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Kelly Hill
Kelly Hill, Veterinarian
Category: Dog
Satisfied Customers: 339
Experience:  full time veterinarian at Tender Touch Veterinary Hospital
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I have a 5 1/2 year old mastiff who is suffering from very

Customer Question

I have a 5 1/2 year old bull mastiff who is suffering from very swollen, bleeding, painful paws. He has had this problem for a couple of years and has been taking Apoquel for about a year. It helps but does not take it away. Occasionally they get very bad so he takes antibiotics and they improve but it's short lived.
JA: I'm sorry to hear that. The Veterinarian will know what to do about this bleeding. I'll connect you ASAP. Is there anything else the Veterinarian should be aware of about the dog?
Customer: We ar cleaning his paws after his walks
Submitted: 2 months ago.
Category: Dog
Customer: replied 2 months ago.
Nothing else. He's healthy otherwise. We are just very frustrated that the medication is not working so we are wondering if there is anything else we can do... any other options? He's miserable :(
Expert:  Kelly Hill replied 2 months ago.

Hi, this is Dr. Hill. It is very frustrating to deal with chronic disease. I am concerned about him being on Apoquel and the possibility of infection. Apoquel has been a miraculous drug for allergies, but it is not without complications. Apoquel is a drug that suppresses the immune system and should not be used if there is an infection.

First and foremost, chronic lesions on the feet should be biopsied and samples sent to a dermatohistopathologist, not a regular pathologist. I assume they suspect he has allergies, but did anyone talk about immune mediated diseases? A biopsy would show if it is immune mediated and the treatment would be different.

If he does have allergies then it is usually a mix of environmental (inhalant) and food. Have you ever tried a prescription diet for allergies (Ultamino, science diet Z/D)? It can take several months to find out what works best. I strongly encourage you to consider a punch biopsy first and then look at doing a food trial (10-12 weeks of prescription diet only with no people food or treats). Feel free to ask additional questions. Take care.