Dog Veterinary

Ask a Dog Vet and Get Answers to Your Dog Health Questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary

My dog is an 8 year old pug/ Chihuahua mix that has earwax

Customer Question
build up that I clean...
My dog is an 8 year old pug/ Chihuahua mix that has earwax build up that I clean every other day and when I clean them they are just as bad as the time I did it before. I bathe her regularly (2 times a month) and I do not know why this problem still persists. I have taken her to the vet and gotten medicine that hasn't helped but only made it worse. It also makes her nose very itchy and is constantly scratching at it.
Submitted: 1 year ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 20 minutes by:
11/16/2016
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 year ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30,780
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 year ago

Danielle, I'm sorry to hear of this with Sandy. The reason her reactive ears behave in that manner is that her allergic dermatitis that underlies reactive ears isn't controlled. Her itchy nose is another symptom of allergy. I'm going to post my entire synopsis of dogs such as Sandy. Please take your time perusing it. There's a lot of information to absorb...

Pruritic (itchy) dogs are suffering from an allergic dermatitis in the great majority of cases. Allergies to flea saliva, environmental allergens (atopic dermatitis) such as pollens, molds, dust and dust mites, and foods should be considered. (Reactive ears, paw and extremity licking indicates both atopy and a food intolerance and so it behooves vets to distinguish one from another.) In many instances, a concomitant pyoderma (bacterial skin infection), yeast infection (Malassezia), or mange mite (Demodex or Sarcoptes) might be contributory.

Sandy's vet can check a sample of the exudate from Sandy's ears microscopically (a “cytology”) for abnormal numbers of bacteria and yeast and treat with a topical antibacterial and antifungal ointment, respectively. A concomitant pyoderma is treated with a minimum of 3-4 weeks of an antibiotic in the cephalosporin class such as cephalexin (Keflex) plus antimicrobial shampoos containing either chlorhexidine or benzoyl peroxide and yeast is addressed with ketoconazole plus shampoos containing either ketoconazole, miconazole, or clotrimazole for at least a month.

Our dermatologists tell us to provide one of the newer prescription products available from Sandy's vet even if fleas aren’t seen. Over the counter products containing imidocloprid (Advantage, e.g.) or fipronil (Frontline, e.g.) may be ineffective because many populations of fleas have developed resistance to those chemicals. Consider products containing a different class of insecticide such as Bravecto, NexGard, Comfortis, and Vectra. New prescription products are becoming available all of the time. Dogs can be such effective groomers so as to eliminate all evidence of flea infestation. Dogs who remain primarily indoors can contract fleas because we walk them in on us and flea eggs and larva can remain viable in your home for months. As the weather warms or you turn on heaters at this time of year, egg hatches are common. If the area between the edge of her rib cage and tail (the “saddle” area) is particularly excoriated, a flea saliva allergy should be the most important differential diagnosis. In severe cases, an anti-allergenic prescription glucocorticosteroidid such as prednisone will work wonders for dogs allergic to the saliva of the flea. If you have other pets they may have fleas too but may not be allergic to the flea’s saliva.

Environmental allergies (atopy) are usually initially addressed with prednisone as well. In some dogs an over the counter antihistamine such as clemastine (Tavist) at a dose of 0.025 - 0.75mg/lb twice daily or diphenhydramine (Benadryl) dosed at 1-2mg/lb twice daily (maximum dose of 50 mg at any one time) may be effective. Antihistamines, however, aren’t reliably effective. Adding fish oil to the diet at a dose of 20mg/lb daily of the EPA in the fish oil might synergize with antihistamines to provide better anti-pruritic action. The omega-3 fatty acids in fish oil are antiinflammatory but may take 8-12 weeks to kick in. The new cytokine antagonist oclacitinib (Apoquel) is likely to revolutionize how we address atopic dogs and should be discussed with Sandy's vet. Oclacitinib works as well as a steroid without a steroid's adverse effects. Please note that atopy, at least initially, should have a seasonality to it while a food intolerance should cause pruritis regardless of the season. Chronically atopic dogs may be pruritic year round.

Food intolerance/allergy is addressed with prescription hypoallergenic diets. These special foods contain just one novel (rabbit, duck, e.g.) animal protein or proteins that have been chemically altered (hydrolyzed) to the point that Sandy's immune system doesn't "see" anything to be allergic to. The over the counter hypoallergenic foods too often contain proteins not listed on the label - soy is a common one - and these proteins would confound our evaluation of the efficacy of the hypoallergenic diet. The prescription foods are available from her vet. There are many novel protein foods and a prototypical hydrolyzed protein food is Hill’s Prescription Diet z/d ultra. (I prefer the hydrolyzed protein diets because it avoids the possibility of my patient being intolerant to even a novel protein.) A positive response is usually seen within a few weeks if we’ve eliminated the offending food allergen. Food intolerance can arise at any age and even after our patient has been eating the same food for quite some time.

We need to consider seborrhea in such a patient as well. This is skin disorder of keratinization and maturation. It's a diagnosis of exclusion of the above mentioned skin disorders and can be suggested by skin biopsy.

You also have the option of having a specialist veterinary dermatologist (please see here: www.acvd.org) attend to Sandy. You can expect some combination of skin scrapings, cytology, bacterial culture and sensitivity, fungal culture, skin biopsy, intradermal or blood allergy testing, or presumptive hypoallergenic diet trials to be performed.

Please respond with further questions or concerns if you wish.

Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 12 months ago
Hi Danielle,

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

Dr. Michael Salkin
Ask Your Own Dog Veterinary Question
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30,780
30,780 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

902 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,087 satisfied customers

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

Dr. Gary

Dr. Gary

Dog Veterinarian

9,949 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,704 satisfied customers

BVMS, MRCVS. { Glasgow UK }

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

8,945 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,442 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
She is biting and licking her paws constantly. It is red and
She is biting and licking her paws constantly. It is red and raw … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,780 satisfied customers
I think it is a yeast infection. He was on antibiotics and
Hi I think it is a yeast infection. He was on antibiotics and after he startet to itch, skin turning darker, some crusts on his skin and underarm there is black and wet with some pus. I wash him every… read more
DocPaul
DocPaul
Doctoral Degree
663 satisfied customers
He has a yeast infection on his back and hind legs. I was
He has a yeast infection on his back and hind legs. I was told to use monastat, which helped tremendously, but he licked his legs the next day. Is it safe? … read more
Dr. Ann M.
Dr. Ann M.
Veterinarian
Doctoral Degree
1,591 satisfied customers
My maltisee is licking his paws wet, his paws, around his
my maltisee is licking his paws wet, his paws, around his mouth and his tongue are red … read more
Dr. Alleyne
Dr. Alleyne
Veterinary associate
Doctorate of Veterinary Medicine
1,046 satisfied customers
Another ear yeast infection, was trying to get something off
another ear yeast infection, was trying to get something off the internet … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
I believe she has either a yeast infection in her ears or
I believe she has either a yeast infection in her ears or ear mites how to tell the difference? … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
He has chronic yeast infections in his ears. Sebastian and
He skin is in bad shape too. He is very susceptible to yeast-related problems… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,780 satisfied customers
My dog ate a tube of yeast infection medication. Layla, 3
My dog ate a tube of yeast infection medication JA: I'm sorry to hear that. The Expert will know if your dog will be able to digest that. What is the dog's name and age? Customer: Layla, 3 years JA: I… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,438 satisfied customers
2 of my dogs were just treated for yeast infection in their
2 of my dogs were just treated for yeast infection in their ears. I just noticed that my 3rd dog probably has it too. Because my Vet has a full house the rest of the week I'm unable to bring my last p… read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
Shes licking paw lots and its got redness btwn pads. Scooby
shes licking paw lots and its got redness btwn pads … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,780 satisfied customers
How to treat yeast infection in ear on a little dog with out
How to treat yeast infection in ear on a little dog with out going to the vets … read more
Dr. Alleyne
Dr. Alleyne
Veterinary associate
Doctorate of Veterinary Medicine
1,046 satisfied customers
Can a female dog get a yeast infection like a human if her
can a female dog get a yeast infection like a human if her yeast/bacteria balance is off? Can neosporin if placed on her genitals be pathological for her?… read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
My 11 year old pug was diagnosed with yeast infection in 1
my 11 year old pug was diagnosed with yeast infection in 1 ear. Vet prescribed mometavet for both ears, within 2 days, she (pug) woke up the next morning completely deaf in both ears. Vet thought mayb… read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,226 satisfied customers
I ave a 14 year old pug who seems to gave a yeast infection
I ave a 14 year old pug who seems to gave a yeast infection in her paws, ears, vulva etc. Crying and very itchy. She eats Royal Cannin dog and potato from the vet. She also gad pancreatitis so --becau… read more
divealot1
divealot1
DVM
6 satisfied customers
My Red Fox Lab has had yeast infections in his ears, on his
My Red Fox Lab has had yeast infections in his ears, on his tail and now on his paws. I've tried everything medication-wise. Now I hear it may be his food? I feed Purina One Chicken and rice. … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
My chihuahua/terrier keeps licking his paws. I've held him
My chihuahua/terrier keeps licking his paws. I've held him and looked closely and see no cut or scratches. Our backyard perimeter has some cactus encroaching through our chain link fence. If he happen… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,564 satisfied customers
My dog has a yeast infection in her ears and a sour smell on
My dog has a yeast infection in her ears and a sour smell on her coat. We have taken her to the vet. She was given ear drops and a special shampoo. The smell is not going away. Should I try the apple … read more
Richard Rawling
Richard Rawling
Veterinary Surgeon
BVMS
629 satisfied customers
Worried about a possible yeast infection in my doxie
Jason. Worried about a possible yeast infection in my doxie Assistant: Thanks. Can you give me any more details about your issue? Customer: Dog has smelly waxy ears and is now licking his paws… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,780 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