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Not sure you're still around OP since it's been a couple months, but if you're still having this issue:

Is your pup licking the sore area a lot? Have you attempted to use something like a cone or diaper to prevent that, and see if that aids recovery? And - this may be a long shot - has his spine been looked at? Especially if he's long-backed at all, I could see how nerve pain could cause pain while defecating, which could lead to excess licking and redness.

Otherwise, if your vet still doesn't have answers or a treatment plan that's working, I would be asking for a referral to an internal medicine specialist. Poor guy - hope he's improved by now!
 
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