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Urinary calculi (stones) are
occasionally a problem in cattle, just as they are in humans.
These stones are composed of clumped-together mineral salts and
tissue cells. They may form in the kidney or bladder, or both.
Some of them are smooth, and some are sharp and may cause
irritation and chronic inflammation that may lead to bladder
infection. But a more serious situation occurs if one or more
stones pass out of the bladder and become lodged in the
urethra-- the tube between the bladder and the external opening.
The stone or stones may partially or completely block the flow
of urine, and the bladder stays full.
Often called “water belly” because
of the distended bladder that eventually ruptures and releases
urine into the abdomen, this condition affects steers and bulls
more frequently than cows or heifers. Females have a larger,
shorter urinary passage and it rarely becomes blocked.
If even one animal in the herd
suffers from this problem, however, it may mean that the herd
diet is out of balance and other animals may be harboring
urinary stones. Water belly occurs most frequently in steers
between 5 and 18 months of age. This situation is more common in
feedlot animals, but sometimes afflicts animals at pasture.
The blockage is a
life-threatening problem, caused by eating feeds that contain
unbalanced quantities of certain minerals. The various minerals
in feed are absorbed from the intestine into the bloodstream
where they find their way to various parts of the body to assist
in certain functions. Iron, for instance, helps create healthy
red blood cells to carry oxygen. Calcium and phosphorus help
build bones. Any extra minerals not needed by the body are
filtered out by the kidneys and excreted in urine.
If the concentration of certain
minerals in the urine reaches a saturation point, however, the
solution starts to form crystals. This happens more readily if
the animal is short on water and the urine becomes more
concentrated than normal. This is similar to what happens when
salt water evaporates, leaving crystals of salt. If the animals
are drinking plenty of water, the urine is more dilute and the
minerals rarely precipitate out of solution.
If urine stays quite
concentrated most of the time, however, mineral crystals in the
kidney or bladder increase in number and size and start clumping
together to form stones. Any stones that stay in the bladder
rarely cause problems and may be there for the rest of the
animal’s life without symptoms.
In an animal with a short,
large-diameter urethra (such as a cow or heifer) stones may
readily pass on out with the urine. In the female, the passage
from the bladder to the outside opening is very short and
direct. But in a male, the urethra is much longer and it makes a
sharp bend. It also becomes quite narrow where it passes through
the penis. A stone may become caught in this narrow passage and
block it. Steers are most commonly affected because they have
the smallest diameter urethra, especially if they were castrated
at a young age. The urethra does not enlarge very much as the
animal grows. The urethra of a bull is a little larger in
diameter, but not nearly as large as in a female.
Animals that don’t drink enough
water, or individuals that consume an excessive amount of
minerals (especially phosphates) are more likely to develop
stones because the urine is more concentrated. Some people think
that hard water (containing a high level of minerals) can lead
to stones, but hard water generally contains calcium and
magnesium, which actually helps protect cattle against formation
of phosphate stones.
Symptoms
If the urethra is blocked by a stone, the bladder cannot
empty, and grows larger. Urine is continually formed by the
kidneys and routed to the bladder, which can no longer empty
through the blocked tube. The distended bladder puts pressure on
other organs in the abdomen, causing discomfort at first, and
eventually extreme pain. The affected animal will lick or kick
at his belly, stomp or tread with his hind feet, and constantly
switch his tail. Attempts to urinate may be accompanied by
straining. If the stone does not completely obstruct the
urethra, the steer may dribble a little blood-stained urine, but
he is still in a lot of pain. He tries repeatedly to urinate,
and may grind his teeth while trying to pass urine.
As pressure builds up in the
distended bladder, it eventually ruptures. This gives instant
relief to the animal because the pressure is gone. He quits
kicking or showing other signs of distress. But this relief is
temporary and the start of a more serious problem. The urine
from the ruptured bladder now flows into the abdominal cavity or
fills the tissues around the penis. Swelling caused by this
fluid seepage may extend under the belly skin toward the chest.
In a few hours, toxins and other
waste materials that were filtered out of the body via the
kidneys and into the urine are now absorbed back into the
bloodstream and start to slowly poison the animal. An affected
animal usually becomes dull and stops eating, and may go into
shock, or he becomes weak and eventually dies. Death usually
occurs within 48 hours after the rupture.
Treatment
At first sign of water belly, the options are to either
butcher the animal or have your veterinarian try treatment, or
perform surgery. If you detect the problem early enough, often
the best solution is to salvage the animal by slaughter. If this
is not feasible, consult your veterinarian for advice on
treatment and/or surgery.
Urinary tract relaxation may
help keep the urethra as open as possible, to allow passage of
stones. Giving the steer ammonium chloride may help make the
urine more acid, to dissolve any phosphate stones. Surgery is
probably the most effective treatment, if performed soon after
the problem is discovered, but may not save the animal if the
condition has been going on for several days and the animal’s
health is already compromised. If the bladder has already burst,
there is generally no hope for recovery.
The surgical procedure is merely
a temporary solution to keep the steer alive, enabling him to
recover and grow large enough to be butchered. The vet will make
an incision below the rectum so the penis can be dissected out
through the underlying tissues and pulled out backward through
the opening. The urethra in the penis is then opened up to allow
urine to drain out. This hole in the urethra is kept open by
stitching it to the skin. Since the new opening is above the
blockage, it creates a new exit for urine coming from the
bladder. The steer will then urinate through this hole just
below the anus, similar to the route of urination in a heifer.
If the surgical site heals
properly and the hole stays open, the steer can continue to
function, though the urine will usually run down the back of his
hindquarters. This emergency procedure can buy time, however, to
get the steer over the problems caused by the stone, including
any tissue residues of medication and urine, and perhaps give
him enough time to finish growing to better butcher weight.
Prevention
In feedlot cattle, a ration balanced for calcium and
phosphorus (2 parts calcium to 1 part phosphorus) will help
reduce the risk for stone formation. Feeding alfalfa, which has
a high level of calcium and lower level of phosphorus, is
beneficial. Adding salt and a little ammonium chloride to the
feed may also help. The diet should always be well balanced,
with adequate vitamin A. Plenty of clean, warm water should be
supplied in cold weather so the animals will drink enough.
In pastured cattle, make sure they always have salt and plenty
of clean water. Pastures that contain plants that are high in
silicates and oxalates may be risky for steers and should only
be used by cows and calves unless you can supplement with
alfalfa or other legumes to reduce the intake of siliceous
plants.
BVD OR IBR MAY PLAY A ROLE IN FORMATION OF STONES
In many geographic regions the incidence of urinary stones
has decreased within the past 20 years, possibly due to better
herd health and vaccinations. Some veterinarians feel there is a
possibility that BVD and/or IBR virus (both of which can be
found in the kidneys if an animal has been exposed to these
diseases) might cause the sloughing of small cells or tissues
from the lining of this organ. These cells or bits of tissue
could then serve as something for minerals to cling to and build
up on. Some herds or feedlots that have had a diligent health
program to eradicate and/or protect against these viral diseases
now seem to have less incidence of water belly than they had in
the past.
TWO KINDS OF STONES
Phosphate stones are most common when steers are fed grain.
The high levels of carbohydrates cause an increase in muco-proteins
in urine, and grain is high in phosphorus. In urine that is
slightly alkaline, these two factors may result in phosphate
stones, which are relatively soft.
Silicate stones are more common when animals are out on pasture.
Some forage plants contain high levels of silica, as do some
water sources. Silicate stones, which are very hard, tend to
form when urine is slightly acidic.
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