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Recognising When Your Pet is in Pain

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Pain is probably the most significant symptom of illness or injury and it is important to understand the ways that dogs indicate that they are suffering from pain in a particular area or organ. By observing your dog and noting how the movement, the sensory perception, and the cognitive elements are affected you can gauge gow much pain your dog is feeling.

Two general signs of pain that are frequently shown by dogs are:

Crying
Dogs do not cry by means of tears, but they will utter a vocal cry at a sudden injury (such as being stepped on) or when an external injury or a painful internal organ is touched.  Unprovoked crying or vocalisation may indicate internal pain.  Some dogs are more stoical than others and will endure considerable pain without any vocalisation.

Aggression
Any radical change in temperament may be a reaction to pain.  A sudden tendancy to aggression may be reversable when the pain is alleviated, so give the veterinary surgeon a full history before concluding that the dog has become vicious.

Symptoms of Pain in Specific Areas as indicated by "Tell-Tale" Signs
Area of Pain
Signs That Indicate Pain is Felt
Head
Half closed eyes coupled with persistent pressing of the top of the head into furniture, owners lap or the flank of other dogs; gentle shaking of the head or vacant staring
Eye
Pawing at eyes; rubbing eyes on furniture or on the carpet
Ear/Mouth
It is not always easy to distinguish between the two as the nerve pathways are very close.  One ear may be carried low and the head inclined to the affected side.  There may be drooling or excess saliva, reluctance to eat hard food or to take food from the hand.  Dogs with mouth pain may yawn frequently and ear pain is usually accompanied by head shaking or gentle scratching at the ear
Throat
Retching, drooling, stretching neck towards the ceiling (sore throat) and difficulty in swallowing shown by gulping
Abdomen
Continual glancing round at the site of pain, biting and licking the area.  Lying in a curled up position when standing, or may take up the "prayer position" (down on forelegs with hindlegs standing).  In some cases dogs with abdominal pain will show persistent straining to pass a bowel movement
Limb/Joint
Dogs quickly adapt to carrying a limb which is giving them pain when weight is put on it.  When the problem is on the foot or, in case of severe injury, the limb is usually carried high, but sometimes it is only partially elevated and the toes will be dragged on the ground.  In other cases the dog will put the foot of the affected leg to the ground but will not put full weight on it.  In such cases the dog's movement should be watched carefully, paying particular attention to the head and pelvis.  A nodding action of the head or rump will be seen when the sound foreleg is put to the ground
Lameness associated with foot dragging is often indicative of nerve damage.  A dog with arthritic pain in the joints will sometimes give a grunt or cry when settling into or rising from its bed.  It is a useful diagnostic measure to know if the dog's pain eases when it has been moving about for some while, or whether exercise makes the pain worse.
It is not always easy to decide which limb is lame, especially if more than one leg is affected.  Bilateral hind leg lameness from severe hip dysplasia may not show on movement.
Spine
Sometimes a dog will appear lame when the actual site of pain is in the spinal column.  Other signs of back pain are a resentment to touch or accidental knocks, trembling while standing, wasting of upper thighs, humping of the centre back, difficulty in assuming normal defecation position, a staggering gait, collapse of hind quarters and incontinence
Anal Gland
Dragging the anus on carpet or grass is the dogs reaction ot pain around the rectum.  The dog may also turn round to inspect its back end frequently and suddenly, often accompanied by a yelp
General Internal
Being unable to settle down when all normal wants have been fulfilled may indicate internal pain or mental trauma
Hind End
Frequent whirling round is the dog's response to "hind end" discomfort from a burr or matt of fur in the region, or from blades of grass which have not been passed properly with a bowel movement and which are still protruding from the anus.  As with anal gland pain the dog will also turn round suddenly and frequently to inspect the affected area, often with a cry

source: Doglopaedia A Complete Guide to Dog Care   J.M. Evans & Kay White

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