Milk fever is a complex metabolic disorder that occurs at the onset of
lactation. Clinical symptoms of this disease include inappetence, tet
any, inhibition of urination and defecation, lateral recumbency, and e
ventual coma and death if left untreated. The hallmark of this disease
is severe hypocalcemia, which probably accounts for most of the clini
cal signs associated with a milk fever episode. Several factors have b
een consistently associated with increased incidence of milk fever, in
cluding parturition and initiation of lactation, advancing age, breed,
and diet. Of the various methods used in attempts to control the dise
ase, the most progress has been made in dietary management. Until rece
ntly, most attention has focused on manipulating the levels of dietary
calcium to control milk fever incidence; results, however, have been
inconsistent, except for those diets containing very low (8 to 10 g/d)
concentrations of Ca. During the past decade, there has been renewed
interest and research in the use of dietary anions (Cl- and SO42-) in
controlling milk fever. An outgrowth of this research has been the sur
prising realization that dietary K is significant (perhaps more signif
icant than Ca) in determining the susceptibility of dairy cows to milk
fever. This knowledge has expanded the understanding of the pathogene
sis of milk fever and has focused attention on research designed to st
udy methods for neutralizing the detrimental effects of dietary K exce
ss on periparturient animal health. This report discusses various prac
tical strategies and potential research areas for managing the dietary
forage components to minimize the effects of K on milk fever incidenc
e.