Hello, I am a licensed Veterinarian. I would like to help. I need to ask you a few questions to be well informed and give you the best advice. 1- How old is your dog?2- How long has this been going on?3- Besides the scabs, does the skin appear flaky?
The symptoms that you are describing are consistent with a bacterial infection (superficial pyoderma). Bacterial skin infections in dogs can be a primary problem or secondary to something else like allergies (food or environmental), hormonal disorders, etc. to name a few causes. The fact she has a history of licking her paws excessively we strongly have to consider allergies (food or environmental). This is what you can do:One of the most common causes for itchy skin in dogs is an underlying allergy (food or environmental). The first place to start is doing a food trial during 6-8 weeks. This is what you can do:1- Change her diet to a prescription food called Hill's z/d or a grain free diet with a different source of protein then what he normally has in the past. For example: Taste of Wild Salmon. When on this diet he should not eat anything else or he will not improve. Needs to be on this diet for 6-8 weeks before you see significant improvement.2- Start her on Benadryl (diphenhydramine) 1mg for every pound body weight every 12 hours. For example if he weighs 10 lbs he will require 10mg every 12 hours.3- Supplement with Fish Oil, 20mg of EPA for every pound body weight once a day, long term.4- Bath her with chlorhexiderm shampoo 2-3 times a week for 2 weeks than once every 21 days.5- Have her checked by your family veterinarian for oral antibiotics.Hope the above helps, if you have additional questions I will be glad to answer them.Dr. Peter