Let's see if we can summarize...

Doctor #1 prescribed carafate which is used to help coat and allow ulcers to hear. Pepsid A/D available over the counter in the United States. And an antibiotic. All reasonable to treat an attack of pancreatitis. But he did not prescribe a potent pain killer such as Demerol or Torbutrol.

Doctor #2 takes Xrays and notes the pancreas seems swollen and no evidence of bones or obstruction. Then she wants to soak you for blood tests that may or may not show raised amylase and lipase levels. She then gave the dog some unknown pain medication. You called back 3 times and she didn't want to offer any additional treatment.

Now you go back to Doctor #1(?) who is suddenly focusing in on the tumor growth. And asks you why his colleagues never sent a sample to pathology. He then sends you home after a $200 ear cleaning with a prescription for Tramadol- which should help greatly with the pain, and a diet plan of cottage cheese and rice.

If your dog is suffering from a bout of pancreatitis the common treatment is to take the dog off of all food, and to administer IVs in a vet hospital. The idea is to eliminate the need for the dog to digest food or the need to produce pancreatic enzymes which will irritate the pancreas more. Pain management is very important, as in relieving nausea which is frequently present. Given your economic situation where you are trying to care for the dog at home, you need to eliminate the cottage cheese. Any food with fat in it will make pancreatitis worse, also salt will cause problems. Even under hospital conditions pancreatitis can get worse. So it's not an easy thing for a dog to get over. It's also not uncommon for a dog with pancreatitis to exhibit other signs of pain such as panting, and to be very sensitive to any pressure on the abdomen. It could be the Vet that indicated the dog was not in pain was basing it on the dog not reacting upon being pressed on(?)- unknown.

The other factor is the growth which could be anal gland cancer, where it has spread and bowel movements are painful to the dog. Or you could have a combination of both conditions. Part II to follow...