Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Oooh...that’s gotta hurt. How to prevent chronic pain in pets

October 22, 2009 / (7) comments


Watching pets suffer pain is a necessary part of my job. It’s never easy, but it’s inevitable. Watching animals suffer chronic pain is even worse.

 

Sometimes it’s all about the injuries and diseases pets present with: The broken limbs, hit-by-car bruises, lacerations and dog bite puncture wounds. Other times it’s all about the damage we necessarily inflict during spays, neuters, and surgeries to correct misshapen bits of anatomy. 

 

In my experience, it’s these latter procedures that stress owners out the most. They hate the idea of choosing to subject their pets to pain. 

 

One of my dogs recently underwent a very painful surgical procedure to correct his angular/rotational limb deformity (That's him in the pic). Though he was well medicated and his suffering was kept to a minimum with powerful opiates (morphine-like drugs), I believe the suffering he did have to experience was worth it for now … so that his future did not offer him years of chronic, debilitating pain. 

 

It’s a tough choice owners have to make sometimes, but it’s a necessary one for a great many of my patients. 

 

"I don’t want to put her through that," many of my clients say. "It’s cruel." I do my best to give them their options and respect their decisions. After all, no one is comfortable watching pets suffer pain. But when you can dispassionately weigh the alternatives, I believe the choice becomes clear in most instances.

 

This is where being the provider of care makes it easier to take. Sure, we all know people who declined to pursue the veterinary profession because they could not bear to watch animals suffer (maybe you’re one of them). And maybe there is some desensitization that has to take place in a veterinarian’s mind before she can undertake to knowingly elicit pain in an animal.

 

Nonetheless, I’d like to think that most veterinarians see it as I do: Do you want acute, manageable pain now or chronic, unmanageable pain later? 

 

Do we remove that tooth before it abscesses or wait till it hurts to do it? 

 

I don’t know about you, but I’d almost always choose the former. Especially when it comes to my own dogs. I wish everyone saw it that way. 

 

 

Dr. Patty Khuly

 

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COMMENTS (7)
1
The flip side
by PJBoosinger on 10/22/2009 06:47am

is vets who don't give adequate pain treatment during and after procedures which can also lead to chronic pain. Provided that pain treatment for that is adequate (rather than nominal or none), I agree wholeheartedly. It's bad enough to tell humans to "tough it out" through post op and therapy, cruel to do it to pets.

2
My dog, Jack's hernia possibility?
by Jennifer on 10/22/2009 08:42am

Hi, I need help, I have a 3 yr old fixed male Chihuahua that I rescued, well lately he has been trying to mount everything, and last night he mounted my fiancee's arm and humped the air! Well when he was done, he couldn't walk, we noticed he was stuck with his hind legs straight and spread apart and when we looked underneath, his umm, private part was hanging out but it did not look good or healthy! I was terrified, it looked like a piece of intestine or something. It was all bloody and purple on the inside of it and well like a dead sausage in an extra big casing?? Can anyone help me with some answers? Thank you, Jen

3
Lyme Disease & Pyometra
by Big tone on 10/22/2009 10:57am

Hello my one year old Pit bull/Doberman mix has recently contracted lyme disease and also has pyometra. she is being treated with 2 antibiotics and pain killers for her joint pain. She has been resting for 4 days and was using the bathroom with difficulty walking and squating. She will need to have her uterus removed but Dr. wants her to regain some strength which I think she has a little. Because she is now sitting up to eat, where before I had to hand feed her and bottle feed her and now she's able to change positions herself. But I'm worried because her abdomen is really distended and now she refuses to get up and use the bathroom and has been urninating on herself. Is this because of the distention in her abdomen? is this painful? She doesnt seem to be in any pain but I can tell that is is not comfortable because her tail in tucked. Will the dr. be able to perform the spaying even if she doesn't start walking? Thank you
Elaine

4
Some things can only be answered by the treating vet
by PJBoosinger on 10/22/2009 11:58am

Jen and Elaine, Get off the internet and call your veterinarians!!!

5
Mocha is Gone
by Big tone on 10/23/2009 11:51am

Well last night I had to Mocha to sleep. I took her in to vet because her abdomen was really distended and I was very worried and he told me to bring her in to have the emergency hysterctomy. When he opened her up her spleen was 3x's the normal size and her abdomen was filled with blood clots. Hemangiosarcoma (cancer of blood vessels) it's a BAD CANCER. So he closed her up and let me see her and we put her down to rest. My baby girl was suffering. So it wasn't the pyometra or the lyme disease. This was the hardest thing that I ever had to do! I miss my baby girl so much!


Take Care
Elaine

6
by Marie on 10/24/2009 01:46pm

Elaine, my heart goes out to you. I lost a dog to hemangiosarcoma 6 years ago. She was gone within 24 hours of diagnosis -- it's a nightmare. I hope that in time, you'll find peace and comfort in sweet memories of your beloved Mocha.

7
by Big tone on 10/26/2009 10:47am

Marie thank you for your kind words! It's my worst nightmare! that Hemangioscarcoma is a TERRIBLE TERRIBLE DISEASE! I miss my sweet sweet baby girl Mocha!

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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