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 a small breed and she is a Maltese cross rosell.

Customer Question
My dog is a...

My dog is a small breed and she is a Maltese cross Jack rosell. She is about 15 months old and since 4 months ago she started to scratch herself more than usual. She had ears scratched marks and then it got all around her body. Her Vet said it’s an allergy and she used antihistamines since then. We used eliminating diet for her and nothing changed so far. She recently has got dark circles around her eyes, like really dark and I realized it bleeded. I saw small dried blood spots around her eyes. It’s very scary. What has caused this I am not sure. We are feeding her with allergy dry food and use allergy shampoo and conditioner.

Veterinarian's Assistant: I'll do all I can to help. What is the dog's name?

What can we do more to keep her healthy?

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

Thanks

Submitted: 1 month ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 8 hours by:
1/1/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 month ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 32,275
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 month ago

I'm sorry that your question wasn't answered in a timely manner. Can you upload a photo(s) of her eyes to our conversation? You can upload photos by using the paperclip or add file icon in the toolbar above your message box (if you can see those icons on your particular device) or you can use an external app such as dropbox.com/ Please check that the photo(s) is in focus prior to uploading it.

I'm going to post my entire synopsis of the itchy dog for you. You'll read that antihistamines aren't reliably effective for these dog. Please take your time perusing the synopsis. There's a lot of information and so please return to our conversation with additional questions or concerns if you wish.

I’m sorry to hear of this with your dog. 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. (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.

Your vet can check a sample of your dog's skin surface microscopically (a “cytology”) for abnormal numbers of bacteria and yeast and skin scrapings can be taken in an attempt to find mites. Pyoderma is treated with a minimum of 3-4 weeks of an antibiotic in the cephalosporin class such as cephalexin (Keflex) and yeast is addressed with ketoconazole for at least a month. Mites are addressed topically, orally, and by injection.

Our dermatologists tell us to apply an over the counter flea spot-on such as Advantage/Advocate, a fipronil-containing product such as Frontline or, preferably, one of the newer prescription products available from your vet to which fleas are less likely to have become resistant even if fleas aren’t seen. 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 your dog's 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 glucocorticoid (steroid) 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 her vet. Oclacitinib works as well as a steroid without a steroid's adverse effects. The new injectable immunomodulary drug IL-31 (Cytopoint) should also be considered. 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 your dog'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 your dog. 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 1 month 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: 32,275
32,275 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

16,113 satisfied customers

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

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,059 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,021 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

9,303 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,991 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
Blood in urine, sore paws licking paws, raw bleeding nose (
Blood in urine, sore paws licking paws, raw bleeding nose ( was the first symptom). Bloodshot eye and no appetite. Progressing from a raw nose last week , limping yesterday … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,491 satisfied customers
My dog has a rare ear skin disorder. We cannot find a DX for
We cannot find a DX for this puppies ears. Biopsies have been done and no change, no improvement with steroids or antibiotics. … read more
Dr. Joey
Dr. Joey
Veterinarian
Post-Doctoral Degree
1,706 satisfied customers
Bentley, a goldendoodle, is always licking his paws. What
Bentley, a goldendoodle, is always licking his paws. What can I do? … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,739 satisfied customers
My dog has a extremely bad, I gather a yeast infection, in
My dog has a extremely bad, I gather a yeast infection, in his front arm pit, Constant licking, extremely red, smelly and I am looking for a home remedy to help … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,455 satisfied customers
He has yeast infection on his belly, legs and neck. He
He has yeast infection on his belly, legs and neck. He scratches and smells terrible. I've used antibotics and something for the itching but that is not working anymore. I;ve changed his diet several … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
32,275 satisfied customers
My dog has a yeast infection that the vet has not been able
My dog has a yeast infection that the vet has not been able to keep under control with meds, even after having a skin test. I am desperate to help her. She smells awful and is itching horribly. My que… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
32,275 satisfied customers
My dog either has an ear infection or yeast infection. She
My dog either has an ear infection or yeast infection. She flops her ears, has a awful smell and is constantly scratching. She takes apoquel several times a day because of her allergies. Is there anyt… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
9,303 satisfied customers
My German shepherd keeps getting vaginal yeast infections
My German shepherd keeps getting vaginal yeast infections we've tried putting creams on her but it just keeps coming back. Our vet told us to do that. Is there anything we can give her orally? She giv… read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
Keeps licking paws and sneezing, left eye looks cloudy. 4
keeps licking paws and sneezing, left eye looks cloudy … read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,979 satisfied customers
Question about yeast infections in a boston terrier. Lani,
question about yeast infections in a boston terrier … read more
Dr. Schmidt
Dr. Schmidt
Associate Veterinarian
DVM
612 satisfied customers
He has yeast infection and I have changed his food to No
He has yeast infection and I have changed his food to No grains and no starches- only meat and broth. will AZO work to help with his itching? … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,390 satisfied customers
Re-occuring yeast infections and simultaneously he gets
hello, re-occuring yeast infections and simultaneously he gets sores on his legs which he licks till they bleed … read more
divealot1
divealot1
DVM
8 satisfied customers
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
32,275 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
681 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
7,991 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
32,275 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
1,165 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