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Probably the most complex, the most frustrating and the most annoying
clinical condition in the dog.
"My dog will not stop scratching!" What can we do to
help?

There are many causes of scratching in the dog. Only by a thorough
work up of the scratching patient can an exact diagnosis be made,
and then the appropriate treatment can be started.
One of the first things to eliminate is if there are any external
parasites present. Fleas and lice which may be visible or those
invisible parasites that bury in the skin and cause intense itching,
mites, which can only be detected by microscopic examination of
skin scrapings.
Your veterinarian will recognise these obvious causes of scratching
and will be able to advise on appropriate treatment. In most cases
when the cause of scratching is parasitic the response to treatment
is excellent. However the elimination of the parasite from the environment
is just as important, as re-infestation of your pet will cause recurrence
of the symptoms. For example; Fleas require year round control.
Bacterial skin disease is another common cause of scratching. The
presence of bacterial infection on the skin is usually secondary,
but may be primary. Common predisposing causes are skin parasites,
poor nutrition, unhygienic environment, allergic skin conditions,
hormonal disease or long term steroid treatments. Bacterial skin
disease is usually characterised by the presence of pustules, crusts,
itching and there is usually varying amounts of hair loss. Some
dogs may be lethargic and depressed.
Treatment for bacterial skin disease usually requires antibiotics
and medicated shampoos. It is recommended that antibiotic therapy
is continued for seven to ten days after resolution of the clinical
signs. If response to antibiotic therapy is poor, then bacterial
culture and antibiotic sensitivity tests should be considered.
This leads us to probably the most common cause of skin disease
- allergies !.
One such allergy is food hypersensitivity. This is where your dog
becomes sensitized to some component of its diet resulting in skin
disease. Common foodstuffs that have been implicated in food hypersensitivities
are beef, dairy products, wheat, eggs and even chicken. Some dogs
that experience food hypersensitivity also demonstrate gastrointestinal
signs . Food allergies may cause intense itching, they may also
be involved in ear infections as do most skin allergies.
Your vet will advise on an appropriate diet to test if food hypersensitivity
is involved. These diets are known as hypoallergenic diets and may
be home made or may be commercially available. Mutton, rice and
fish are examples of some food components that appear to be less
allergy stimulating. These diets may need to be given for four to
eight weeks before complete resolution of signs is seen. Then it
is possible to reintroduce foods that you are suspicious of to the
diet and observe if the signs reoccur. This way the guilty food
can be identified and can be totally eliminated from the diet in
the future. Failure to clear up the skin condition may indicate
other allergies are present apart from food based allergies.
Contact based allergies are another cause of skin disease. This
is where the dog becomes sensitized to something in its environment
where it is lying or sleeping. The feet and under side of the body
are frequently affected. This form of irritation may also be caused
by an irritant substance and may not be allergic in nature. An examination
of the bedding and places that your dog is lying should be examined.
Blankets, feeding bowls, carpets etc should be given scrutiny. To
test this allergy , the dog should be removed from suspect rooms
and if possible change the bedding in its sleeping area to something
which is known not to irritate or induce allergies. Paper is an
ideal bedding for these dogs and can be used to test if there own
bedding was guilty in causing skin irritation. If no improvement
is seen after rigorous avoidance of suspect floor coverings and
beddings then this form of allergy can be eliminated from the investigation.
This brings us to the most common cause of allergy based skin disease,
atopy !. This is where the dog becomes sensitized to environmental
allergens. These allergens cause skin disease after being inhaled.
This form of allergy may be seasonal or year round. The house dust
mite and certain pollens are frequently implicated as causes of
atopic skin disease. Certain breeds of dog appear susceptible such
as the West Highland White Terrier, the Cairn Terrier, the Shar
Pei but any breed of dog may develop the condition. Cases present
with itching of the face, feet, underside of the body, possible
ear infections and they may be running from the eyes or show a combination
of these symptoms. In general these dogs are eighteen months plus
before they develop this condition.
So what can we do about the treatment of allergies. Unfortunately
it is not very easy. By using skin reaction tests, it may be possible
to determine the exact causes of the allergies. This is of great
benefit when the cause is something we can eliminate from the environment.
However frequently the allergen such as pollen or house dust mites
are impossible to eliminate from the environment and in these cases
we have to rely on the symptomatic relief of the patient. This involves
the use of an arsenal of various anti-inflammatory drugs.
Anti-histamines help in moderate cases. In difficult cases the
use of oral glucocorticoids (steroids) may be necessary to control
the symptoms. The combination of supplementation of the diet with
essential fatty acids has proved to be very beneficial. Reduction
in your pets sensitivity to the allergen by methods of immunotherapy,
where the pet is exposed to the allergen in a different form, has
helped many cases also, especially pollen related allergies. In
treatment it is always the aim of the vet to keep the use of steroids
to a minimum so he/she will use combinations of other drugs to reduce
their dosage. In some cases there will be no choice but to use steroids
and I personally feel this is always better than a pet who is in
constant discomfort and does`nt get the quality of life it deserves.
Due to the difficulties I have mentioned, over the past years,
I investigated the use of herbal medicines as another mode of therapy
to help aid the symptomatic relief of the scratching dog. Aniscratch
Canine is the product I use to supplement my difficult cases.
In many cases I have been able to control the itching with herbs
alone. Some few cases required the use of other drugs at lowered
dosages in combination with the herbs. The use of herbs to control
itching does take time but the benefits once the goals are achieved
makes it very worthwhile as they are safe and free of side effects
and thus give your pet the chance of a longer, healthier and more
comfortable life.
In summary the control of itching in these dogs can be very difficult,
so be patient with your vet as he/she endeavours to get the scratching
and underlying conditions under control.
Aniscratch
Canine
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