Hypocalcemia in cattle, commonly known as “milk fever,” is a metabolic condition that affects cows in the period immediately after calving. This disorder is characterized by low blood calcium levels, which can result in a number of health problems for the animal.
Effective calcium management for downed cows not only improves the health and recovery of the affected animal, but also ensures continued high quality milk production. This article explores in depth the causes, symptoms, treatments and preventive measures associated with hypocalcemia, offering practical and effective solutions to manage this condition.
Understanding Hypocalcemia: Causes and Symptoms
Hypocalcemia, commonly known as “milk fever,” is a condition characterized by low blood calcium levels. This metabolic disorder usually affects cows in the peripartum period, i.e., just before or after calving. Calcium demands increase significantly during this time due to the initiation of lactation, which can lead to a calcium imbalance if the animal cannot adjust properly.
Symptoms of milk fever in cattle

Before delving into milk fever in cattle, it is crucial to understand the symptoms that can indicate the presence of this condition. The most common signs of hypocalcemia in cows include:
- Restlessness and nervousness: Cows affected by milk fever may show signs of discomfort and agitation.
- Loss of appetite: Decreased feed intake is another typical symptom of hypocalcemia in cattle.
- Difficulty standing up: Cows may experience hind limb weakness and difficulty standing up.
- Muscle tremors: Muscle tremors, especially in the ears and head, are indicative of low blood calcium levels.
- Coordination problems: Cows may show difficulty walking and coordinating their movements.
What causes milk fever in dairy cows?
When does hypocalcemia occur in cattle?
Hypocalcemia in cattle occurs mainly in the peripartum period, i.e., just before or after calving. During this time, the cow experiences a sudden increase in calcium demand due to milk production. The cow’s body may not be able to meet this demand, resulting in low blood calcium levels.
It’s not just about calcium
While calcium deficiency is the main factor in hypocalcemia, other factors such as genetics, age and nutrition of the cow may also contribute.
Hormonal changes: Beginning of lactation
The onset of lactation triggers significant hormonal changes in the cow’s body, which can interfere with calcium metabolism and increase the risk of hypocalcemia.
Hormonal changes: other findings
In addition to the onset of lactation, other hormonal changes during the peripartum period may predispose cows to hypocalcemia.
Feeding of dry cows: calcium and phosphorus ration
The feeding of dry cows, especially the quantity and quality of calcium and phosphorus in the diet, plays a crucial role in the prevention of hypocalcemia.
Feeding dry cows: other findings
In addition to minerals, other components of the diet of dry cows may influence their susceptibility to hypocalcemia.
Race
It has been observed that certain breeds of cows have a greater predisposition to hypocalcemia compared to others.
Cow age
The age of the cow may also influence her susceptibility to hypocalcemia, with younger and older cows at greater risk.
Treatment Strategies for Hypocalcemia
Timely and adequate treatment of hypocalcemia is crucial for the cow’s recovery and prevention of further complications.

Calcium Administration
Calcium supplementation is the cornerstone of treatment of hypocalcemia. This can be done in a variety of ways:
- Intravenous route: For severe cases, intravenous administration of calcium solutions provides rapid relief, but must be performed by a professional.
- Oral: Oral calcium formulations are effective for less severe cases and can be administered by the farmer.
- Monitoring and Continuing Care
After the initial treatment, it is vital to monitor the cow to ensure full recovery. This includes:
- Observation of food and water intake: Essential for energy recovery.
- Mobility monitoring: To assess improvement in the cow’s strength and ability to stand up.
How to prevent milk fever in cows?
Prevention of hypocalcemia is more effective and less costly than treatment. Some strategies include:
Nutritional Management
Adjust the prepartum diet to avoid excess calcium, which can help stimulate the cow’s homeostatic mechanisms for calcium management.
Supplementation with Vitamins and Minerals
Specifically, vitamin D and magnesium play important roles in calcium absorption and metabolism.
Monitoring Programs
Perform periodic examinations to identify and treat at-risk cows before they show clinical signs.
The Importance of Integrated Management
Comprehensive herd management, including a proper housing environment, access to clean and fresh water, and a stress management plan, can significantly reduce the incidence of hypocalcemia.

Innovations in Calcium Supplementation
Ongoing research and innovation in the field of animal nutrition have led to the development of new formulations and methods of calcium supplementation that promise greater efficacy and ease of use.
Extended Release Formulations
These formulations are designed to release calcium in a sustained manner, providing a steady supply that helps maintain blood calcium levels within an optimal range.
Combined Nutritional Supplements
Combining calcium with other essential minerals and vitamins can improve calcium absorption and metabolism, offering a more holistic solution.
Conclusion
Hypocalcemia in dairy cows is a manageable condition with a clear understanding of its causes, symptoms and treatments. Implementation of preventive strategies, along with timely and appropriate treatment of cases as they arise, can ensure the health and well-being of the herd.
Continued innovation in calcium supplementation formulations and methods promises to further improve the efficacy of our interventions. By staying informed and applying evidence-based management practices, we can ensure a prosperous and healthy future for our dairy cows and, by extension, the dairy industry as a whole