 0.92 11.5 ± 0.85 11.32 ± 0.54 0.0032
  
TWBC (x103/µL) Before therapy 12.71  ± 0.99 12.3  ± 1.82 11.83  ± 1.12 9.05 ± 0.80 0.001
After therapy 10.95 ± 1.73 10.51 ± 1.20 10.3 ± 0.89 9.05 ± 0.80 0.0001
  
PCV (%) Before therapy 40.78  ± 5.24 40.5  ± 5.93 34.78  ± 20.86 29.41 ± 3.25 0.0059
After therapy 35.27 ± 6.24 33.87 ± 3.78 31.68 ± 2.71 29.41 ± 3.25 0.0004
  
Hgb (g/dL) Before therapy 14.78  ± 1.83 14.61  ± 2.24 14.03  ± 1.73 10.97 ± 0.66 0.001
After therapy 11.87 ± 2.68 11.48 ± 1.20 11.2 ± 0.66 10.97 ± 0.66 0.2558
  
Blood pH Before therapy 6.91  ± 0.44 6.92  ± 0.24 7.02  ± 0.24 7.26 ± 0.17 0.0015
After therapy 7.11 ± 0.28 7.31 ± 0.2 7.21 ± 0.20 7.26 ± 0.17 0.0324
  • Superscripts indicate statistical significance at p < 0.05 as it contrasted to group IV.

3.4. Remedial Accuracy Determination

Treatment accuracy of the remedial agents was assured based on clinical recovery from systemic acidosis. The summary of treatment efficacy is illustrated in Table 5. When we compared the remedial agent efficacy, digestive powder was the first drug followed by Magnalax and baking soda was ranked at the end based on the clinical recovery of the sheep.

Table 5. Remedial effectiveness of various therapeutic regimens in ruminal lactic acidosis in sheep.
Group Remedial agent No. of sheep Remedial effectiveness (% recovery)
Day 1 Day 2 Day 3 Day 4
Group I Baking soda 8 2 (25%) 4 (50%) 6 (75%) 7 (87.5%)
Group II Magnalax 8 4 (50%) 5 (62.5%) 7 (87.5%) 8 (100%)
Group III Digestive powder 8 5 (62.5%) 7 (87.5%) 8 (100%) 8 (100%)

4. Discussion

4.1. Vital Sign Parameter

The reduction of body temperature observed in the current study had similar findings to [25], which was due to fluid and electrolyte loss [4]. The increment of pulse rate was due to metabolic acidosis activation of the sympathetic nervous system [26, 27]. The increased respiration rate noted in the current study had similar findings to [28, 29]. The elevation of respiration rate above normal level was due to activation of medulla oblongata because of increased carbon-dioxide tension of blood and reduced blood pH [27, 30].

The occurrence of hypomotility or muscle atony during grain overload was due to the deactivation of the sympathomimetic ganglion [31]. The elevation of CRT and skin turgor in acidotic sheep had similar findings [32, 33]. This is due to profuse diarrhea [27].

4.2. Ruminal Fluid Examination

The reduction in pH of the ruminal fluid was observed in the current study due to the increasing production of volatile fatty acids. Ingestion of fermentable carbohydrates leads to a change in the microflora in the rumen within 2–6 hours [29]. The Streptococcus bovis increases in number rapidly, which leads to the production high amount of lactic acid. When the rumen pH is below five, it kills the microflora of the rumen. Lactobacilli bacteria ferment again the carbohydrate and induce a high amount of lactic acid [33, 34]. The superimposition of lactic acid and lactate in the rumen liquid results in the movement of fluid into the rumen and so, leads to dehydration. The present study had similar findings with [11, 18, 25].

The activity of the ruminal protozoa depends on the H+ ion and osmolality of the rumen liquor. In the present study, ruminal protozoa motility in acidosis sheep was usually absent which had a similar report from [35]. Magnalax treatment increased the rumen pH, but it reduced rumen protozoa motility. This finding was also reported by [30, 36, 37].

4.3. Hematological Parameters

The elevation of TRBC, TWBC, PCV, and Hgb in acidotic sheep was observed similar to [36, 38]. This is due to fluid and electrolyte loss because of profuse diarrhea [39]. The increment in TRBC in lactic acidotic sheep was due to the stress effect of systemic acidosis and epinephrine releasement causing splenic contraction [40, 41]. The current findings of increased TRBC in ruminal acidotic sheep are in agreement with [37].

The elevation of TWBC in ruminal acidosis is due to the production of endotoxins [34, 42]. This finding was also reported by [38].

Elevation of PCV in systemic acidosis sheep was due to hem concentration and dehydration, which was also reported by [41].

The elevation of hemoglobin concentration in the current study in lactic acidotic sheep had similar findings with [4, 30, 40]. The clinical recovery and systemic changes after treatment have occurred, which were also reported by [32, 43].

The blood pH of ruminal lactic acidotic sheep in the present study was below the normal value, which was due to lactate absorption from the rumen. This report had similarities with [44]. The elevation of blood pH after medicinal treatment was due to the buffering or alkalinizing effect of the remedial agent as in agreement with [42, 45].

4.4. Remedial Efficacy Assessment

In the current study, baking soda, Magnalax, and digestive powder were applied as remedies for ruminal lactic acidosis. All remedial agents were able to treat the acidotic condition as described in Table 5. When we compared the remedial agent efficacy, digestive powder was the first drug, followed by Magnalax and baking soda was ranked at the end based on the clinical recovery of the sheep. This showed that digestive powder was the most effective remedial agent which is in close agreement with [39, 45].

5. Conclusion and Recommendations

Ruminal lactic acidosis is a metabolic disorder defined by decreased blood pH and bicarbonate, caused by overproduction of ruminal D-lactate. The present clinical trial indicated that the acidosis sheep had lower body temperature, rumen motility, protozoa activity, and ruminal fluid pH. However, there was an elevation in pulse rate, respiration rate, CRT, and skin turgor. There were also significant (p < 0.05) increments in TEC, TLC, PCV, and Hgb in acidosis sheep. After the remedial agent application in acidotic sheep, the clinical and hematological parameters returned to normal levels. The current finding showed that all remedial agents were able to treat the acidotic condition. Digestive powder has various compositions, which are absorbed into the body and correct the disturbed clinical and hematological parameters. Digestive powder was the drug of choice, followed by Magnalax and baking soda was ranked at the end based on clinical and systemic recovery. In addition to this, sheep should be introduced gradually to concentrate rations over 2–3 weeks with a mixture of concentrate in the milled feed containing roughage.

Based on the above conclusions the following recommendations are forwarded:
  • (i)

    We shall avoid sudden feed change from roughage to concentrate to reduce the occurrence of ruminal lactic acidosis

  • (ii)

    Digestive powder has various compositions and can correct hematological and clinical changes easily and rapidly

  • (iii)

    Additional studies had better be performed about the cause of ruminal lactic acidosis in ruminants

Abbreviations

  • CRT:
  • Capillary refill time
  • CSA:
  • Central statistical agency
  • EDTA:
  • Ethylene diamine tetra acetic acid
  • LRS:
  • Lactated ringer solution
  • PCV:
  • Packed cell volume
  • PME:
  • Polioencephalomalacia
  • RFC:
  • Readily fermentable carbohydrate
  • SARA:
  • Subacute ruminal acidosis
  • TEC:
  • Total erythrocyte count
  • VFA:
  • Volatile fatty acids.
  • Ethical Approval

    All procedures and animal handling followed the standard ethical principles in animal experimentation and were approved by the Ethics Committee on Animal Research of the University of Gondar, College of Veterinary Medicine and Animal Sciences in accordance with the International Guidelines for Animal Welfare, with verification number VM/ERC/15/06-09/2018.

    Disclosure

    The preprint is found on research square https://www.researchsquare.com/article/rs-1866273/v1.

    Conflicts of Interest

    The authors declare that they have no conflicts of interest associated with this manuscript.

    Authors’ Contributions

    B.A. contributed to the conception of the idea, laboratory analysis and data collection, drafting, and writing of the manuscript. A.M. contributed to the interpretation of results and manuscript preparation. S.D. contributed to the interpretation of results and helped with the writing of the manuscript. All authors have read and approved the manuscript.

    Acknowledgments

    The authors are highly indebted to thank International Veterinary Pharmacy in Bahir Dar, the University of Gondar laboratory, and Addis Zemen clinic staff members for their kind reception, preparing equipment and materials for the work, and voluntariness to use their laboratory for this study. Balemual Abebaw deep and special thanks also go to his wife Selamawit Asmare Nega and his family for their invaluable and unreserved financial and moral support throughout his academic years.

      Data Availability

      The data that support the findings of this study are available from the corresponding author upon reasonable request.

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