Dog Fistual on Face
My 12 year old Shitsu/Maltese mix has had an ongoing problem with a fistula on her face just below her right eye for more than a year now. When she initially started with symptoms the vet gave her a local anasthetic and probed around inside to see if she had a foreign body lodged in there, but she couldn´t find anything.
A couple of weeks later the fistula hadn't healed and she was started on Prednisone 5mg and Clindamicin for two weeks. After this she was free of symptoms for about 3 months and then the fistula formed again.
She received another round of Prednisone and Clinamicin and was symptom free for about 5 months. After this the vets decided to take a contrast x-ray to see if the fistula was due to a dental abscess. The results of the x-ray showed that there was no abscess and the vets could not determine the source of the fistula from the x-ray.
They recommended surgery which I am hesitant to do due to a heart murmur that she has. Currently I am medicating her with Prednisone but not antibiotics, when I gradually reduce the Prednisone the fistula returns.
I also give her 1000mg Omega 3, 200iu Vitamin E, 10mg of CoQ10 and 250mg Vitamin C divided in 2 doses per day. She has been raw fed for the las 9 years and has not been vaccinated since the age of 3,she was vaccinated once for Rabies.
I would like to wean her off the Prednisone but every time I try, the fistula returns. Do you have any recommendations?
Currently the fistula is fairly stable, but there is a very small amount of clear fluid that is excreted. When the fistula is full blown the liquid that comes out is slightly tinged with blood, there is no puss and no foul odour. Other than the heart murmur and the fistula she is healthy, the heart condition doesn't seem to affect her. She is active, eats well, has a normal weight.
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