Category Archives: Dermatology

My Cat Bites When I Scratch Its Butt

Overweight cats chew the air, or anything in reach, when you scratch the top of their tail.

Heavy cats will sometimes chew the air or anything they can reach when they can’t get to it themselves. Heavy cats can’t bend around far enough to really sink their teeth into the itchiness of their own rump – so the ‘tail-scritch-air-biting-thing’ appears to be a reflex, a ‘release’ of pent-up chewing that they’d RATHER be doing to their own tailhead (top-base-of-tail) but simply, mechanically can’t.

It can be a BIG liability if someone is petting the head-end of the cat while someone else scritches the tailhead.

Further, some people worry that the cat is in PAIN  –  clients mention “We thought she had arthritis and it was tender” as the reason she bites when touched there.

The cat’s not angry, or in pain when it does this. It’s supposedly part-pleasure, part frustration.

Is there some kind of treatment?

Well, kind of. Weight loss can help a cat “get around to its own butt” and that’s nice. But weight loss in cats MUST BE SLOW because their liver can be ruined (fatty infiltration) with rapid weight loss. So you kind of get stuck limiting AMOUNTS of food but never really letting the cat “not eat”. I don’t even recommend changing foods in case the cat ‘goes off feed’ and contracts “hepatic lipidosis”.

Usually cutting back a tablespoon or two a day will exert some slow weight loss.

If the cat is pruritic, (itchy) then correcting the causes and condition of “itchiness” will reduce the impact of the rump-scratch. I sometimes like cortisones for this, but since those may trigger diabetes in a vast minority of cats, it should be weighed against the risks.

Animals

Dermatology For The Win The First Try

I am endorsing this protocol for folks that want immediate results and ultimately, fewer trips to the vet.

Any Allergy Dermatology Case Fixed First Try

It’s a shotgun approach I am seeing engaged by Veterinary Dermatologists in the Atlanta area, followed up with an injection of Cytopoint.

dermatology
About Yogurt and Antibiotics

In some cases it’s as simple as a couple week’s worth of antibiotics and yogurt, followed by Cytopoint.

In other more resistant / stubborn cases, the protocol in this video prevails.

It’s Fast and Foolproof. I didn’t put together these treatments. I’m no genius, I’m copying them from cases coming back from Dermatology Referrals. And following the shotgun up with Cytopoint just makes sense, and is working GREAT!

Any Allergy Dermatology Case Fixed First Try

Fixing Canine Skin on The First Try

I am endorsing this protocol for folks that want immediate results and ultimately, fewer trips to the vet. I’d rather make a diagnosis but what I’m noticing is that whether a test is positive or not, a treatment for the “chance” of a problem is still deployed.

Any Allergy Dermatology Case Fixed First Try

It’s a shotgun approach I am seeing engaged by Veterinary Dermatologists in the Atlanta area, followed up with an injection of Cytopoint.

dermatology
About Yogurt and Antibiotics

In some cases it’s as simple as a couple week’s worth of antibiotics and yogurt, followed by Cytopoint.

In other more resistant / stubborn cases, the protocol in this video prevails.

It’s Fast and Foolproof. I didn’t put together these treatments. I’m no genius, I’m copying them from cases coming back from Dermatology Referrals. And following the shotgun up with Cytopoint just makes sense, and is working GREAT!

Any Allergy Dermatology Case Fixed First Try

Foot Licking – Atopic Foot Chewing – How To

By far, the most common cause of foot licking is ATOPY. You see and hear dogs licking and sucking on their feet at the worst possible times, like when you’re trying to sleep. And you feel bad for them, you know?

Foot Licking – Atopic Foot Chewing

Fleas

Always check a dog or cat for fleas when they’re foot licking. Admittedly the feet are NOT the favorite place for fleas to eat. they like living under the tail, belly and thighs. But check, anyway.

Tangles in the webbing

This is the second most common cause of foot licking and chewing. And it “layers” on itself like a vicious cycle. The dog has ATOPY and is licking its feet. The spit and the foot licking all contribute to tangling and twisting of the hair –  which then PERPETUATES the foot licking and chewing. The reason I mention it, is because you could GIVE medicine to “fix” foot chewing and it might address the allergic cause, while ignoring the mechanical cause. And fail. So, for foot chewing always keep the feet  trimmed up.

Long hair between the pads

Foot Licking - Atopic Foot Chewing
Foot Licking – Atopic Foot Chewing

Some, smart dogs know that long hair growing between the pads is screwing up their abilility to get ‘traction’ on the ground and some dogs actually try and barber it. Other dogs just chew their feet because overgrown hair between the pads gets twisted, OR simply holds irritating dusts and molds against the sensitive skin between the pads. So, for foot licking always keep the feet  trimmed up.

Overgrown nails

This is another “less common” cause of foot licking and chewing but people are sometimes surprised when they discover that one or more nails is diseased or broken. So a careful exam of all the nails on all the feet is important. Again, medicine won’t work if there’s a mechanical discomfort involved. And seeing the nails, and assessing their health is easier with short fur. So, for foot licking always keep the feet  trimmed up.

Yeast and Bacterial infections

If you examine your dog’s feet and they’re swollen and pink in between the pads, it’s possible that a yeast infection is going on. That’s super itchy. Yeast infections are made worse by spit. Also, by moisture trapped by hair between the pads. Cleaning the feet frequently, with Cetaphil Wipes, or antifungal wipes, plus minimizing the impact of thick foot-hair on the moisture of the feet is good. So, for foot licking always keep the feet  trimmed up.

Foot Licking – Atopic Foot Chewing

Atopy is when dust, smog, pollen, and car-combustion-by-products accumulate in the fur, causing irritation and inflammation in the skin. You’ll see dogs licking their feet, with pink eyes and ears, and pink bellies. They’ll itch ALL OVER.

Atopy is “sister” to allergy. The difference is that with Allergy, you’re dealing with an immune response to antigens. With atopy you’re usually dealing with an immune response to IRRITANTS.

For pure “allergy” a baby wipe doesn’t factor.

For “Atopy” keeping the feet clean and wiped (Click) helps a LOT.

Foot Licking – Atopic Foot Chewing

Chloramphenicol Antibiotic For Dogs and Cats

Chloramphenicol is a ‘strong’ antibiotic, especially against infectious airway and skin issues.
It’s arguably the best for certain airway issues in puppies – especially those legitimately caused by Bordetella bronchiseptica, because Doxycycline and Baytril, are hazardous in pups as they’re incorporated into growing bones via their strong Calcium binding.

Chloramphenicol For Kennel Cough In Young Dogs

We can use Clavamox instead of Chloramphenicol, and it’s likely to work but could miss this infection if it’s purebred bordetella, and WILL miss it if he was exposed to Cobb County Crud; which is a much tougher germ.
Chloramphenicol is so ‘strong’ against most things now (including MRSA) because the human-side stopped throwing it at everything
Chloramphenicol will definitely work
But, I’m ok with using either one.
It’s whether we’re okay with probably, or ‘will’ work.
With ‘probably’ meaning five days not improving and ending up on Chloramphenicol anyway. In neither case does anybody die! 

Background on Chloramphenicol

Chloramphenicol is so ‘strong’ against most things now (including MRSA)
Chloramphenicol is ‘strong’ against most things now (including MRSA)

In humans, chloramphenicol causes aplastic anemia in one out of ten thousand people taking it, usually those folks on it for more than a week or two. That is WAY too much, except during WWII when it was better than penicillin and worth the risk.

In animals, it was reported at a rate of one in a hundred thousand, meaning that the case we saw in class at Vet school was probably the same one we all cut our teeth on.
Vets used Choramphenicol for everything ‘airway’ because it was safe in puppies and kittens, and came as ‘Chloramycetin palmitate’ which was (I always licked my fingers) TRULY delicious like vanilla cream.
Then, more and more it was reported that people could get aplastic anemia, while we’d never seen that in animals as of 1985; and they pulled our beloved chlormycetin palmitate off the market (partly) because human kids would drink whole bottles if they got hold of it, and the human side switched to bubblegum flavored Amoxicillin which was ‘just okay’ in animals, but seldom strong enough for animal airway germs.
Chloramphenicol is so ‘strong’ against most things now (including MRSA) because the human-side stopped throwing it at everything
Amoxicillin got better when it was augmented to ‘Clavamox’ but never was as good as doxycycline which you shouldn’t use in puppies. So, there are those of us who (when suspecting Cobb County Crud’ still use Chloramphenicol for airway in puppies; the old timers who recall its widespread use without consequence from 1965 through its fade in about 1985 with the loss of our favorite liquid version of that drug.
I feel like an old grandpa with that story!!!
It’s just that younger vets (who don’t remember the eighties) never saw how much that was used in puppies and kittens, partly because of safety, but mostly because it tasted so good.
It’s a sad commentary on the human tendency to use antibiotics in every case, but, chloramphenicol is so ‘strong’ against most things now (including MRSA) because the human-side stopped throwing it at everything.

Any Allergy Dermatology Case Fixed First Try

I am endorsing this protocol for folks that want immediate results and ultimately, fewer trips to the vet.

Any Allergy Dermatology Case Fixed First Try

It’s a shotgun approach I am seeing engaged by Veterinary Dermatologists in the Atlanta area, followed up with an injection of Cytopoint.

dermatology
About Yogurt and Antibiotics

In some cases it’s as simple as a couple week’s worth of antibiotics and yogurt, followed by Cytopoint.

In other more resistant / stubborn cases, the protocol in this video prevails.

It’s Fast and Foolproof. I didn’t put together these treatments. I’m no genius, I’m copying them from cases coming back from Dermatology Referrals. And following the shotgun up with Cytopoint just makes sense, and is working GREAT!

Any Allergy Dermatology Case Fixed First Try

Hydrolyzed Protein Diets For Food Allergy?

What do you think about the limited ingredient foods such as kangaroo food for food allergy? Or do you think we should stick to the Rachael Ray food?

Hydrolyzed Protein Diets For Food Allergy
Hydrolyzed Protein Diets For Food Allergy

ANSWER:
That is an excellent question
You can feed a food that has brand new proteins the dog has never seen, and of course they will have no food allergy to that.
But.
Instead of guessing what proteins would be considered “new“ to the dog, there are also what are called “hydrolyzed protein“ diets in which the proteins are broken down from kangaroo into the essential amino acid’s, thereby no longer being chicken, beef, or kangaroo. Just raw, antigen free protein building blocks. It seems to me in cases of food allergy that, that is the best result we are getting.
However, food allergy is minor, compared to adverse food reactions, which is usually the body rejecting various insecticides and herbicide’s that are used on the ingredients that go into dog food.

Hydrolyzed Protein Diets For Food Allergy

I don’t know what comes up when you keyword search “hydrolyzed protein diets” on Amazon. But that is the most sure fire way to find a diet that will not trigger an immune response.

That being said, I really do like the Rachael Ray Peak, just six, and nutrish lines. Simply avoid her diets that contain lentils and peas.

.Hydrolyzed Protein Diets For Food Allergy

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What kinds of allergy are curbed by what kinds of antihistamines?

It turns out that certain kinds of allergy aren’t helped by antihistamines at all! And it also turns out that every dog has a “favorite” antihistamine. Some dogs respond far better to Benadryl then they do to hydroxyzine and vice versa. Worse, there’s no way to tell. The full skinny on anti-histamine therapy for atopy and other allergies is in this recording.

How Amazing is Cytopoint?

So, for a good part of 2018 and all the way through 2019 I have been recommending a move from steroids over to an injection that creates immunity to the enzymes that caused itching.

Cytopoint.

We’ve been very successful with this. At this point we even have protocols to recover the skin from various diseases just long enough to start Cytopoint and push them to complete recovery.

What follows is a discussion of this injection what it does, and how it is performing in my patients already.

How amazing is Cytopoint?

cytopoint

How amazing is Cytopoint?

How amazing is Cytopoint

Cytopoint Cases and Updates

Cytopoint Cases and Updates

cytopoint cases
Just so the audio KIND OF looks like I’m saying it in real time LOL

Cytopoint Cases and Updates

“Just an update that Benji is doing 99% better after getting the Cytopoint shot on Tuesday morning.   He is feeling better and sleeping good.   He occasionally has an itch but nothing like what he was doing before the shot.   I also “scrubbed” his back with the hot terrycloth wash towel (twice) on Tuesday.    All is good at this time. ”