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Mike McIntyre
Mike McIntyre,
Category: Dog
Satisfied Customers: 17694
Experience:  Veterinarian at Sioux Nation Pet Clinic
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My dog has been treated for fleas and is now clear but she

Customer Question

Hi my dog has been treated for fleas and is now clear but she keeps biting her paws and making them sore
JA: Hi there. I'll do all I can to help. Fleas can be tricky to get rid of, but the Expert can share some tips. What's the dog's name and age?
Customer: Hope and she 5 years and 2 months
JA: Is there anything else the Vet should know about Hope?
Customer: no she is normally a happy healthly dog
Submitted: 12 days ago.
Category: Dog
Expert:  Mike McIntyre replied 12 days ago.

Hello and welcome to Just Answer. This is Dr Mike and it will be my pleasure to assist you with your questions today. I have over 20 years of experience in small animal medicine and surgery. I am sorry to hear that you are having trouble with your little one, I can understand how stressful it is for you. I will do my utmost to assist today and to see if we will be able to resolve this quickly for you. Please be patient with me as it takes time to review and write detailed recommendations. Shortly you will receive an offer from Just Answer for a phone call, this is not directly from me and you do not have to accept it. If you prefer we can continue this whole conversation here. I will begin our discussion today with some questions to better understand your concerns. To start with, have there been any changes in eating, drinking, defecating or urinating most recently?

Are there any underlying medical conditions or medications that I should be aware of?

Will it be possible to send some photos of the affected area?

Expert:  Mike McIntyre replied 11 days ago.

The concern is the in the skin there can be opportunistic bacteria and yeast that can proliferate to higher levels and can potentially cause skin problems. This is seen more often when there is skin damage by way if moisture or damage. The excess moisture can allow the normal yeast and bacteria that colonize and to proliferate to higher levels, as these levels increase then more issues may arise. Topical shampoos with chlorhexidine and miconozole can assist with yeast and bacteria control. When shampooing it is best to allow for a minimum of 10 minutes of contact time with the skin before rinsing it off. This contact time is critical to provide good kill down and penetration to the area for potential organisms. These topical items like chlorhexidine and miconozole can also be sprayed on the skin. (Micochlor spray is my an example ). This can be applied to the area 2-4 times a day. They can kill the yeast and bacteria as they are applied. This can be done in conjunction and between the shampooing. The chlorhexidine can address yeast and bacteria and the miconozole will also will address yeast. There is a topical spray that has lidocaine and hydrocortisone in it. This can be sprayed onto the red and itchy skin to alleviate much of the clinical signs also. This can be done 2-4 times a day as needed also the reduce itch and inflammation. The following are some example to look for, these can be found over the counter like at pet stores, pet section in some stores or online like at Amazon . It is generally more effective when the two different types of sprays are used together as explained below.

1. Micoseb Shampoo which has chlorhexidine and miconozole in it to assist with yeast and bacteria.

2. Miconahex plus Triz Spray by Dechra. The chlorhexidine will help to clean and disinfect and to address yeast and bacteria. The miconozole will address yeast also. This is just one brand example too look for. Most important look for chlorhexidine as the active ingredient with other brands too.

3. SynergyLabs-Veterinary-Formula-Clinical Care. Premium Itch Relief. The lidocaine and hydrocortisone will help with itch, pain and inflammation.

The shampoo may not be needed to cover the whole body however focussing on the affected areas. Synergy is most important in the above discussion. The one spray with chlorhexidine can address potential bacteria and yeast and the other spray with the hydrocortisone can address the inflammation and itch. Together the two items work very well together.

These items are over the counter and can be found at pet stores, the pet section like at Wal Mart or Amazon. I gave one brand example however many different brands are available. Most important is to look for the same active ingredients.

Diphenhydramine (which is the active ingredient in Benadryl) can be dosed at 1 mg/pound body weight every 8 hours. This may help some itch and inflammation.

Until able to acquire the above items, the area can be cleaned with dilute Chlorhexidine. It can be found at the pharmacy over the counter. It may go by the name Hibiclens clens or Hibiscrub. Then can apply triple antibiotic ointment to assist with potential infection. Topical hydrocortisone or lidocaine can assist with itch and inflammation.

If you are outside of the USA here are some other products that may be more readily available in your country.

The following are some example to look for, these can be found over the counter like at pet stores, pet section in some stores or online like at Amazon.

  1. Duoxo pyo (these items all have Chlorhexidine and Climbazole in them)
  2. Duoxo pyo spray

3. The Triz Chlor line also has these Ingredients also. Here is a link to review.

Expert:  Mike McIntyre replied 11 days ago.

We can keep this message open for some days also, I am here daily and am readily available for follow-up. Please keep me updated as to any changes or concerns that may arise. If you wish for my help in the future. You can ask customer service to forward your questions to me, Doctor Mike. Start the questions “For Dr Mike only and no other expert” I am here daily and will be happy to follow up. It has been a pleasure assisting you and Hope today. I wish Hope a speedy recovery and have great day. Thank you for using Just Answer. Dr. Mike.