Which of the following is not part of initial therapy for suspected vagal indigestion?

• A. Surgical intervention
• B. Fluids
• C. Analgesia
• D. Monitoring

Answer: (A)

Initial therapy for suspected vagal indigestion focuses on stabilization and support of rumen function. This condition is a functional disturbance of rumen motility, so the first steps are to correct dehydration and electrolyte imbalances with fluids, provide analgesia to relieve pain and reduce stress that can worsen motility, and closely monitor the animal to assess response and progression. These measures aim to give the animal the best chance to recover without invasive intervention. Surgical intervention, while an option in certain situations, is invasive and should not be the first approach; it is considered only if conservative medical management fails or if there is a specific surgically correctable issue identified.