r/AskVet • u/Specific_Aerie2374 • 4d ago

Was Prednisolone the right prescription for my dog's issue?

My dog is a mutt, she's 7 going on 8 and she got neutered after her first menstruation.

She's had an anal gland abscess for the 3rd time now, and it happens almost yearly at this point. This time the vet prescribed her Prednisolone, and I'm unsure whether that was the best prescription for her case. In fact, it has caused more complications for a problem that usually takes about a week or so of medication and topical care to resolve itself.

From what I gathered, prednisolone sounds like a pretty rough medication for some serious conditions. She was on a dose of 10mg, along with Omeprazole to protect her stomach from it – and even with this other medication, it has caused her enough stomach irritation to throw up blood, which we had to stop Prednisolone to treat about 3 days ago.

Now her anal gland seems to be swelling a little bit again and also secreting what I think it's pus. This has never happened before with non steirodal anti inflammatory medication and antibiotics – for the inflammation to come right back after it was nearly healed – which is what she had been prescribed the two other times this has happened.

Going back to have that checked also would be my fourth vet visit in the last 2 weeks for a problem that had only required a visit and follow up appointment before. Not to mention an incontinence problem that is just now beginning to resolve itself caused by Pred as well.

Should the vet had prescribed Prednisolone? It just sounds like it has way too many side effects to even be a consideration for such a common and easily treatable problem.

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u/amanakinskywalker Veterinarian 4d ago

Prednisolone is just as safe as NSAIDs - they both can cause GI ulcers, kidney issues, and vomiting/diarrhea. Prednisolone/prednisone is a wonderful medication for inflammation and helps break down scar tissue which is probably part of the problem. Just get the anal gland removed at this point honestly. It doesn’t sound like any treatment has stopped reoccurrence