Dog

Get Your Dog Care Questions Answered by Experts

Ask an Expert,
Get an Answer ASAP!

Dog

I want treat my god fistulas holistically. Is that an

Customer Question
Customer: i want treat my...
Customer: i want treat my god fistulas holistically. Is that an option?
JA: Thanks. Can you give me any more details about your issue?
Customer: the vet has told us that the only recourse is to euthanize our gsd. I just want to make sure that before we do that, that we are not missing any other treatments. The rescue where she came from was treating her fistulas with cyclosporine then they adopted her out to someone that did not continue the treatment. The we got her from this person and at that point (6 weeks ago) we commenced with the cyclosporine treatment with the agreement that her previous pet parent was going to pay for the second round of the cyclosporine--- he never came thru. Now her fistulas are worse. What should we do?
JA: OK got it. Last thing — JustAnswer charges a fee (generally around $19) to post your type of question to Dog Experts (you only pay if satisfied). There are a couple customers ahead of you. Are you willing to wait a bit?
Customer: sure
JA: OK. Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 2 years ago.Category: Dog
Show More
Show Less
Ask Your Own Dog Question
Customer reply replied 2 years ago
my dog is a GSD, full bred ex K9 trainee. Sorry for the typo above. "god" should be GSD
Answered in 45 minutes by:
1/7/2016
Dog Specialist: Dr. Kara, Dog Veterinarian replied 2 years ago
Dr. Kara
Dr. Kara, Dog Veterinarian
Category: Dog
Satisfied Customers: 17,524
Experience: Over 20 years of experience as a veterinarian
Verified

Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am sorry to hear that your poor rescue German Shepherd is struggling with painful perianal fistulas.

Holistically means to take into account the entire patient when we treat a condition, and certainly that is important to do in a dog with perianal fistulas as often one modality of treatment, at least to get them under control initially, is often unsuccessful.

I suspect that you may have been inquiring whether it is possible to treat them in a naturopathic form, using diets and supplements from nature rather than drugs. In my experience naturopathy alone isn't enough. We are dealing with a severe immune system reaction that needs to be suppressed. After getting things under control it may be possible to use diet and supplements, and greatly reduce drug use. But for now we need aggressive treatment for an aggressive, painful disease process.

Of course the ideal situation is to get the fistula resolved and either wean him off drugs completely or at least get to a very low dose. In some dogs that is extremely difficult to do. I find in many cases it is helpful to use antibiotics too, as secondary bacterial infections in raw tissue around the anus are extremely common and will complicate the treatment. Possible antibiotics we can use include Cephalexin, Clavamox, and Metronidazole.

I also find that for some dogs rather than a single immunosuppressive drug like prednisolone or cyclosporine they may need a combination, such as ketoconazole and cyclosporine, or prednisone and cyclosporine orally. Or an oral immunosuppressive and/or topical cyclosporine or tacrolimus (protopic) as well as keeping the area clean with a gentle antibacterial cleaner like chlorhexidene solution or shampoo. Another immunosuppressive protocol involves prednisolone, azathioprine, and metronidazole. Antibiotics like metronidazole, or the others I mentioned above are to treat any secondary infections, so your veterinarian may wish to add one of those to his cyclosporine protocol now to clear his symptoms. Perhaps then you can try topical tacrolimus along with oral cyclosporine and an antibiotic.

He can also be fed a true hypoallergenic diet trial as food allergies may be a predisposing factor. This is where naturopathic treatment can be helpful. Grain free diets are probably not restrictive enough to control the disease process, I recommend Hills z/d or Purina Veterinary diets HA.

I would also check his anal glands to make sure that they are not infected, which can complicate treatment. As painful as he likely is now that will likely require sedation. At that point I would infuse his anal glands with an ointment such as Panalog, clip the hair and clean the area thoroughly and treat the area topically.

I understand that all of this will be expensive in a big dog. But when fistulas get out of control and severe we need aggressive therapy to get them well again, and then we can start to back off on the number of drugs and the number of times we need to administer them. This is not an easy or inexpensive disease process to treat. But these dogs are truly suffering, so they deserve that sort of treatment. Sometimes even with aggressive treatment the fistulas don't resolve or continue to come back. Perhaps that is why your veterinarian is recommending euthanasia now. But if you can use multimodal therapy it is worth trying.

Here is a link to an article to read more about perianal fistulas in dogs if you are interested in reading more: http://www.vcahospitals.com/main/pet-health-information/article/animal-health/perianal-fistula-in-dogs/1054

Please let me know if you have any further questions.

Ask Your Own Dog Question
Dog Specialist: Dr. Kara, Dog Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
Ask Your Own Dog Question
Dog Specialist: Dr. Kara, Dog Veterinarian replied 2 years ago

Hello, I wanted to check in and see if you had any further questions after reading my response. If you do please feel free to respond with them. If not and you found my information helpful please remember to rate my response positively so I may receive credit for my work thank you, ***** *****

Ask Your Own Dog Question
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Dog Veterinarian
Category: Dog
Satisfied Customers: 17,524
17,524 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets!

LinhCharleston, WV

$1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15

CarolCedar Hill, MO

I think this is the greatest web site in the world. Thanks to all!

JudyNew Haven, CT

I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers.

NinaUSA

I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!!

Jasmine's MomUSA

Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there!

Sonya GEasley, SC

Last night my Expert spent close to 3 hours working with me on my dog's illness. Thank you so much for this opportunity to share in her care and knowledge!

Cathie MPompano Beach, FL

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Dog Veterinarian

3,033 satisfied customers

DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ

Joan

Joan

Vet Tech

5,320 satisfied customers

Vet Tech for over 35+ years working w/Dogs/Rescues

Candy

Candy

Veterinary Technician

7,973 satisfied customers

Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer

Dr Scott Nimmo

Dr Scott Nimmo

Small Animal Veterinarian.

5,120 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Andy

Dr. Andy

Medical Director

4,898 satisfied customers

UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management

Theresa

Theresa

A Voice for Your Pet

4,705 satisfied customers

19+ years experience in small animal medicine

Dr. Drew

Dr. Drew

Veterinarian

3,292 satisfied customers

Small Animal Medicine and Surgery

< Previous | Next >

Related Dog Questions
He is trembling, then losing his balance & then falls
He is trembling, then losing his balance & then falls forward and can't get up on his own. When we stand him up he can't keep his balance without his back legs spread wide apart- he is has had about 6… read more
Dr. Kara
Dr. Kara
Dog Veterinarian
17,524 satisfied customers
I'm not sure. Well she starts out shaking, Followed by heavy
Well she starts out shaking , Followed by heavy panting, followed by diarrhea. She has part bulldog and her and she's very hyper so it makes her very stressed out when she gets diarrhea. I do not know exactly what's going on just the shaking panting and diarrhea. Which stresses her out and make the symptoms worse … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,049 satisfied customers
My 14 week Labrador (32 lbs) May eaten 1 tablet (180 mg)
My 14 week Labrador (32 lbs) May eaten 1 tablet (180 mg) myfortic (taken for kidney transplant). I am not really sure if he did … read more
Dr. Jo
Dr. Jo
Veterinarian
BA
1 satisfied customers
Our dog ate gold bond healing hand cream 3 oz and is 50 lbs.
Our dog ate gold bond healing hand cream 3 oz and is 50 lbs. what should we do? It doesn't contain zinc.… read more
divealot1
divealot1
DVM
7 satisfied customers
She has a swollen face. Grace 8 yrs old. Grace. No she has
No she has been pretty health. Had knee surgery at 1 yr old. Has had hives from wasp stings. Responded well to benadryl… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Thing. Think her got the flu. Throwing up cough sneezing g.
Just got him they were treating him for kennel cough… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,454 satisfied customers
He's been bleeding from his penis for s couple weeks now I'm
He's been bleeding from his penis for s couple weeks now I'm trying to find some information on it … read more
Sarah Snow
Sarah Snow
373 satisfied customers
She has a piece of chicken not going down but still
She has a piece of chicken not going down but still breathing...been an hour … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
176 satisfied customers
His scrotum and the skin at the opening of his penis have
His scrotum and the skin at the opening of his penis have gotten black over the past few months. Also he has little b÷ebee like growths on various parts of his body … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,049 satisfied customers
She just ate a few walnuts, I'm concerned, because she has a
Hello, she just ate a few walnuts, I'm concerned, because she has a problem with seizures, she's on medication … read more
divealot1
divealot1
DVM
7 satisfied customers
Had torbugesic injection about 4 hours ago. Lots of panting
Had torbugesic injection about 4 hours ago. Lots of panting and won't lay down. Is this a problem … read more
Dr. Jo
Dr. Jo
Veterinarian
BA
1 satisfied customers
My dog has a large tumor on her thigh area. Blackie 10. She
She had this for 2 years but it just keeps getting bigger… read more
Dr. Alleyne
Dr. Alleyne
Veterinary associate
Doctorate of Veterinary Medicine
1,121 satisfied customers
My small are laying around and every now and then he passes
Second opinion] My small are laying around and every now and then he passes gas … read more
DakotaSouthFive
DakotaSouthFive
Independent Contractor
High School or GED
12 satisfied customers
Eats poop! I've heard that For-Bid doesn't work very well.
Eats poop! I've heard that For-Bid doesn't work very well. … read more
DakotaSouthFive
DakotaSouthFive
Independent Contractor
High School or GED
12 satisfied customers
I have an 8 year Siberian husky who today after being seen
Hello I have an 8 year Siberian husky who today after being seen at a vet and emergency vet specialist because he was hacking / coughing mostly at night like he had something in his throat when there … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,206 satisfied customers
My dog exhibits a strange behaviour this morning. He is Boo
He is doing an action that strongly mimics a human forcefully breathing through their nose when they have a blocked nose. … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,206 satisfied customers
She already has had one puppy it been an hour and no more
She already has had one puppy it been an hour and no more yet … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,206 satisfied customers
We have two dogs; a male and female. Our female was recently
We have two dogs; a male and female. Our female was recently in heat, so our male dog attempted to mate with her. about 3 days ago, we noticed our male dog was more timid and lethargic. and we noticed that his penis is swollen. … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,206 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x