Perineal Hernia in Dogs

Peso my dog with Perineal hernia

This is Peso before his 1st Perineal Hernia Surgery
This is Peso before his 1st Perineal Hernia Surgery
At this stage Peso just can't urinate, and the bladder full of urine causes the bulk, and stretched the muscles
At this stage Peso just can't urinate, and the bladder full of urine causes the bulk, and stretched the muscles
Looks like he developed another head right under his tail
Looks like he developed another head right under his tail
his bladder , these first four photos was taken during Peso's First Surgery
his bladder , these first four photos was taken during Peso's First Surgery
This photo was taken during Peso's 6th Surgery
This photo was taken during Peso's 6th Surgery
the procedure is called Bladder Transfixation
the procedure is called Bladder Transfixation
This procedure is the next option if the pelvic muscles cannot be repaired anymore
This procedure is the next option if the pelvic muscles cannot be repaired anymore
Opening near his Birdy
Opening near his Birdy
Peso after surgery
Peso after surgery
after surgery, Peso still cannot urinate, so this procedure was performed
after surgery, Peso still cannot urinate, so this procedure was performed
this is the bladder topper
this is the bladder topper
Poor dog
Poor dog

How I found out about my dog's Perineal Hernia

I never knew about this ailment until a veterinarian told me about it... Peso was 7 years old when I observed him having difficulty putting his poop out... even if I gave him a soft diet, a stool softener medicine and lots of water, still the poor dog had a hard time and the worst can't bring out a small piece... The next time I brought him to his veterinarian, Enema was performed to remove the impacted stool, which stuck up in the space created by the hernia..

Since the ailment was new to me, I hesitated to bring my dog to surgery right away though I was told that only surgery can correct it... But when I finally agreed to bring him to surgery, ahead of set scheduled, my dog had difficulty urinating, and in Perineal Hernia, that is a sign that an emergency surgery must be performed immediately.

After his first surgery, he was castrated too to avoid further complications.. After a month, another surgery on his right rectum muscles was performed, ( Peso has double perineal hernia). The problem with this kind of ailment is, it is a recurring kind... and the sign is always obvious, difficulty urinating and very bulky behind. Peso had his 3rd surgery a week after his second. He had difficulty urinating and the worst, his bladder almost went out from his anus. Peso was howling in Pain. Another surgery was Performed, and the veterinarian decided to repair the left side of his rectum again,

HIs fourth surgery happened after three months, his bladder was trapped in the hernia again causing him difficulty urinating (4th surgery), this time the right side of his rectum was repaired and strengthen. But after a month, it gave in again thus another surgery was performed on the same muscles (5th Surgery), the story did not end there, after another month, Peso showed signs of restraining again. The veteriananrian said, Peso's muscles is already thinning, that a repair may not be helpful anymore, so he decided to use another option which he called BLADDER TRANSFIXATION, he made opening near the Dog's Penis, and attached the bladder to the abdominal wall, This will prevent the bladder from roaming the hernia.

After the surgery, Peso was returned to the clinic Because of difficulty urinating again...His veterinarians and other Senior Vets are planning to use Silicon mesh, to support the thinning pelvis muscles, but while planning for it ( because mesh is not available yet in the Philippines), bladder topper procedure was done to Peso to collect urine from his bladder... at that time catheter was not effective to Peso..but thank God, after a few series of Bladder tapper procedure, Peso was able to urinate, and his vet said, "At least there is no need for us to put Peso to another immediate surgery", and we never returned to his vet for surgery since then.

Lessons Learned, once your dogs were diagnosed with Perineal hernia don't hesitate to bring them to surgery, my fears and doubts made me delay Peso's surgery, and in this type of ailment prolonging it means worsening it... If in case it reaches the case of Peso, don't deny them the chance to life, believe me once you see them surviving the feeling is very magical...

Indeed my dog had experience so much, he is a survivor, a Super Peso... A Real Peso "Rang".

An Update about my Dog's Ailment

A Dog's perineal hernia, never stop in the success of the surgery. Peso's sixth surgery, the Bladder transfixation was considered a success because it kept the bladder in place, at least at the right side of his behind, which prevented it from blocking his intestine which remained at the left side of his behind. Meaning, for more than a year now, Peso survived, his life is back to normal and he can poop now with my help and with stool softener drugs which will be his lifetime maintenance... After Sixth surgery, we still have another option for another surgery, which may need the use of "Surgical Mesh". Last year this mesh is not yet available in the Philippines, but my dog's veterinarians were determined to get one for Peso, if in case Peso did not respond well to his last surgery. This mesh will be added to the dogs thinning muscles at his behind, making it stronger to hold the organs like bladder in place, this is 95% non recurring.

But since Peso managed without the mesh transplant and considering his age, I believe he is okey as he is now...

but expect more impacted stool, in spite of  taking his maintenance stool softener drug,  you can still observe  your dog's behind getting extra ordinarily bulky. Last March, I sent Peso to Vet. clinic for stool removal, and just today, after more than 3 months, I successfully managed to help him bring out  the impacted stool...You can use your imagination for what I did to help him..

and I know Peso was just so grateful

Tips

 If in case your dog has perineal hernia and had undergone surgeries too, always observe him when he poop. In case he has difficulty putting it out, try to help him by pressing gently the bulky part where the feces may be is...always give him stool softener drug after meal (twice a day) and give him soft diet with high fiber..

Elizabethan Collar, A must have after surgery

the Lamp Shade like collar or E Collar

 This is very important for this will prevent your dog from licking his wound or stiches. Without this the dog has the tendency to remove the stiches by himself causing the reopening of wound which will need restiching of the opened wound.

At First the dog will surely resist it, but as his master you must insist and show him you are the boss... The dog will soon get use to it and even sleep with it or play with it.  Once the wound is dry, and not that itchy anymore, you can remove this from your dog's neck anytime

Peso's first Perineal Hernia Surgery

© 2010 Maria Cecilia

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Comments 98 comments

Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Please feel free to ask me about this ailment...It was not a good feeling to see your dogs on the Operating Table always, that I wish my experience can be of great help to fellow dog lovers like me


preston2farrell profile image

preston2farrell 6 years ago from White Plains

i think you are right..if you are a dog lover you can feel their pain..my dog has also same problem..and i got a valuable information from your hub..thanks very much i will definitely wait for your next hub..


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Thanks for visiting preston2farell... just ask if you think you need to be enlightened about your dog's ailment.. thanks for following


ashleigh 6 years ago

Hello,

I am the owner of a 13 year old Pomeranian cross Chihuahua and the other day he could not go to the toilet i knew immediately that something was wrong so i called a vet who said that he was just constipated. so i gave my little man some oil to try help him, and after a few hours it still didn't help as nothing was coming out. i noticed that it looked like he was trying to poo but just couldn't so i booked him into the vet. he was crying out in pain which broke my heart to see him like that. when we went to the vet they told me that he had a Perineal Hernia and that if he didn't have surgery he wouldn't make it through the night so i agreed. His bladder had gone into his bowel and he also had body fat in the hernia. the surgery was just to put everything back in place. he came home this morning. and he seems fine. but i am soo worried because they didn't repair the hernia. and my question is this

what are the chances that the same thing could happen again ?

when we get the hernia repaired is there a definite chance that it will come back? or will it be gone for good?

i am so worried because he is such an old dog, i don't want him to go in such pain if this does happen again or f it comes back. please reply im in need of some advice thankyou

god bless


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Thanks for visiting ashleigh, your dog is still a tough dog at his age, but then perineal hernia sometimes leaves you at no choice but to bring your dog to surgery because the complication is always either of the two, he can't bring out his poop (which can be solve by enema for the time being) or worst he can't urinate, in this case the dog needs to be immediately sent to surgery. In Peso's case, when he can't urinate, that is a sign for me that my dog needed to undergo another surgery, sad but true, but it's the only choice to prolong my dog's life so I took the risk. Sad to say one surgery for perineal hernia case can't guarantee that it wont recur.. there is always a possibility because the muscles that was repaired has the tendency to loosen in time but, we can do something about it, and that is to provide our dogs a soft diet. Peso has lactulose 2x times a day, it is a stool softener that he needs to take for life, aside from that, his food is always wet and with fibers. I often included boiled squash in his diet. always observe his when he poops, you know sometimes because of the hernia (which created a space in his behind) even if the stool is soft, it's no guarantee that your dog can bring all his stool out so observe him and try to help him poop but pressing his behind, either left or right side. I guess that will help him bring out his poop without exerting to much...

I will pray for your patience and inner strength because perineal hernia in some cases is a recurring kind, you need to have an open communication with your dog's vet and always ask him everytime you are in doubt... I know how you feel, been in that situation too many times, and I really thank God that for more than a year now, we never returned to the vet for the same reason... Goodluck to you and just ask me anytime, but be please wait for my response I will try to answer you as soon as I can


Renee 6 years ago

I am so thankful that I found this website. I have a Westie, who has had surgery, and it looks like he might be in line for more. We are doing the Lactulose route, but I would love to hear more specific ideas that you all have about feeding. Any help that you could pass my way would be greatly appreciated. Thank you so much for posting this site!!!!


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Renee I hope I can hear feedback from...Peso is not a dogfood eater, during his surgery days, the more that I stopped feeding him dry dog food. I converted to red or brown rice because Peso is a rice eater so he must be fed with the kind of rice that is highly nutritious and fiberous and easily digested, I combined it with boiled squash and boiled meat. I give him yogurt too as often as possible, I read in this hub plain yogurt is the best for our dogs. I don't give him big volume of foods in just one eating to prevent big volume of stool. give him dry dog food once in a while but combine it with his regular meal, meaning just put a few pieces on his meal. and always remember his food must be soft or always wet with broth. when you boil chicken or meat, don't add spices, dogs will like the broth even without salt in it.

Aside from squash, I give him carrots and cabbage. I hope I can help you. and thanks for visiting. hope to hear feedback from you and Goodluck


Renee 6 years ago

Bless you, Maria! I cannot tell you, again, how thankful I am that you are so generously sharing your journey with Peso with us here online. I'm sure you felt isolated and helpless when your baby was given this diagnosis and had the surgery. It is so wonderful that you are out there and bridging this gap, as we are all learning from each other. I cannot thank you enough.

You are confirming what I am doing right with my Beemer dog (Westie with a perineal hernia--had surgery, but I'm a little skeptical about the results). He, too, is on lactulose, but recently I started cutting back on his food portions, as you've suggested. That helps. I am also giving him the yogurt, along with canned dog food. I am adding some pumpkin to his food. I have even tried Mini-Wheats cereal to help. I have also used the child size suppositories to help him.

I have considered cooking for him, and it seems now that might be the best course of action. I will keep in mind all of your advice.

Thank you for the quick response, and again, thank you so very much for hosting this site!!


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Renee I really created this job for fellow dog lovers like you, I know nothing beats personal experience so I am really sharing it. not every one knows about perineal hernia and during Peso's earlier years with it, I have no one to ask but relied on the internet and yet there is no enough studies about it. I am updating this hub everytime I see development in Peso. how old is your dog now? Is he eating well? I mean is his appetite good? if he still loves to eat then the only thing that you must think about it what to feed him and observe his stool. one vet said that we must maintain a toothpaste like consistency of the stool, Please update me about your dog I really want to know, and I want to help you go through it. send me pictures if you like and we will post it here...


Renee 6 years ago

You are too kind, Maria. Thank you for asking about little Beem. He is doing all right, but I wouldn't be surprised if we have more surgery in the future. He had a procedure done at OSU in the spring. It involved pulling the colon taut to eliminate the hernias. He had two. He was also castrated during the operation, as we were told that too much testosterone could have been what started this mess, and his prostrate was a bit enlarged.

Things were going rather well, but now he is having a bit more problem producing stool, and I am hitting him heavy with the lactulose. Most of my day on Sunday was spent giving him everything that I could think of to break up that build up in his rectum. Thankfully, we had had success, but it wasn't easy. I thought that maybe I was giving him too much pumpkin, and thus, too much fiber. My husband suggested the smaller meals (Beem LOVES to eat!), so we're doing that now, along with the pumpkin mixed in a small bit of canned dog food in the morning, a half a turkey dog in the afternoon, and some yogurt in the evening--with the lactulose being given with all of it.

Today we've had severe rain, so I didn't get to walk him, but that helps, too. Beem will be six on Thursday. I adore that dog, as I know you do your Peso. I have pics posted of the recovery on my Facebook page. However, they are nowhere near as vivid as what you posted with dear Peso.

Thank you so much for reaching out. Clearly, I would be grateful for any other advice you can pass my way. Thank you, thank you, thank you!!!


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Thanks for your kind words Renee, what do you mean by "having a hard time producing the Stool" do you mean he is having a hard time putting his poop out? always remember that even if the stool is soft, because of the hernia, the poop did not go directly to the hole where the poop should got out, then I suggest observe which side of his behind is bulky and try to press it gently toward the anus hole... if you learn to master it, you will be able to help him bring out all his wastes... anyway Peso was neutered too during his first surgery. In your dog's case it was his intestine, in Peso's case it's his bladder that always place him in trouble... anyway renee, I am willing to be your facebook pal invite me but please send me a message that it was you who is inviting me and mention your dog too, you see my facebook is only for people I trust... here is my email add celar_peso@yahoo.com. don't forget to visit here from time to time for update


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

By the way I add a video capsule here hope you guys won't have a hard time viewing


Renee 6 years ago

Hi, Maria!

Yes, you are so right that I need to push his bulk a little closer to the anus hole to help the young lad. Coincidentally, I had this same problem with my Peke, but he was much more agreeable to letting me work with him. Beemer doesn't like me messing around back there too much, but we will need to change that.

Thanks so much for telling me about Peso. I am looking forward to learning more about him. How is he doing now?

Also, I am honored to be your FB friend. I sent a request to you just now. Please don't be frightened of my profile pic. My birthday is on Halloween, and I was having some fun with the holiday.

And, yes, I have added this site to my favorites. I will be a frequent visitor. I am eager to learn as much this condition. We all learn from each other.


Maria Cecilia profile image

Maria Cecilia 6 years ago from Philippines Author

Thanks renee for visiting I included a video here, that was during his first surgery. Peso did not like to be touched thru his behind too before, but he got used to it..I already accepted you we are facebook pals now


Renae 5 years ago

Thanks Maria for sharing Peso's story. I have an 11 year old Chihuahua. He had problems pooping and cried out. Around Christmas he was neutered and things seemed better for a little bit. On followup visit he developed a pocket where poop just sat and doc had to manually clear. On visit last week I was told to see surgeon about pocket and perineal hernia. She mentioned rectum was in that area but there could be other issues so we need to get it checked out. Worried about his age but other than this problem he's healthy. Peso's story is part of what I was wondering...would one surgery take care of this or would there be more. Sorry he' gone through so much but glad he is good. He has mostly eaten dry, moist food but will look for more fiber and wet food. Have read a lot of good things about pureed pumpkin too...will look for some. Any tips...I'm open. Thanks, Renae


Maria Cecilia profile image

Maria Cecilia 5 years ago from Philippines Author

Hi Renae, surprise to know that even small breed can have this kind of ailment, Perineal hernia is very common with big breeds, anyway, it could be a perineal hernia,because the vet mentioned about the pocket...you know even if the dog has soft poop, it will not go out because it goes to that pocket instead of going directly to the rectum. yu are asking me if this can be done in one surgery, I think it depends on the dogs, unfortunately for peso he had six, but the because it has two perineal hernia. but then since your dog is small, I guess his case can be more manageable. Hernial surgery is not as severe as internal organ problems, so once corrected and once the stitches healed, the dog must be ok.. but since you are considering his age, and still undecided to bring him to surgery, why don't you try what I am doing, aside from giving him food that wont make his poop hard (ideally his poop must always be paste like)observe his behind when he is about to poop, where is the pocket located, is it in the left of right? where ever is it, you can observe a bulge in the behind that has the pocket, so when your dog poop, you must help him yourself by gently pushing the bulge....and you will see the poop will go out easily.. I know this sounds weird but I know you can do that out of love for your dog. Peso still has his hernia and I can see the bulge when his bladder is full of urine.... but I guess we survived because of this method.. please feedback me on how are you doing.... I really created this site for fellow dog lovers whose dogs have the same condition


Renae 5 years ago

Thanks Maria for your quick response and advice. I am taking him back to doc today to be evaluated by the head doctor...he has performed many of these type of surgeries. If for some reason upon his exam he feels we need to seek a surgeon, already have one lined up thanks to a friend and also the doc we have been seeing in the same office...turns out he was her professor. So, I am feeling a lot better about things today. I will definitely keep you posted. Thanks again. I pray Peso will never have to have anything else done..what a champ he is!


Maria Cecilia profile image

Maria Cecilia 5 years ago from Philippines Author

thanks Renae just update me I will be glad to know another dog survived the ailment, you can see in this comment thread Renee, another owner of a dog with perineal hernia and she is updating me through our facebook account.. thanks for visiting again..


Renae 5 years ago

Peanut having surgery tomorrow. Turns out colon is "free floating" and will have to be reattached in permanent part of belly...colon is actually pushing through hernia. Also some concern about the bladder but, as you know, you can't really see until you get in there. The surgery will be about 3 hours so that is a big concern too. Praying all will go well. Really like the doctor. He was very thorough and explained everything he could asked us if we had questions. He's in good hands so I know we are all doing the best we know to do. Will let you know how things go tomorrow.

I'm on facebook if you want to add me too. Listed as Renae Eichenlaub Lawson. :o)


Maria Cecilia profile image

Maria Cecilia 5 years ago from Philippines Author

oh yes bladder and the colon is complicating each other.. In peso's case it's his bladder that roams the hernia and once trapped, will cause Peso not to be albe to urinate so immediate surgery is necessary.. don't worry about peanut the vet seemed to know what to do with peanut... Update me on any development... In case you'll be first to reach facebook here is my email address celar_peso@yahoo.com Maria Cecilia Arrogante, I open my facebook to fellow doglovers especially those with the same ailments as peso


Derrek 5 years ago

Hi Maria, it's very nice to see what you've done here. And it's nice to see so many pet owners get great, first-hand advice from a person who has been through the ordeal. My dog just had a perineal hernia surgery on his left side. The issue now is, I noticed a bulge on his right even before the surgery. According to the vets, who are very friendly and patient, the bulge on the right is a swelling and is not a hernia. They've asked me to observe the spot nonetheless. I'm worried, but I'm not sure if I should be. How does a bulge form on the right when there's a hernia on the left? Does this happen?


Maria Cecilia profile image

Maria Cecilia 5 years ago from Philippines Author

Hi Derrek thanks for visiting and I'm glad you found me, I love to meet petowners who have the same experience as myself with my dogs... Well let me tell you first about Peso's case, I was told by vets (I talked to a lot of them before I decided to bring Peso to surgery)that there is a tendency for the other hernia to develop at the other side of the behind.Peso's first hernia was at the left side, and yes a week after the surgery, I saw the right side moving, meaning when Peso barks, the right side seemed to bulge and yes since the left side was repaired, it seemed like hernia is searching for an other space.....In peso's case, it was another hernia, and there was a bulge because his bladder occupied the space created by hernia so, expect it to bloat when he is not urinating yet.

same ailments but different symptoms, in peso's case it's his bladder, when he can't urinate anymore, it's a sign of emergency surgery. how about your dog? I am just curious, if the surgery of your dog was at the left side, why will it swell on the right? to tell you honestly, I saw another bulge after his first surgery and I know it's not just swelling but another hernia..

consult the vet again, and in case it's another hernia, of course vet won't consider to bring him to surgery until the first one is completely healed.

and I will tell you, in some cases, Perineal hernia is a recurring kind, and I pray for you not to give up on your dog. Peso had six surgeries and it was not a good feeling, but he survived, dogs don't give up when they feel their humans doing everything to make them feel well.

Derrek you can ask me questions here anytime if there is something that you still need to ask. I have a facebook account and you can invite me anytime, celar_peso@yahoo.com, just message me that it's you, I would like you also to communicate with Renee and Renae whose dogs also undergone surgery. Goodkuck


Derrek 5 years ago

Thanks so much for your reply, Maria. Actually, that was my worry as well. The surgery was done on the left, and yes, the vets examined the right side and said there is no clear-cut hernia. Weird part is, the bulge has been there even before the surgery and the vets saw it, examined it, and said it was not herniated. To them it seemed like a swelling, and they advised not to do a surgery on that side unless it's really a hernia, which I agreed with. I will be getting him examined again when the sutures are being removed in a week's time, so I'll ask the vet to check out the bulge / swelling / whatever that thing is once more. According to them, there are cases where a hernia on the left may cause swelling, fluid build-up, and a bulge on the right. I confirmed this with a different vet as well.

My dog is a tough one to handle. Very fierce, very aggressive, and he'll never allow anyone except his owners / family to touch him, which makes it extremely difficult for me to get him to the vet. But worry not, I will never ever give up on my dog. I took him in when he was a puppy, I found him abandoned in a box, and I'll do everything I can to make sure he has a happy, healthy life.

Just wanted to ask you, what is the best home-cooked high-fiber meal? I'm feeding my dog high-grade dog food (very soft, minced, watery) with porridge. He laps it up in no time. But what would you suggest as a good source of fiber? My vet has only given me meds for a month and says I can stop those and continue feeding regular food after the 6th week, but I have decided to go with soft, easily-digestible foods from now on. What would your suggestions be?

Thanks again for the reply, Maria. I'm glad to know that you and Peso are doing fine. I wish you and your pet all the health and happiness that you can find. Stay joyful, Maria. =)


Maria Cecilia profile image

Maria Cecilia 5 years ago from Philippines Author

Hi Derrek first let me tell you that I really appreciate pet owners who comes back here in my hub and update me on what's happening with there dogs, I was praying you would return and read my reply, anyway about your dog's bulge on the right side, looks like it is nothing to worry about or the vets did not see something emergency in it thank God for that...

You asked me about Peso;s diet, ok I am not really a dog food follower but I when I give peso a dry dog food or keeble I usually add broth or water in it, because you know premium dog food is very high in protein and I was told it can be instrumental for whole stool and to some with just like Peso and your dog, it can make them constipate, but anyway I cooked Peso's food, boiled chicken or meat, without salt or any spices. I give him rice too but though quite expensive I used brown or red rice cause it easily digested. For the fiber I boiled squash sometimes I boiled it together with the pork. I think in other countries pumpkin is more common than squash so you can try the pumpkin too. sometimes try to give him oatmeal too, but don't do it everyday because it will give him too much fiber and the tendency is bulk and bulk of stool. Of course he is still taking stool softener drugs, while he is recuperating, continue giving that but I suggest you use your own judgement whether you need to give too much or it or little. our dog's stool ideally must be paste like so that they won't need to exert effort releasing their feces because you see to much effort may force or create another hernia.

so as pet owners it will be part of our lives to watch our dogs while they are eliminating, it maybe weird but I know you can do it because I can tell you love your dog too, sometimes if your dog is taking too long before releasing his stool, try to press his behind gently,on the affected part, and you will see, stool will come out..so I advise you buy surgical gloves, this is important because , when a dog has perineal hernia, we can see he can release his poop but not all. those remaining stool will soon become impacted stool that will cause him difficulty pooping. In this case enema will be done to him..

I think your dog and Peso are similar in the part that they are quite tough to handle, Peso is always the noisiest dog in the clinic and vets and assistants really worked hard to control him. I guess your dog is a spoiled too..LOL

ok don't forget to update me about his development and I will mention this again you can add me to facebook celar_peso@yahoo.com, Renee and Renae are owners of dogs with the same ailment as our... Goodluck.. and thank you


Derrek 5 years ago

Thanks, Maria. To be honest...I closed my Facebook a long timr ago hehe. Didn't find it very useful. :)

Yes, my dog is definitely spoiled. Too much pampering by me and I was extremely soft with him during his puppy days. He has the cutest, most innocent eyes, and they manage to fool me everytime. I'm sure you know what I mean. =P

Thanks for the diet tips. I have not used any chicken / lamb can food after my pet's surgery. Only seafood, veges, and fish, specially made for dogs. I guess it's an easier meat to digest. As for rice, I made it into porridge. My dog doesn't poop everyday, I guess because most of his food isn't solid, but when he does it's pasty like you mentioned. I take that as a good sign. I'll be visiting the vet in a few days for removal of sutures, and I'm praying hard that they tell me he's fine and that everything is going well. He's been through a tough ordeal and sometimes they have to be a lil' rough with him to sedate him, or transport him, and it's so painful to see him having to go through all that.

I don't know how you did it, but I admire your consistency, your love for Peso, and I respect the fact that you didn't give up on him. 6 surgeries is a lot, so be proud that you and Peso were strong through them all! Thanks again for the replies, Maria...and thanks for having this page. Make sure you and Peso stay happy and healthy!


Maria Cecilia profile image

Maria Cecilia 5 years ago from Philippines Author

Hi Derrek is it alright to know from where country are you? you know during early days of Peso in his ordeal, I was told by the vet that, Peso's case is rare and some owners when they told that this ailment is a recurring kind, they took that as a sign that, surgery is not necessary they found it useles because it will come back... but If you love your pets, you will never have a heart to see them suffering, having bulgy behind up to the point of difficulty eliminating, I don't think I can take that.....why will I deny him the chance to live when I can see how my dog wanted to get better because he can feel my determination... it was hard, even getting a vehicle for him was hard because Peso is a large dog and he cried a lot inside a car...

In case it is just another perineal hernia (the one in his right) don't worry if your dog is strong and healthy they will recover easily, and funny because they will never loss appetite. during Peso's first surgery, he was crying, I thought he felt something painful, but I realized he cried each time i started to eat and chew my food. he was indeed hungry, but not yet allowed to eat...

Derrek I will respect your privacy, but in case it's ok with, I have a plan to write another perineal hernia article and submit it to a Pet Magazine where my first article about Peso was publised, in case it's ok with, you I will be asking photos of your dog and you, and also during his recovery. but it's ok if you dont want it. thanks again for visiting and please don't forget to update me about your dogs, our experience can help a lot of petonwners out there


Derrek 5 years ago

I'm from Malaysia, Maria. I live in Kuala Lumpur. :)

I would love to help out with the cause, but I didn't take pictures of my dog's wound. You wouldn't believe it, but my pet is pretty "camera shy". It sounds silly, but he actually runs around me whenever I bring a camera out. I can never get behind him with one. So I stopped trying a long time ago, thus I only have old candid shots of my pet. Hehe. This must sound really silly, but it's true. I guess he's the private type. =P

Stay safe and happy, Maria!


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Maria Cecilia 5 years ago from Philippines Author

ah ok, Derreck that's realy funny for a dog, and of course I admire you, I wrote something here about dog photography and one of the rules I insisted there is not to force a dog to do something specifically posing for a camera. anyway just one question, are you willing to share that rare candid photo of you him? and r you willing to share your experience< if it's alright with you I will prepare a few questions for you to answer. thanks again for dropping by


Derrek 5 years ago

Hi Maria, I'll try to dig out the old photos. As for answering questions, sure I'd be happy to. Sorry for the late reply, have been up to my neck with work. And unfortunately, it looks like my dog may need to see the vet again. He's having trouble "doing his business", and it's heartbreaking to see. Will keep in touch, Maria. Stay safe and happy.


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Maria Cecilia 5 years ago from Philippines Author

Derrek try to help him manually, I mean try to gently push that behind where the poop probably is.. perineal hernia is like that, though it was repaired it still have a space where the intestine with poop goes... that is why even if the poop is soft, it still can't get out...


Derrek 5 years ago

Hi Maria, just wanted to check about something. Unfortunately, my dog is STILL on his e-collar, because he has developed chronic itching. Whenever the collar is off, he will bite himself till he bleeds. He usually does this to his back area, and to his legs (both front and back). He has learned to do this even with the e-collar on. Did Peso develop the same problem? Is it because of the medication, or because of the anxiety that he's still using the e-collar? I don't know of any allergies that my dog has, and I don't think he has fleas. So fat my vet has recommended a special, prescription-only shampoo and some antibiotics. They both don't work. Today he bit his front leg till it started bleeding raw. Also, he's on lactulose again to ease constipation. Could anal problems be causing this?

Would love an opinion from you. Have you encountered anyone else with problems like this, and if so, how did they stop it?

Thanks Maria. Stay well.


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Maria Cecilia 5 years ago from Philippines Author

no Peso did not experience severe itching on his back and he got used to his e-collar (maybe because he had been using it longer remember he had six surgeries)but it he definitely anxious at first, trying to remove it when I was not looking... but soon he got tired of me insisting it on him until I can left for work and return with him still wearing the e-collar....

I think itching is another issue. you know even if we don't thick or fleas, our dog still has this small fleas or something that we don't see... does the itchy part becomes reddish? it happened to Peso too, to the point that his fur on his tail almost disappear. his vet advised me to use a frontline spot on. This is for thick and fleas, you need to apply it at his back direct to the skin, the effect of it, any small tick of fleas will die once they bite him until they are completely gone, then that's where you can use the prescription only shampoo became the cause of itching was gone so you just need to heal the itchy skin.

Peso had mycocidal shampoo, and I am about to use it to him tomorrow when he takes a bath... you see it's tick and fleas season and he was scratching too even if I don't see anything when I tried to look at it...

If you're not familiar with frontline, please search the net and ask your vet. application depends on the weight of the dog.

how's your picture by the way, just submitted my other article and might start with the perineal hernia groups.. thanks for visiting Derrek hope this one will help your dog


Sue 5 years ago

I red your story and your lil precious peso and i am so sorry He has to go thru that..he's is very lucky to have u..I have a dog which I had adopted, he was in a very poor condition, he had a perineal surgery done 2 hrs ago and now it has come back, I cried and cried...not for anything but I cried cuz I just don't want my boy to suffer anymore...he has went thru sooo much and I just want him to have a break.....its def that the perineal hernia came back but more on the opposite side this time....I am not exactly sure how old he is but docs tell me he is quite old......I give him a stool softener everyday, most of the time he doesn't have a problem defecating...my question is do u think he is too old for another surgery?...how is peso doing now???.any information will help, thank u


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Maria Cecilia 5 years ago from Philippines Author

When Peso had his first surgery he was only 8 years old, to some that's already old but I took the risk because I had no choice but to bring him to surgery than see him suffer but letting the hernia to get worst. If you will read comment from above, you will see Renae here, her dog is eleven years old but still survive the operation. Please have a strong heart and determination for your dog, Perineal hernia is a recurring kind, and bringing him to surgery will help lessen or will stop his misery. if another hernia develops on the opposite side,you will need to wait for 3 weeks before another surgery. Well I think there is no age limit in this ailment but more on the quality of strength that your dog has. Dogs normally survived perineal hernia surgery. talk to your vets always. don't lose hope, remember Peso had six surgeries and her survived. Let's consider his case as the worst perineal hernia case. Please don't forget to update me, I'll truly appreciate it.


Sue88888 5 years ago

Sorry there was some typos ...I meant he had a perineal surgery two years ago and now another one has developed on the other side...it's not that big but it's visible enough to see that another one has come back....do u know if the hernia hurts them? Bother them or anything like that?,...thank u for getting back so soon, and I will keep u posted....how is peso doing now??


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Maria Cecilia 5 years ago from Philippines Author

Hi sue, Peso is doing ok, but he needs extra attention, I am careful with the food he eats, monitor his poop without a miss, and there are times when he can't poop on his own meaning, he can't bring out all his poop because of the hernia but when I pushed the bulk, the poops automatically went out from the anus hole, anything I can do for my love for him.... in that condition, that is manageable and fine. Hernia will definitely hurt them if it already prevented the feces from coming out,in some occasions, it was the bladder that roams in the space created by the hernia and once got stuck, will prevent him from bringin out his urine, and that means you need to bring him immediately to the vet, you see the photos above with peso having this bloated behind? that is because his bladder is filled with urine that he can't bring out. talking about pain, having a hard time bringing out the waste is painful to them...

Just keep on asking Sue, and send me picture thru email and I might include you and your dog in my article. Your dog is luckier it took him two years before another hernia developed, in Peso's case in a matter of months. control the consistency of his poop, it must be paste like always...


Sue88888 5 years ago

I give him a laxative everyday since his surgery two years ago....I also have to be careful cuz u can't give him too much or too little, too much he gets diarhea and too little he gets constipated..so u give him bout a sringe full, he weighs about 7 pounds, small dog......I ve been monitoring his poopin since the surgery, I watch everyday if he is constipated, and it's not good if he is....I see the consistency of his poop and I also have to check the size of his poop....I remembered before the surgery his poop was very thin, very stringy like pen thin.....by now I know what size of poop is normal to him, so when it gets thin I get scared....

I haven't taken to the vet yet since the recurring hernia came back...the doc had told me that it might come back and after the surgery I was hoping and praying it won't ...

Nowadays most of the time he doesn't look like he is having trouble pooping at all, he poops when he wants when we walk him....

I can send u a picture of him, what kind of picture do u want? Do u want to pics of his hernia? Also what is your email?


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Maria Cecilia 5 years ago from Philippines Author

Sue you are doing the right thing giving him laxative using your judgement or depending on his poop size. You did the right thing, it's just that hernia is really a recurring kind but, i think hernia in small dogs are more manageable.

I can share you a tip, peso still has hernia but his vet did not encourage another surgery simply because he can eliminate well and the bladder seemed to stay at the right and the colon at the left so they no longer complicate each other... You know because of the space created by hernia, sometime even if the poop is soft, instead of going to the hole when the dog poop it goes the the hernia, so what I am doing in this case is i gently push the part where I know his poop (I know and I can tell after years of taking care of Peso), meaning help him poop so he won't really need to exert the hard..

I have a facebook account and you can add me if you have one. celar_peso@yahoo.com, another friend I met thru this, is Renae, her dog is small breed also a Chiuaua, just this year Peanut had his first surgery, he seemed ok, and he is 11 yrs old. You can ask Renae for after care too since her dog is a small breed too. Yes I want to have his picture showing of him with his hernia and if you have his picture during his first surgery much better... and it's much better to if you will send me picture of you with your dogs of course.. thanks.


Sue88888 5 years ago

I just sent u a request on fb..unfortunately i don't have pictures before the surgery with the hernia...in fact I don't even have any pictures of the hernia,...I had 2dogs, unfortunately I only have 1 now..I only have the brown one now..u can tell he's been thru a lot, I tried to give him the best and will do anything for my boy....MARIA, THANK U sooo much for your replys and quick responses, I will keep u posted and also keep us posted with peso too....really appreciate u taking the time to write back! Thank u so so much!


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Maria Cecilia 5 years ago from Philippines Author

Ok sue I will accept you now, I really created this hub for fellow doglovers, you know during Peso's struggle I had no one to ask, I mean I don't know who to ask for I can't find anyone in the net who talked about their dogs who have perineal hernia, so I made a promise to myself, that I will make myself available for fellow dog lovers who may need my help with regards to this ailment, sue I will introduce you to Renee and Renae both of them have dogs with Perineal hernia and had undergone surgery too. See you on FB


Sue88888 5 years ago

Sorry to hear that someone like yourself wasn't out there in your tiMe of need.....well u are doing great!!...sure introduce me to both of them, thank u again!


Ranjit 5 years ago

Hi my 11 yr old boxer Bruno suffers from Perennial Hernia right side. He was having difficulty in passing stools so he was neutered 3 months ago, so that his prostate could shrink. He now has a problem passing urine in the mornings. I have to push the bulge in and as soon as I push it he can urinate. He is OK through the day but it is the same every morning. Given his age what is the way out ?


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Maria Cecilia 5 years ago from Philippines Author

Ranjit thanks for taking the time visiting here... As long as he can eliminate I think he is OK, but the problem is if he can no longer eliminate even if you push the bulk side? but I suggest or at least try in case you haven't done this yet, bring your dog to stroll as often as possible especially at night, and allow him to urinate as often as possible so that he will not need to stock volume of urine in his bladder and just wait to go out in the morning to urinate. maybe if he has lesser urine in his bladder, it will not bulk that much so even if the bladder got stuck in the space created by hernia, he can still urinate without difficulty. How about his stool, does he also have difficulty putting it out? in case yes ask the vet if it is alright to give your dog lactulose so that his stool will be softer. also ask your vet's opinion, if in that stage of your dog's life, is it still ok to bring him to surgery. ?

In Peso's case, most of the time he just can't urinate so I really don't have a choice but to bring him to his vet for surgery.

Perineal hernia when treated well, dog's recovers right away...


Muhammad Tariq 5 years ago

Ok done pictures are very nice wish all the best.M.T.AFRIDI


Patrick L 4 years ago

Hi Maria,

I'm very glad to hear that Peso is doing great. This blog that you set up is excellent and I'm sure many people appreciate what you've done :)

I have an 11 year old male chihuahua (not castrated) named Simba and he has a Perineal Hernia. We took him to the vet a couple days ago because he wasn't able to excrete his stool. The vet was able to extract the stool, but only when he was sedated. In addition to the Perineal Hernia, Simba has an enlarged heart (heart murmur). The vet has given us lactulose to soften his stool and another medication for his enlarged heart. The vet said that it would be a 50/50 chance of survival if Simba has surgery because of his hear condition. Simba is a very healthy and active dog...he runs around and plays as if he's only 6. The only problem was that we fed him chicken and rice his whole life and this has resulted in him being constipated thus resulting in the formation of a hernia. Do you think that Simba should have surgery to get the hernia removed given his hear condition and what the vet said? Or do you suggest we consult with an ACVS Vet Surgeon first?

Thank you very much for any kind of advice you can provide.

Patrick


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Maria Cecilia 4 years ago from Philippines Author

First you need to see a vet who is compassionate and the one you trust, the one who will tell you honestly the perineal hernia surgery won't complicate with his heart ailment, I guess it's not the surgery but the anaesthesia that will be given to him before surgery can give the 50/50 condition.. If the vet said that he cannot recommend surgery this is what I suggest you to do, always feed your dogs wet food, it's ok to feed him rice but in your dog's case brown rice or red rice is ok. ask your vet to prescribe a stool softener medicine like lactulose, Peso took it twice a day and I just adjusted the quantity depending on the softness of the stool. Which side is the hernia located? left or right? in that case help you dog poop by pressing that part gently slowly going toward the anus hole... if surgery is not the answer, these can be of help so you will need to observe a lot when your dog poops. sometime perineal hernia will lead you to point of no choice but surgery when either of the colon or bladder partly went out to the anus hole, and in case the dog can't urinate anymore, that means emergency surgery is necessary.... but hope your dog won't reach the part, but it is a possibility.. please update me of what you have decided to do and goodluck to you


Shana 4 years ago

Maria---was your doggie neutered? I am having a really tough time deciding whether I should neuter my dogs or not. My dogs are always on leashes so they will never get a dog pregnant and prostate cancer is supposed to be rare in dogs. The one thing I am concerned about his perineal hernias. Supposedly neutering protects dogs from getting them. Do you think this is true? Please help.


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Maria Cecilia 4 years ago from Philippines Author

Shana, first thanks for taking the time reading my hub, anyway in case of perineal hernia, yes it is necessary really for the dog to be neutered because it will add in the complications if not. and you know what, it is really adviceable for the dogs to be neutered, meaning if you are not planning to breed them, it is best to have them neuter so that they can be protected from other prostate related ailment.... I do believe neutering of spaying helps in prolonging a dog's life... but I am not sure if you neutering will prevent perineal hernia in the future. but I am sure that in case your dog has already acquired the ailment, the vet will definitely advise you to have your dog neutered... I hope I was able to answer your question. Don't worry about neutering, it is less complicated than spaying, and dogs recover easily


Joyce 4 years ago

It is REALLY wonderful to see another human being who will go the extra mile for her loyal canine. Thanks SO much for sharing your dog's story because it gives other dog lovers, who are going thru the same thing, knowledge and comfort. It gives them ammunition to fight. Congratulations!


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Maria Cecilia 4 years ago from Philippines Author

Joyce nice to see you here....you are right, I really went more than extra mile for Peso...there are decisions in life that some will think I am impractical but I am happy to choose Peso... thanks for visiting


Angie 4 years ago

Hi Maria.

I also have a dog, 13 year old Maltese with an unilaterial hernia.He had surgery last November, unfortunately, the hernia came back a month after; despite of the fact he has a special diet and all. He was also neutered in that surgery; and I feel he has less trouble pooping now than before; however, I just want to get this thing fixed once and for all. It's extremely frustrating seeing him struggle again when pooping :( His vet told me that because of his age we have to think about putting him under anesthesia again; however, I'm looking for a third opinion now and see if they can use the mesh thing. I'm just too confused and freaked out of putting under knife so soon.


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Maria Cecilia 4 years ago from Philippines Author

Hi Angie, I am not familiar with unilateral hernia, is it almost the same as Perineal hernia?anyway if your vet hesitated to put him under anesthesia because of age issue, you can ask other vets who can have more courage to tell you what else can they do. the mesh thing will strenthen that muscles that became thin because of the bulge...anyway try to help your dog whenever he poops. you know I help peso poop by pressing gently the bulge where the feces maybe located... you know because of the space created by the hernia, some of the feces went there and not directly to the anus hole... Peso too needs one more surgery but this pushing and helping makes him survived. always use a surgical gloves.

Please keep in touch and may I be able to help you..


Angie 4 years ago

Yes, it's a perinneal hernia, but only to one side. I;m actually taking him to the vet tomorrow; last Saturday he torn one of his toenails, and he had to take antibiotics, this of course has cause him to get constipated making the whole thing worse. I've tried to push the bulge; but the thing is it's get way too hard to push and he starts crying whenever I try. I will definitely take him to the vet first thing tomorrow.


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Maria Cecilia 4 years ago from Philippines Author

That could be the impacted stool. don't worry vet knows how to remove it, your dog is just a small dog, it won't be necessary to sedate him just to collect the impacted stool. In a veterinary near my home, they want to sedate peso before doing enema to him, but his vet whose clinic is very far from us just collected it using his finger...I know it's kind a disgusting but I learned to do it for peso.. again goodluck to you and please update me about it... I would like to know more dogs surviving the ailment... if you have a facebook accout pls. invite me and I'll introduce you to other dog owners whose dogs have hernia too..


junie001 4 years ago

hi there, i have been reading about your dog. my dog is 10 yrs. old and he has perineal hernia. i am not very confident about his vet because he doesn't seem familiar with the ailment. is it ok to ask for the name of the vet who did peso's surgery? thanks so much.

how is your dog doing by the way?


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Maria Cecilia 4 years ago from Philippines Author

Junie I wish you are from Philippines, well of course I will tell you who is doctor is, He is Doc. Nielsen Donato of Vets in Practice in Mandaluyong, the clinec location is near the mandaluyong municipal hall. If you are watching Born to be wild every Wednesday PM he is one of the hosts there, he replaces doc. Ferds.

Peso is fine, he is a bit overweight, loves to eat and play with my two year old dog...but of course there are still some problem as result of his ailment, In fact he still needs another repair on his behind, which might be needing a transplant of silicon mesh but after 6 surgeries and considering that he is 12 years old, I decided not to bring him anymore. well Junie a dog with perineal hernia will have immpacted stool from time to time, this can be removed thru enema, but in my case I have learned to help him poop by pushing the bulk part of his behind. Peso is still taking stool softener drug. please get in touch with me in case you decided to bring your dogs to surgery.


junie001 4 years ago

thank you so much. yes i am from the phils. oh wow, your dog's vet is a celebrity pala. kinda scary to think of his fees. don't get me wrong i love my dog very much. finances are just a bit strained. i hope you don't mind again if i ask how much the operation cost so that i can prepare for it.

you have been so helpful and i can't help but think that peso is so lucky to have you. i have read about him a lot and i am happy to know he's thriving so well.

i have tried the technique you mentioned (pushing the bulky part) to help my dog poop but it isn't working so far. maybe i haven't gotten the technique right yet.

anyway, thank you again so much.


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Maria Cecilia 4 years ago from Philippines Author

Junie how big is your dog? is he constipated? if he is give him lactulose muna startwith 3ml sa syringe, et him drink it after meal twice a day. This is a stool softener. His first 5 surgeries were around 6,000.00 I am not sure if it was discounted pero parang ganon, his olast surgery cost around 8,500. I'm not also good financially speaking, but some dog lovers supported me, most of them volunteered to help because they read Peso's story at Animal Scene Magazine. I have a suggestion, try to write CARA and Paws, and tell them your dog's problem, ask them if they can endorse you to Doc. Nielsen Donato or any vet in Vets in Practice (though siya talaga ang the best sa ganong ailment, I am sure they trained their junior vets to be very skillful in their fields). Pag sumulat ka sa CARA or PAWS,enclose your dog's photo.. ASPIN ba siya? If he is I will try to show his photo to our ASPIN Club, mas maganda kasi pag may endorsement eh.OK goodluck to you please update me always


junie01 4 years ago

Good morning. My dog is considered medium-sized daw. He weighs aroung 24 lbs. He had been constipated for a while but i gave him milk and yesterday his stools had been soft. i'll keep lactulose in mind if ever he needs it.

wow, it costs a lot pala to have surgery. but of course, he's worth it so i'll have to save up big time. thanks for the info about who to ask help from. you have been a big help not only with the knowledge you have shared but also just knowing about someone who had been through a lot for the sake of her dog.

yes, he's an aspin and he's turning ten in a few months. that's another reservation his vet expressed. he's kinda old na daw so surgery is risky.

i'll be sure to update you about him and to ask for additional info. thanks, thanks so much. hugs and kisses to your two dogs esp to peso. i first learned about him through your article in Animal Scene and that's the only time I suspected that my dog could have the same condition bec of the symptoms you described.

how fast did peso's hernia worsen from the time you discovered it?

anyway thank you again.


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Maria Cecilia 4 years ago from Philippines Author

Junie few more question, when did you confirm na he has hernia? How severe is his constipation? walang lumalabas kahit anong gawin ng dog and your dog really want to bring it out? pag may ganitong scenario kayo baka you can bring your dog to enema or labatiba, vet clinic knows this. I hope your dog is nice so he wont be needed to be sedated during the processs? si Peso kasi medyo nagwawala so sedated siya thou sa Vets in practise and sa Pendragon vet clinic hindi kailangan isedate you juswt need to be there to control your dog. Minsan kasi ang hernia will leave you at no choice, lalo na kung nagkakaron na ng complications, like in Peso's case hindi na siya maihi e punong puno na bladder niya ng ihi so you will see the bugle.. in that case emergency surgery na talaga kailangan.. I found out about his hernia October 2007 pero I had hesitation sa surgery, ang ginawa ko I give him high fiber foods and lactulose, then walk lagi kami every morning pampalakas din yun ng resistensiya niya. First surgery niya was July of 2008 medyo natagalan kasi nagkasakit pa kasi siya ng iba kaya pinagaling muna (well I hope Peso's case was the worst na since he is the first one to come out with this ailment)di na kami nakaabot swa schedule kasi nga di na siya maihi... Perineal hernia is a recurring kind so I wish you have more patience... pero baka naman mas may alam na silang remedy to prevent it.. ako based on my observation if the surgery is done sa loob, I mean just like what Doc. Nielsen did in Peso's olast surgery, parang di na nagrerecur or naglilead to emergency surgery. if you have a facebook account invite mo ako. Let me see your dog.. sabi sa akin nung isa sa mga first vet na tumingin kay Peso, pag daw pinagtatagal ang hernia mas lumalala di kita tinatakot ha... pero hanap pa tayo ng clinic like sa PSPCA sa Recto are familiar with it? try to call the clinic din and ask how much they charge.... but of course VIP is the best din pero malay natin baka mayron pang iba.


junie01 4 years ago

actually hindi pa confirmed na confirmed na perineal hernia. it's a 50-50 thing. you see, it's like this. about 2 weeks ago he seem to have difficulty pooping and i saw this bulge on his side. i had no idea what it was. i have this friend who has a very good vet but they are based in the province. via webcam lang niya nakita ung dog ko. he asked some questions, told me to feel for this and that. he said it could be perineal hernia but it's better if his vet sees it.

i had him checked by his vet but it seems the doctor is not familiar with the ailment. i asked about him it but he mentioned only two other hernias that afflicts dogs and perineal hernia is not one of them. iba rin ang symptoms nung two hernias na binanggit niya. instead he prescribed antiobiotics and anti-inflammatory for a week. after that, the bulge is still there. and it was around that time that i read your article about peso's surgery and i got scared bec the symptoms you mentioned and what the other vet asked me about, were the same. bulge that moves and recedes when pushed, etc. I need a third vet's opinion and it's better if he's an expert so I asked for your vet's name.

the constipation was bad for a while. only small pieces of poop coming out and he poops frequently. i gave him milk accd to the vet's intructions and so far he is able to poop.

yes, i'm familiar with pspca. i am going to inquire there like you suggested.

thanks, thanks. you have been very helpful


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Maria Cecilia 4 years ago from Philippines Author

Bigyan mo rin siya ng lactulose muna, mas maganda kung ang poop niya is paste like, pacheck up mo na dog mo para maconfirm mo, the other type of hernia na alam ko is ambilical hernia common ito sa mga shihtzu, and di rin kasing hirap itreat as hernia... sa perineal hernia, may mga case na ang mas affected yun colon or blqadder, sa casee ni peso bladder niya ang affected lagi in fact kaya siya na operahan for the 3rd time yung bladder niya muntik na lumabas sa anus, in other case, yung intestine daw ang lumalabas, so yun ang medyo iiwasan nating mangyari sa dog mo. Heto number ng PSPCA 7339427


junie01 4 years ago

yes, i think that's one of the two hernias his vet mentioned at iba nga raw ang symptoms nun. i forgot the name of the other hernia.

thank you for the number and for all the info. perineal hernia is kinda scary really.


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Maria Cecilia 4 years ago from Philippines Author

Junie basta matreat lang siya at magtiyaga ka lang your dog will surely survive it... Mas madali pa rin siyang ipagamot as compared sa mga ailments na related sa liver, kidney and heart.... ok just get in touch I would like to see another dog surviving the ailment


junie01 4 years ago

i sure will. thank you again


pamela 4 years ago

Hi Maria, my sammoyed dog Bobby is a recue dog i brought back from portugal to the uk in jan 12, he has already undergone a double perenial hernia operation done with the mesh method, he has suffered with infections in the bowel since the op, first done in feb last year, still has constipation problems,he spends half his life trying to do a poop, tried lactalouse, aloe vera, stool softners, he is constantley on antibiotics!!. my vet is recommended he as another operation to the left side with the flap method, my vet as told me if he doesn't have the operation i have to put him to sleep.... he has no bulging at he rear end but as small holes around his anus with leaks either blood or brown mucus ,,he is only about 3 or 4 years old very young for a perenial hernia, he as had such a bad life before i met him ( i found him in a donkey santuary in portugal ..they saved his life)..he is due to go for his op on friday i just hope iam doing the right thing and not putting him through more pain ,,all i want him to have is a good quality of life i love him to bits ,did peso suffer with infections after his operations?? and thank you so much for writing this page as there is very little of information of dog owners who has the experience of perenial hernias..


Lizz 4 years ago

Hi Maria, I Just found out my 10 years old Pekingese has right and left perineal hernia. He was fine until 3 days ago and suddenly he showed the lump in his bumb and he couldn't poop, he tried a whole day and he couldn't he even got a lot of blood out. His vet said he needed surgery, he contact a surgeon but he doesn't promise he will be ok after surgery. My dog has hearth mumurs and was showing some paralysis a couple months ago. I feel so sad to see him suffer and so sad to let him go but your story about peso makes me understand my dogs hearth problem are a big issue... Thanks for sharing your story. It verifies what the vet told me.


Lizz 4 years ago

My other concern is that the vet said it is not a common surgery, it is complicated and the risks are high...I wouldn't like my dog to be a practice or training for the surgeon either...I can't see my dog suffering...


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Maria Cecilia 4 years ago from Philippines Author

Goodlouck Junie invite me to facebook if you have it


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Maria Cecilia 4 years ago from Philippines Author

Pamela, I am sorry about your dog, but you really have to have more patience because there are so many things you have to consider in daling with dog with perineal hernia. But I am surprise with the mesh thing... I thought using a mesh is almost 95% non recurrence, anyway let us discuss some of your issues

1. still constipated though you tried lactulose or other stool softener, you know why? is it because of the space created by the hernia so even if the stool is soft still when the dog poops it did not go directly to the anus hole, so to solv this issue, I tried to help peso by pushing the bulky part gently when he poops, i pushed it towards the anus hole.

2. infections after surgery, you mean he developed weeping wounds? yes it happened to Peso in fact until now he has it, I guess it's part of complication but it has remedy. His veterinarian gave me this ointment Solcoseryl jelly, this is good for weeping wounds, but clean the wound first with betadine paints, let it dry first then add the ointment, try it and see if this helps. sometimes antibiotic intake is not enough or sometimes the ointment is enough, peso is no longer taking antibiotic pills but the ointment is a big help

3. the flap method was also done to Peso, and the mesh method must be the last resort if his behind needed to be repaired. I can't undrstand why the mesh method seemed ineffective, but have more patience please.

4. there are still other options, Peso's last surgery was called bladder transfixation or colopexy defending on what's more affected is it his colon or his bladder. in Peso's case when he can't urinate it's a sign that he needed to be operated immediately. Putting him to sleep should never be an option

4. is your dog still active in spite of his hernia? how is his appetite? does he love to eat? in this case I suggest you find another vet for 2nd opinion... perineal hernia surgery done from the inside of the belly is more effective than repair of the muscles from behind.

5. he has no bulging at he rear end but as small holes - what are these small holes? wounds caused by the surgery? if it;s the wound then it's normal. he should not have any other wound aside from the one with stiches

please update me about your dog, he is still young, Peso was 8 when he had his surgery, your dog must surviv this, just be more patience and try to look for other vets for 2nd opinion. someone who will not threat you or tell you to resort to mercy killing... perineal hernia is not the type of ailment that will need dogs to be put to sleep unless the owner can not take long term medication and treatment thank and pleas keep in touch


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Maria Cecilia 4 years ago from Philippines Author

Lizz if your dog has heart problem, ask your vet if it is still ok for your dog to undergo surgery. Perineal Hernia is a complicated ailment but it really depends on the capability of the vet. Perineal Hernia is a recurring kind and often leave owners of no choice but to bring the dog to surgery. In case your dog cannot poop, you need to bring him to veterinary clinic for enema..Your dog's vet should have suggested to you that so that your dog will have temporary relief, then feed him food rich in fiber and always give him wet soft food. did the vet advised you to give him stool softener drug? I would like to share with you something, Peso is ok but he can no longer poop on his own...meaning not all poop will come out if he is doing it without my help, so as his owner I totally committed myself in helping him poop, no matter how weird or disgusting it can be.. this ailment includes production of impacted stool, so at times when Peso can't bring it out, I also help him by pushing the bulk on his behind gently... In worst situation when even pushing did not help, I even did what his veterinarian did to him, inserted my finger to the anus hole and tried to get the impacted stool, it was hard at first but I learned to live with it...of course I used surgical gloves when I used that.... in your dog's condition, I guess he needed to undergo enema first for immediate relief... he is a small dog therefore the vet to do the enema must not suggest sedation... hope I can help you and a piece of advice try to look for more vets for 2nd opinion thanks you


Lizz 4 years ago

Thanks Maria for your support and your optimist! Unfortunately i have no choice. I took my dog to the vet and they took the poop out of him, did X-rays and it showed colon or other parts out of his body. the vet said it was quite large and the only choice option was surgery. they contact the surgeon and he said it can be done but he wouldn't promise anything for so many reason, such is age, his heart murmur and the complex surgery. Right now my dog is with pain killers, laxative and antibiotic, he is hungry and i am afraid to feed him too much because he cant poop, today i tried helping him and as much a try to push it, nothing come out. as much as it hurst me to put my little guy to sleep, i have not choice to do it. he is going tomorrow...it breaks my heart to see him suffering, without be able to poop or peep. after i took him to the vet he seems better and normal but it is very obvious the lump he has in his back and he is breathing heavy without not reason. To be honest i didn't contact several surgeons available but after reading about all the cases of dogs with perinial hernia i wouldn't be able to see my dog suffering that much. I already feel sad for him. i wouldn't be able to see him having such a life style. Another big concern is that i might be moving to another country and it might take 26 hours to get there, and i dont think my little guy would have the medical help while he is being shipped or being accepted to be shipped after all his issues... I am already devastated...he was fine a week ago, i cant believe none of his vets could have found this earlier...


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Maria Cecilia 4 years ago from Philippines Author

Lizz I am very sorry for your dog, looks like he still wants to live and yet his owner already gave up on him. He is very hungry and obviously wants to eat to survive... that is why taking care of dogs require greater responsibilities, because you don't only take care of them when they are healthy, the more you take care of them when they are sick... If you still have time hope you can find him another owner first who can take in the responsibilities... In spite of peso's pooping problem, He is a very active and smart dog,his life style maybe is different but not really that pathetic, there are sacrifices yes, but loving your dog is a part of it...dog can feel it if there owners are giving up on them, you know what the veterinarians said about Peso, His fighting spirit to live is great that is why he survived all surgeries. but I can't blame you, I just suggest if your job is to go from one country to another, don't try to get a dog unless you are truly setted, this is to save yourself from broken heart and to save the dogs from pitiful situation...


bot 4 years ago

hi gud am po miss maria cecilia, 1 of our shihtzu eh parang may ganan din pong case he is 1yr 4months old. npansin lng namin na may namamaga sa bandang left ng pwet nya down to sa mejo malapit na sa balls, could this be it n nga kaya?. pero wla naman po sya hard time sa pag poop or urinate everything is ok. its just that nakakaawa lng sya tignan kasi pag naglalaro silang magkakapatid, 4 po sila kasi + yung mother nila. eh ayun po pag natakbo sya bigla uupo tpos parang naiirita sya sa nasa pwet nya parang hindi sya comfortable. plan po namin sya dalhin sa vet later. sana po mura lng hayyzz kasi pag surgery tlga ang paraan d po namin alam ng gf ko kung panu kukuha ng large amount for that. yung mother nya po may hernia din malapit sa singit pero hindi naman sya sagabal kasi push back lng wla n and minsan lng lumalabas na maliit parang marble balls lng po ang size. iba po kasi vet ng mga magkakapatid kesa sa vet nung mother. may possibility kayang hereditary? ty po.


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Maria Cecilia 4 years ago from Philippines Author

Bot thanks for visiting, replied to you at facebook


pamela 4 years ago

hi maria,,bobby went through his operation on friday, when the surgeon openend him up , the left side the mesh that had been fitted the first time had dislodged into his rectom causing the infection and constipation not to mention the pain he has been in without complaining poor boy, so they have removed the mesh from both sides , the right side had been fitted in the wrong place.( the first operation was done by a vet not a specialist in that field,)they have repaired both sides with the flap method,he is still in the animal hospital they have got him on a lot of pain relief and giving him ice packs to take the swelling down,,i hope to get him home on monday, so iwill keep you posted how he gets on ...


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Maria Cecilia 4 years ago from Philippines Author

pamela, Peso had the flap method on this 3rd and 4th surgery but the hernia returned after a month, silicon mesh method is the next option, if his vet, did not do the bladder transfixation.... up to now Peso still constipate and I really help him a lot while he poops. Hope your dogs get better, and I'll pray for you to have more patience... if you have a facebook account you can invite me and I'll introduce you to two dog owners who had perineal hernia too. I'll expect you will update me and thanks


pamela 4 years ago

hi maria,my poor boy bobby lost his fight for life on wednesday, my heart is broken loved that boy so much

,after his hernia op complications set in 3 days later the hole that they closed in his rectom opened twice the size and was really badley infected so they operated again but when they tried to repair the rectom it started disintergrating it would not hold a stich, he died on the operating theatre ,,

the damage had been done on the very first operation with badley inserted mesh with a good hearted vet but not a specialist in hernia operations,he was in a recue centre at the time before i met him..

because dogs can not speak he had sufferd for a year and learned to live with the pain he was a strong domiant dog, and i will miss him and i hope i brought him as much happiness as he brought me xxx R.I.P BOBBY


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Maria Cecilia 4 years ago from Philippines Author

Sorry Pamela for your lost I feel broken Hearted as well. This only means I still need to take care of Peso in spite of his successful surgeries, but the truth is, taking care of dogs with Perineal Hernia is never-ending


Angie 4 years ago

Hi Maria

I have finally learned to push the bulge; and although he gets very restless when I do it (but he is a bit of a spoiled 'don't touch me, or I'll bite you type of dog. hehe), I think it helps him to poop better. I do notice, though that when I push the bulge, he sometimes yelps. I wonder if it's painful for him when I do it...Oh, and I know this is gross, but I have caught him a couple of times trying to eat his own poop. :(


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Maria Cecilia 4 years ago from Philippines Author

oh is this angie with a maltese dog? well I think it sometimes hurt that is why you need to give him stool softener, anyway did he undergo surgery already? about him eating poops just clean up right away after he poops so he won't have time eating them heheheh I guess that's unavoidable... well I have gone a long way when it comes to helping Peso with his poop, I learned what his vet did the last time he had impacted stool.... you just can't imagine what else I did for love..


Angie 4 years ago

Hi Maria! It's me Angie with the maltese dog hehe. Yeah, I know what you mean. We do our best to keep his stools soft (bland diet, stool softener, etc), but the weird thing is that when it comes out, his poop looks soft; I don't know if this is just like a bad habit of just eating his poop. I'll take him to the vet and see what he says. Yeah, he had his 1st surgery last Novemember, but unfortunately that annoying, little bulge came out again :(


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Maria Cecilia 4 years ago from Philippines Author

Angie, I am praying for your patience.... hope I can see you soon with your dog would that be possible...there are lots of stories that I will need to tell you.... you know I have gone too far in taking care of Peso, hope you'll do it too for your maltese in the future just in case.. who is his doctor by the way?


linda 4 years ago

Poor dog.hope peso feels better by hottie


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Maria Cecilia 4 years ago from Philippines Author

Thanks Ms. Linda for dropping by Peso is ok but still needs proper attention..


Altian 3 years ago

pwedeng mg tanong tungkol sa hernia. .kasi my perineal hernia ang aso ko. .e surgery sya this sat. .


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Maria Cecilia 3 years ago from Philippines Author

sure anytime, this is for dog owners talaga na ang aso may hernia...san siya ooperahan and sino ang vet?


Altian 3 years ago

dito lang po sa bacolod. tga bacolod po ako. .si doc.tisha canson at doc.castaneda. .tanong ko sana bkt nka 6 na surgery ung aso nyo?.


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Maria Cecilia 3 years ago from Philippines Author

Kasi mukhang worst case siya, kaya nga payo ko once nadiscover na may hernia ang dog kung pwede ipasurgery na kagad para di lumalala, well kasi first nirepair yung left side, after that yung bulk went back to the right, so para di na maworsen pa pinaoperahan ko na rin to repair the right, mahirap kasi kay peso kaya siya nase surgery, hindi siya maihi, sign kasi yun eh, pag di maihi ang dog kailangan siya operahan or lalong lalaki yung bulk niya. ang tingin ko effective yung huling surgery niya kasi di na kami nagkaproblem sa ihi niya since then, but I wish na maging matiyaga ka, pag nagka hernia ang dog mo, kahit pa malambot ang poop niya minsan mahirap na lumabas, if you are reading this hub, makikita mo how I help my dog pag nagpopoop siya....pag nakaya mo yung tinutulungan ang dog mo pag nagpopo nang di ka nandidiri, tingin ko malaki chance ng dog mo to survive... si Peso will turn 13 sa July, 8 siya nung mafirst surgery. importante ang post surgery care.... pag ok ito mas malamang di na bumalik ang hernia.... I will pray for your dog and for your patience too... please update me what happened... Si Peso ko ang doctor niya si Doc Nielsen Donato, please watch born to be wild para makita mo siya...good luck..


Altian 3 years ago

hindi na tuloy ung surgery nya. .kasi mblis dw ung heartbeat nya. .tpos kpag ini injectionan ung kmay nya. .lumalaki kaagad ung inenjectionan nga part. .sabi ng vet nya. .bka my ehrlichia sya. .sabi nya. .e ehrlichia test mo na sya dw. .tpos pg positive. .e treat mo na ang ehrlichia. .hai. .nag woworry talaga ako sa aso ko. .pro nagng maliit ung hernia nya. .kasi bnutasan ng vet nya ung bulk. .maraming lumabas na ihi. .at ngaun ok na. .pro kung hindi sya mka ihi lumalaki nmn. .pro umiihi na sya ngaun. .pro nag woworry prin ako. .baka bumalik ulit. .at lumala pa. .hai. .gusto ko pang mabuhay ung aso ko. .kya lng wla na akong pera. .hai. .nag papatulong lng ako sa vet nya. .ilan lahat ung na gasto mo?. .troper pla pngalan ng aso ko. .sna ma payuhan mo ako. .kasi hindi ko na talaga alam ang gagawin ko. .hai.


Altian 3 years ago

add kta po sa fb. .anong pangalan mo sa fb?.sana matulungan ako ng vet mo. .kya lang ang layo ko. .tga bacolod kasi ako. .hai. .talagang hindi ko na alam ang gagawin ko.


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Maria Cecilia 3 years ago from Philippines Author

ok answer kita later, maria cecilia arrogante ako sa FB, celar_peso@yahoo.com, nagka erlichia din si Peso, dapat magamot muna iyan. basta i add mo ako sa fb may group ako ng mga dog owners na may perineal hernia ang dogs nila most of them foreigners...


Altian 3 years ago

ah ganun pala. .ahm. .my heartworm dn sya microfilaria lng ang napatay sa kanya. .pero ung adult hindi pa. .kasi wla kming pera. .ang mahal2x ng treatment 10k. .tsk. .kaya hindi ko alam ang gagawin ko. .sana ma tulungan nyo po ako kung ano ang gagawin ko. .hai. .


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Maria Cecilia 3 years ago from Philippines Author

parang maraming sakit ang aso mo. akala ako iaadd mo ako sa fb? i post mo picture ng aso mo


jo 2 years ago

Have u ever heard of a Truss for dogs?


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Maria Cecilia 2 years ago from Philippines Author

Ms jo sorry what is that.?


Tins 2 years ago

Hi Maria, I'm really grateful for your very informative posts on hernia and for taking time to answer our questions. I got to your page because I've been looking for details about the ailment ever since our dog, who just turned 8 years old last month, was diagnosed with one. I was hesitant at first about surgery but after reading your post, I decided to go for it. I understood the risks and know that it is a recurring kind so I just hoped for the best. The surgery for our dog happened 3 months ago. It was a success but then last week we noticed a bulge in his behind. We took him back to the vet where we were told that, "may butas nga na maliit. Kasing liit ng daliri. Sign of tearing." They said it was just small which didn't require surgery yet but we were told to put our dog on laxatives for life to prevent the hole getting bigger from his straining when defecating. We're worried that the recurrence happened so soon and wondered what it meant so I found myself in your blog again, rereading your posts and the questions of the people here. I hope you also take time to answer ours. Will the hole eventually get big and so should I bring him to the vet every month for monitoring? Is another surgery inevitable? Is it a bad sign that his surgery is showing signs of tear this early? I know Peso had his surgeries one after another in such a short time so I was wondering what it means. Does it mean that their muscles are really that weak or the operation wasn't good? Or recurrence really just happens despite being careful and meticulous? Do you think our dogs will eventually be free from hernia? I've been scouring the net for answers to no avail. Thanks in advance!


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Maria Cecilia 23 months ago from Philippines Author

Tins so sorry I came to answer you only now, i was surprised to see this gosh 5 months ago and tracing back the months i was so busy with my work at that time so sorry, wish my response wont be too late madam and in case I cant answer you right away here at hubpages, please see me at my fb account celar_peso@yahoo.com, madali aong makita I have mine and peso's photo at my timeline.....ok to answer your questions. First I would like to believe Peso's case is the worst because I see changes in his case from time to time . Well how's that tearing part now? It's normal with dogs with perineal hernia.... Before or lately I can see stitches showing out from Peso's behind which means nagloloosen na yung former surgeries, bu before that, he had open wound near his birdied, that wound waswhere he wad opened for bladder transfixation, it was weeping wound pa nga. i always havevthis glycoseryl jelly, which is ointment for weeping wounds. lately I was told Manuka honey is alsobest forvthe wound yung mas mataas angpotency ang best for weeping wound. but it is quite expensive. ngayon wala na ang weeping wound near his birdie but I can see his behind getting loose... What I am telling you is not bad news at all. These are things you need to get used too so you wont feel hopeless woth yor dog... dogs when treated well can survived surgeries...he is still young... Observe his appetite always...If he loves to eat it means inspite of everything he is ok..... I will pray for you to have more patience. Minsan natataranta ang amo pag tingin niya she cant do anything.... We need to be determine for our dogs to live. Kun nakakdiri, believe me kaya mo iyan. Gusto mo mabuhay dog mo eh... Please get in touch... i am praying you will read this.. Sorry for late response.

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