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Forelimb amputation / Dog has't peed or poop
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The Rainbow Bridge



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3 November 2023 - 10:59 am
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I'm glad it was only a seroma . I remember getting totally freaked out when our Jerry had one too! A seroma (see the link for some articles) is generally caused by activity, so you can prevent more fluid buildup by keeping him as calm as possible. You don't need to crate him but definitely not letting him free roam the house and yard can cut back on the fluid. The body needs time to reabsorb that extra fluid that used to go into the now missing limb.

As for the Tramadol, all good vets follow the latest pain medication protocols in the American Animal Hospital Association (AAHA) Pain Management Guidelines or the World Small Animal Veterinary Association (WSAVA) Global Pain Council Guidelines. You can show him the Amputation Surgery Guidelines for WSAVA(shown here in Spanish) which say:

Nerve transection (e.g. during limb amputation) or manipulation, may lead to severe chronic pain (neuropathic pain). In such cases, anecdotal evidence suggests gabapentin, included in a multimodal regimen, may have a role in prevention of chronic neuropathic pain in veterinary patients; however, no suitably designed clinical studies have investigated this.

La sección de nervios (por ejemplo, en una amputación) o su manipulación pueden generar dolor crónico el que puede tener un componente neuropático. Aunque hasta el momento no tengamos estudios en veterinaria que demuestren el beneficio de la adición de gabapentina en los protocolos analgésicos y anestésicos peri operatorios en las situaciones quirúrgicas con gran daño nervioso, existen
evidencias anecdóticas de su inclusión en protocolos multimodales para prevenir el dolor crónico de nuestros pacientes
(ver las secciones 17 a la 36 de las guías completas).

Here's an explanation about why Tramadol is no longer a preferred medication for acute pain, by most major vet organizations:

That same pain expert Dr. Downing says:

If your vet is only offering Tramadol for recovery, do not settle for the Tramadol. Dr. Downing suggests saying something respectful to your veterinarian such as

I’m sorry but the latest research lets me know this is not an effective pain management strategy. We need to use something else. I’m going to let you keep your Tramadol because it’s not going to help my dog.

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Lima, Peru
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3 November 2023 - 7:30 pm
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benny55 said
Glad you got reassurance from the Vet.Yeah,seromas are not unusual.  The fluid will re-absorb  Actually the fact that Iggy is laying on his incision side indicates that the site itself is not too horribly painful.  Some dogs take a couple of weeks before they are comfortable enough to do that.

really bummed the vet isn’t up-to-date on pain management and wouldn’t prescribe the gabapentin. do you think it would be worth the effort to go to a second vet? If I recall, it seems the vet only gave you seven days worth of tramadol anyway. So maybe a second vet would not only give you the gabapentin but he would give you enough for two weeks. Anyway, just throwing that out there.

As far as poop, you might try some steamed squash with some chicken broth or some natural pumpkin (not the pie filling kind,  but the natural kind without additives)    I know it’s worrisome thinking he hasn’t had a poop in a couple of days.   He can only hold it but so long And he will let loose soon,will, promise!

Glad you’re getting some sleep and, hopefully, soon you’ll be back to your normal routine and so will Iggy.   You are doing such a good job of staying on top of things.

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

  

Hi everyone. Today was tough.

We took Iggy to get his shot and they changed his band as well. We took him to our garden (the smaller one next to the room where he is recovering) and we made him walk a little bit. I got a squeaky toy that he loves and he ran for a while trying to catch it (We are helping him with the use of a harness because he falls onto his stump when he lowers his head to sniff.). He didn't poop.

On our way back from the vet we took him to a park to see if that would help. Nothing. Finally, we took him to the backyard where he used to poop before his surgery. He went up the stairs, walked for a while. Nothing. I stopped by the market and got him pumpkin and he ate that along with some chicken. I also gave him some greek yogurt.

He was fine the rest of the afternoon, but didn't want to drink much water. Then at around 6:00 PM his band fell so we decided to clean the wound and put a new band. Whenever we do this he get scared and shakes for a bit. But this time it was like never before. I was very agitated like he had ran a marathon, and he was shaking uncontrollably. I gotta say that I'm usually calmer than my partner in stressful situations, but this time I got desperate and thought that he would die right there. I couldn't think. I called his doctor, and he told me to check his temperature, but he didn't have a fever. I didn't know if he was in pain but his eyes showed so much fear, like he was asking for help. It broke me.

We gave him some water, and he took it but he kept panting and shaking.

Finally, we decided to take him out for a walk to see if that would calm him down. He refused to get up but when he did he just ran outside and pooped. We held him the whole time so he would't lose his balance.

He is now sleeping like a baby. Now it's me who is left shaking.

 

 
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Virginia



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3 November 2023 - 8:13 pm
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First of all,

YAAAAAAAAY  FOR poopiconpoopicon HAPPY poopiconDANCE!

I know Iggy feels better, and so do you!

Im sorry he reacted so badly when you changed his band. He had a big day and seemingly had a lot of activity, relatively speaking.clearly he was in pain.  He may also have had an “anticipation of pain” because the Bet messed with it checking g it out, etc  

You mentioned he got a shot.  What was that for?

Did you advocate for Gabapentin again?  As Dr Downtimg said in the avocet article, you need to firmly state the Tramadol isn’t working and you want to use Gabapentin.  

you mentioned stump. Was an actual stump part of the leg left.?

How long did Iggy’s severe pain response last.   Check out links to phantom limb pain and see if his reaction was similar to that.  Again, Gabapentin would help with that

I know it was traumatic to see Iggy in pain and so fearful.  Is it possible you can pretty much leave the wound alone now!  He’s on antibiotics and the incision should’ve stitched properly and tight enough to recent any bacterial from entering  obviously iff the seroma is leaking you need to dap up a y fluid residue 

okay I’ve rambled enough.  Let of today and move forward…just like Iggy is doing!

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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The Rainbow Bridge



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4 November 2023 - 4:12 pm
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Oh wow that is tough. Did you get a chance to talk to your vet to advocate for better pain control? Everything you are describing is what pain signals look like in dogs. 

I'm glad he pooped and is doing better. It's so hard to see our dogs in recovery and we want them to get back to doing what they love. But right now, keep his activity really, really mellow. No running, jumping, or excessive physical play. The more he does things that put demand on his body, the worse his pain will get. Rest is good medicine. He should only be going out on leashed potty walks just a minute or two. Outside then back in, until his stitches come out. The more his body can rest the more he can heal. 

You can do this! Keep us posted.

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Lima, Peru
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6 November 2023 - 3:53 pm
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jerry said
Oh wow that is tough. Did you get a chance to talk to your vet to advocate for better pain control? Everything you are describing is what pain signals look like in dogs. 

I'm glad he pooped and is doing better. It's so hard to see our dogs in recovery and we want them to get back to doing what they love. But right now, keep his activity really, really mellow. No running, jumping, or excessive physical play. The more he does things that put demand on his body, the worse his pain will get. Rest is good medicine. He should only be going out on leashed potty walks just a minute or two. Outside then back in, until his stitches come out. The more his body can rest the more he can heal. 

You can do this! Keep us posted.

  

Hi, yeah I tried but got the same response. I might however switch to gabapentin if I don't see any improvements. He seems to be resting more now. Last night he slept most of the night (so did we for the first time since his surgery). We are only taking him out to pee around 4But since last friday he has not pooped (again). Not sure why this is happening. I'm feeding him soft food, chicken, pumpkin, you name it. 🙁

He insists on laying on his stump, despide our efforts. He just seems confortable in that position so we let him stay like that for a few minutes then roll him to the other side. What do you recommend? I'm surprise it doesn't hurt him but maybe down the line this could get in the way of his recovery process.

Any tips, ideas or thoughts will be greatly appreciated.

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Lima, Peru
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6 November 2023 - 6:11 pm
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benny55 said
First of all,

YAAAAAAAAY  FOR poopiconpoopicon HAPPY poopiconDANCE!

I know Iggy feels better, and so do you!

Im sorry he reacted so badly when you changed his band. He had a big day and seemingly had a lot of activity, relatively speaking.clearly he was in pain.  He may also have had an “anticipation of pain” because the Bet messed with it checking g it out, etc  

You mentioned he got a shot.  What was that for?

Did you advocate for Gabapentin again?  As Dr Downtimg said in the avocet article, you need to firmly state the Tramadol isn’t working and you want to use Gabapentin.  

you mentioned stump. Was an actual stump part of the leg left.?

How long did Iggy’s severe pain response last.   Check out links to phantom limb pain and see if his reaction was similar to that.  Again, Gabapentin would help with that

I know it was traumatic to see Iggy in pain and so fearful.  Is it possible you can pretty much leave the wound alone now!  He’s on antibiotics and the incision should’ve stitched properly and tight enough to recent any bacterial from entering  obviously iff the seroma is leaking you need to dap up a y fluid residue 

okay I’ve rambled enough.  Let of today and move forward…just like Iggy is doing!

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

  

Hi! I was sure I had responded to this but now I can't find what I wrote. Maybe I forgot to hit the submit reply bottom. I need to sleep more!

The shot he got was antibiotics I think, but I didnt want to take him back and forth everyday so we are back to the pills (antibiotics and tramadol) twice a day after his meals. Aside from this I got him Bach rescue drops that I bought on the petshop today to see if that calms him down.

And yes, the stump is whats left from his leg. He likes to lay on it but we keep rolling him over to the other side. Today I did some research on phantom pain , I'm not sure if thats what he had. But every time I touch the wound he starts panting and shaking. The stump itself shakes. This is what scares me the most because he doesn't make any other sounds so I don't know if he's just scared or in pain. 

We decided to leave the wound alone and I just clean it in the morning and before bed, there is still fluid coming out but no blood. What else could I do to reduce phantom pains? will ice help? 

Thank you so much!

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The Rainbow Bridge



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7 November 2023 - 11:46 am
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You are trying so hard to advocate for him, I'm just really sorry your vet is not willing to change. When you are able to focus on other things, and if it's possible where you live, I would switch to another practice that does better pain control. Yes if you have Gabapentin, use it.

Laying on the amputation site usually isn't a bad thing, and usually means they are very comfortable. It doesn't sound like he has phantom pain , which is accompanied by sudden, sharp cries and what looks like sudden fear. It does sound like he has general soreness from the amputation site, and not having better pain medication to control his pain. You can try heat and ice therapy to bring down the swelling.

A stump will twitch, even many years after surgery. Don't let that freak you out too much, it happens with humans too. That's not necessarily a pain indicator, but just misfiring nerves. 

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Lima, Peru
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13 November 2023 - 7:10 am
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jerry said
You are trying so hard to advocate for him, I'm just really sorry your vet is not willing to change. When you are able to focus on other things, and if it's possible where you live, I would switch to another practice that does better pain control. Yes if you have Gabapentin, use it.

Laying on the amputation site usually isn't a bad thing, and usually means they are very comfortable. It doesn't sound like he has phantom pain , which is accompanied by sudden, sharp cries and what looks like sudden fear. It does sound like he has general soreness from the amputation site, and not having better pain medication to control his pain. You can try heat and ice therapy to bring down the swelling.

A stump will twitch, even many years after surgery. Don't let that freak you out too much, it happens with humans too. That's not necessarily a pain indicator, but just misfiring nerves. 

  

Hi Jerry, yes, I will probably go back change practice as soon as the doc takes out his stitches. Today is two weeks after Iggy surgery and up until saturday he was showing a lot if signs of improvement. He was sleeping better, walking a bit more, being able to pee and poop by himself, and even wanted to play with a ball. He was eating and drinking enough water.

However, yesterday was odd. He woke up and I could feel something was off. He insisted on laying down most of the time. And he started shaking a lot again (He stopped doing it or it only happened once or twice a day). But yesterday it happened around 4 times. I tried to get him to get up and he could barely walk. He fell many times and he just seemed like he has no balance whatsoever. It kinda looked like he couldn't hold his own weight so we helped him walk, pee and poop just like we had to the first days after the amputation. He barely drank water and refused to eat. Eventually he did eat but you could tell he did not want to. 

The only thing is that yesterday we gave him the antibiotics a little later than usual because I ran out. This time I got the generic kind. We also tried to cover the wound with a band in the morning and he hates it. He slept most of the day and trough the night. He just seemed exhausted. 

I'm very concerned, I'm waiting for it to be 9 am so I can phone his vet, but I just wanted to know if there are any thoughts on why he's behaving like this. Could it be the medication?

Thank you!

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Virginia



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13 November 2023 - 9:40 am
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My first thought is he his tweaked something, possibly in his neck or spine muscles. Massage up and down his back and around his upper neck and see if he shows any signs of tension. If he's tweaked a disc or a muscle that could cause him not to have the best of Mobility right now.

The vet will have to answer your question about the generic antibiotic, but I would doubt that it would have a negative effect. 

I guess it will fall on deaf ears with that Vet but try to insist  Gabapentin for him.  If he refuses, tell him you want to know why.

Update us when you can and try not to worry. This is probably just some sort of a muscle sprain.

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too,,!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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The Rainbow Bridge



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13 November 2023 - 11:36 am
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Hey Liz, I'm sorry to hear he had a rough weekend. As Sally mentioned, generally a Tripawd will have a pain setback like this because they tried to do too much, too soon. What was that ball playing like? Was it actually chasing a ball around a yard, or just in the house? It's still early for him to have a lot of physical activity, so hopefully with some rest and NSAID medication he will be feeling better soon. 

Let us know what your vet says.

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Lima, Peru
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21 November 2023 - 7:25 am
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Hi everyone!

I'm back after a few days to give you an update of Iggy's recovery process. After we got his blood results back, it turns out he had a severe infection. The vet gave him some shots and the next day Iggy was hungry again and in a much better mood. We had to take him 5 days to get the shots and each day he showed improvement! We ran the blood tests again a couple of days ago and everything looks good.

Those are the good news. Iggy is playing, peeing, pooping, eating very good and in a great mood. We are going back in a few days to check on one of the stitches that came off. The vet said they might need to re do it, but at least it doesn't seem to hurt him, and we are cleaning and disinfecting it daily. It looks a bit ugly.

On a different subject, Iggy has two brother. His brother Kylo who has spent the most time with him and who is very dependent on Iggy, doesn't want to be anywhere near him now, and he doesn't even want Iggy laying on his bed. They used to be so close and now it seems Kylo wants nothing to do with him. Any thought and why this change in behavior?

Thank you all so much for being there during this very difficult process, you have no idea how much it means to us having had this group to support us all along. 

Liz

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The Rainbow Bridge



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21 November 2023 - 10:59 am
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Oh my gosh poor Iggy. I'm really glad his vet was able to treat it and he's getting his mojo back. Was the infection from the actual incision? Good job taking care of the wound. Ack, that's so hard!

I don't know what to say about Kylo, that's odd. First, is Kylo showing any pain signals himself? Just a thought. Is he going off to be by himself, or just doesn't want to be near Iggy but is fine by you?

Also, it may be that with the recent vet visit and infection, Iggy just reeks of veterinary hands and clinic. Dogs smell so much more than we do. Is Kylo the kind of dog who hates vet visits? Maybe that's the issue?

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Lima, Peru
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21 November 2023 - 12:20 pm
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Hi! The wound itself healed fined I think, so I'm guessing it was another type of infection maybe?

But the shots worked almost instantaneously thank God, because he could barely stand.

As for Kylo, he's playing a lot more with his other brother. They used to not like each other that much because Lio arrived last year when he was a puppy. Kylo was used to living a calm life with Iggy and then Lio came and he was not a fan. However, now that they had to spend time with each other away from Iggy they seem to have develop a special bond. They play a lot and Kylo is more patient than before.

I thought about what you said regarding the smell and yes, Kylo hates going to the vet, and maybe that's whats causing the rejection. He's fine otherwise, does the things he does everyday, eats well, plays and seems to be in a good mood but he doesn't get near Iggy. 

Hopefully now that Iggy's better and hanging out in the house like before, Kylo will come around. Iggy surely misses him so much!

Thanks!

jerry said
Oh my gosh poor Iggy. I'm really glad his vet was able to treat it and he's getting his mojo back. Was the infection from the actual incision? Good job taking care of the wound. Ack, that's so hard!

I don't know what to say about Kylo, that's odd. First, is Kylo showing any pain signals himself? Just a thought. Is he going off to be by himself, or just doesn't want to be near Iggy but is fine by you?

Also, it may be that with the recent vet visit and infection, Iggy just reeks of veterinary hands and clinic. Dogs smell so much more than we do. Is Kylo the kind of dog who hates vet visits? Maybe that's the issue?

  

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Virginia



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21 November 2023 - 3:46 pm
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So gas things are looking up for Iggy. YAY FOR IIGGY!👏👏

I think you have the reasons why the interaction of all the dogs  shifted.Jerry made a good point about the scent of the Vet’s office, as well as your observation about how the interaction between Lio and Kyle has improved. Lio and Kyle had a chance to bond and depend on each other to be doggy pals while Iggy was not in the equation.

The other thing is Iggy may have been putting out a “signal” to stay away from him as he had to feel vulnerable during recovery..and probably still does as he continues to recover fully.

Give all the pack some extra cookies for us 

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too !

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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The Rainbow Bridge



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21 November 2023 - 11:41 pm
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It does sound like Kylo and Lio are binding right now, which is a really good thing right? And Sally's input about Iggy putting out the "stay away" signal totally makes sense. Dog packs restructure a lot in their time together as life changes happen, that's probably what you're noticing. I would think that as long as everyone is mostly healthy and not fighting, it's time to see how it plays out. Dogs always know how to do that. Keep us posted and more healing vibes are being sent out to Iggy!

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