Senior Shih Tzu's red, sore paws won't heal. What should I do?

Thank you for using Petco Pet Education Center, formerly Petcoach! Poor Bodie, it sounds as if he has had a rough three days. Bodie's lesions on his paw could certainly be related to an underlying environmental or food allergy that resulted in the development of a severe superficial and possible deep pyoderma, which can be difficult to treat if the bacteria present are resistant to normal antibiotics. Other potential causes could include fungal infections (depending on your location), and neoplasia (cancer). For lesions that do not respond to typical therapy with antibiotics and anti-itch medications (such as corticosteroids, Apoquel, Atopica), it may be necessary to perform a culture/sensitivity of the lesions to determine what type of bacteria present (if any) and what antibiotic it is sensitive to, or even a biopsy which could help rule-out certain fungal infections or neoplasia. I would recommend having Bodie re-evaluated by a veterinarian if the sores do not resolve to determine what the appropriate next step will be.

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Licking and chewing of the paws is a sign of allergies and it can become an infection (pododermatitis) which can be caused by bacteria and yeast. I have success treating with an antibiotic and an antifungal for 3 weeks. I also start my patients on apoquel and an antihistamine to control the licking and biting. I would also recommend considering changing her diet. Chicken is the most common allergic protein. You can find over the counter diets with venison, duck or fish. She can no have any treats that aren't made out of the protein or table scraps. You have to give the diet 2-3 months. Sometimes the pet needs a prescription diet. I would call your Vet or have her rechecked to see if these medications are appropriate to try on Leia

Thanks for using Petco Pet Education Center, formerly Petcoach! This is possibly due to allergies. It really comes down to figuring out what is causing his allergies so that they can be treated or the specific allergen avoided. A secondary infection is likely and also needs to be addressed. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved in 1-3 months then it is time to move on and check for food allergies by switching to a novel diet (new protein and new carbohydrate). If that does not seem to be the issue then you are left out having to check for environmental allergies which require blood and/or skin tests. Allergies can be very frustrating to deal with at first but so rewarding at the end when we are able to treat them effectively!

Thanks for using Petco Pet Education Center, formerly Petcoach! This is possibly due to allergies. It really comes down to figuring out what is causing his allergies so that they can be treated or the specific allergen avoided. A secondary infection is likely and also needs to be addressed. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved in 1-3 months then it is time to move on and check for food allergies by switching to a novel diet (new protein and new carbohydrate). If that does not seem to be the issue then you are left out having to check for environmental allergies which require blood and/or skin tests. Allergies can be very frustrating to deal with at first but so rewarding at the end when we are able to treat them effectively!

Hello. This is a very typical presentation of a dog with Atopy, an inhalant or contact skin allergy. Your veterinarian can recommend several different manners in which to address this problem, including medicated shampoos or oral/injectable antiallergy treatments. It is curious that we commonly only see this in 1 foot, but the irritation can develop anywhere on the body. Thanks for using Petco Pet Education Center, formerly Petcoach.

Thanks for using Petco Pet Education Center, formerly Petcoach! This is possibly due to allergies. It really comes down to figuring out what is causing her allergies so that they can be treated or the specific allergen avoided. A secondary infection is likely and also needs to be addressed. A chlorhexidine based shampoo is usually good for these general infections. Also, douxo chlorhexidine pads can be used for the infectious component. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved in 1-3 months then it is time to move on and check for food allergies by switching to a novel diet (new protein and new carbohydrate). If that does not seem to be the issue then you are left out having to check for environmental allergies which require blood and/or skin tests. Allergies can be very frustrating to deal with at first but so rewarding at the end when we are able to treat them effectively!

Some skin infections can take 3 weeks of antibiotics to clear. However, if its not gotten better, it may be a bit more complicated. As you mention, allergies may indeed be part of it. Eosinophils may indicate that there's an allergic component, so if you aren't addressing the allergies specifically. it may help to do so. Your vet may talk to you about trying some prednisone or apoquel to treat underlying allergies, and this may be very helpful. Weekly baths with a gentle non irritating shampoo may be helpful. I really like this one: https://www.petco.com/shop/en/petcostore/product/zymox-shampoo-with-vitamin-d3 Best of luck, thank you for using PetCoach!