Hello,
Well it sounds like you are addressing many of the usual suspects. I would say at this point that you call your vet back and tell them what’s going on. If you were my client I would recommend a recheck to include a rectal exam for anal sacs (some refill in a matter of weeks) a rectal exam of the colon (for masses or abnormalities causing discomfort), a thorough check for fleas (and to make sure Parasiticides are being given appropriately), and a talk about allergies with better medication options given to help eradicate the itch. This is where I would start. Yo it dog is either uncomfortable or itchy. Check again and try to rule out one versus the other. Also if they are scoring to the point of trauma to the skin you may need an antibiotic or topical treatment for the skin in the urogenital/rectal area. Let me know what happens. Good luck.
Hello,
I’m not quite sure of what you are describing. There isn’t enough information to assess this? For example I have no idea what a puffy butt refers to? Is it possible to follow up with your vet for an exam and explain to them in person? I’m not sure if there is a problem here or not but I do know that diabetes is one of the most difficult conditions to manage and it requires a lot of help from the vet staff to manage well.
Best of luck.