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Hello, my name isXXXXX and I have over 20 years of experience as a veterinarian. I am very sorry to hear about Purrsian's reaction to touching her back. The video was quite helpful and points to either pain or extreme itchiness given her reaction.
Allergies are the most comon cause of itchy, uncomfortable skin. And flea allergy is the most common allergen. It seems to affect the tailhead and back area most so it is definitely possible.I'd use flea protection every 28 days. Both Advantage II and Frontline Plus work quite well at killing fleas and are less likely to create a skin reaction. I do not recommend using any of the over the counter flea products as they are ineffective and some can be toxic.
Other allergens are inhaled (like mold spores or pollens) or food allergies.
To treat her allergic reaction to the flea bites (or any allergy) I recommendantihistamines and omega-3 fatty acids. Some antihistamines to try are:
1) Benadryl at 1mg per pound or 1/2 of a 25mg tablet per 8 to 15 pound cat 2 to 3times daily. You can crush the pill up and hide it in something tasty like hercanned cat food or you can give it directly. Make sure whatever you use is Benadryl only as the combination products with decongestants and acetaminophen are toxic to cats.
2) Chlorpheniramine 4mg per cat once or twice daily.
The omega-3 fatty acids will work synergistically with the antihistamine to sootheher itch and as a bonus will improve her hair coat and skin condition in general. I like the products by Derm Caps or 3V. These come in pump form to put on the food or you can puncture the capsules and dribble it on her food.
At her age spinal arthritis is also a definite possibility.
Long term for joint pain I do recommend using a combination of a glucosamine/chondroitin product (examples are Dasuquin or Cosequin) and an omega 3 fatty acid (like 3V Caps or Derm Caps). These work synergistically andimprove cartilage health and joint fluid quality and quantity as well as reducing inflammation. They can take several weeks to see full improvement but some cats do very well with them alone. They are available over the counter.
Another option is a product called Duralactin. This is an anti-inflammatory product derived from milk proteins and it also has omega 3 fatty acids incorporated into it which can be very helpful. See this link for further information: http://www.duralactin.com/products_feline.htmAnother possibility for her discomfort is a condition called hyperesthesia.Hyperesthesia is a poorly understood syndrome which is difficult to diagnose.These cats have pain and hypersensitivity to touch on their back and tails.They sometimes will bite at themselves because they are so uncomfortable. It isa poorly understood disease process with no definitive test for diagnosis and so other problems (such as spinal arthritis or infections or allergic reactions) should be ruled out first. We do know that stress does seem to make this disease process worse or flare more frequently. Sometimes mood altering drugs and steroids can be helpful.
Here are a couple links discussing hyperesthesia syndrome if you are interested: http://www.veterinarypartner.com/Content.plx?P=A&A=1998&S=4&SourceID=62http://www.cathealth.com/hyperesthesia.htmI
Finally it is possible that she has a slipped intervertebral disc (the soft cushionsbetween the vertebrae which allow spinal flexibility). When this happens pressure is placed on the spinal cord which is quite painful. If she goes outdoors she may have had some sort of trauma where her tail gotcaught and the nerves were stretched. As the nerves regnerate there is a tingling, sometimes painful sensation which can lead to the cat chewing or biting or being very sensitive at the area.
LS stenosis and a slipped disc can be diagnosed with regular radiographs sometimes but many times an MRI or myelogram (dye study of the spinal cord space) is needed.
Anyway in your cat's case I would start with trying to control allergies and if thatdoesn't work then she needs a thorough examination, as well as bloodwork to make sure internal organ function is normal, and a urinalysis with culture to look for a urinary tract infection, as well as radiographs of her pelvis/spine.If that all looks normal referral to a neurologist for an MRI may give you theanswers that you need.Let me know if you have any further questions.
Thank-you very much! She's never been outside and we've never had a flea problem but I'll try that first. We've never gotten radiographs of her spine either. One thing I forgot to mention is because she gets scared easily, she still crawls under the couch and beds which are really only a few inches off the ground. I have a feeling because of her age she may have injured herself. We'll try to find ways to block those gaps. Like I said she doesn't seem to be in much pain, if any. She'll purr even when we pet those spots.
Again thanks very much for your thorough response.
Thanks for the further information.
Fleas do seem quite unlikely given that history but every once in a while I do see some on cats that have never been outdoors. I think that they either hop in through a screen or people accidently bring them in, so it is worth trying preventatives.
It is possible that she has some spinal arthritis or a sensitive back from years of contorting herself to get under things. That should show up on spinal radiographs. I'm not sure she's in much pain, if anything I suspect it's more like a muscle twitch or spasm of the large muscles that run down her back on either side of her spine when they are stimulated with touch. Sort of the feeling like our eyelid when we feel that little spasm of our eyelid muscles. That always makes me want to rub my eye.
Let me know how things go for her.