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I cant stop my Dog from scratching & chewing at her paws she…

Customer Question
Hello I cant stop my Dog...
Hello
I cant stop my Dog from scratching & chewing at her paws
she is 15 years old
I have treated her for fleas & bathed her
I have been giving her "allergy" tablets but they dont seem to work
Her white fur around her mouth and her paws are very brown and discoloured
Regards Merilyn
Submitted: 27 days ago.Category: Dog Veterinary
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Answered in 44 minutes by:
3/23/2018
Dog Veterinarian: Heath Wilkerson,
 replied 27 days ago
Heath Wilkerson
Category: Dog Veterinary
Satisfied Customers: 416
Experience: Associate Veterinarian at Woodland West Animal Hospital
Verified

Hi, Dr. W here. I'm sorry to hear that :(

Did she have fleas or was the flea bath pre-emptive?

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Customer reply replied 27 days ago
Hello,
She might have had one or two .. but this has been going on for a couple of months..
the vet says it is an allergy .. but the tablets apoquel 3.6 mg don't seem to be working .. i wondered if i could give her a full tablet rather than half a tablet as prescribed ? or even if it may be a dementia type of problem ? Regards Merilyn
I also have 4 cats .. but use revolution etc on them .. albeit not as regimented monthly as it should be
I also have a problem with possums .. and wonder if they mght carry mites or something
regards Merilyn
Dog Veterinarian: Heath Wilkerson,
 replied 27 days ago

Hi Merilyn. The possums could be carrying fleas, but you've already treated for that. When dogs have fleas they usually chew on their rump and belly. When they chew on their paws, it's almost always allergies. Apoquel is given at 2.7 mg per 10 lbs of body weight. If you haven't yet tested her to see what she is allergic to (foods and airborne allergens) then you should do that next, because it will save you a lot of money knowing what to avoid in the longrun and will save her a lot of itching. Omega Fatty Acids can also help with allergies.

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Dog Veterinarian: Heath Wilkerson,
 replied 27 days ago

Here is some more information on pet allergies:

Allergies are the root of the most common problems we see in dogs and cats. There are 3 basic categories of allergens.
1) Insects: fleas, mosquitoes, ants, etc.
2) Food: Most dogs are allergic to beef, dairy, chicken, and/or wheat. In cats, the common food allergens are beef, fish, and chicken. NOTE: ANIMALS ARE NOT ALLERGIC TO BRAND NAMES, THEY ARE ALLERGIC TO INGREDIENTS. This becomes important in management!
3) Environmental factors: pollens from plants and trees, grasses, dust mites, molds

It is not uncommon for a pet to have multiple allergies from multiple categories.

In dogs, the common symptoms we see are
• Itching, scratching
• Skin infections
• Hair loss or barbering fur
• Chronic and/or recurrent ear infections
Licking feet
• Soft bowel movements to diarrhea
• Bad gas
• Wheezing and coughing

In cats, the most common symptoms we see are
• Itching, scratching
• Hair loss or barbering fur
• Vomiting, especially intermittent but chronic vomiting
• Wheezing and coughing

Diagnosing Allergies
While certain patterns of clinical signs can be pretty obvious as to the cause- such as itching around the butt are 99.9% of the time flea allergies- other times it’s more difficult because there can be a lot of overlap, particularly with food and environmental allergies. Allergy testing can tell us exactly what in the environment the pet is allergic to. While there are tests available for food allergies, they are unreliable at best and a complete waste of money at worst. A hypoallergenic food trial is the best way to diagnose food allergies.

Managing Allergies
Out of the major categories of allergens, we can directly reduce or eliminate exposure to two of them- insects and food. It is of the utmost importance that all dogs and cats with suspected allergies stay on year round flea control. Cats are especially adept at eating the evidence (fleas) before they are found, but just ONE flea bite is enough to send highly allergic pets into a frenzy of itching leading to skin infections and ear infections. The typical flea allergy pattern is hair loss and/or barbering at the area around the top of the tail and the back of the back legs. Flea dirt, which is the dried blood poop from the fleas, is often found in this area as well. We sell a variety of highly effective and safe flea control products for dogs and cats both in the hospital and through our online store. We’ll recommend the best products for your pet and your preferences.

The only way to truly test for food allergies is to feed a hypoallergenic diet for a period of 12 weeks and see if that makes a difference in the pet’s symptoms. During the hypoallergenic food trial, the pet can have NOTHING ELSE other than the hypoallergenic food and water. If it is not possible to completely eliminate other items from the pet’s diet, it is not even worth testing for food allergies. Often dogs and cats with GI signs show marked improvement within a few weeks of eliminating the offending ingredients from their diet. Pets with ear infections and itchiness generally take a little longer to respond. Hypoallergenic diets are more expensive than regular foods, but if they eliminate or greatly reduce the symptoms, they will save you a lot of money, and anyway, the pet has to eat SOMETHING! If Dr. Meghan recommends a food allergy trial for your pet, more information will follow.

Environmental allergies are the toughest to manage. If your pet is allergic to pine pollen for example, she’s going to have a heck of a time in the spring when our air is yellow from the stuff! And it’s not like you can keep her away from pollen, it’s everywhere. We can try to manage the symptoms with medications, or we can start hyposensitivity injections, otherwise known as allergy shots. These shots are based on your pet’s individual allergens as determined from allergy testing. While allergy testing and shots are initially expensive, you often save money in the long term by reduced secondary ear and skin infections, less medications, less vet visits!

Allergy management is just that- management. There is no one correct way to manage allergies, it takes a lot of trial and error to figure out what works for your individual pet. There is no cure for allergies; the treatment is life long and may have to be adjusted over time. Our goal is to get your pet’s symptoms under control as quickly and effectively as possible, reduce flare ups, and keep your pet comfortable.

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Dog Veterinarian: Heath Wilkerson,
 replied 26 days ago

It’s my pleasure to help you and your pet! Please remember to “accept” my answer, AND RATE OUR CONVERSATION 5-STARS (so I will receive credit for helping you). Bonuses are always welcome. (I am not compensated in any other way). If you have more questions or if I can help in any other way, please do not hesitate to ask! I’ll be online for another hour or so. Thanks and have a great night!

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Dog Veterinarian: Heath Wilkerson,
 replied 24 days ago
Hi Merilyn,

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

Heath Wilkerson
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Heath Wilkerson
Heath Wilkerson
Heath Wilkerson
Category: Dog Veterinary
Satisfied Customers: 416
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Experience: Associate Veterinarian at Woodland West Animal Hospital

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