So I have a hen that I thought might be egg bound. She was waddling and her belly looked swollen.(Other than that, she is acting pretty normal) I used lubricant and did an internal digital exam but didn't feel an egg. Any advice?
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Exactly.....can be caused by heart or other organ failure/disease issues, as well as tumors/diseases.It's up to you to cull or not. Ascites isn't painful, though water buildup can cause discomfort, and a chicken can live a long time with it, but it won't get better. It's a symptom, not a cause. Usually there's more serious things going on, such as tumors on the organs that are causing liver failure.
If you do decide to cull, it would be in your best interests to know what the underlying disease is. I recommend a necropsy so you will know if this is going to be something that will keep cropping up in your flock and you should know so you can manage it.