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Cancer in a pet Orange Winged Amazon

 
Expert Question

How can I determine whether my 21 year old orange-winged amazon that has been diagnosed with a inoperable cancer tumor, is in pain?

What are the signs he would exhibit, even the subtle ones?




Expert Answer

Hi, Caroll -

The bulk of your answer should be able to be provided by your diagnosing veterinarian, and is dependent on the type of tumor, its location and what tissues / organ systems are involved, what secondary health issues are present, and perhaps most importantly, how your bird feels and behaves. Many of our indicators for pain that we see in birds are based on their behavior. Simplistically, one would seek the kinds of behaviors you may imagine yourself show if you have a painful migraine headache. These may include social withdrawal (you don't want to interact with your friends and family), decreased activity (you just don't feel like it), decreased appetite, decreased comfort behaviors (you no longer care how you dress or look - you just don't feel like it).

Many aspects of disease (not all) include chronic pain, and pain can be pharmacologically treated in birds with monomodal, bimodal or even trimodal forms of intervention in many cases.  The patient's response to your treatment at least in part can be used to monitor effectiveness of your pain intervention strategy, in that the above behaviors that were noted should be able to be reduced if you are maintaining the balance well., Some forms of  inoperable cancers can be treated in other means to reduce and sometimes resolve them too - and you may want to ask your doctor about more details and options that could be present, should they apply in your bird's case.


Brian Speer, DVM
About Brian Speer, DVM

Avian veterinarian Dr. Brian Speer was raised in a small town on California’s coast. He received his BS in Biology from California Polytechnic State University in 1978, and his DVM degree from the University of California at Davis in 1983.

An active member of the Association of Avian Veterinarians (AAV), Dr. Speer is a much sought after guest speaker and has presented at numerous conferences in the avicultural and zoological communities both within the United States and abroad. He is well published in the AAV annual proceedings, has served as guest editor for the journal Seminars in Avian and Exotic Pet Medicine, the Veterinary Clinics of North America, and authored chapters in several recent veterinary medical texts on pet bird, avicultural and ratite medical topics. In 1995 he co-authored the extensive avicultural reference, The Large Macaws, and helped to co-author Birds for Dummies in 1999.

Since 1989, Dr, Speer has run a “bird’s only” practice in the San Francisco Bay area and is the President and Director of The Medical Center for Birds. He is a consultant for The Veterinary Information Network (Avian Medical Boards) and the Maui Animal Rescue and Sanctuary. In 2003 he was the recipient of the Lafeber award for excellence in private practice of avian medicine and surgery and in 2006, was named Speaker of the Year for the North American Veterinary Conference.