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Heart failure, dehydration, or respiratory failure can cause a blue comb. My bantam hen this week showed a dark comb when she developed ascites (water belly.) It would get worse if she was handled. After I drained fluid from her abdomen, the comb color improved.

Sorry about your hen. Is her lower belly distended or swollen? Has she laid eggs recently? How does her crop feel early in the morning—empty, full, hard, doughy, or soft and puffy? Can you check her skin all over and under her vent for lice and mites?