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I have a pit she has a fever her ear looks like cauliflower…

Customer Question
I have a pit...

I have a pit bull she has a fever her ear looks like cauliflower she scratches it a lot, her nails seem to be bleeding from her bitting them,her eyes are red and won't eat

Veterinarian's Assistant: I'm sorry to hear that. Using the wrong medication for fleas can be dangerous. You should definitely talk to the Veterinarian. What is the pit's name and age?

Her name is ***** ***** she is about 7

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about Sassy?

She was recently in heat and has never been mated

Submitted: 8 months ago.Category: Dog Veterinary
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Customer reply replied 8 months ago
She's sleeping a lot and she's not in her usual good spirits
Customer reply replied 8 months ago
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call.
Customer reply replied 8 months ago
Let me know if you need more information, or send me the service offer(s) so we can proceed.
Answered in 10 hours by:
10/1/2017
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,284
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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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.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago

I'm sorry that your question wasn't answered in a timely manner. Please let me know if you still need help. May I have an update on Sassy, please?

Biting the extremities often indicates a more general allergic dermatitis such as atopy (allergies to environmental allergens) or, less commonly, food intolerance. Her "red" eyes suggests an allergic conjunctivitis. Her ear has been chronically damaged and, it, too, is likely to have an allergic etiology.

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 oral immunotherapy using the cytokine antagonist oclacitinib (Apoquel) is likely to revolutionize how we address atopic dogs and should be discussed with Sassy's vet. Oclacitinib works as well as a steroid without a steroid's adverse effects. The new injectable immunotherapy with the monoclonal antibody IL-31 (Cytopoint) should also be discussed with her vet. 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 Sassy'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 ***** 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.

Anorexia can represent too many disorders to list in this venue but a severely allergic (and uncomfortable) dog can certainly lose its appetite. Please respond with further questions or concerns if you wish.

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