Ask a Dog Vet and Get Answers to Your Dog Veterinary Questions
Hello, this is Dr. Jess. I am sorry to hear about Scrappy! In his case, I would definitely recommend a visit to your veterinarian for this issue. Most often, there is going to be underlying damage to the skin that may not be easily visible underneath the fur. To treat these guys, we need to shave the area and around the area where maggots were found (often they may be more extensive than we first realize), and then remove the maggots (sometimes they can be burrowed into the skin as well). We often give them a treatment of ivermectin or another drug that will help kill any remaining maggots we may have missed, and then debride the wound, removing any dead tissue. We then will often treat the wound topically with antibiotic ointments but also give a systemic antibiotic and pain medication for these guys as well. Here is an article on this topic: http://www.petplace.com/article/dogs/diseases-conditions-of-dogs/worms-parasites/myiasis-maggots-in-dogs
The tramadol is a pain reliever but doesn't provide any anti-inflammatory effects, so isn't usually our first choice for these situations. The other thing that makes me hesistant to give him tramadol is the fact that often these dogs with maggots may be weak or debilitated and tramadol can make dogs lethargic/depressed which may not be what we want in this situation. I would truly recommend taking him in to your vet or the emergency vet if your clinic is closed.
Please let me know if you have any additional questions. If you do not, please take a moment to CLICK AND RATE our conversation so we can know if you were satisfied with your service and I can get credit for helping to answer your question. Thank you and best of luck to you and Scrappy!