Q. For years my 11 year old Shepherd mix has had problems with itching ear problems swollen feet and lethargy they say it is allergies hyperthy…

ANSWER : A. Ear Irritation can be caused by a number of things ranging from allergies, ear infections or even mites. Dirty ears can also cause irritation and problems. Knowing the type of problem is best for figuring out how to treat it.

For plain dirty ears that do not have any odor, redness or leakage of discharge/debris, a simple over the counter canine ear cleaner can be used. Gently soak some cotton balls or a washcloth with the cleaner, and then use these to wipe out the flap of the ear and opening to the ear. Do NOT use Q-tips as these can become stuck or lodged in the curve of the ear canal and may cause injury to the ear drum.

If the ear is bright red or itchy without any dirt or debris in it, it may indicate an allergy. Sometimes an allergy medication can help provide relief in this situation. Your vet can give you the correct dosages of an over the counter allergy medication to use, or may recommend one specifically for dogs.

For infections and mites, changes to the ear such as bad smell or lots of debris and discharge, flecks of black or brown debris, or scabs and sores in the ear may be present. In these cases, it is best to have your vet take a sample of the ear debris to test for mites or infection. Your vet can then give you an ointment that is placed and left in the ear between ear cleanings. Most vets will then recommend cleaning the ears twice daily and then leaving in the ointment after for a period of ten days.

Ear mites ARE contagious to other pets, so if your dog does have them, it is best to treat any other pets in the house at the same time to prevent the mites from spreading around continuously.

ANSWER : A. Constipation is a common problem in dogs that can be due to a number of things. However it is a good idea to make sure the constipation is not actually diarrhea, as some dogs can strain after a bowel movement, making it look like such. If constipation is present, adding a little pumpkin puree or plain yogurt to the diet can help make digestion easier and make stools easier to pass. However if symptoms do not resolve after a few days, it is best to speak with your vet.

For ear aches, it is best to have your vet examine the ear as many things including allergies, ear infections, mites and more can cause ear problems. If the ear is just dirty, then cleaning the ear gently with cotton balls or a clean washcloth and a dog ear cleaning solution can help. Do not use Q-tips as a dog’s ear has a 90-degree turn in it and placing Q-tips in the ear can cause damage to the canal or inner ear. However if the problem persists or cleaning does not help, it is best to seek care.

ANSWER : A. If it’s food allergies you should consider switching to a duck or vegetarian dog food. I would recommend Natural Balance’s Duck Dog Food. If you can look for a senior duck food. Ask a pet store associate to help you. Consider if the vet recommend a prescription diet and starting your dog on that food. If the dog is hyperthyroid I would follow the instructions the doctor gave you and if they wanted your dog to follow a medication routine then purchase it and see if the dog’s symptoms get better. I would help to do a allergy test at your doctor’s office to see what your dog is allergic to exactly.

ANSWER : A. For a pet with chronic ear issues I would recommend checking her thyroid levels. Hypothyroidism can be a cause of chronic ear infections.

Then I would recommend having a bacterial culture of the ear debris to ensure the appropriate antibiotic is chosen to completely rid the bacteria in there. If there is resistant bacteria, the ear will appear to get better at first but then once ear meds are stopped they will thrive again and cause a re-emergency of the ear infection. Also longer treatment may be needed, for example instead of 7-10 days, perhaps 14 days continuously.

If all else fails, I would recommend a skull radiographs to look for signs of a narrow ear canal and/or an inner ear infection which will require not only topical antibiotic ointments put into the ear, but also oral antibiotics.
Most ear infections are caused by moisture in the ears, narrow ear canals, hypothyroidism or skin allergies. Each one has to be gone through systematically.

ANSWER : A. Is your dog being treated for the sore ear? Because the only way I could imagine an ear infection causing reverse sneezing would be that the ear drum had been ruptured, which can definitely happen in chronic, serious ear infections. More likely, probably, is that both conditions (the ear infection and the reverse sneezing) are caused by allergies. So they’re not really related from the standpoint that the ear problem is causing the sneezing, but they’re both coming from the same cause. Make sense?

If she’s not under a veterinarian’s care for this, I’d strongly encourage you to get her there. The ear problems can become chronic and recurrent, and can cause hearing loss. Allergies can be frustrating to treat, but a good vet will work with you to figure out how to help your dog. Good luck, let us know if you’d like to consult about this problem.

ANSWER : A. I will answer this question as if you are speaking of the inside of the ears (not the external). Most dogs ears aren’t dry unless they have other skin issues such as skin allergies, which can be seasonal or year around and caused by many different things, such as foods, environment, dust, grass, pollen, and products (shampoos, perfumes, etc). Check in the ears for waxy build up. The ears should be clean of any wax and dry. If they have build up, I would take a cotton ball, and soak half of it in a dog ear cleaning solution. This solution should be made specifically for dogs, and your local vet would most likely sell the appropriate brand.

I would address any possible skin allergies, if they do not have any other skin issues, then looking inside the ears and cleaning with a good ear cleaner (should be alcohol free—because alcohol is very drying) If the ear scratching continues regularly then bring him/her into the vet to have a proper ear exam.

ANSWER : A. Do you live in a region where fleas are prevalent. Where I live the fleas are truly horrible, and I see many animals developing a flea allergy. This usually presents as relentless itching especially at the base of the tail, although it can be all over the body. Often on exam I won’t find a single flea, just red bumps, hair loss and itching. In response, I will start animals on an oral steroid such as prednisone (I think your doctor has administered an injectable steroid), while at the same time bathing the animal and starting on an oral flea preventative such as Comforts which I then re dose at 3 weeks instead of 4. Additionally, the environment needs to be decontaminated- flea bombing the house, vacuuming often and washing bedding on hot. The flea life cycle is short, however, so this needs to be one frequently as they will just continue to hatch in your home. Most importantly, I tell my clients, that any steroid (oral or injectable) does not fix the problem, but rather suppress your dogs reaction to it thereby making them more comfortable. Just the steroid alone changes nothing except giving them a brief break from their symptoms.

Now that I have spoken in depth about flea allergy, there is a potential that it is something else. Food allergies are slow to develop, and slow to change. If you wanted to eliminate a potential food allergy I would switch to a novel protein, limited ingredient diet. For example, lamb as the protein source if your previous food was always chicken or beef, and in a formula with very limited ingredients such as lamb, rice and veggies. A pet store should be able to help you with this. While on this diet they cannot have any additional treats for 1 month, to see if you have eliminated the allergy. From an Eastern Medical perspective, I also recommend novel proteins that are “cool”, such as fish, lamb, or duck while avoiding “warm” foods such as beef, chicken, pork.

Finally, all animals with allergies should be on an Omega 3 supplement. Given regularly, this can help reduce overall inflammation in the body both in the skin, joints, and other tissues. Good for allergies, arthritis and overall health. My dogs are on fish oils, but one of my dogs who is allergic to fish gets flax oil instead. I would be happy to consult with you further, but I hope this helps to some degree.

ANSWER : A. Licking the feet and legs can be caused by a number of things in dogs including allergies, illness or even stress behaviors. Allergies are the most common in dogs, with yeast infections coming in second. Allergies can cause the area to become red and itching, making your dog want to lick and chew on them. Over time, the area may become stained from saliva, especially in lighter or white-coated dogs. Yeast infections are also common between the toes, and may cause a smelly “corn chip” smell to appear near your dog’s feet. Again, dogs will attempt to lick and chew to relieve the itch. Keeping the feet clean and dry can help relieve both allergies and infections and pet wipes or a baby wipe of all paws when your dog comes in from outdoors may also help. Keeping your dog from licking the space with either dog booties or an Elizabethan collar is also good as it will prevent secondary infection and staining of the paws and legs. If your dog is determined to keep licking and keeping the feet clean and dry do not help, then your vet can help by providing a medication to treat any infection or provide relief of allergies.