OpenVetOpenVet
Case of the DayLogin

June 24, 2026

Goat Urolithiasis โ€” Obstructive

Blocked wether straining to urinate โ€” time-critical and commonly fatal without intervention.

Unblock or lose the patient โ€” your action plan.

๐ŸCaprineโš–๏ธ45 kg๐ŸšจLarge Animal / EmergencyโšกCritical

3yo wether pygmy goat, straining to urinate x12 hrs, crying, kicking at belly. No urine output. Pulsating urethra. Feed is mostly grain with some hay. Blocked?

OpenVet
Strong EvidenceBased on 6 clinical references

๐ŸšจOBSTRUCTIVE UROLITHIASIS โ€” EMERGENCY โ€” Classic presentation in a grain-fed wether. Bladder rupture risk is high at 12 hours. Relieve obstruction immediately.

Immediate Assessment

  1. Sedate: Xylazine 0.05โ€“0.1 mg/kg IV/IM โ€” exam and may relax urethra
  2. Examine urethral process (vermiform appendage) โ€” stones lodge here frequently. Snip if visible.
  3. Palpate bladder (distended = intact, absent = possible rupture) + check for ventral SQ urine accumulation
  4. Stat bloodwork: BUN, creatinine, potassium โ€” hyperkalemia can be fatal

Treatment Options (Escalating)

  1. Snip vermiform appendage โ€” resolves ~30% of cases if stone is at the tip
  2. Tube cystostomy โ€” temporary bladder catheter via ventral abdomen. Best field option. 2โ€“4 weeks for stone dissolution.
  3. Perineal urethrostomy (PU) โ€” permanent surgical opening, higher stricture risk in small ruminants

Medical Support

  • IV fluids: Isotonic saline (avoid LRS if hyperkalemic) โ€” 40โ€“60 mL/kg/day
  • Pain: Flunixin 1.1 mg/kg IV q12h | Ammonium chloride: 200 mg/kg/day to acidify urine
  • Correct diet immediately: Minimum 2:1 hay-to-grain ratio, ideally eliminate grain

โš ๏ธ Prevention (Critical)

  • Diet is everything: High-grain diets cause phosphatic uroliths โ€” feed >70% roughage, ensure 2:1 Ca:P ratio
  • Ammonium chloride 0.5โ€“1% of total ration as preventative + free-choice water with added salt
  • Wethers castrated early have narrower urethras โ€” higher risk lifelong
๐Ÿ’ฌClient Communication

Your goat has a life-threatening urinary blockage from stones caused by the grain-heavy diet. We need to relieve it immediately or the bladder can rupture. I'll check the urethra tip first โ€” if that fails, surgery is needed. Diet must change to primarily hay going forward.

Sources

๐Ÿ“šPugh: Sheep and Goat Medicine, 3rd Ed๐Ÿ”ฌVet Clin North Am Food Anim: Small Ruminant Urolithiasis๐Ÿ“–JAVMA: Outcomes of Tube Cystostomy in Goats

Ready to try it yourself?

Get instant access to evidence-based veterinary intelligence across all species.