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So, if your cat is purring while showing any of the other signs listed here, the purring may be pain-related. In fact, purring may actually increase in a cat experiencing pain. Eye Changes: The eyes can be very telling in cats with pain. This is true both for eye pain itself and for pain elsewhere in their body.
Palpation is the most widely used clinical method to detect pain in dogs, even if surprisingly few studies have evaluated its sensitivity and specificity. Medical imaging is used to confirm the presence of a suspected problem. Joint pain on palpation and radiographic signs of OA often correlate poorly.
In particular, the Helsinki Chronic Pain Index (HCPI) is a questionnaire validated for chronic pain associated with OA in dogs. This includes 11 questions related to mood, lameness, and willingness to move, play, and jump [5,7, 8] .
The visual analogue scale (VAS) and numeric rating scale (NRS) are most commonly used to assess the present intensity of acute pain. They are reliable, valid, sensitive to change, and easy to administer for measurement of severity of pain.
Despite the ambiguity of feline vocalisation, it is still widely included in pain assessment tools. The Glasgow CMPS-Feline assesses spontaneous vocalisation (observation) and scores silence, purring and meowing as 0 and crying, growling or groaning as 1.
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Cats who are painful may withdraw from their usual family interactions, may become less engaged in their surroundings, and may start hiding. You may notice decreased eating and/or drinking. You may also notice changes in sleeping patterns. Some may sleep more, while others may sleep less.
Vital signs such as heart rate, respiratory rate, and blood pressure may be used to assess responses to an acute painful stimulus, particularly during surgery or after severe trauma. Measurement of vital signs can also be used to assess pain in some situations (such as horses with colic).
The Glasgow composite measure pain scale (CMPS) is a multi-item behavioral pain assessment tool, developed using a psychometric approach, to measure acute pain in the dog (8, 9).
Numerical Rating Scales (NRS) use numbers to rate pain. Patients are usually asked to select a number from a given scale that best describes the degree of pain felt.
Vital signs such as heart rate, respiratory rate, and blood pressure may be used to assess responses to an acute painful stimulus, particularly during surgery or after severe trauma. Measurement of vital signs can also be used to assess pain in some situations (such as horses with colic).

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