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My dog just recently (past week and a half) has been itching,

 
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  • Answered by:Dr. Andy
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Customer Question

My dog just recently (past week and a half) has been itching, licking and gnawing himself, specifically his feet, legs, stomach and butt area. He has been treated for fleas and ticks, and none of our other household pets are exhibiting this behavior (itching/scratching).

We were told he is a Setter/Lab/Shepperd mix; he is about a year and 4 months old and has been neutered.

Just today he has started to slightly favor his back left leg and seems to struggle sitting a little. When he was put in his kennel, he began to whimper and cry loudly and seemed as though he couldn't get comfortable. This was a brand new sound and different than his "I want attention" whimper.

 

Optional Information:
Pet's Gender: Male
Pet's Age: 1
Type of Animal: Dog
Name of Animal: Ghost

Already Tried:
Bath, changing his treats (as he started this behavior when we got new treats) in case of food allergy)

Submitted: 269 days and 5 hours ago.
Category: Dog
Value: $38
Status: CLOSED
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Expert:  Dr. Andy replied 269 days and 5 hours ago.

Welcome! I would be happy to assist you. I am a 2003 graduate from UC Davis and a Medical Director of a veterinarian practice.

Hello,
The going after the feet is highly suspicious for either environmental or food allergies. Food allergies are very infrequent compared to environmental problems. But! If due to food, a lot more would have to change to remedy the problem other than changing the treats (i'll explain below):


Allergies will 80% of the time be an environmental allergy, with only 20% or less representing food allergies. Some pets, suffer from both environmental and food allergies:
Atopy (environmental allergies)

If you want to actual diagnose what in the environment may be causing the allergy, you can do an allergy test. Now, you don’t have to shave half the body and do the old grid test on the skin. There is now a blood test that looks for allergies to weeds, trees, grasses!, molds, even house dust mites. You can read more about it here:

Testing for Environmental Allergies


If your veterinarian does not offer VARL,
VARL testing
they may offer a comparable company to perform the blood test like Heska.


It is important to also recognize, once the skin is inflamed or has an odor, there is likely a secondary yeast or bacterial skin infection present. It is critical for any secondary infection to be treated aggressively, as the infection itself will contribute to the pruritus (itching or increased licking).


Now, I did say that up to 20% of pets can actually have food allergies. So, to rule-out food allergies you need to do a diet trial.
Summary: The primary protein in most dog foods is lamb, chicken, or beef. The primary carbohydrate is rice or corn. So, you need to change both. The most popular alternative diets are Venison and Potato, Duck and Potato, or Fish and Potato. It is available in prescription formulas (i.e. Science Diet D/D) or you can find some similar foods at the big pet stores like PetSmart or PetCo. I always recommend picking a “limited-ingredient diet” from your vet to ensure you are doing the trial properly. Just make sure that when they say Venison is the "main ingredient" they don't sneak in other stuff like lamb meal or fish meal. A non-prescription option would include Dick Van Patten's brand called Natural Balance. Keep in mind, holistic or all-natural foods are not necessarily any better when trying to remove a food allergy. Chicken is chicken, and rice is rice. When you perform a diet trial, you must stick with the food for 2-3 months to see if there is any benefit. NO OTHER treats or human food can be given during this time period. Remember, a grain-free diet is not necessarily any better. Over 75% of the time, it is the protein in the diet that is the problem. Lastly, even a limited ingredient diet, as explained above, is not good enough. Sometimes, you need to use a food that is processed in such a way, that the body cannot react to it. A popular choice is Science Diet Z/D low allergen or Ultra allergen. They utilize hydrolyzed protein. The body cannot react to the protein in the food.
Food Allergies


TREATMENT OPTIONS (A small representative list - some suggestions you may have already tried)
1. Steroids. Veterinarians will either give an injection that can last from hours to weeks, or send home oral steroids like prednisone or dexamethasone. Steroids can be safe if not used long-term (several months) and if used as directed by your veterinarian. Frequently, the oral steroids will be weaned down to the lowest dose necessary to keep the allergy suppressed.


2. Antihistamines. A prescription of hydroxyzine is common. Sometimes, over-the-counter Benadryl will help. However, for many allergies, antihistamines alone frequently are not good enough to control allergies. But, if your pet is already on steroids, they can help to reduce the necessary dose to keep the comfortable.


Benadryl can be given at a dose of 1mg per pound of body weight. Keep in mind, Benadryl tablets and liquids come in different sizes. So, an approximately 25 pound dog can get a full 25mg tablet or a half of a 50mg tablet. I usually avoid the liquid Benadryl in larger dogs (you would have to give too much of it). You can give Benadryl every 8-12 hours.


3. Essential fatty acid supplements. Definitely, if you plan to give an antihistamine long-term, combine it with an EFA.
I prefer the veterinary products, which are already dosed for pets. Your vet should carry a product on their shelf, or over-the-internet you can look for Aller G3, 3V caps, EFA-z, or Derm caps.


4. Atopica. A immunosuppressive medication, that help regulate the way your pet’s body reacts to allergens. Neat stuff. It is important to note that it can take several weeks before benefit is observed, and tends to be a bit more expensive than typical allergy treatments. Read the link below for more information. Although Atopica is not readily available, your veterinarian can order a generic cyclosporine. Not quite as good, but it is an alternative.


5. Your vet should also carry some special sprays and shampoos designed for whatever skin condition your pet may have. One of my favorite product lines is called Douxo. They carry various shampoos designed to calm the skin, treat bacteria infections, and help with seborrhea (dry, scaly or scabby skin)
Douxo products


6. Lastly, oral antibiotics and/or anti-yeast medication, if indicated. Generally, your vet will recommend a simple skin cytology test to see what is on the surface of the skin. This should be inexpensive, and can be perform in the hospital. This is a key test especially when the skin is itchy, as secondary infections will actually exacerbate the degree of pruritis (itching) of your pet.

Hope that info helps. There are also some other medication options above you'll need to discuss with your vet, because I do not believe the benadryl suggestion, alone, will be good enough. But, in the meantime, benadryl may help some.

Good Luck
Dr. Andy

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REMEMBER: Even after you submit feedback, you can still review our discussion or reply if needed. Unfortunately, I cannot legally prescribe medications or offer a definitive diagnosis without performing a physical examination, which is necessary to establish a client-patient-doctor relationship. Any medical therapy and treatment should only be performed after an in-person examination with your veterinarian. While information may be discussed, this is not intended as an encouragement for you to self treat your pet.

Customer replied 269 days and 5 hours ago.

Why did this just recently begin? His food diet has been the same since we got him (over a year ago), which is Blue Buffalo; nothing has changed in his environment (as far as us humans can tell). This all started after a weekend camping trip. Can this contribute?

Accepted Answer

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Expert:  Dr. Andy replied 269 days and 3 hours ago.

Happens all of the time.
Some dogs can develop food allergies as young as 6 months of age. Others, can develop environmental or food allergies at 10 years of age. Everything always changes in the environment. Wind!

Yes, the camping trip is a huge change in environment. Huge. I can't assume 100%, but something he was exposed to during trip including even a hypersensitivity reaction like an insect bite or sting is highly suspect.

Dr. Andy

__________________________________________________________
Before rating – Please remember to select REPLY TO EXPERT if for any reason you need more information. I would be happy to try and be of the greatest assistance possible.

Please remember to leave feedback by selecting a SMILEY FACE followed by Submit.
Bonuses are greatly welcomed if the answer is helpful. Providing a rating is the only way for an expert to receive credit from Justanswer for their time.

If for any reason the rating box is not visible or you are unable to provide a rating, please let me know. If you feel the need to rate “bad” or “poor”, please stop and reply to me via REPLY TO EXPERT, so I may provide additional information or answer further questions.


After we conclude this chat, I can be requested for additional questions through my profile, so remember to select my profile link in the future or add me to your bookmarks:
Dr. Andy


REMEMBER: Even after you submit feedback, you can still review our discussion or reply if needed. Unfortunately, I cannot legally prescribe medications or offer a definitive diagnosis without performing a physical examination, which is necessary to establish a client-patient-doctor relationship. Any medical therapy and treatment should only be performed after an in-person examination with your veterinarian. While information may be discussed, this is not intended as an encouragement for you to self treat your pet.

Expert TypeMedical Director
Category: Dog
Pos. Feedback: 98.6 %
Accepts: 4042
Answered: 8/20/2012

Experience: 2003 UC Davis Veterinary Grad

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Expert:  Dr. Andy replied 266 days and 19 hours ago.

Hi Jana,

I'm just following up on our conversation about Ghost. How is everything going?

Dr. Andy

 
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