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- Teats are lumpy
- Teats are painful to touch
- Teats are warm or hot to the touch
- Teats are bruised or purplish-blue
- Not wanting to nurse puppies
- Snapping or growling at puppies
- Discolored milk or blood in the milk
- Restlessness
- Crying
- Dehydration
- Weight loss
- Lethargy
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