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  Nancy Campbell RVT said... It is listed as contraindicated on the label. I suggest you talk to a pharmacist or your vet. If your vet doesn't know you might suggest he talk to someone in the pharmacy department of a veterinary school or if they're a member of VIN he could post the question there. Nancy Campbell RVT said... Kathy, I'm so sorry for your loss. I really don't know what your dog died of only a necropsy would possibly be able to reveal the cause. I'm so terribly sorry you lost your friend. 7:28 PM, Anonymous said... Great page. I have a 12 year old pomeranian that weighs about 5.5 lbs. He recently had several large teeth removed. He was prescribed tramadol orally after the surgery to control the pain. It was mixed into an oral suspension (I supposed because of the small size of the dog, in order to get the dosage right) and I was supposed to give .25 ml of a 100mg/5ml solution twice a day. So if I am doing my math right, that is 5mg per dose, 10mg per day.My dog has responded well to the surgery and was up and around very quickly and we are seeing no signs of infection or problems with the teeth. There was some scratching on his face as the stitches dissolved but never to the point of causing any problem and he seems to have cut way back on the scratching now.I took him off the tramadol within a couple of days because he seemed fine. However, we have noticed signs of mild constipation during the first week.This week it has gotten worse. He squeals in pain when you pick him up and he has gone two days without a bowel movement. He is eating lightly, but perhaps a little less than normal. He hasn't quit eating entirely though and still seems to enjoy Pupperoni Treats (What do they put in those things, cocaine? He goes nuts for them) if we break them into pieces.The squealing and screeching is extremely unnerving. He is so scared of being picked up that he squeals when you even act like you might be about to pick him up. It is heartbreaking, but also very frustrating because I don't know how much is pain, and how much is fear.I took the dog to the vet today and as you might expect, he did almost none of what I described above while we were at the office. The vet was able to get one light squeak out of him and that was it. The vet suggested doubling the dose of tramadol to manage the pain and tapering it off over the weekend to see if that helped.I mentioned the decreased number of bowel movements to our doctor, but at the time of the visit, it was a day and a half without a movement which is abnormal (he usually has one a day) but not extreme.Now it is 10pm and we are at two straight days and we spent a good deal of time outside walking him and trying to coax him into having a bowel movement to no avail.This leads me to believe that his problems may be gastrointestinal in nature and when we pick him up we are pressing on his belly and hurting him. It also leads me to my long-winded question: Should I continue the tramadol since it seems to have a slight incidence of constipation and it doesn't seem to be helping the pain.Also, off topic for this thread, but what is my best step on the constipation?Thanks for any help,-TS
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