Dog skin issues: tried food, meds, tests, still no relief. What now?

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!

First you have to rule out other things as well like fleas and secondary infection which can both be itchy. If there are any lesions under the skin there may be a secondary infection (common with allergy). For food allergy it can take time for symptoms to resolve (8+ weeks for some dogs) and those pets who are very itchy may need medications to stop the itch (itching can lead to secondary skin infection as well). So if your pup is very itchy you may want to talk to your family vet about meds to help with itch while going back to the old food. And treat for fleas just in case (even if you do not see any). I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

If he scratches and is itchy year round, it could be a food allergy or an indoor allergen. Discuss desensitization injections (allergy shots), hydrolyzed diets, antihistamine use and food elimination trials with your veterinarian. https://www.petcoach.co/article/food-trials-for-allergies-in-pets-what-to-expect https://www.petcoach.co/article/what-is-a-novel-protein-pet-food/ https://www.petcoach.co/dog/condition/food-allergies/

There are four main causes of persistent skin issues and you must figure out the underlying cause to address the problem. The causes are: flea allergy, food allergy (this needs to be ruled out with a hydrolyzed diet), environmental allergy or hypothyroidism. With out any further information, it’s hard to know how to advise next steps. If your veterinarian is not comfortable with treating chronic skin conditions, find one who is. I recommend to rule out fleas with a product like Simparica. I rule out food allergy with a diet called Ultamino. Hypothyroidism is a blood test. Environmental allergies are unfortunately very common and also more complicated but they can be determined with a blood test as well. I hope this is helpful and please feel free to post any additional questions.

Those spots on Kimber could be several things including 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 for a full 16 weeks. During this time you must ensure a PROPER food trial or it will not give you any results. 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. Additionally, it sounds like Kimber has a secondary infection and this will need to be treated as well. 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 her diet to something like Royal Canin or Nutro as they are aimed at skin health. Also protect the area from trauma by having Kimber wear an elizabethan collar at all times. You will need to rule out each condition one thing at a time. I hope this helps and please feel free to post any additional questions.

Chronic skin lesions could be several things including 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 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 her diet to something like Royal Canin or Nutro as they are aimed at skin health. Also protect the area from trauma by having Sammy wear an elizabethan collar at all times. I hope this helps and please feel free to post any additional questions.

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.