How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. B. Your Own Question

Dr. B.
Dr. B., Cat Veterinarian
Category: Cat
Satisfied Customers: 17102
Experience:  I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
60269376
Type Your Cat Question Here...
Dr. B. is online now

my cat has been treated for flees and now has an itchy patch

Resolved Question:

my cat has been treated for flees and now has an itchy patch of hairless skin under his chin. What is it and how can I treat it? Thank you.
Submitted: 2 years ago.
Category: Cat
Expert:  Dr. B. replied 2 years ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

 

Can you tell me if there are pustules, pimples, sores, black heads or ulcers on the chin?

 

Does he have a plastic cat food bowl?

 

Any change to his diet in the past 4-6 weeks prior to his chin issues?

Customer: replied 2 years ago.

He has no pustules, pimples, sores, black heads or ulcers on the chin. It a little patch of hairless skin and now a smaller part of it looks like a graze which is dry. He often scratches it. It bled few days ago, now it's dry.


We buy him wet food and dry food alternatively. He has a plastic food bowl. He has had it for 5 years now.

Expert:  Dr. B. replied 2 years ago.

Thank you Tereza,

Now as I am sure you can appreciate for my questions, there are a few potential causes for the sign you are seeing. Since you are seeing no changes to the skin itself, we can at least put worries about fungal infections and bacterial infections lower on our list of concerns for Lucky. With that, we need to focus on this likely being an allergic response to the fleas, to foreign material that are coming in regular contact with his chin (food bowls be the most common trigger), or dietary allergies.

First, to soothe the itch and at the same time rule out allergic skin disease (flea saliva induced or any of our allergies), you can consider treating him with an anti-histamine. Anti-histamines can settle allergic skin to all of the above (provided the trigger allergen isn’t in continued contact) in mild cases. Typically in these cases, we will use Piriton for these wee ones (ie 1-2mg or 1/4 – 1/2 tablet of a 4mg Piriton tablet up to twice daily). Do note that while anti-histamines will break that itchiness cycle and give his skin the chance it needs to settle, it can make kitties drowsy. Therefore, we always keep the dose low and if he were to be drowsy on this, then we'd reduce the dose to once daily for him. And of course, this medication shouldn't be used if your kitty has any pre-existing conditions or are on any other medication without speaking to your vet. That all said, if you treat him with this and he doesn't settle or his irritation is very severe, then he may require a short course of steroids to allay the allergic skin response and associated itchiness.

Next, as I noted above, we can see focal skin reactions linked to feeding/water dishes. Even if he has had this dish for years, it is possible to still develop an allergy, react to bacterial loads on the dish, or even to the cleaner use to wash the dish. Therefore, it would be ideal to try him with an alternative bowl at this point. Ideally, we would want to use one made of non-porous material (so bacteria cannot hide and fester). And you do want to make sure that you are using a dish that you clean thoroughly on a regular basis. Furthermore, since we most often see facial skin reactions/allergies with plastic bowls, do make sure not to use one with him for the next wee while. Instead, consider trying a stainless steel or ceramic dish for him. (Do note that it can take 4-6 weeks for the allergic reaction to fully subside of the bowl was the trigger).

Further to addressing potential allergens, we do want to address the chin itself (to continue to keep infection away). Therefore, we'd want to be cleansing the area on a regular basis (potentially after eating) with a mild antiseptic. Examples of mild antiseptics that are safe to use in the area are salt water (1tbsp salt to a pint warm water) or dilute chlorohexidine (available at most pharmacies OTC). Bathing of this region should be performed 2-3 times daily, then the area should be dried thoroughly. If he is still trying to scratch it in the short term as you treat with the antihistamines, you can also consider placing a buster collar to protect the area.


Furthermore, if your kitty has general issues with his skin being sensitive, you may also want to consider trying essential fatty acid (EFA) supplementation. EFA’s are the fats that are part of skin cells composition and play a role in their health and coat growth. They are often used therapeutically in the management of a number of feline skin disorders. So, if he has underlying compromised skin cell health this can aid in settling his skin. A general recommendation for dietary supplementation with essential fatty acids is based on supplying 1.5-2.5 ml fish oil for a 4kg cat. Alternatively, you can offer a small volume of fresh salmon weekly. If he isn't keen on fish, then there are alternatives that your vet can provide. Examples of oral EFA supplements include Viacutin (LINK) or Yumega (LINK). As well, there is a spot on preparation that gets around a kitty even having to ingest these EFAs, called Allerderm (LINK).

Overall, with a lack of visible skin changes supporting infection, we have to appreciate that allergy based causes are most likely triggering his itchy chin. Therefore, do consider trying him with an anti-histamine while cleansing the area and protecting it from his dirty claws. Furthermore, since we do have to be concerned about contact allergens, do consider a swap in bowls for the short term and potentially going back to feeding diets you know have not tolerated itchiness for him before.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need. Thank you and hope to see you again soon! : )

Dr. B., Cat Veterinarian
Category: Cat
Satisfied Customers: 17102
Experience: I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
Dr. B. and 3 other Cat Specialists are ready to help you
Customer: replied 2 years ago.

I will consider and follow your advice. Thank you very much.


Regards,


Tereza & Lucky Smile


 


 

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 & George
< Previous | Next >
  • 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 & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • 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!!!! Alex
  • 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. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • 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. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Joey

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/ZF/zforward/2012-6-6_202211_headshot1.64x64.jpg Dr. Joey's Avatar

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Cat Veterinarian

    Satisfied Customers:

    182
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/NE/nekovet/2013-8-20_23339_nekovet.64x64.jpg Dr. B.'s Avatar

    Dr. B.

    Cat Veterinarian

    Satisfied Customers:

    1336
    I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    3955
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    3073
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Cat Veterinarian

    Satisfied Customers:

    2359
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/fshlee/2009-7-15_23110_drlee.jpg Dr. Lee's Avatar

    Dr. Lee

    Cat Veterinarian

    Satisfied Customers:

    1219
    8 years of experience in veterinary medicine and surgery
 
 
 

Related Cat Questions