Thanks for the information. He is on a good flea preventative, and it doesn't sound like a flea problem. It sounds more like he has developed a skin allergy of some sort. I cannot rule out a skin mite infection, but that doesn't seem to fit with his symptoms. It is worth your vet checking a skin scraping to look for mites, though. This is most likely an allergy to something in the environment that he has developed. It can also be a food allergy as well, though. At any time, dog can develop an allergy to an ingredient in a diet he has eaten for years. It is possible he has a skin infection as well. I am not sure what your vet has prescribed, but I would try him on a course of prednisone (steroid) to see if that resolves the issue and a course of antibiotics if his skin looks infected. If it responds very well to prednisone, it it most likely an environmental allergies. While food allergies can respond, they usually do not respond as well. If that is the case, and he is negative for mites, you might want to finish a 3-4 week course of prednisone and antibiotics and see if the symptoms come back. If they do, then he may do better with Apoquel or Atopica, which you can give long term. If this is a seasonal issue, then it is an environmental allergy. If it is a year long issue, then it can be environmental or food related. Frequent bathing (twice weekly) with an oatmeal based, cortisone based or antimicrobial (if needed) shampoo can help. You just need to leave it on for 10 minutes to have maximum effect. Putting him on a doggie fish oil supplement may help as well as adjunct for allergies. Please let me know if you have any other questions or concerns. Hope this helps.
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