Holistic Treatment for Perianal Fistulas in Dogs

Perianal fistulas, or anal furunculosis, is a condition in dogs that causes painful, ulcerated tracts or tunnels around the anus. They can be deep and may extend inward, causing discomfort and inflammation. Dogs with perianal fistulas often experience symptoms such as pain, swelling, redness, discharge, and difficulty or discomfort during bowel movements.

Perianal fistulas can be a chronic and recurring condition, affecting certain breeds more commonly, such as German Shepherds, Irish Setters, Boxers, and Bulldogs. When the condition is mild you may not notice there is a problem, but as it continues to progress watch for signs of your pet straining to defecate, having blood in their feces, and a decrease in appetite. You might also notice that they excessively lick their tail and hindquarters, often leading to infection with chronic draining ulcers that can be very painful.

The exact cause is not fully understood, but several factors are believed to contribute to their development:

• Immune system dysfunction - An abnormal immune response is thought to play a significant role in the development of perianal fistulas. Dogs with compromised immune systems or autoimmune disorders may be more susceptible to this condition.

• Chronic inflammation - Chronic inflammation of the perianal region, often due to underlying conditions such as allergies, infections, or anal sac disease, can contribute to the development of fistulas.

• Infections -Secondary bacterial or fungal infections in the perianal area can worsen the condition and contribute to the formation of fistulas.

• Dietary factors - Some research has suggested a potential link between diet and perianal fistulas. Specific dietary components or sensitivities may trigger or exacerbate the condition in susceptible individuals.

• Environmental factors - Environmental factors, such as exposure to certain irritants or allergens, may contribute to the development or progression of perianal fistulas.

What Is a Fistula?

A fistula is an abnormal connection or passageway that forms between two organs, vessels, or structures in the body that are not normally connected. This connection creates an unnatural channel, allowing fluids or substances to flow between these structures. Fistulas can occur in various parts of the body, not just the perianal area.  For example, anal sac fistulas are abnormal connections or tracts that form between the anal sacs and the skin surrounding the anus. This condition can cause discomfort, pain, and the formation of draining tracts that may ooze pus and blood.

Mild Vs Severe Perianal Fistulas

Fistulas can progress with symptoms becoming more severe which is why it is so important to seek treatment from a veterinarian early.  Mild perianal fistulas may just appear to be a pustule with erosions.  Severe cases can be bleeding sinus cavities with several draining tracts oozing blood and pus. The open sores can become swollen and red and the discharge from the fistulas generally has a strong foul odor.  

Treatment For Perianal Fistulas In Dogs

Perianal fistulas can be challenging to manage and require a comprehensive approach. Treatment often involves a combination of medications, topical treatments, hygiene, dietary adjustments, and natural supplements.  

• Treatment with prescription medications (oral and topical) can help temporarily clear up the infection.  Check with your veterinarian about using natural hypocholorous acid or silver sprays topically to help heal the sore areas.

• Diet Changes -A hypoallergenic, novel protein diet may help support your dog's overall health and immune system. Some pet owners have reported improvement in perianal fistula symptoms by avoiding common allergens or inflammatory ingredients. Common allergens for dogs may include grains, beef, and chicken. Artificial additives and preservatives can contribute to inflammation. Using a natural, minimally processed diet with fiber in the form of vegetables and pumpkin can help.

• Clipping of the perianal region to increase ventilation along with cleaning the area.  Use unscented baby wipes to keep your dog's butt clean.  Controlling bacteria is paramount when dealing with perianal fistulas in dogs.  Wash your dog's bedding regularly and encourage them to lie on soft mats instead of the floor or cement. 

Supplements For Perianal Fistulas in Dogs

• Omega-3 Fatty Acids - Omega-3 fatty acids, such as those found in fish oil or flaxseed oil, have anti-inflammatory properties and may help reduce inflammation associated with perianal fistulas.

• Probiotics - Probiotics are beneficial bacteria that can help support digestive health and promote a balanced immune system. They may assist in maintaining a healthy gut microbiome, potentially reducing inflammation and improving immune function.  Power Probiotic for Pets- replenishes good bacteria reducing the possibility of infection.

• Plant Sterols: Plant sterols have been studied for potential health benefits, such as anti-inflammatory effects and immune modulation.  By balancing the immune response and reducing inflammation, plant sterols may help alleviate symptoms associated with perianal fistulas. Immune Harmony contains natural plant sterols to help modulate and balance your dog's immune response.

• Herbal Remedies - Some herbal remedies, such as quercetin and olive leaf extract have natural anti-inflammatory properties. Topical application of silver spray may also help provide relief and promote healing.  AllerEaze and Olive Leaf Extract help reduce your dog's histamine response and fight infection.

• Hemp Extract – Hemp extract has been studied for its potential therapeutic properties, including anti-inflammatory and pain-relieving effects. These properties may offer some benefits for dogs with perianal fistulas by reducing inflammation and discomfort associated with the condition.  Happy Paws Drops contains 550mg of full spectrum hemp extract in an unflavored all-natural coconut oil base. Each 1oz bottle 100% organic. Made in the USA.  Happy Paws Drops can also help relieve the pain and discomfort associated with perianal fistulas.

If you suspect your dog may have perianal fistulas, it is important to consult with a veterinarian who can provide a proper diagnosis, determine the underlying causes, and develop an appropriate treatment plan tailored to your dog's specific needs.

Author:  Susan Blake Davis

Original Post Date:  12/19/2016

Revised:  2/19/2024

Dog Anal Glands and Scooting Problems

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Anal Gland Problems in Dogs

 Anal glands can become a stinky problem with dogs.  Anal glands can fill up quickly, become inflamed and irritated.  Dogs can scoot on the carpet or ground making a mess. Be sure to get your dog's anal glands checked by a veterinarian to ensure that your dog does not have parasites.

Anal gland problems are frequently related to the dog's diet.  Grains such as oats or wheat in the foods can make dogs itchy and uncomfortable.  Many dogs have gluten allergies and foods that they are allergic to create inflammation all the way down. 

To relieve your dog of anal gland problems, start by using a high moisture, hypoallergenic diet.  Try using a protein source such as rabbit or venison.  Add a teaspoon of canned pumpkin to each meal for fiber.  In addition, use Power Probiotic at every meal.  Power Probiotic adds beneficial flora, fighting bacteria and yeast overgrowth.  Probiotics help move along the digestive process, eliminating toxins and keeping your pet's stools regular and formed.  If your dog is prone to loose stool or has gas, use Soothing Digestive Relief along with the Power Probiotic.