Anal issues

Re: Anal issues

Anthony Todd — Wed, 18 Feb 2015 17:02:42 GMT

[quote user="tess"]Ears, bums and feet often go together[/quote]

IMHO bums are almost always AGs and almost always alone and discrete, again, in my experience [even a siamese cat at Penn which had been examined by the great and good...

But I accept that a hit of triamcilolone in Panolog into the AGs may have cured it rather than the draining and infusion of the AGs.

Easy to do in the consult; [with practice] immediate response but doesn't involve an ancillary test so probably rubbished by modvets.

Re: Anal issues

tess — Wed, 18 Feb 2015 16:29:06 GMT

I would also be looking at atopy. Ears, bums and feet often go together in combination without any other skin signs, and sometimes it's quite subtle.

Worth looking at feeding and flea regime as a start.

Re: Anal issues

dachsie_4 — Wed, 18 Feb 2015 13:16:15 GMT

"I've seen this a lot in Staffies including several of my nurse's dogs which were investigated 'til the cows came home and never found a root cause - just mental Staffies probably."

I'm concerned I 've got mad owner syndrome :P

Re: Anal issues

dachsie_4 — Wed, 18 Feb 2015 13:13:54 GMT

I wish, been dewormed regularly.

Re: Anal issues

Gerry Henry — Wed, 18 Feb 2015 12:19:01 GMT

Oxyuris ?

Re: Anal issues

Martin Atkinson — Wed, 18 Feb 2015 10:25:46 GMT

[quote user="Gerry Polton"]

I am sure I am not the only one who has seen these clinical signs as a manifestation of atopy and/or food-driven pruritic skin disease? Biopsy of the anal skin can reveal the typical changes of allergic skin disease but I don't do that nowadays, instead preferring an exclusion diet first, as you might with a generalised pruritus.

Gerry

[/quote] You beat me to it Gerry. Food allergy has been the major driver in the majority of cases I've seen. Or, it may be behavioural, just attention seeking or some other odd neurological problem.

I've seen this a lot in Staffies including several of my nurse's dogs which were investigated 'til the cows came home and never found a root cause - just mental Staffies probably.

Re: Anal issues

Anthony Todd — Wed, 18 Feb 2015 09:44:18 GMT

Tee hee, perhaps that was why my hit of steroid per A/Gs worked.....??

Re: Anal issues

Gerry Polton — Wed, 18 Feb 2015 09:02:10 GMT

Gerry

Re: Anal issues

Anthony Todd — Wed, 18 Feb 2015 08:45:30 GMT

[quote user="dachsie_4"]definitely worth a trial [/quote]

If that fails I'll bet it's the anal glands, independent of size or nature of content although if is thin and watery or purulent it's odds-on. Pack em with steroid cream after your acupuncture fails, or before, if you're a cynic.

Re: Anal issues

dachsie_4 — Wed, 18 Feb 2015 06:38:40 GMT

Cannot really go wrong with acupuncture, definitely worth a trial thank you

Re: Anal issues

Christina Smith — Wed, 18 Feb 2015 00:15:02 GMT

Similar case,initially presented as anal gland irritation, then xrayed as spinal,the pain appeared to be at tail base We tried everything,meloxicam, gabapentin,tramadol. We eventually referred for acupuncture with miraculous result , a very happy acupuncturist, dog and owner

Re: Anal issues

dachsie_4 — Tue, 17 Feb 2015 23:33:34 GMT

I wish I could see what this dog actually do, but owner elderly lady that doesn't know how to record it on her phone....

Re: Anal issues

dachsie_4 — Tue, 17 Feb 2015 23:30:45 GMT

Thanks for the suggestions, I have run out of ideas so any thoughts welcome! I did radiograph lumbar area, nothing obvious, no reliable back pain either, I know neither are guarantee nothing going on with discs, but would have thought a better responds to preds if something there?? Have been tempted with haemorrhoid cream. Will trial sudacreme. Owner has tried vasciline. No skin lesions, but occasional ear issues therefore tried apoquel as initially thought allergies. owner doesn't reliably check faeces :( Glands hardly full every time I checked smaller than pea size.

Could be sciatic pain, may be worth looking into that a bit....

Doesn't help that it is difficult to access how compliant the owner is....

monika

Re: Anal issues

Anthony Todd — Tue, 17 Feb 2015 20:35:33 GMT

[quote user="Andrew Mellor"]I would be tempted to pack them with surolan or equivalent to numb them,[/quote]

+1, wish Panolog was still available, although one expert said that's because it had loads of triamcinalone in it ,so the dog or cat got a big hit of the dreaded steroid and the packing was incidental.

Also effective in dogs that suck their stifle joint for no apparent reason [I suppose 'cos they can't reach their anus.]

Re: Anal issues

Andrew Mellor — Tue, 17 Feb 2015 18:52:57 GMT

wash anus after defaecation, and apply sudocrem or Vaseline some dogs super sensitive if anal mucosa irritant.

you say anal glands nad - was there any filling/discharge etc some dogs seem more sensitive to the glands filling, I would be tempted to pack them with surolan or equivalent to numb them,

have seen dogs do this with flatulence- may be why the metronidazole worked.

any sign of fleasor any skin lesions? is faeces ok or slimey? any blood? frequency? try sulphasalazine possibly.

any L-S discomfort ?

just throwing some suggestions out there

Andrew