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Dr L Simmon
Dr L Simmon, Dog Veterinarian
Category: Dog
Satisfied Customers: 6021
Experience:  Veterinarian MVB MRCVS
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He is continually rubbing his face, For several weeks, Saw

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He is continually rubbing his face
JA: I'll do all I can to help. Can you tell me a little more about the dog's situation? How long has this been a concern?
Customer: For several weeks
JA: When did the dog last see a vet? Is he taking any medications?
Customer: Saw vet a few weeks ago for his booster vaccination
JA: And what's the dog's name and age?
Customer: Buddy aged 3 years
JA: Is there anything else the Vet should know?
Customer: His eyes seem to water a lot
Hello, you are through to Dr Linda, a UK based vet.I'm sorry to hear Buddy has this issue and appreciate you must be concerned.What breed is he?Is the skin bald, pink or scabby?Would it be possible to send a photo of his eye?
Customer: replied 6 days ago.
Shih Tzu. No obvious skin problem
Thank you.I'm glad to hear his skin looks normal.Would a photo of his watery eye be possible?
Customer: replied 6 days ago.
No
Ok, without a photo, would you be able to describe things further?Does he squint the eye shut?
Is the discharge clear?
Does the eye appear red or cloudy?
Customer: replied 6 days ago.
Does not squint, both eyes affected. Discharge clear. Eyes do not appear red or cloudy

Thank you.

Is this a new thing or have his eyes always watered?

Customer: replied 6 days ago.
We have only had him a year. Seems to be most of the time

Understood, thank you.

Would he allow you to check his ears, inside the canals?

We are looking for excess wax, red skin, heat or a bad smell.

Customer: replied 6 days ago.
None of the above

Ok, thank you.

So to clarify, he is rubbing his face for the last 3 weeks and has had watery eyes for at least a year.

His skin, ears and eyes look normal and there are no other issues.

Does he ever lick his paws or scratch at his skin?

Customer: replied 6 days ago.
Both occasionally

Ok, sure.

Finally, when was he last treated for external parasites such as fleas and mites and what was used?

Customer: replied 6 days ago.
Last treated with Advocate a month ago

Perfect.

And to clarify, you have not seen evidence of fleas such as black flea dirt/grit, or small, live fleas?

Customer: replied 6 days ago.
None at all

Thank you for confirming.

I am just typing my reply now which will take a few minutes.

When it comes to Buddy's signs, there are a few considerations.

Facial rubbing tends to be done due to some sort of underlying irritation / inflammation.

While we would consider an ear infection, eye infection, parasites, lip fold dermatitis, a fungal infection or something else, I suspect we are likely dealing with atopic dermatitis / allergies.

For most, signs start between the ages of 2 and 4. Pedigrees are most affected and Shih Tzus are over represented.

The skin may appear normal but dogs show signs of itchiness including facial rubbing, paw licking, rubbing their body on the ground, bum scooting and scratching.

Signs may be worse at certain times of the year and can be linked to things like grass, pollen, dust mites and diet.

A vet visit is sensible to examine Buddy, concentrating on his head.

He would likely benefit from some strong anti itch medicine to break the itch scratch cycle and to allow things to settle down.

If allergies are suspected, allergy tests may be run and we might consider trialling a hypoallergenci diet.

Customer: replied 6 days ago.
Thank you for your advice. Will contact local vet

Hopefully we can get on top of this soon for Buddy.

If there is anything else, please do let me know.

If there is anything else, please do let me know.

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