Dr. Michelle Arnold, DVM-Ruminant Extension Veterinarian (UKVDL)Figure 1: Frothy bloat. From “Bloat in Cattle and Sheep” September 2014 Primefact 416 3rd edition Dr Graham Bailey, Senior Veterinary Officer, NSW Department of Primary Industries
Ruminant animals produce large volumes of gas through the normal fermentation process during forage digestion. This gas is predominantly belched up (eructated) as it passes through the gastrointestinal tract. If something interferes with gas escape from the rumen, pressure builds up and causes an obvious distension in the left flank of the abdomen, a condition known as “bloat” (Figure 1). The swollen rumen occupies a large amount of space within the abdomen, resulting in compression of the lungs and diaphragm which interferes with breathing and tissue oxygenation, obstruction of blood flow to vital organs, and potentially the rapid death of the animal. Bloat may be classified into one of two types, “free gas” or “frothy”, with both types possible in cattle whether on pasture or in a confinement feedlot setting. Free gas bloat in pastured cattle is most often due to obstruction of the esophagus (choke) with rapid onset of bloat and death if not addressed quickly. Free gas bloat from choke can be relieved by passing a tube down the esophagus into the rumen, simultaneously clearing the esophageal obstruction and releasing the trapped gas. Frothy bloat, on the other hand, results when fermentation gases become trapped within a stable foam in the rumen (like the head of a beer) and the animal is no longer able to belch up the gas. Simply passing a tube into the rumen will not solve the problem because the froth prevents gas from leaving the pressurized rumen. For effective relief, anti-foaming agents must be delivered directly into the rumen to disperse the foam and allow the gases to escape.
Frothy bloat occurs in cattle when grazing forages high in soluble protein and low in fiber, most commonly pastures with a high percentage of immature legumes (alfalfa, white clover) or succulent, vegetative wheat or rye pastures. This disorder is caused by the interaction of many factors including environmental conditions, the structural and chemical composition of the forages present, and physiologic factors within the animal. Because the disorder is multifactorial, frothy bloat occurrence is sporadic, unpredictable and very difficult to completely prevent. It is most reported when cattle, especially yearlings, graze legume or legume-based pastures (over 50% legumes) in the late winter and early spring. Bloat incidence varies year-to-year depending on the relative presence or absence of clover; years with low residual grass cover in the fall, especially after fall drought, and sufficient moisture in the spring will favor clover dominance. Frothy bloat is also a significant cause of death in wheat pastured stocker cattle. The protein content of wheat forage is influenced by plant growth stage and level of nitrogen fertilization. Vegetative wheat has crude protein (CP) values ranging from 18–34% and low neutral detergent fiber levels of 30–40%. Forage samples from bloat-prone wheat pastures contain less dry matter and total fiber while CP and soluble nitrogen fractions are significantly higher. Death losses from pasture bloat are believed to be approximately 2% annually but are sometimes much higher (10-20%) on individual pastures. Costs of bloat include not only losses of livestock but also decreased productivity from avoidance of the most nutritious pastures due to bloat risk.
Figure 2: Poloxalene treatment for frothy bloat. (Accessed via Google Images 3/6/2025)
Frothy bloat results when fermentation gases become trapped in a stable foam in the rumen that cannot be released by eructation. Requirements for this foam to form are: (1) consumption of a highly digestible, high protein forage (alfalfa, white clover, wheat) that results in rapid gas production, promotes the growth of ruminal microbial populations, and increases rumen fluid viscosity; (2) the presence of fine plant particles (from ruptured chloroplasts) that cause gas bubbles to coalesce in rumen contents; and (3) active ruminal bacterial production of an excessive amount of bacterial “slime” (a mucopolysaccharide complex also known as a “biofilm”). The incidence of bloat is variable between animals and depends on the individual animal’s rate of forage fermentation and production of ruminal gas, the digesta passage rate, and the foaming properties of rumen contents. For example, a slower passage rate allows more time for foam formation and a higher chance of bloat. Similarly, the abundance of certain salivary proteins within saliva decreases that animal’s formation of rumen foam. Some animals have a genetic predisposition to bloat, and chronic bloaters should be culled.
Figure 3: Rumen Trocar (above) and Cannula (below). Accessed via Google Images 3/6/2025
The signs of bloat are easily recognized if observed; the problem is an animal may go from normal to dead within an hour. Cattle with early bloat display a distended left flank, they stop grazing, they may kick at their belly and be reluctant to move. As bloat advances, the animal may appear distressed (may vocalize, eyes may bulge), stand up and lie down repeatedly, strain to urinate and defecate, exhibit rapid and open mouth breathing, grunting, staggering, and in advanced cases the animal will go down. Death is rapid at this stage due to compression of the lungs, diaphragm, and major organs by the distended rumen. Animals that are mildly affected can be drenched orally or through a stomach tube with a liquid anti-bloat preparation containing the surfactant poloxalene (Therabloat®, Zoetis; Figure 2 above). After dosing, it is encouraged to keep the animal moving to allow the preparation to mix with the frothy rumen contents. Severely bloated animals in distress need immediate veterinary attention. This may be achieved by inserting a wide bore trocar and cannula (Figure 3 above) into the rumen at the highest point on the left flank (where the swelling is greatest). After gas and froth is released, an anti-bloat preparation can be poured through the cannula into the rumen to help break down all remaining froth/foam. If poloxalene is unavailable, vegetable oil (250–500 mL) or mineral oil (100–200 mL) can be used. In most cases of advanced frothy bloat, a trocar and cannula will quickly plug up with foam and will not be adequate to relieve the pressure. In those cases, a 10–20 cm incision will have to be made using a scalpel or clean, sharp knife inserted into the highest point of the left flank. It may be necessary to manually remove the frothy material from the rumen. In these emergency cases there is usually no time to wait for a vet to arrive, so livestock owners will have to do this themselves. Veterinary attention is still necessary to irrigate the abdominal cavity, clean and stitch the wound and begin antibiotic treatment to prevent serious infection.
Figure 4: Bloat Guard® Type A Medicated Article. (Accessed via Google 3/27/2025)
The anti-foaming agent of choice for prevention of frothy bloat is the feed additive poloxalene (Bloat Guard®, Phibro Animal Health; Figure 4), a surfactant that reduces the surface tension of foam, decreases foam formation in the rumen and releases entrapped fermentation gases. It is important to remember that to be effective, adequate amounts of poloxalene must be consumed daily to reduce foam formation. This may require mixing or top-dressing poloxalene at 2 grams per 100 pounds of body weight in feed and offering it daily during the periods of highest risk. Additional poloxalene-containing products are available for use in grazing programs, including mineral supplements, bloat blocks, and liquid feeds. Because of cost, it is generally not economically feasible to feed poloxalene continuously throughout the spring grazing period. Alternatively, feeding the ionophore monensin (Rumensin®) will decrease the amount of stable foam produced during fermentation and reduce bloat risk, along with the added benefits of increasing weight gain and improving feed efficiency. To be most effective, it is recommended to begin feeding monensin products 10-14 days prior to grazing risky pastures.
The current advice to beef producers to prevent frothy bloat is to:
Source: Ohio State University