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Hi. Welcome to Just Answer. My name is***** I'm sorry to hear about Pippin's discomfort. Is he still eating and drinking well? Do you feel that he's urinating normally? What does the actual incision area look like?
I'm sorry for my delay. Had technical issue on my side too. That is good that he's eating and drinking well. The feces that he produced to day that caused the discomfort, how did it look? Was there anything in it that could have caused discomfort like any woody material or bones?
Honestly. The typical expected problems that can happen with a neuter are bleeding / swelling at the actual site of the neuter. IF there is no swelling here and the incision looks good, then it would seem that the neuter site itself is healing well. Could there be some irritation from a suture inside the body at that place? Typically if this is the issue, then there is swelling or discharge there. I've seen a few that have had staples used on the skin that could be causing discomfort. Could he be posturing to defecate and by spreading the legs that puts a little more stress / discomfort on the incision? IF that is the case, then the pain medication and time is about all that can be done for that. With him eating well, drinking well, urinating well, and not being overtly in pain otherwise, it would seem that time is going to be the biggest factor here. I've seen some that just are more uncomfortable post procedure. As far as pain medication, you could ask your vet if they have anything else to add into his protocol. Don't start anything without their approval as they need to make sure there are no interactions.
There is really no way to know if the suture inside is causing this. An x-ray wouldn't show anything with suture issues. If they are dissolvable, then again time should help to improve things. I would be more worried about the suture inside being an issue if there was swelling there or discharge. I would make sure that he continues to eat and drink well. It is also important that he continues to defecate and urinate normally too. IF the discomfort isn't getting worse, then staying the course with the pain meds, rest and time would be the most likely progression to follow. I've seen some greatly stressed by their E-collars, but they are there to keep them from getting to the sutures.
The scooting could be due to irritation of the rectal / scrotal region. Some can have razor burn on the area if there was some irritation from that. Typically there is something visible on the skin if this is present. I would be curious to know what the stool consistency is. If it is normal, then it would seem to be less of an issue potentially. When stools are lose, they can cause scooting. Could an anal glad need expressed?