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Dr. Susan
Dr. Susan, Veterinarian
Category: Dog
Satisfied Customers: 6785
Experience:  8 years of clinical experience with specialty in veterinary pain management, urology, and geriatrics
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LONG HAIRED GERMAN SHEPHERD. 2YRS. Constant problems with itching.

Resolved Question:

LONG HAIRED GERMAN SHEPHERD. 2YRS. Constant problems with itching. Skin covered in small bumps under skin. No fleas. Very uncomfortable for dog. Has been treated with steroids and atopica to no avail.
What is this
Submitted: 3 years ago.
Category: Dog
Expert:  Dr. Susan replied 3 years ago.
Dr. Susan :

Hi, I can help you with your question today.

Dr. Susan :

What type of food is Merkel eating?

Customer:

She eats dry nuts Burgess with minced steak and mackeral on alternate days. She generally only eats once a day (her preference) While she is itching she is very active and walks every day. She is not bothered with itching when she is exercising.

Dr. Susan :

Does she have any hair loss?

Customer:

No but her constant scratching is making her skin very sore and scabbed

Dr. Susan :

Did she feel better while she was on the steroids?

Customer:

Yes but it didnt disappear so the vet suggested atopica whichhas made no difference after a month

Dr. Susan :

I realize that she does not have a flea infestation, but do you have her on monthly flea protection?

Dr. Susan :

Dogs with a flea allergy can be this itchy after a single flea bite.

Customer:

What are the little lumps under her skin. She has this itch for 8 or 9 months

Dr. Susan :

Without seeing, it's hard for me to say. We can see papules/pustules with skin infection (pyoderma) and we can see hives with allergies.

Dr. Susan :

Overall, my thoughts here are: sarcoptic mange, flea allergy dermatitis, or a food allergy.

Dr. Susan :

Even though she has had her diet changed, she is eating both fish and beef.

Dr. Susan :

I recommend trying to treat her with Advocate. I would apply a dose every 2 weeks for 3 treatments.

Dr. Susan :

This would cure sarcoptic mange, and also help us to control a flea allergy.

Dr. Susan :

If she did not experience significant relief within 2-3 weeks, I would then change her diet to a prescription hypoallergenic food.

Dr. Susan :

We can use Hills ZD, Purina HA or Royal Canin Anallergenic for this purpose.

Dr. Susan :

Then she would need to stay on this food exclusively for at least 14 weeks.

Dr. Susan :

No treats on the side, no human food, etc.

Dr. Susan :

We can use oral steroids like prednisone in the meantime to help manage her comfort level and reduce the itching.

Dr. Susan :

If the lumps are due to pyoderma, we also need an oral antibiotic.

Dr. Susan :

Your vet will have to determine that since I can't see her skin.

Customer:

OK Thank you I will try that

Dr. Susan :

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