Therapy for early cases of Type II vagus indigestion is mostly supportive. Fluids, electrolytes, rumen cathartics, access to water and exercise are important. Subcutaneous administration of calcium borogluconate may be indicated. Advanced cases of Type II vagus indigestion usually require surgery. A left paralumbarfossaceliotomy and rumenotomy allows the clinician to palpate the reticulo-omasalorifice for foreign bodies, placenta,papillomas or impactions.Biopies can be obtained and abscesses can be drained using this approach.