Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

My dog has incredibly yeasty feet. To the point that they…

Customer Question
My dog has incredibly yeasty...
My dog has incredibly yeasty feet. To the point that they are covered in yest and coarse hair. I bathe him 1x/week with chlorhexidine shampoo, soak his feet in 1/1/1 warm water, vinegar and hydrogen peroxide 3x/week and he has been wearing a cone to stop from biting paws. I also regularly shave his feet and keep the fur low. He is a male, neutered 9 yro shih tzu. His feet are showing little improvement. Any advice? Thanks
Submitted: 3 years ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 9 hours by:
5/28/2015
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,224
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. It's important to note that Malassezia (yeast) overgrowth is almost always associated with an underlying cause such as atopy (allergies to environmental allergens such as pollens, molds, dust, and dust mites, etc.), food allergy, endocrinopathy, keratinization disorders (seborrhea), metabolic disease, or prolonged therapy with corticosteroids. Shih Tzus are overrepresented as a breed.
His vet will need to identify the underlying cause and correct it for the yeast to be eliminated. For mild cases, topical therapy alone is often effective. The patient is bathed every 2-3 days with shampoo that contains 2% ketoconazole, 1% ketoconazole/2% chlorhexidine, 2% miconazole, 2-4% chlorhexidine, or 1% selenium sulfide. Shampoos that have two active ingredients provide better efficacy. Treatment should continue until the lesion resolve and follow-up skin cytology reveals no organisms - approximately 4 weeks.
The treatment of choice for moderate to severe cases is ketoconazole or fluconazole 4.5 mg/lb orally with food every 24 hours. Treatment should continue until the lesions resolve and follow-up skin cytology reveals no organisms (approximately 4 weeks).
Alternatively, treatment with terbinafine 2.3 mg-18.1 mg/lb orally every 24 hours or itraconazole (Sporanox) 2.3-4.6 mg/lb every 24 hours for 4 weeks may be effective. The prognosis is good if the underlying cause can be identified and corrected. Otherwise, regular once- or twice-weekly antiyeast shampoo baths may be needed to prevent relapse.
Please respond with further questions or concerns if you wish.
Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 years ago
Hi,

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

Dr. Michael Salkin
Ask Your Own Dog Veterinary Question
Was this answer helpful?
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,224
34,224 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience

Dr. Michael Salkin is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,147 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,315 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,063 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

9,533 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

8,299 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
My 8 year old shih tzu has been whining and screaming at
Hello, my 8 year old shih tzu has been whining and screaming at random times. The vet checked him for any spinal or muscle issues but said all seems normal. He did prescribe us medication for abdomina… read more
DocPaul
DocPaul
Doctoral Degree
713 satisfied customers
My Shih tzu periodically will not eat and vomits brownish
My Shih tzu periodically will not eat and vomits brownish fo***** *****quid. Usually he will eat his next meal after vomiting. I feel like this is happening more frequently. … read more
DocPaul
DocPaul
Doctoral Degree
713 satisfied customers
10 yr old shih tzu goes outside to pee, she squats and
10 yr old shih tzu goes outside to pee, she squats and everything, but shes not peeing. I don't think she voided yesterday, and has not today yet. Her behavior has been a bit strange in the last few d… read more
Dr. Peter
Dr. Peter
Doctors Degree
14,326 satisfied customers
I have a 1 year old shih tzu. He is about 18lbs. It is
I have a 1 year old shih tzu. He is about 18lbs. It is unknown if he ate a blue Advil liquid gel. There were two on the counter and then just one. He was next to my wife on the floor as usual when she… read more
DocPaul
DocPaul
Doctoral Degree
713 satisfied customers
Is shih tzu shivering normal? Just sometimes shivering
Hi is shih tzu shivering normal? JA: I'll do all I can to help. What is wrong with the dog? Customer: just sometimes shivering nothing else JA: Where does the dog seem to hurt? Customer: not hurt JA: … read more
Dr. Leah Hill
Dr. Leah Hill
Veterinarian
Doctor of Veterinary medicine
643 satisfied customers
MY SHIH TZU IS ON METRONIDAZOLE AND SHE HASNT HAD A BOWEL
MY SHIH TZU IS ON METRONIDAZOLE AND SHE HASNT HAD A BOWEL MOVEMENT IN 4 DAYS … read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
969 satisfied customers
My shih-tzu was fine yesterday eating drinking wallking.
My shih-tzu was fine yesterday eating drinking wallking. Today he is walking lop sided. I can tell it's one of his back legs. I rub his leg and stretched it. There is no pain … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
34,224 satisfied customers
She is a 14 year old shih tzu but in good health yesterday
She is a 14 year old shih tzu but in good health yesterday she started acting weird, like she has aniety all the sudden, shaking, hiding in the closet.and being real needy. … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,661 satisfied customers
I have a litter of nearly 5 week old smoodle (shih Tzu,
I have a litter of nearly 5 week old smoodle (shih Tzu, maltese poodle) pups. There are 3 and one girl seems to be slower than the others and often drags her back legs where as the others are nearly r… read more
Dr. Leah Hill
Dr. Leah Hill
Veterinarian
Doctor of Veterinary medicine
643 satisfied customers
She has a small area of swelling on her eyelid. Shih tzu mix
She has a small area of swelling on her eyelid JA: I'll do all I can to help. What sort of animal are we talking about? Customer: Shih tzu mix puppy 15 weeks JA: What is the Shih Tzu's name? Customer:… read more
divealot1
divealot1
DVM
8 satisfied customers
Our 10 lb Shih Tzu ate a .04 nitroglycerin pill, is it.
Our 10 lb Shih Tzu ate a .04 nitroglycerin pill, is it. Serious. … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
8,299 satisfied customers
My Shih Tzu is 18 she is doing very well but her legs are
My Shih Tzu is 18 she is doing very well but her legs are weak which is causing her to get urine in her fur. She does a lot of rubbing on things which is causing bad mats on her face. I have a appoint… read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
My shih tzu is lethargic at this time. Sleeping and not
My shih tzu is lethargic at this time. Sleeping and not moving around like normal. What do I do … read more
Dr. Thompson
Dr. Thompson
veterinarian
Doctoral Degree
119 satisfied customers
14-year old shih tzu sudden hind leg weakness. possibly no
14-year old shih tzu sudden hind leg weakness. possibly no urination yet today. Health has been normal. … read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
969 satisfied customers
My shih tzu is terribly allergic to flea bites. He got a
My shih tzu is terribly allergic to flea bites. He got a flea that bit him a few times. No fleas on him now but he continues to lick, lick, and scratch in the mornings. What can I give him homeopathic… read more
Dr. Thompson
Dr. Thompson
veterinarian
Doctoral Degree
119 satisfied customers
Our shih tzu ate a Co-Q10 pill. Is this dangerous? 2 years
Our shih tzu ate a Co-Q10 pill. Is this dangerous? … read more
DocPaul
DocPaul
Doctoral Degree
713 satisfied customers
Shih tzu. He's become aggressive and even biting. Scruffy
Shih tzu JA: Maybe I'm confused. I thought you had a problem with a pet. Is that correct? Customer: Yes JA: I'll do all I can to help. What is wrong with the Shih Tzu? Customer: He's become aggressive… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
969 satisfied customers
My 9mth old shih Tzu ate my 15yr old shih Tzu' s heart
My 9mth old shih Tzu ate my 15yr old shih Tzu' s heart medication … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
34,224 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x