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Lead Poisoning

Other Names: Lead Toxicity

Lead poisoning is an increasingly common issue in backyard chickens, particularly in urban environments. It poses serious risks not only to the birds themselves, but also to people who consume eggs from affected hens.

Lead is a dense metal that does not readily break down in the body. Once ingested, it is absorbed through the gastrointestinal tract and stored in the kidneys, liver, and bones. Because lead competes with calcium for absorption, it can interfere with normal calcium metabolism, potentially causing hypocalcemia—especially in laying hens. It also damages red blood cells and blood vessels which can result in anemia, injures and interferes with the function of the central nervous system and peripheral nerves, and damages the kidneys.

Clinical Presentation


Lead poisoning may present in either acute or chronic form, depending on the level and duration of exposure.
  • Acute form: Characterized by sudden onset of muscle weakness, decreased appetite, significant weight loss, ataxia (loss of coordination), reduced egg production, and severe anemia.
  • Chronic form: Long-term exposure can lead to nerve damage (including demyelination of the vagus nerve), resulting in decreased gastrointestinal motility. Affected chickens may exhibit delayed crop emptying, sour crop, or crop impaction. Greenish diarrhea may also be present, often staining feathers around the vent.

Diagnosis


  • Blood lead levels: A blood sample is analyzed by a veterinary diagnostic laboratory. Levels between 20–50 µg/dL indicate significant exposure and may result in unsafe lead levels in eggs, often accompanied by clinical signs. Levels above 50 µg/dL are typically associated with overt toxicity.
  • Radiographs (X-rays): Imaging may reveal radiodense (metallic) particles in the digestive tract. However, the absence of visible particles does not rule out lead poisoning.

Treatment


Treatment generally involves four key components: supportive care, chelation therapy, removal of ingested material, and elimination of the environmental source.
  • Supportive care: May include fluid therapy, injectable multivitamins, and assisted feeding.
  • Chelation therapy: Chelating agents bind circulating lead, allowing it to be excreted through the kidneys. Common agents include calcium disodium EDTA (CaEDTA), D-penicillamine, and dimercaptosuccinic acid (DMSA).
    CaEDTA is typically the first-line treatment, especially in birds with reduced gastrointestinal motility. Multiple treatment courses may be required, as lead can redistribute from tissues back into the bloodstream over time.
  • Removal of the foreign body: Cathartics such as mineral oil, peanut butter, or magnesium sulfate (Epsom salt) may help pass small metal particles. In some cases, endoscopy or flushing of the gastrointestinal tract (guided by fluoroscopy) may be attempted, though success can be limited.
  • Environmental management: Identifying and eliminating the source of lead exposure is essential to prevent recurrence.

Common Sources of Lead


  • Contaminated soil: Soil near roads (due to historical use of leaded gasoline), around older painted structures, or areas containing buried waste (e.g., batteries, lead shot, asphalt) may be contaminated. Chickens foraging in these areas can easily ingest lead.
  • Contaminated water: Water passing through old lead pipes or fixtures can introduce lead exposure.
  • Contaminated food: Food stored in certain ceramic or improperly glazed containers, or imported products sealed with lead, may pose a risk.
  • Consumer products: Items such as batteries, curtain weights, stained glass, electronics, ammunition, jewelry, fishing gear, and certain plastics may contain lead.
  • Building materials: Lead may be present in roofing materials, flashing, gutters, and older construction components.
  • Sound dampening materials: Sheet lead is sometimes used in walls, floors, and ceilings for sound insulation.
Potential Toxic Lead Sources for Chickens

Clinical Signs

Regurgitation
Weakness
Reduced appetite
Pale comb
Weight loss
Greenish diarrhea
Polyuria (watery droppings)
Circling
Ataxia
Head tilt
Wing droop
Seizures
Leg paresis or paralysis
Blindness
Head tremors
Delayed crop emptying
Lethargy
Circling

Diagnosis

  • History of exposure
  • Clinical signs
  • CBC - mild to moderate anemia
  • Blood test - who blood lead levels above 0.2 ppm
  • Radiographs - presence of a metallic density

Reported Cases

  • Case 1: Lead poisoning in a Guinea fowl A male guinea fowl was presented to the Texas A&M Veterinary Medical Diagnostic Laboratory (TVMDL) for necropsy. History noted the bird was bright and alert, but moved very little, appeared cold and very thin – only weighing 514 grams. Upon evaluation, marked breast muscle atrophy was present. The bird appeared pale and the blood was thin and watery. The crop was severely dilated and impacted with seed. The gizzard contained dark brownish-black fluid and the koilin layer was necrotic with numerous erosions and was dark in color. Upon further examination, approximately 75 small lead pellets were discovered in the gizzard contents. Representative pellets. Additionally, intestinal scrapings demonstrated small numbers of roundworm larvae. Chronic lead poisoning was the presumptive diagnosis. Due to the presence of lead shot in the gizzard, confirmatory testing of the liver was declined. Ref

  • Case 2: Lead toxicosis in a Chicken Lead toxicosis was the cause of an inability to stand, a twisted neck and not eating and drinking in a one-year-old backyard chicken that died. Brain and gizzard koilin lesions were found on histopathology. Ref

  • Case 3: Ingestion of lead drapery weights in a Macaw A juvenile domestic green-winged macaw was admitted to the veterinary clinic within an hour of ingestion of lead drapery weights. Radiopaque objects were evident in the crop and ventriculus. The bird was anesthetized, and the crop was lavaged to remove lead fragments. Because lead fragments remained in the ventriculus after lavage, chelation treatment was instituted. Serial radiography was done on days 2, 5, 9, and 14 to determine passage of the lead. By day 14, lead fragments were not visible radiographically. The macaw did not have ill effects from the lead ingestion or from medical treatments. Because this bird had been observed ingesting the lead weights, treatment was for foreign body ingestion initially and for lead ingestion secondarily. Ref

Treatment

NameSummary
Supportive careFluid therapy, relocation to a heated environment (85 to 95°F) correcting anemia (may require a blood transfusion for severely anemic chickens), immunosuppression and nutritional support for anorexia.J Huang et al 2019
Calcium disodiumversentate (CaNa2EDTA)40 mg/kg IM q12h x 5 days, stopped for 5 days, and repeated as needed.Dumonceaux and Harrison, 1994; J Mayer
D-Penicillamine50 to 55 mg/kg PO q12h for 1 week, stopped for 1 week, and repeated if needed along with CaNa2EDTA.B Speer 2016; J Huang et al 2019
Dimercaptosuccinic acid (DMSA/succimer)25 to 35 mg/kg PO q12h for 7 to 10 days or at 25 to 35 mg/kg PO q12h for 5 days a week for 3 to 5 weeksB Speer 2016; J Huang et al 2019
Removal of the foreign bodyAdministration of cathartics such as mineral oil, peanut butter, or magnesium sulfate (Epsom salt). Endoscopy or surgery may be required.
Control of seizuresMidazolam or Diazepam0.5 mg/kg IV, IM

Support

Prevention

  • Provide chickens their feed in feeders, and avoid scattering on the ground.
  • Test soil and water for lead concentrations
  • If chickens are enclosed in an outdoor run, prevent them from access the ground soil by elevating the floor using wood pallets, covered with large rubber mats (like those used for horse stalls).
  • Check exterior paint on old buildings and nearby structures as it can peel or flake off and contaminate the soil.

Scientific References

Risk Factors

  • Allowing chickens to freely graze on land adjacent US homes that were built before 1980
  • Unsupervised house chickens
  • Soil surrounding old, painted structures such as houses, barns, tools sheds, etc.
  • Lead pipes or faucets used for water supply
  • Chickens on a low-protein and low calcium diet will be more adversely affected by lead toxicity.