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Cat Forum / Health and Behavior / September 2005

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Need Advice on Injured Paw/Missing Claw

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Meghan - 26 Sep 2005 16:18 GMT
2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
front right index claw.  After 2-3 days it started to smell terrible so off
to the vet we went.  The vet said it may or may not grow back, and
prescribed Amoxi drops to fight off infection.

Gray has a big problem taking any kind of pill or liquid.  It traumatizes
him every time and he ends up foaming and running around with pink/white
slime coming out of his mouth.  After 9.5 days on the Amoxi drops he
developed diahrea, intense foaming and began vomiting pink foam.  The vet
indicated to take him off the meds and see what happens.

Now, the terrible stench is back coming from the claw area.  It is only
slightly swollen, and has a little pink nub which seems to always be wet.
I'm not sure if this is the claw growing back or an infection?  It doesn't
seem to bother him at all - he lets me touch it etc. and I never see him
licking at it or limping.

My question is... if I call the vet again she's just going to prescribe
another antibiotic and we're going to go through another 10 days of
trauma/foam.  Does the smell from the claw indicate a definite recurrence of
the infection?  Will it heal itself?  I hate to subject Gray to MORE
antibiotics, but obviously want him to heal correctly.

Thanks, Meghan
treeline12345@yahoo.com - 26 Sep 2005 16:25 GMT
> Gray has a big problem taking any kind of pill or liquid.  It traumatizes
> him every time and he ends up foaming and running around with pink/white
> slime coming out of his mouth.  After 9.5 days on the Amoxi drops he
> developed diahrea, intense foaming and began vomiting pink foam.  The vet
> indicated to take him off the meds and see what happens.

Has the vet indicated any other options for this problem?

With liquid, I have put it into wet food.

Or I have sprinkled antibiotic in the capsule form over canned food
which was harder to detect in this way.

Is the amount too much for your particular cat? The stuff does get cats
naueous.
Karen - 26 Sep 2005 16:43 GMT
> > Gray has a big problem taking any kind of pill or liquid.  It traumatizes
> > him every time and he ends up foaming and running around with pink/white
[quoted text clipped - 11 lines]
> Is the amount too much for your particular cat? The stuff does get cats
> naueous.

Can the cat get an antibiotic shot?
lewe - 26 Sep 2005 17:17 GMT
>2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> front right index claw.  After 2-3 days it started to smell terrible so
[quoted text clipped - 22 lines]
>
> Thanks, Meghan

my red one recently suffered a claw injury he got  climbing up a tree when
he got scared (normally indoor cat, on a leash at summer place when scared
by dogs)
the claw wasn't gone, but the "claw capsule" (don't know the English but you
get what I mean?) was fractured, one week passed before we realised he was
really hurt, started smelling a bit from infection - he was moving about and
using his paw just fine, no limping and no picking at it.
Vet took one look at it and said it had to be cleaned and rinsed, so he had
an op within the hour. Did your vet do any cleaning at all, i.e. getting rid
of all the possibly remaining hurt part and rinsing away bacteria/infection?
As I understand this *needs* to be done.
The smell would most certainly suggest the infection is not gone. The red
one went back for check-up last Friday and the vet looked at his paw and
then proceeded to sniff it to make sure - looks kind of funny when the human
does the sniffing ...
Anyway all was good and the antibiotics was stopped, he took them for a
week, he also had some other pills the first few days against swelling and
pain to the bone.
I would definitely bring the cat back - maybe to another vet?
The antibiotics we got was pills that could be mixed with the food - "liver
flavour" it said on the pack.
Good luck!
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lewemi at yahoo dot se | cats' pics: photos.yahoo.com/lewemi

Meghan - 26 Sep 2005 17:30 GMT
> >2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> > front right index claw.  After 2-3 days it started to smell terrible so
[quoted text clipped - 45 lines]
> flavour" it said on the pack.
> Good luck!

Lewe, I was afraid of this.  We live in a VERY rural area and I don't have
much faith in the vet.  The only vet I really trust is 3 hours away.  I was
hoping to avoid the trauma of having to force a 6 hour car ride on him.
There was no washing out done - none of that.

The problem with the antibiotics is that Gray is small (8 pounds) and
doesn't really care much for food.  He was on antibiotics twice before, for
respiratory problems, and I couldn't hide the pill/powder/liquid in
ANYTHING.  He normally does like canned food and tuna, but if there's
anything in or on it, he knows and won't go near it.

Meghan
---MIKE--- - 26 Sep 2005 17:46 GMT
>>After 9.5 days on the Amoxi drops he
>> developed diahrea,

This is common when cats (or humans) take antibiotics.  Get some
acidolpholus capsules at a health food store.  Make sure that they are
capsules and are kept refrigerated.  Open a capsule and mix the powder
with canned food (it has NO taste). This would stop the diarrhea within
24 hours.

                 ---MIKE---
>>In the White Mountains of New Hampshire
>> (44° 15'  N - Elevation 1580')
Phil P. - 26 Sep 2005 21:23 GMT
> 2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> front right index claw.  After 2-3 days it started to smell terrible so off
[quoted text clipped - 20 lines]
>
> Thanks, Meghan

Healing correctly is not the immediate concern- preventing bacteremia and
sepsis is the first priority.

He's foaming from the mouth from the liquid medication- ask your vet to
prescribe pills.  You can make pilling much less stressful for him (and you)
by using a Pill Popper:

http://www.maxshouse.com/instruments+equipment/pillpopper.jpg

Just make sure to pop the pill into the laryngopharynx so it doesn't
dissolve in his mouth and he can't smell or taste it.  He's a diagram of how
to easily and quickly pill a cat with minimal stress:

http://www.maxshouse.com/Medicating_Your_Cat.htm

You can use a pill popper instead of your fingers to get the pill as far
back as possible.

Don't chase or call him to pill- let him come to you or pick him up when
he's sleeping- cats are more cooperative when the just wake up and still a
little groggy.  Pet his head gently for a minute or two while holding the
pill popper in your other hand.  In one, swift continuous motion, open his
mouth by gently by squeezing the joint between his upper and lower jaw with
your thumb and middle finger, slide the pill popper into the back of his
mouth and press the plunger to pop the pill.  Have an oral syringe with
water ready to make sure the pill clears his esophagus.  Insert the syringe
between the teeth and the buccal wall through the little gap just behind his
canine teeth (diastema). Administer the water slowly so he doesn't choke.

http://www.maxshouse.com/anatomy/mandible__right__medial_view.jpg

You might also want to try giving him a little water in this way after the
liquid amoxi to see it helps him tolerate the liquid med a little better
before opting for the pills.

If all else fails, ask your vet to show you how to administer the amoxi
injectable subcutaneously.  This is probably the easiest route of all for
both of you.  SC injections are easy and painless because the meds are
injected just under the skin and not into the muscle.

Unfortunately, diarrhea is fairly common side affect of the penicillin
class of drugs because it alters gut flora (antibiotic-associated
diarrhea).  If it doesn't subside in a few days, ask your vet if he can
prescribe a different class of antibiotic.

Best of luck,

Phil.
Diane - 27 Sep 2005 01:48 GMT
> Just make sure to pop the pill into the laryngopharynx so it doesn't
> dissolve in his mouth and he can't smell or taste it.  He's a diagram of how
> to easily and quickly pill a cat with minimal stress:
>
> http://www.maxshouse.com/Medicating_Your_Cat.htm

My veterinarian told me the secret is to pull the cat's head back
(pointing up) as much as possible, that their necks are really flexible
and it doesn't hurt them (just like in this photo), but it will help
them swallow the pill without a struggle. He demonstrated it for me, and
when I saw what he was doing and replicated it, I didn't have any more
problems. I'd rather pill than do liquids.

But the odorous foot sounds like it might need more than antibiotics.
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Phil P. - 27 Sep 2005 06:40 GMT
> > Just make sure to pop the pill into the laryngopharynx so it doesn't
> > dissolve in his mouth and he can't smell or taste it.  He's a diagram of how
[quoted text clipped - 8 lines]
> when I saw what he was doing and replicated it, I didn't have any more
> problems. I'd rather pill than do liquids.

Me too.  If its a nasty tasting pill (like Tapazole) I'd rather cut it in
half and put the halves in a #3 gelcap. I always rather show adoptives and
fosters how to pill rather than administer liquid meds- unless there's no
choice- because I always worry about the cat getting the full dose and also
worry about
aspiration.

Bad tasting meds can also make a cat go off her food and lead to anorexia.
Hiding the meds in the food is also not always a good idea because a cat can
develop an aversion to the food.  If hiding meds in the food is the only
option, I'd rather use a sacrificial treat food instead of the cat's regular
food.  This way if she develops an aversion to the food- it won't be her
regular food.

You can also put a dab of the med on the cat's nose so after she licks it
off she won't smell or taste the med in the food.  But this doesn't work
with every cat.

But given the choice- I'd choose pilling or ideally, SC injections if the
meds are available in an injectible formulation.

Phil
Diane - 27 Sep 2005 01:49 GMT
> Unfortunately, diarrhea is fairly common side affect of the penicillin
> class of drugs because it alters gut flora (antibiotic-associated
> diarrhea).  If it doesn't subside in a few days, ask your vet if he can
> prescribe a different class of antibiotic.

This is true in humans, too, and why it's not a bad idea to take a
supplement to promote gut flora.
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-L. - 26 Sep 2005 21:40 GMT
> 2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> front right index claw.  After 2-3 days it started to smell terrible so off
> to the vet we went.  The vet said it may or may not grow back, and
> prescribed Amoxi drops to fight off infection.

<snip>

The avulsed claw probably needs to be surgically removed, the wound
cleaned and stitched.  I wouldn't mess around with it any more - it's
infected - get him into the vet and get it taken care of.  If he can't
tolerate liquid antibiotics, ask for pills.    There are options other
than amoxicillin for him.

Good luck,
-L.
Phil P. - 26 Sep 2005 22:08 GMT
> > 2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> > front right index claw.  After 2-3 days it started to smell terrible so off
[quoted text clipped - 6 lines]
> cleaned and stitched.  I wouldn't mess around with it any more - it's
> infected - get him into the vet and get it taken care of.

You know something?  You're right.  Onychectomy of the single claw is
probably the best route to take.

Phil
-L. - 27 Sep 2005 05:07 GMT
> > > 2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> > > front right index claw.  After 2-3 days it started to smell terrible so
[quoted text clipped - 12 lines]
>
> Phil

Yeah, the problem is that the stump will retract and continue to cause
an anerobic infection as the wound tries to heal.  It's best just to
take it out, clean it up and seal it, and hope it gets cleaned well
enough during the surgery.  I'd also suggest a stronger antibiotic.

-L.
Diane - 27 Sep 2005 01:45 GMT
> My question is... if I call the vet again she's just going to prescribe
> another antibiotic and we're going to go through another 10 days of
> trauma/foam.  Does the smell from the claw indicate a definite recurrence of
> the infection?

Odour from a wound is definitely not a good sign. Get to the
veterinarian post-haste. If you don't think he/she is doing the right
thing, get a second opinion.
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IBen Getiner - 27 Sep 2005 04:43 GMT
> 2 weeks ago my 2 year old indoor-only Manx "Gray" managed to rip out his
> front right index claw.

Great! While you're on a roll, you might as well get the other 19
removed as well.  Something you should have done a long time ago.
Grey is an indoor cat by your own admission. He doesn't need his claws
anymore. They offer him no other benefits, and they spell nothing but
'destruction' for your home. Why do you allow him to keep them?

                        IBen

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