Aerosmom Posted June 1, 2007 Share Posted June 1, 2007 It's almost two weeks post-amputation for Snickers and she's been on Tramadol 2 x day since coming home from the vets about 11 days ago. Her stitches were removed on Tuesday, and she had her first chemotherapy at the same time. I've heard from other greyhound owners and read that the screaming might be a reaction to the Tramadol. I'm really getting stressed out about this because I thought the amputation was supposed to alleviate the pain. It's tearing me up inside to hear her cry like this. It seems to be most frequently when she stands up, but sometimes she'll just scream for no apparent reason. The episodes last for a very long 10 seconds or more. I withheld the Tramadol this a.m. because I thought if it's phantom pain it won't help and I wanted to see if she did better without it. I haven't noticed much difference so far and just broke down and gave her one because I thought maybe she is having muscle spasms. I've asked the surgeon about this, and they have witnessed it, and I've just been told that they can't find a focal point for the pain and for me to continue with the Tramadol 2 x day for another week. No one seems particularly concerned about this. I think at this point she has five or more of these episodes a day/night. It's making me feel very guilty for putting her through all this when it was supposed to help her. Any experience/advice is much appreciated! I've been trying to research online and haven't found much info. I also e-mailed Dr. Couto's group and they said that the typical bad reaction to Tramadol is more delirium and a consistent reaction, not these sporatic fits. It tears at my heart everytime I hear her cry like this. My worse fear is that there is cancer somewhere else in her body that is causing her to scream. I also posted this on Circle of Grey -- I'm hoping someone has some experience/advice about this. Quote Aero: http://www.greyhound-data.com/d?d=kees+uncatchable; our bridge angel (1/04/02-8/2/07) Snickers; our bridge angel (1/04/02-2/29/08) Cricket; Kanga Roo: oops girl 5/26/07; Doctor Thunder http://www.greyhound-data.com/d?z=P_31Oj&a...&birthland= Link to comment Share on other sites More sharing options...
Burpdog Posted June 1, 2007 Share Posted June 1, 2007 Max had it for a few days and that is the reason I knew to mention it to Glynis. I don't think it's the tramadol but phantom pain. Phantom pain, also called deafferentation pain, anesthesia dolorosa, or denervation pain, is pain that is felt in a part of the body (usually an extremity) that either no longer exists due to amputation or is insensate as a result of nerve severance. It is often described as a burning sensation, though individual accounts vary. This pain does not originate from the limb itself, as such would be impossible in these cases, but is instead the result of the brain receiving messages from the spinal cord which it interprets as pain coming from the affected limb. [1] So phantom pain is not phantom, but real pain caused by nerves. I cannot remember what we did for Max. I think it was tramadol only. Trying to get ahold of Kathleen. It didn't last long. Can you tell if she is having any muscle spasms? Quote Diane & The Senior Gang Burpdog Biscuits Link to comment Share on other sites More sharing options...
Aerosmom Posted June 1, 2007 Author Share Posted June 1, 2007 Max had it for a few days and that is the reason I knew to mention it to Glynis. I don't think it's the tramadol but phantom pain. Phantom pain, also called deafferentation pain, anesthesia dolorosa, or denervation pain, is pain that is felt in a part of the body (usually an extremity) that either no longer exists due to amputation or is insensate as a result of nerve severance. It is often described as a burning sensation, though individual accounts vary. This pain does not originate from the limb itself, as such would be impossible in these cases, but is instead the result of the brain receiving messages from the spinal cord which it interprets as pain coming from the affected limb. [1] So phantom pain is not phantom, but real pain caused by nerves. I cannot remember what we did for Max. I think it was tramadol only. Trying to get ahold of Kathleen. It didn't last long. Can you tell if she is having any muscle spasms? I don't think she is, but she seems to scream most often when she stands up. She's not that active either, which could be because she had the chemo on Tuesday and it's very hot here today.... If the phantom pain is actual nerve signals, is it treatable with Tramadol? It seems as if the episodes are not decreasing in frequency either. Quote Aero: http://www.greyhound-data.com/d?d=kees+uncatchable; our bridge angel (1/04/02-8/2/07) Snickers; our bridge angel (1/04/02-2/29/08) Cricket; Kanga Roo: oops girl 5/26/07; Doctor Thunder http://www.greyhound-data.com/d?z=P_31Oj&a...&birthland= Link to comment Share on other sites More sharing options...
grey14me Posted June 1, 2007 Share Posted June 1, 2007 Quote Michelle...forever missing her girls, Holly 5/22/99-9/13/10 and Bailey 8/1/93-7/11/05 Religion is the smile on a dog...Edie Brickell Wag more, bark less :-) Link to comment Share on other sites More sharing options...
Burpdog Posted June 1, 2007 Share Posted June 1, 2007 Possible re the chemo. I assume you saw the post about the drug she was given? Dr. Couto has not used that drug in years. Made Winslow very ill. Let me ask Glynis if Winslow had any screaming. Since tramadol is an opiate, I think it should help. You might ask if morphine can be added if it doesn't subside in a day or so. Quote Diane & The Senior Gang Burpdog Biscuits Link to comment Share on other sites More sharing options...
marion Posted June 1, 2007 Share Posted June 1, 2007 It breaks my heart to read this...it must be just horrifying for you to hear her scream of pain and not to be able to help her...I have no advice, I only wish that her pain will go away very soon... Quote -------------------------------------------- Marion, Ivy & Soldi Perseverance is not a long race... it is many short races one after another. Link to comment Share on other sites More sharing options...
Guest ss556 Posted June 1, 2007 Share Posted June 1, 2007 No advice, just prayers, lots of prayers. Quote Link to comment Share on other sites More sharing options...
Guest MorganKonaAlex Posted June 1, 2007 Share Posted June 1, 2007 I posted this to CircleofGrey too. We had to use a combination of medications to control the pain; Tramadol alone wasn't enough. For Alex (74 lbs). we used: - 100 mg Neurotin x 1 day - 75 mg Rimadyl x 2 day - 50 mg Tramadol. Can increase up to 100 mg. 4 x day. First increase the number of doses per day. You should ask about adding Neurotin. It really helped. I can never remember how to spell the generic name of Neurotin (Gabapentin ??). Quote Link to comment Share on other sites More sharing options...
Guest VelvetEars Posted June 1, 2007 Share Posted June 1, 2007 I don't know if you can get ahold of some lavender Essential oil, but if so - mix about 10 drops in 3 oz distilled water and 1 oz high proof vodka or everclear in a small spray bottle. spritz it over her to help her relax. you can also add a few drops of EO to a tealight diffuser with a little water and keep that in whatever room she's in. you can also put 1-2 drops of EO on her bed. it can help with her relaxing. clary sage is a good EO with anesthetic properties - same methods as above. Quote Link to comment Share on other sites More sharing options...
Guest gottaluvgreysindy Posted June 1, 2007 Share Posted June 1, 2007 Deuce's screams weren't yelps, they were screams too and lasted just as long as you are describing. And after stopping the tramadol, no more terrifying screams. I'm sure I talked about it in a post somewhere. Let me see if I can find it. Quote Link to comment Share on other sites More sharing options...
Burpdog Posted June 1, 2007 Share Posted June 1, 2007 Here is one of your posts but it looks like he was still having some screamies: We are still fighting through this phantom pain. It will just be two weeks tomorrow since amputation so I'm saying prayers and hanging in there. It is quite the scare when he screams like he does in middle of the night. I am up waaayy too late tonight packaging up things needing shipped out from the auction that was an awesome success thanks to all of you. Chemo is scheduled for Monday and at this point he is only on antibiotics, no pain meds right now. Thank you all for your continued support and prayers. You're the greytest!!!!!! http://forum.greytalk.com/index.php?showto...44441&st=40 Quote Diane & The Senior Gang Burpdog Biscuits Link to comment Share on other sites More sharing options...
Guest gottaluvgreysindy Posted June 1, 2007 Share Posted June 1, 2007 thanks Diane for finding that. That is what I recalled, we had stopped the pain meds before he got his stitches removed and before chemo and he was on antibiotics for the infection of the incision at one point. It took a few days for the tramadol to work its way out of his system, but once we stopped the pain meds (per Dr. Couto's suggestion) he stopped screaming. Quote Link to comment Share on other sites More sharing options...
Guest LynnM Posted June 1, 2007 Share Posted June 1, 2007 I haven't read all the responses, so I don't know if this has been mentioned. If it has, apologies for the repetition. One other possibility is that she's having pain in her back. All of a sudden, she has to bear most of her weight on one side of her body. That can throw a spine out of whack until the muscles needed to compensate develop. You'll be able to tell easily enough... run your fingers down her back when she's standing up. If you get a good flinch, then that's at least part of your problem identified right there. Talk to your vet about adding a muscle relaxer to the pain meds. It'll help her be comfortable and rest easier. Also discuss some massage techniques so that you can work out some of the inevitable muscle spasms. Lynn Quote Link to comment Share on other sites More sharing options...
Guest JohnnyBell Posted June 1, 2007 Share Posted June 1, 2007 I also posted this on CoG. I am so sorry you are going through this.I know that scream and it just makes my heart sink and break in a million pieces.Mabe like you said it's muscular.I have heard that 2/3 of the weight is on the front legs.Mabe she's still having trouble distributing the weight when she gets up or the internal stiches are pulling.Sophie was on the tramadol for a week and I didn't notice any reaction like this. I hope this gets better soon.I feel your pain:( Quote Link to comment Share on other sites More sharing options...
patricia Posted June 1, 2007 Share Posted June 1, 2007 I am so sorry. Sending calming and healing thoughts. Quote Patti-Mommy of Lady Sophia 7-28-92 - 8-3-04... LaceyLaine 8-2-94-12-5-07... Flash Gordon 7-14-99 - 8-29-09... BrookLynne...Pavé Maria... and 18 Bridge Kids. WATCHING OVER US~SOPHIA~QUEENIE~LACEY LAINE~ CODY ANGELO~FLASH GORDON. Link to comment Share on other sites More sharing options...
Guest argolola Posted June 1, 2007 Share Posted June 1, 2007 I'm so sorry that your precious baby is in pain. I will pray. Quote Link to comment Share on other sites More sharing options...
zimsmom Posted June 1, 2007 Share Posted June 1, 2007 I would ask the vet for a Fentanyl patch in addition to the Neurontin mentioned before. The patch is changed every 3 days & will cover her until the Neurontin kicks in. It takes times to work (well at least in humans). The Fentanyl is heavy duty stuff but it seems to me it is called for. Patty Quote Link to comment Share on other sites More sharing options...
Jackandgrey Posted June 1, 2007 Share Posted June 1, 2007 If they feel it is phantom pain - nerve pain - then ask about gabapentin as well as the tramadol. It is often more effective for nerve pain and for sure that is real pain. Quote Susan, Jessie and Jordy NORTHERN SKY GREYHOUND ADOPTION ASSOCIATION Jack, in my heart forever March 1999-Nov 21, 2008 My Dancing Queen Jilly with me always and forever Aug 12, 2003-Oct 15, 2010 Joshy I will love you always Aug 1, 2004-Feb 22,2013 Jonah my sweetheart May 2000 - Jan 2015 " You will never need to be alone again. I promise this. As your dog, I will sing this promise to you, and whisper it to you at night, every night, with my breath." Stanley Coren Link to comment Share on other sites More sharing options...
packmom Posted June 1, 2007 Share Posted June 1, 2007 It was a good 2 weeks or more for Zinger. I think it is partially caused by medications. It also seemed his neck really bothered him when he would try to get up. (he was a front leg amp) It does pass. Quote Link to comment Share on other sites More sharing options...
Guest IrskasMom Posted June 1, 2007 Share Posted June 1, 2007 It's breaking my Heart to , to know snickers is in so much Pain. and lots of Prayers and some Quote Link to comment Share on other sites More sharing options...
Finnsliz Posted June 1, 2007 Share Posted June 1, 2007 Poor Snickers... My heart goes out to you and to poor Snickers. I hope you can find relief soon Quote <p>Finn, Wink, Birdie, Snap and SmokeyJG Quicknfast 7/25/99-5/16/08, JG Quickwink 7/25/99-9/22/13, Iruska SweetDuv 7/19/03-11/9/16, Delbar 6/11/11 and Catahoula Smokey Link to comment Share on other sites More sharing options...
Aerosmom Posted June 2, 2007 Author Share Posted June 2, 2007 (edited) Possible re the chemo. I assume you saw the post about the drug she was given? Dr. Couto has not used that drug in years. Made Winslow very ill. Let me ask Glynis if Winslow had any screaming. Since tramadol is an opiate, I think it should help. You might ask if morphine can be added if it doesn't subside in a day or so. She was given Carboplatin. I think the drug that made Winslow sick was Cisplatin. So I don't think it was the chemo. She's still having the screaming episodes -- and they are actually way longer than 10 seconds. I think it's primarily after she's been lying down for a while. A few people have suggested muscle spasms/pain, so I'm going to try to massage her legs and back and see if that helps at all. Does anyone know massage techniques for a grey? I'll try to do a web search too. Edited June 2, 2007 by Aerosmom Quote Aero: http://www.greyhound-data.com/d?d=kees+uncatchable; our bridge angel (1/04/02-8/2/07) Snickers; our bridge angel (1/04/02-2/29/08) Cricket; Kanga Roo: oops girl 5/26/07; Doctor Thunder http://www.greyhound-data.com/d?z=P_31Oj&a...&birthland= Link to comment Share on other sites More sharing options...
robinw Posted June 2, 2007 Share Posted June 2, 2007 do you have access to a fax machine? i can fax you the small booklet called "canine Massage", which i got at dewey last year. let me know. Quote Xavi the galgo and Peter the cat. Missing Iker the galgo ?-Feb.9/19, Treasure (USS Treasure) April 12/01-May 6/13, Phoenix (Hallo Top Son) Dec.14/99-June 4/11 and Loca (Reko Swahili) Oct.9/95 - June 1/09, Allen the boss cat, died late November, 2021, age 19. Link to comment Share on other sites More sharing options...
VinnieAndRexsMom Posted June 2, 2007 Share Posted June 2, 2007 Whether the surgeon can find a focal point for the pain or not, were she my dog, he'd be giving her more than tramadol. We used tramadol for Vinnie when he had the spinal tumor. (We thought was a back injury in the beginning.) We were piggy-backing metacam and amatryptaline (sp) for weeks, and the new tramadol study had just come out, so my vet wanted to try it alone. In Vinnie's case, the tramadol was not enough. By the time I began adding the metacam, it was too late and the pain had taken over. Good luck with this. I hope you can get her settled down and painfree. Sending hugs, Quote Tonya, mom to May, and my angels Vinnie, Rex, Red, Chase, and Jake. Link to comment Share on other sites More sharing options...
Burpdog Posted June 2, 2007 Share Posted June 2, 2007 Massage would be good. Just massage--don't worry about how Something is better than nothing. Pay attention to whether you feel the muscle quiver/twitch. I'd research the chemo drug being used and also email Ohio State if you have not. Here is a good link explaining the chemo drugs: Chemo Drugs Also, I don't think Max was on anything 2 weeks post op. I'll try & get ahold of Kathleen. The drug mentioned for phantom pain in this thread sounds great! Quote Diane & The Senior Gang Burpdog Biscuits Link to comment Share on other sites More sharing options...
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