Paradoxical aciduria is a metabolic imbalance that is very often found in dairy cows with various pathological conditions, and it is characterized by the concurrent presence of aciduria (urine pH < 7.9) and alkalemia (blood pH > 7.45) with an elevated blood HCO3- concentration (see image).
The first important point to make is that we cannot rely solely on urine pH measurement to diagnose metabolic acidosis, since in many cases this would be misleading.
