Forestomach acidosis was diagnosed in 2 llamas and 4 alpacas. All were
young, group-housed, sexually intact males. Clinical signs included f
orestomach atony, lethargy, ataxia, diarrhea, and tachycardia. Foresto
mach distention was observed in only 1 llama. Clinicopathologic abnorm
alities included low forestomach fluid pH, hyperchloremia, hypokalemia
, and metabolic acidosis. Although camelids differ from domestic rumin
ants in typical management practices and behavioral, anatomic, and phy
siologic characteristics, they are, nonetheless, susceptible to forest
omach acidosis. Gastric fluid analysis was essential for an accurate d
iagnosis. Four of 6 camelids recovered after PO and IV treatment with
alkalinizing agents and fluids, antibiotics, and thiamine.