My dog is itching and nibbling his skin. What can I do to help?

Thank you for submitting your question regarding Trace. I recommend that he sees his veterinarian if his current allergy treatment protocol is no longer working. Occasionally dogs will need oral antibiotics if the rash is severe enough. Prescription anti-itch medication can provide relief as well. Steroids are a common and inexpensive option, but can cause lots of side effects in the patient. Apoquel is a newer option that works very well with fewer side effects. Cytopoint is an anti-itch injection that is given by the veterinarian. It provides relief for 4-8 weeks. Medicated shampoo or mousse can be used for further control. In the meantime, place an E-collar on him to prevent any further self trauma. You can bath him with a moisturizing shampoo and conditioner such as an oatmeal or fatty acid based formula to soothe the skin. I hope this information helps!

If you haven't yet had him seen by a vet, ideally I would recommend that you have him evaluated. He may have a secondary bacterial infection that needs to be cleared up with antibiotics, and he may benefit from prescription medications such as Apoquel which can make a big difference for these guys! If you are unable to get him to the vet, you can try him on an antihistamine such as Benadryl. See here for dosing info: https://www.petcoach.co/pet-medication/benadryl/. Try switching him to a "sensitive skin" food, such as this: (this s actually what I feed my dog who has some skin allergies/dry skin/itchiness) https://www.petco.com/shop/en/petcostore/product/hills-science-diet-adult-sensitive-stomach-and-skin-chicken-recipe-dry-dog-food You can also give some Omega 3 supplements, as this may help as well. Bathe him once a week to cut down on topical allergens being absorbed in the skin, and follow with a dog cream rinse. https://www.petco.com/shop/en/petcostore/product/zymox-shampoo-with-vitamin-d3 https://www.petco.com/shop/en/petcostore/product/zymox-rinse-with-vitamin-d3 If these "at home" measures don't give him relief, though, get him in to see your vet. Thanks for asking PetCoach!

Thank you for submitting your question regarding Zoey. If your at home treatments have not helped, then it is time for her to see her veterinarian. Her skin will be assessed and tests may be performed to ensure that she does not have mites or ringworm. If not, then allergies are common this time of year. Based on her skin, she may need antibiotics if there is a secondary infection. There are potent anti-itch medications that will improve her comfort dramatically as well. I hope this information helps!

You are correct that long term steroid use is not generally good for the body. The four main reasons for continued itching are allergies to fleas, allergies to something in the environment, food allergy or endocrine disease. Each one of these problems is detected and addressed differently and I recommend to discuss with your veterinarian which one to start hunting down first. Parasites are often ruled out with an oral medication like Simparica. Food allergy is best ruled out with a diet trial using a hydrolyzed protein. Endocrine diseases are detected with blood work. Environmental allergies are a little more difficult to detect but a response to therapy or a blood test can give an indication. Once you figure out and address the underlying cause, the itching should not come back. There are a couple things you can do at home and they can help but they may not address the underlying cause. You can try adding in an omega 3 fatty acid supplement for dogs, this can help improve the skin health. You may also try changing his diet to something like Royal Canin or Nutro as they are aimed at skin health. Also protect the area from trauma by having Nunu wear an elizabethan collar at all times. Regarding the diet, a hydrolyzed protein diet is best and I recommend Royal Canin Ultamino. You also need to be sure to conduct a proper food trial to see if it helps. He can only eat this diet and not treats or ANYTHING else for 12 weeks to see if it help. I hope this helps and please feel free to post any additional questions.

I would try a prescription hypoallergenic diet. Your vet will be able to recommend the one they think will work best for her like science diet Z/D or purina HA. This will be your best shot to rule out any food allergies. I recommend to do a minimum of a 12 week food trial with NOTHING else except for the Z/D. Even her heartworm prevention, if you give it, needs to be hypoallergenic. Unfortunately, most of the oral ones have chicken or beef flavoring in them. For treats, you can take the canned version of whatever food you choose and put a small amount into an ice cube tray and freeze them. Then popped them out and put them in a bag in the freezer for treats. I would also consider putting her on both apoquel and cytopoint at the same time to help control itching. I would also talk to your vet about whether or not they think there is any yeast on her. Yeast can be very itching. There is a anti-fungal that can be given long term and be safe. It is called terbinafine. I had a dermatologist to give it once a day for 4 weeks then every Monday and Tuesday long term to keep the yeast under control in my really allergic patients. Your vet will be able to determine the best dose and whether or not she even needs this. Finally, if this doesn't help, I would strongly recommend to find a veterinary dermatologist in your area to see if they can do different types of treatment. Most dermatologists can do skin allergy testing and get her started on allergy injections if needed. I hope this helps!

Poor Shake! Itchy skin can be very difficult to figure out the underlying cause and can be really tough to manage, so I understand your frustration. I would discuss a plan with the vet you feel most comfortable with for long term management of Shake's skin. Most dogs that have underlying allergies are managed, not cured. I would also plan to do recheck appointments to make sure he is improving and you are seeing results. You may want to consider taking Shake to a veterinary dermatologist, if one is available in your area, as they are specialists and only deal with skin issues. First and foremost, I would make sure that Shake is on good flea and tick control to make sure that is not contributing to his itching. Many dogs that have underlying allergies that will often have severe allergies to flea bites as well. Although it is difficult to see what is going on by the pictures alone, I do suspect he has a secondary infection from chewing/itching, that may need to be addressed with oral medication. I would also recommend having the vet do skin scrapes on him to look for mites if this was not done already, and possibly put him on mite treatment just to rule it out as a possibility. Many dogs with itchy skin need multi-modal therapy, including medicated shampoo, omega 3 fatty acids, and oral antibiotics and/or antifungal medication to get itchy skin under control. There are some medications available through your vet for allergic dogs that may help, such as apoquel or atopica. The most important thing to do is follow up with the vet or discuss referral to a veterinary dermatologist to make sure adjustments don't need to be made in the treatment plan.

Chronic skin allergies can be related several things including allergies to fleas, skin mites, allergies to something in the environment, food allergy or endocrine disease. Each one of these problems is detected and addressed differently and I recommend to discuss with your veterinarian which one to start hunting down first. Parasites are often ruled out with an oral medication like Simparica. Food allergy is best ruled out with a diet trial using a hydrolyzed protein. Endocrine diseases are detected with blood work. Environmental allergies are a little more difficult to detect but a response to therapy or a blood test can give an indication. Once you figure out and address the underlying cause, the lesions should not come back. There are a couple things you can do at home and they can help but they may not address the underlying cause. You can try adding in an omega 3 fatty acid supplement for dogs, this can help improve the skin health. You may also try changing his diet to something like Royal Canin or Nutro as they are aimed at skin health. Also protect the area from trauma by having Simba wear an elizabethan collar at all times. I hope this helps and please feel free to post any additional questions.