What causes perianal fistulas?
The exact cause of these fistulas is not known, but is thought to start as an inflammation of the sweat and sebaceous (oil) glands in and around the anus, followed by infection of the area. Abscesses form, open, and then drain. The warm, moist area around the anus and under the tail, and the large numbers of bacteria in the area, make an excellent environment for bacteria to multiply.
Surgical removal is an option for some cases but not a consideration for Coronado. He has shown improvement with medication, diet, exercise, and a low stress environment. Surgery would create a situation with feces incontinence.
Cleansing the anal area with an antiseptic solution, and flushing with large amounts of water (hydrotherapy). For more serious conditions, a combination of oral cyclosporine and ketoconazole has been shown to be effective in treating these fistulas. We have been using a gentle flow of water (water hose - low pressure) and seen an improvement.
Treatment with dietary changes and with prednisone , atopica, vita caps and probiotics has been effective and helped to improve Coronado's condition and overall health.
Surgical treatment of perianal fistulas can be difficult because of the many nerves and blood vessels in the area. In addition, some of the ulcers are very deep. Surgical treatments including removal of the affected tissue, cryosurgery (freezing the tissue), laser surgery, cautery, and even tail amputation have been used. Complications after surgery include fecal incontinence and anal stenosis (scarring of the anal area, making it difficult to pass stool).
Basically it will be trial and error to find out exactly what works to treat and improve his condition. He is a loving and protective guy that really needs a loving and dedicated family. He's well deserving of an amazing home.
The most exciting part of Coronado is that he was in need of rescue, and we have seen great improvement in his condition. He just needs a home. This is a very loving and gorgeous dog. He is protective and might do best as an only dog.
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