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Christian K.
Christian K., Dog Veterinarian
Category: Dog
Satisfied Customers: 10146
Experience:  12 years of veterinary experience in canine surgery, medicine and behavior
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Dog

My dog keeps biting and licking his paws and bites his legs

and lower side I think... Show More
and lower side I think it might be atopic dermitites ?
Submitted: 8 years ago.
Category: Dog
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replied 8 years ago.

Hello,

This is Dr. Christian.

  • How old is your dog?
  • Any hair loss or signs of infection?
  • Does he have ear problems too?
  • How long has he had the problem and have you tried anything to help it?
  • Does he take any other medications or have any other medical problems?
  • If it has been happening for a while does it seem like a seasonal problem or year round?
Customer reply replied 8 years ago.
Can I let you know later when I can get home the name of the pills?
Christian K., Dog Veterinarian replied 8 years ago.
Sure just reply back. That would be very helpful. Let me know what he is eating as well. I may not be able to answer until tomorrow but I will get back to you, I promise.
Customer reply replied 8 years ago.
he is eatin Wellness and we have given him the following medicine

Nizoral
Hydroxyzine
Prednisone
Christian K., Dog Veterinarian replied 8 years ago.

Thank you. That helps me understand what's been done up to this point. The nizoral is for skin yeast infections probably. The hydroxyzine is an antihistamine to help with allergies. The prednisone is a steroid that helps with allergies and itching. Certainly your dog appear to have allergies. He has all the symptoms (itching, irritation and skin infections). Atopic dermatitis is a common skin allergy that basically means the source of the allergy is currently unknow. Common allergens are all types of grass and trees, pollen, and dust. The only way to know for sure what he is allergic to is to have allergy testing done. After it is known what he is allergic to then a series of shots can be prescribed over several months to reduce the symptoms of allergies. It is not always 100% effective but when if successful then long term steroid (prednisone) therapy is not necessary. Prednisone can eventually lead to many different health problems such as weight gain, liver disease and diabetes so the goal is to use it as little as possible. A short course of steroids to get things under control is usually fine. The problem with allergy testing and the shots is that they can be expensive and in some cases don't work. You can discuss allergy testing with your veterinarian if you are interested in that route. Another possibility in this case is food allergy. It will typically cause itching feet and ear but can affect any part of the body. He can eve react to the Wellness. The quality of the food doesn't matter with food allergies, only the ingredients. Food allergy can be difficult to diagnose. He can develop the allergy at any point in his life to any part of his food, even if he has been eating the same food all along. Common allergens are corn, wheat, beef, chicken, and whey. I would consider switching himto a prescription diet. These diets are made specifically for food allergies. I'm sure your vet can prescribe one of these diets. Examples include Science diet z/d (one of my favorites), and royal canin IVD. The key is strict control of what your dog eats. The diets can take 4-10 weeks to actually work so you'll have to be patient. In addition, he cannot get any other foods at all, including treats. If he is reacting to treats it will look like the diet is not working and you've wasted your money on a prescription food. If after 10 weeks the itching has not improved then it's probably not food allergy. If the itching is better then you can add one treat back in to his diet. If he starts reacting again then you know to never feed that treat again. The prescription diets are more expensive but in many cases are worth it to avoid constant and miserable itching.

 

As for over the counter medications, none of them will be nearly as effective as the steroids and nizoral. Benadryl can sometimes be used but is only effective in milder cases and sometimes doesn't even work. The prednisone is much better. Here are some other things you can try to reduce itching:

 

  • Omega 3 fatty acids supplements- these are usually available as fish oil capsules in the pharmacy. One every other day for life is very safe and can help the skin.
  • Aloe and Oatmeal shampoos for relief of itchy skin. There are also prescription shampoos that can be very effective.
  • Consider washing his feet when he comes in from outside. This can remove pollen, dust, etc. that will cause the itching.

If you have more questions please let me know.

Customer reply replied 8 years ago.
He has eating pro plan in the past and also Nutro so all the food he has been given he has always had the alergies I remember when he was a puppy he bit his pad off but at first I thought he got it caught somewhere and as he got older it started getting worse . He also had mange as a puppy from his mother not the contageous one
I am trying to see what is the first thing I should do
Christian K., Dog Veterinarian replied 8 years ago.
Food allergy is still possible even with different food if they have a common ingredient that he is allergic to. For instance corn, beef and whey are all common culprits. If he is allergic to any of these and they are in all the diets you've used then he will react no matter what he is eating. I would consider trying to find a diet as unlike what you have fed previously. This may require an online search or a specialty food store. Read the ingredients label carefully. Another option would be the prescription diet from your vet. That's where I would start. Finish the current medications he is on and give the diet time to work. If he is still itching after 10 weeks then it is probably not food allergy then allergy testing would be your next option. If you have more questions please let me know.