My Shih Tzu's raw, scabby ears won't heal despite all treatments.

Hi, and thanks for your question. This is probably due to an allergy, although it could also be infection or mites. First of all, in order to rule out skin parasites, you will need to treat with a high quality flea treatment, then ask the vet to perform a skin scrape - this might reveal an infection or a mite infestation. If all of those came back negative, the next step is to treat the allergy symptomatically and try to discover the cause of the allergy. Three main type of allergies are usually affecting pets: food allergies, flea and parasite related ones and environmental type (allergens coming from trees, pollens, dust etc etc). Some medications can be given by the vet in order to repair any possible skin lesions (like steroids and antibiotics). Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. Please find the time to give us a feedback about the consultation as that will be used to improve our service.

Hello, and thanks for your question about Mya. Allergies are very common in dogs, and they can be frustrating to control! I recommend asking your vet about Cytopoint, which is a monthly injection, and Apoquel, which is a daily pill. These are very effective non-steroid allergy medications that can either be given individually or (in more severe cases) together. For young dogs like Mya, I usually prefer the cytopoint injections, and then add Apoquel if necessary. If the a strict feeding trial with the Royal Canin Ultramino diet didn't help, then her allergies are less likely to be related to food, and are more likely environmental. Of course, also make sure she's kept current on a high quality flea/tick preventative, to make sure an external parasite can't be complicating things! And if a skin scrape has never been done, that may be advised as well - I've had skin mites get misdiagnosed as allergies before! If it comes to it, I've certainly had patients who did best on steroids - and that can be done pretty safely if you're weaning to the lowest effective every-other-day dose. Hopefully this helps! Of course, I'd defer on all points to a vet who has seen Mya in person!

Hi. This looks pretty severe, and it sounds like you have done alot. This could be allergies, food sensitivities, immune mediated skin disease, or more. Since you have been battling this and not much is working, i would recommend seeing a veterinary dermatologist as your second opinion. this would be the most helpful

Itchy ears are most commonly a sign of allergies. Your dog may have food allergies, environmental allergies, or parasitic/bacterial skin infection. If he hasn't had a skin scraping to rule out parasites, or skin cytology/culture to look for bacterial or yeast infection, these things should be done. Some dogs actually have skin tumors or autoimmune skin disease that is causing the itching, and those dogs need to have fine needle aspirates or skin biopsies taken for diagnosis. Also, you should try a veterinary prescription allergy diet like Hills z/d for 8-10 weeks fed exclusively to treat potential food allergies. It's really important to feed ONLY the prescription diet during this time. Also, I have had great success with the oral pill Apoquel for some allergies as well, and this is a medication that is much safer to use long-term than steroids like prednisone. If this course of diagnosis and/or treatment is not possible with your current veterinarian, pursue a second opinion somewhere else. If all of these options are explored and your dog is still itchy, it's time to visit a veterinary dermatologist specialist.

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. The photos you have provided are a bit blurry but I can tell that the skin is thickened and irritated. From your description, it sounds as though Cleo is battling a skin infection that could be secondary to a chronic allergy. Prednisone will help with the symptoms of the allergy but unfortunately long term use will lead to abnormal clinical signs from the steroids. I would recommend treating Cleo with oral antibiotics, antifungals alongside topical therapy. She may also be dealing with a condition known as Atopic Dermatitis, in which case will need specific treatment such as Atopica or Cytopoint. I would recommend using the below recommended products and discussing additional oral treatments with your vet other than steroids. I would also recommend having her skin scraped to check for skin mites. I hope this helps and that Cleo's skin improves! Please let me know if you have any other questions or concerns and I would be more than happy to help you further. 1. Douxo PS Chlorhexidine combination shampoo and bathe twice weekly until resolved 2. Malacetic conditioning spray and apply to the affected areas twice daily until resolved 3. Welactin omega 3 fish oil capsules 4. Essential 6 spot on by Dermoscent ***All of the above products can be found online quite easily*** These treatments above should not be to supplement veterinary care, they should be in addition to.

I am so sorry to hear that Zumi is having trouble with her skin. It looks like from the pictures a case of moist dermatitis or "hot spot". Hot spots can be very difficult to heal, and take a long time. The keys to a successful healing process are; Treating underlying cause of itching- for example fleas A clipped area around the sore Cleaning the sore with a vet prescribed antiseptic Leaving the sore open to dry out (as the moisture promotes bacterial growth) Antibacterial/ hydrocortisone spray prescribed from the vet for healing An e-collar to prevent Zumi from scratching or biting at the hot spot and making it worse Measure the hot spot with a ruler, and compare in a few days time to make sure that it is reducing in size. If you feel like Zumi is not healing well, I would suggest a trip to the vet, or call and discuss the possibility for a prescription. Oral antibiotics and/ or a steroid injection may help to jumpstart the healing process. I know hot spots can be very frustrating for you as a pet parent and for Zumi. I sincerely hope it starts to heal soon. Warmest regards to you both.

Chronic ear and skin infections may have an allergic component as stated by your veterinarian. It may be fleas, but the likelihood is reduced with regular flea control. Even then though, in a sensitive dog, one flea bite may be enough to cause a serious allergic reaction. The steroid (Prednidale) and antibiotic (Rilexine) are temporary fixes, treating just the symptoms but not the underlying condition. There are also environmental allergies and food sensitivities that may responsible. The sheer number of potential allergens is what makes diagnosing allergies so frustrating. Discuss allergy testing, hydrolyzed diets and food elimination trials with your veterinarian. A consult with a veterinary dermatologist ma be indicated. You should also discuss antihistamine use, either seasonally or year round, with your veterinarian. Atopica and Apoquel are prescription medications that may help treat allergies and can be dispensed by your vet. Consider adding an essential fatty acid supplement, such as a fish oil, to Irish's diet to promote healthy skin and coat. The EFAs may also help some with the itching and inflammation. DermCaps or EicosaCaps are two recommended products.