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KobiD

Hot spots between toes

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KobiD   

We've just finished the round of anti biotics, and everything is looking pretty good. Still some dry, hairless, flaky skin in areas but overall much better. There hasn't been any further spreading of it, and if anything it does appear that the hair is slowly starting to fill back in. Main improvements have come in the last couple days. 

 

Not 100% where the improvement has come from though as we have moved her away from grains. She has been receiving a daily dose of cetirizine (zyrtec), 500mg cephalexine morning and night, plus neocort once to twice a day applied to skin.

 

I'd also been holding off on her flea and tick treatment (nexgard), given some negative reviews of afoxolaner which could have also put strain on her immune if allergies are the issue. Some reading showed that it can also be used for effective treatment of mites/mange though and given we are in the peak of tick season, and that she hasn't had negative reactions to this drug in the past we went ahead and dosed. This has somewhat aligned with the improvement but also overlaps with the completion of the antibiotic course.

 

Guess we'll continue to do what we've been doing and see how things progress. 

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KobiD   

It appears I spoke too soon.

 

This morning they were looking a bit red, and throughout the day she's been feeling the need to lick and created a sore between 2 toes again already. Only thing that has changed to routine is that she finished the round of antibiotics.

 

This is well frustrating

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KobiD   

Someone has found herself wearing the cone of shame tonight!

Edited by KobiD
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KobiD   

Will be getting to the vet on Tuesday. Have been tied up with work at the moment. Keeping her in her cone of shame when she can't be supervised. Things have settled a bit again, but I'd say she'll still needs another round of antibiotics. I'm going to ask for a repeat script for those, and also see if we can try her on a round of oral steroids.

 

I'm not sure if the cetirizine has been working as well as it could so tempted to also try her on another anti histamine after she finishes the steroids.

  

I'll also be looking for a referral to an animal dermatologist. They come up here from Brisbane 4 times a year, so will need to then arrange with them when she can be tested, and make sure all drugs are stopped in the time frames required for allergy testing.

 

Has anyone gone down this route? How did it work out for you? I'd rather invest coin towards a long term solution rather than continuing to go back to the vet for steroids/antibiotics every other week.

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KobiD   

Outcome as expected, tape test positive for bacterial infection.

 

The vet was having computer issues so they'll email the referral through to me.

 

21 day supply of cephalexine (500mg twice daily)

Prednisolone 20mg daily (10mg morning and night) for 5 days and then tapering off.

Continue foot washing every 2nd day with maleseb (leaving on for 10mins).

 

Very strong suggestion by the vet to consider a trial diet for food allergies. They will be emailing through the info for that as well. Specialist is up early Feb, so given the time frames for use of medication I'll hold off this round and try to get her lined up for the next visit (approx. 3 months time). Will allow time to get the flare up under control, get off the medications, and implement a diet change possibly. I suspect it is an environmental allergy though.

 

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KobiD   

We have a cat with a sensitive stomach, and now a dog with sensitive skin. We must be sensitive owners..

 

I'm sure we'll get this under control. On the bright side even with all this going on the dog is in good spirits.

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