Abstract: An orientationally adjustable marking syringe provides automatic loading of medicine from a medicine source to the syringe. Actuation of the handles of the syringe simultaneously discharges or injects the contents of the syringe and a marking substance such as ink contained in an ink dispenser integrally attached to the marking syringe by a pivoting ink carriage. The pivoting ink carriage can be pivoted about the syringe to better accommodate the ergonomic desires of the user and the objectives of the injection.