'balloon chicken'

I really don't know, but maybe an airsack injury. It seems almost to be depleting, going down- hope he dosen't pop- just kidding.
Anyway a needle, a razor, a scapel all totally different, please be more specific. I think a needle is good, i don't want to rip open my chicken with a chainsaw next.
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Totally depends on if you think it's an infection (ie pus filled pocket) - see if it feels liquid filled and warm - maybe red. That's probably a pus pocket. Then all those things I mentioned are SHARP. And you could cut a 1/4 inch opening or so to drain it. If it's air, then maybe a pin. However, if you think it's going down..then maybe nothing at all! You have to use your judgement.
 

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