Vet School 101 Pain: do pets feel what we feel?

October 18th, 2007  

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I see that same fear with drugs like prednisilone for cats with IBD or pancreatitis type illness. Sometimes people seem so afraid to give their pet that 'evil' drug. Yet, having a cat that has taken it since 2004 at a low dose with no side effects I can say what a wonderful thing it has been for him in allowing him an excellent quality of life. I can certainly understand the attitude of trying other things like food management first, but don't think the well being of the pet should be risked if food doesn't cure things.

Jenny October 18th, 2007 08:36:00 AM

Once you learn to identify the subtle symptoms of pain in dogs, you'll see them everyday. At least I do - in classes, shows, and performance trials. But owners tend to be in huge denial about it and I've found that I have to be really, really tactful (especially since I'm not a vet! LOL) when suggesting to someone that their dog may be in pain. I tend to recommend glucosamine/chondroitin a lot, since people don't see that as a "pain medication" and therefore giving it doesn't mean their pet has a real problem. Of course, I also recommend a visit to their vet or to a good veterinary chiropractor/acupuncturist but sometimes they don't want to hear that.

Some of the problem I blame on the anti-Rimadyl hysteria. Of the case studies I've read, all the dogs who died after taking Rimadyl didn't have any bloodwork done before starting the medication - so they may have had pre-existing liver or kidney trouble. Of course it's a shame that some dogs died after taking Rimadyl... but IMO it's an even greater shame that so many dog owners are now SO frightened of giving any NSAIDs that they let their dogs live in pain.

Barb October 18th, 2007 10:08:00 AM

Thank you, at first I thought this might be about animals not feeling pain, but reading it I found out I am not seeing the pain my dog does feel, she sleeps it off, but I do see she doesnt jump, and she is a Jack Russell! I have been given pain medicine for her, and I am one who didn't want her to be overdosed! Or is she is 'happy looking' she must be ok, well thanks, I now can see that I haven't been 'seeing' her pain!

sandi October 18th, 2007 11:05:00 AM

I tend to be the person who over-anthropomorphizes EVERYTHING about my dog. In my mind, she's people. Granted, she little and furry and *gasp* a d-o-g, but maybe because I have such a bond with her that I feel like I can read her, well, let's say as well as I can read my husband. Lol.....She very clearly expresses a myriad of emotions to me (happy, sad, scared, mad, bored, eagerness, indifference, gratitude..........I could keep going........) and I see them and feel them. It's hard for me to imagine see any level of discomfort in her and not helping her. I'm not a big fan of pills for myself, but I can do other things of my own free will to make myself feel better. If it were Lottie, I would absolutely want to help relieve any discomfort immediately, and if pain meds is what it takes, the so be it.
That must be yet another difficult situation for you Dr. Patty. I know it's one that would break my heart, were I in your shoes. Do you ever have people that just outright refuse? What do you do?

Amy in Somerville October 18th, 2007 01:19:00 PM

Amy: Yes. They outright refuse. I've written about these people before. Some will give you a great answer you can't deny, something akin to a religious hatred of all drugs--which I have to respect at some point. I refer to an acupuncturist, an herbalist, massage therapist, rehabber, etc. I also work on weight loss a lot, especially when it comes to orthopedic pain. I try to get them to take things seriously though any means necessary.

Dr. Patty Khuly October 18th, 2007 06:46:00 PM

Barb: Ah, yes, the Rimadyl thing. I've got to admit that I find Rimadyl to be an excellent drug choice. I also believe it's saved far far far more lives than it's taken. It's true that it's been almost impossible to prove that harm has come from this drug, but it stands to reason that some small percentage of dogs will be sensitive. Interestingly, though Rimadyl has received all the death threats, the other NSAIDS out there seem equally likely to cause problems when it comes to liver sensitivity. The same is true of NSAIDs in people. We accept this risk as humans. But we're still careful about it. We do regular bloodwork and try to shift around in our drug choices for pet that have existing liver disease, but when pain is there and nothing else works, I medicate it, regardless of the small possibility of accelerated liver disease. It's about risking the possibility of an earlier death for the certainty of a more comfortable life.

Dr. Patty Khuly October 18th, 2007 06:54:00 PM

I think it can be difficult for owners to see the pain. When my elderly dog went on Metacam, she suddenly became more energetic and puppyish--so she had clearly been suffering pain. It was easy to see that pain as just a "normal" slowing down with age.

I think vet's attitudes have changed, too, though. When that same dog was a little puppy, she was spayed and given no pain meds (the vet said dogs didn't feel pain the same way we did--kind of reminds me of what is said with baby boys and circumcision). When 14 years later, she had to have a leg amputated, there was a big emphasis on pain management (including nerve blocks).

Arlene October 18th, 2007 07:02:00 PM

Wow, that really saddens me that people outright refuse. I mean, I guess I could understand saying, "hey, I'd like to take a couple of days to research this" or something along those lines, but to just say "no.....no drugs" is so illogical. I'm sure it doesn't end there for you. Your passion for ALL animals and their welfare must run so deep for you to soldier on. It's wonderful to read about.

I always say that Architects would be wise to take a course in psychology or marriage counseling due to the insane human/couple dynamics we deal with.....lol.....but for us, it's easy to come back to the office and laugh it off. It seems you have much higher stakes on the line......eeesh.

Amy in Somerville October 19th, 2007 09:25:00 AM

Thank you so much for the information. I had assumed we would see more human like indications of pain in our little dog. Now I understand the changes in behavior were caused by his pain. We had been giving him pain medicine as recommended by the vet, so we did our best to ease the pain I did not see.

RLS October 22nd, 2007 11:13:00 AM

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