Puppy scratching ears/eyes, bleeding, hair loss. Vet didn't help.

Unfortunately, if you are unable to take her in for diagnostic testing, the best thing you can do is use the drugs that were provided to you by your veterinarian already. Demodectic mites and/or fleas would definitely be the top differential for these symptoms in a pup of this age. Often multiple treatments with Revolution or a drug like it will be required to get the symptoms under control. Sometimes, even if the symptoms are resolves, continued treatment Revolution is recommended for another couple of rounds to make sure there are no residual mites still living on the body's surface. I would agree that a grain allergy at this age would be highly unusual but certainly not impossible. Hope this makes sense.

Considering the signs you described and the pics, this presentation is likely to be due to an allergy, although skin infections or mites could be responsible for it as well. First, to rule out skin parasites, I would recommend to ask your vet to prescribe a good quality flea treatment and perform some skin tests to rule out infections and mites. If all the tests are negative, allergies can be considered and treated.

Mites and allergies are usually the top offenders for itching and hair falling out. If Snowball has not been checked for mites, then I would be surprised, because we (vets) usually want to rule this out as a cause for itching, before treating for allergies (especially food allergies, which are a more rare cause of allergies). A vet can check for mites bay scraping the skin and looking for the mites under the microscope. This requires about 10 minutes to do at a veterinary clinic. I definitely recommend consulting your vet about this, if it hasn't been done before. I hope that helps and Snowball gets better soon.

Allergies and mange would be at the top of my list. A vet can easily check for intestinal parasites (mange) and then figure out a treatment plan for allergies if you don't have any parasites. There are many many different way to treat allergies, depending on how much you want to spend on medications/testing.

The only way to definitively diagnose mange (Demodex) is by skin scrapings which should be repeated every 2-3 weeks during treatment until 2 negative skin scrapings are found. Make sure that the flea and tick medication prescribed will also treat mites (milbemycin or moxidectin) and keep in mind that the dosage frequency is different for mite treatment than it is for flea preventative. Treatment needs to continue for 1-2 months after there is a negative skin scraping. Steroids are usually contraindicated in treatment of Demodex. Demodex mites are not contagious to other animals so your other dogs may not be affected.

KEO certainly sounds uncomfortable! Skin issues can be difficult to manage and can take a very long time to improve. Since KEO's skin issues have occurred since he was a puppy, I am curious if he has ever had a skin scraping for Demodex mites. This mite can be transmitted to puppies from their mother. Other causes of chronic itchiness include allergies to food, environmental changes, fleas, or other insects. KEO's head shaking could indicate ear mites, but dogs more commonly develop bacterial and/or fungal (yeast) ear infections. Make sure that KEO is receiving a high quality flea and tick preventative (such as Nexgard, Bravecto or Advantix) regularly and bathe him every 1-2 weeks in a gentle oatmeal shampoo. Otherwise, there are no effective at home remedies for this situation. I understand your concerns for KEO's comfort, but at this point, it sounds as though your best bet is to take him back to the vet for a recheck exam. Excessive itching can cause a skin infection, which requires prescription antibiotics and anti-itch medications. Ear infections require prescription ear medications based upon the type of infection present. If he is diagnosed with Demodex mites, he would need prescription medications to treat these. I hope that all goes well!

I would recommend taking Peanut to the vet to check for mites. They are a common cause of hair loss in puppies, and if the skin becomes infected, there can be bleeding, pus, and a foul smell. The vet will do a thorough examination and can scrape the skin to look for the mites under a microscope to determine the best course for treatment.