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Buffaloes presented to the Veterinary College and Research Institute Hospital with achezia were subjected to detailed anamnesis, clinical, haemato-biochemical examinations and ultrasonography. Ten buffaloes with functional ileus were selected by excluding the mechanical obstruction and peritonitis. These animals were administered with neostigmine, azithromycin along with intravenous fluids, streptopenicillin and flunixin meglumine for three days. Improvement in the clinical condition in terms of voiding of dung, resumption of rumination, feed and water intakes were noticed.