Tail pain--question about meds given

bellel

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Somehow, my cat Pie has done something to his tail. He can't sit down at all and if I move it to check it he cries and runs away. I took him to the ER yesterday. His anal glands were pretty full but not infected or impacted. They felt that his tail was sprained. They gave me buprenorphine and Onsior, which I started yesterday. He's a tiny bit better, but still can't sit and fusses when I try to move his tail. Have any of you had a cat that experienced pain where buprenorphine and/or Onsior didn't seem to help? I've had to use both in my 2 other cats and they seemed to work great. So, I'm concerned that his tail may have a fracture. Is there any pain that buprenorphine and/or Onsior doesn't help or help much? TIA!
 
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solomonar

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Sometimes a fresh opinion from another vet is useful.

Sometimes people overreact to small problems and  forget about simple things (that's natural).

I am not challenging the opinion of the vet but I just wonder whether something like washing the tail by medical shampoo for Stud Tail or simple trimming the fur over the affected region may be helpful. Just my 2cents.
 
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bellel

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Solomonar said:
Sometimes a fresh opinion from another vet is useful.

Sometimes people overreact to small problems and  forget about simple things (that's natural).

I am not challenging the opinion of the vet but I just wonder whether something like washing the tail by medical shampoo for Stud Tail or simple trimming the fur over the affected region may be helpful. Just my 2cents.
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Overactiving to small problems? What is the small problem to which you are referring?

We are unable to move his tail without him being in severe pain. His anus is slightly pink but very clean. The area around his tail is completely normal-looking except it appears to me (and you know we always know our cats best since we see them all the time) that the base of his tail is slightly swollen. Onsior is a NSAID and buprenorphine is a pain reliever with analgesic properties. What could be affecting him that buprenorphine and Onsior are not helping? Painful skin issues would be helped by these 2 meds, as would nerve pain.
 
solomonar

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I mean sometime the cause maybe very small, although the effect may be quite severe (as you describe).

My cat passed difficult time as a result of taking a 2 mm (barely visible) splint in his paw. Nobody could see it, but I know it was there (from I know the cat's environment and habits). If I would gave my cat the most cutting the edge meds, it coulnt help in this case, unless the splint is removed. Which was happened at the end and we all saw it.

I don't suggest your cat has taken a splint, I just say that some simple procedures may also help. Or may not, but at least giving it a try could be an idea. Personally, I always look for the cause and I do not trust to much the modern meds if the cause is not discovered. But of course, it is case by case and a matter of personal opinion. 
 
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bellel

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Oh, forgot to mention: since this was the Emergency Vet, I will definitely be talking to my regular vet tomorrow. My vet had already had 4 work-ins yesterday and was unable to fit my kiddo into his schedule, so I had to see the ER vet. And my vet's office isn't open today. (Bummer!) But I'm sure he can fit Pie in tomorrow, especially since I'm seeing very little improvement.

My original question still stands, though: what kind of pain can not be treated with a combo of Onsior and buprenorphine?
 
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bellel

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Solomonar said:
I mean sometime the cause maybe very small, although the effect may be quite severe (as you describe).

My cat passed difficult time as a result of taking a 2 mm (barely visible) splint in his paw. Nobody could see it, but I know it was there (from I know the cat's environment and habits). If I would gave my cat the most cutting the edge meds, it coulnt help in this case, unless the splint is removed. Which was happened at the end and we all saw it.

I don't suggest your cat has taken a splint, I just say that some simple procedures may also help. Or may not, but at least giving it a try could be an idea. Personally, I always look for the cause and I do not trust to much the modern meds if the cause is not discovered. But of course, it is case by case and a matter of personal opinion. 
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Oh, ok! Gotcha! If I had a second person to help me, I could hold him down and inspect the area more carefully. Like we both said, we know something is/was wrong with our cats (in my case, besides the pain, the part where his tail joins his back looks a tiny bit swollen to me). But he wiggles so much that I can't get him to lie still long enough to get more than a mere glimpse. I'll call around and see if I can find someone to help me. Even if I can't I'm still going to see my regular vet tomorrow.
 
solomonar

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When I go mountains I bring Arcoxia in my baggage. And some ibuprofen. But I know these can only give me some time to reach a doctor. Painkillers are... painkillers. Nothing more. Anti-inflammatories are nice if there is an inflammation to fight.

Your combo seems to be very effective and advanced. But there is no clear diagnostic so far. I am sure your vet will set the specific treatment, don't worry 
 
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