Multimodal therapeutic approach for blood-tinged milk in a post-calving dairy cow

Haemogalactia (blood-tinged milk) in postpartum dairy cows poses significant economic challenges due to milk rejection and production losses. This case report documents the successful management of haemogalactia in a 5-year-old Jersey crossbred cow, 10 days post-calving, presenting with blood-tinged milk from three teats for five days. Vital parameters were normal, with no evidence of udder trauma or mastitis. The cow was treated with a multimodal therapeutic regimen consisting of Inj. Tranexamic acid (5 mg/kg IM, anti-fibrinolytic), Bol. Serratiopeptidase (2 boluses PO, BID, anti-inflammatory/fibrinolytic), Inj. Calcium borogluconate (metabolic support), Inj. Vitamin B12 & D3, and Inj. Pheniramine maleate (vascular leakage reduction) for three days, supplemented with Syrup Ostovet (100 mL/day for 10 days). Clinical improvement was observed within three days, with complete resolution and no recurrence.