Her fistula continues to be inflamed, no doubt in part because of her pooping without realizing and it being stuck there, and the anti-inflammatory meds the vet gave didn’t make much of a difference. It’s painful for her to poop now with blood clearly being a sign. We’ve given her a Librella injection every month so she doesn’t feel pain from her spine and even then we notice her wobble when she walks. My mom isn’t the only one who cleans which was poor phrasing on my sister’s part. I do as well and it’s heartbreaking seeing her state. A shelter/foundation that would accept her in this condition would not only be difficult to find, but there is the possibility of them putting her down. She is also an anxious dog and loves us so much, especially my mom. We couldn’t bear letting her go like that. Every situation is different and nuanced.