I amseeing a really funny case, female bulldog, severe agression / fear issues. She was rehomed and vet cannot get near her at practice, at home she is more settled. She gets acute uricaria, raised skin, extremely itchy all over and then inbteween episodes her skin is amazing. coat looks good, allergy testing shows allergic to every mite under the sun but no plant allergies. She is extremely energetic, no loose stool nor vomiting. It has all improved since she has been speyed. but she bled quite a bit from braod ligament in spey so she has huge scar. She is crazy when on prednisolone and drinks gallons so owner stopped it although it did settle the pruritis. Owner is not ideal owner fpr this dog, flat with carpets and one other dog. The behaviourist help has made thinsg better. she is on picture perfect raw food, spirulina, efas, westerns skin cleansing herbs and calming herbs (bought online). I am sure that is should look at her hormones because when i saw dog she was in amazing coat condition. Her head is not very red if you know what I mean. no wet irriations always dry and non infected. Conventioanl vet wanst to try allergy vacco#ins or cyclosporine tx. Where shoudl I start... beacsue owner is therapist hopper I need to make teh first tx count. She is 2 years old now
Question Details
Urticaria In A Dog
by
veerled
-
October 22, 2014 View Case Report
I amseeing a really funny case, female bulldog, severe agression / fear issues. She was rehomed and vet cannot get near her at practice, at home she is more settled. She gets acute uricaria, raised skin, extremely itchy all over and then inbteween episodes her skin is amazing. coat looks good, allergy testing shows allergic to every mite under the sun but no plant allergies. She is extremely energetic, no loose stool nor vomiting. It has all improved since she has been speyed. but she bled quite a bit from braod ligament in spey so she has huge scar. She is crazy when on prednisolone and drinks gallons so owner stopped it although it did settle the pruritis. Owner is not ideal owner fpr this dog, flat with carpets and one other dog. The behaviourist help has made thinsg better. she is on picture perfect raw food, spirulina, efas, westerns skin cleansing herbs and calming herbs (bought online). I am sure that is should look at her hormones because when i saw dog she was in amazing coat condition. Her head is not very red if you know what I mean. no wet irriations always dry and non infected. Conventioanl vet wanst to try allergy vacco#ins or cyclosporine tx. Where shoudl I start... beacsue owner is therapist hopper I need to make teh first tx count. She is 2 years old now
Replies
by
naturevet
October 27, 2014
It's hard to guarantee that the first thing tried in a skin case will work. I take it you can't even get near her to check her pulses, which further hampers us.
In general, though, the severity of the behavior changes; the worsening during the heat cycle; and the response to the corticosteroids; suggest a Yang excess disorder (usually secondary to Damp Heat). So that makes me think of things like Si Miao San, Long Dan Xie Gan Tang, Long Dan Er Miao San and/or Chai Hu Jia Long Gu Mu Li Tang.
I would have thought raw would really help a lot if the dog had Damp Heat. If the herbs currently in use are bitter alterative types of plants and they haven't helped, then I'd try Chai Hu Jia Long Gu Mu Li Tang first. We've seen it work well in severe behavioural disorders (it is the formula's raison d'etre) as well as chronic skin problems in bulldogs. If there is at all a psychological aspect to the hives, then it's worth considering.
At the AHVMA this year, my associate, Jennifer Marshall, presented cases of severe pruritis that seemed psychological in origin. She used a formula called Suan Zao Ren Tang that you may want to consider. It is a tonic, though, and this dog seems excessive. So I'm not sure it's a match. I guess I'd try CHJLGMLT first.
Supplements that can stabilize mast cells to reduce hives include quercetin and nettles. These are easy to get and fairly neutral, so they can be easily added to any regimen
Steve
In general, though, the severity of the behavior changes; the worsening during the heat cycle; and the response to the corticosteroids; suggest a Yang excess disorder (usually secondary to Damp Heat). So that makes me think of things like Si Miao San, Long Dan Xie Gan Tang, Long Dan Er Miao San and/or Chai Hu Jia Long Gu Mu Li Tang.
I would have thought raw would really help a lot if the dog had Damp Heat. If the herbs currently in use are bitter alterative types of plants and they haven't helped, then I'd try Chai Hu Jia Long Gu Mu Li Tang first. We've seen it work well in severe behavioural disorders (it is the formula's raison d'etre) as well as chronic skin problems in bulldogs. If there is at all a psychological aspect to the hives, then it's worth considering.
At the AHVMA this year, my associate, Jennifer Marshall, presented cases of severe pruritis that seemed psychological in origin. She used a formula called Suan Zao Ren Tang that you may want to consider. It is a tonic, though, and this dog seems excessive. So I'm not sure it's a match. I guess I'd try CHJLGMLT first.
Supplements that can stabilize mast cells to reduce hives include quercetin and nettles. These are easy to get and fairly neutral, so they can be easily added to any regimen
Steve
by
veerled
November 27, 2014
Dear Steven
I started Kenzie on Chai Hu Jia Long Gu Mu Li Tang.
within 2 days she had diarrhea but this might have been unrelated because she is scavenging on walks. the owner has noted a change in behaviour, very very clingy and almost looking depressed. She is now more focused in her bhaviour and does not snap out of it. The owners mother had mentioned that she looked down. The skin has been pretty good with only 2 spots or raised skin in last 3 weeks. So a bit at loss where to go.
I feel like going safe for SMS
Thanks for any advice.
I started Kenzie on Chai Hu Jia Long Gu Mu Li Tang.
within 2 days she had diarrhea but this might have been unrelated because she is scavenging on walks. the owner has noted a change in behaviour, very very clingy and almost looking depressed. She is now more focused in her bhaviour and does not snap out of it. The owners mother had mentioned that she looked down. The skin has been pretty good with only 2 spots or raised skin in last 3 weeks. So a bit at loss where to go.
I feel like going safe for SMS
Thanks for any advice.
by
naturevet
December 8, 2014
Hi there,
If CHJLGMLT made the dog worse, then SMS may not be a wise choice. In the wrong patient, both formulas are potentially drying and can aggravate stagnation. Assessing the pulse can avoid inappropriate use, but I'm assuming that's impossible here.
Assuming the above analysis is correct, a formula that is moistening and dispersing that addresses aggression is Xiao Yao San. I guess I'd try it next.
Remember as well the suggestion of Suan Zao Ren Tang in the previous post. Lastly, in skin cases that don't respond to ANYTHING, we've had good results with hypoallergenic (or elimination) diets.
Steve
If CHJLGMLT made the dog worse, then SMS may not be a wise choice. In the wrong patient, both formulas are potentially drying and can aggravate stagnation. Assessing the pulse can avoid inappropriate use, but I'm assuming that's impossible here.
Assuming the above analysis is correct, a formula that is moistening and dispersing that addresses aggression is Xiao Yao San. I guess I'd try it next.
Remember as well the suggestion of Suan Zao Ren Tang in the previous post. Lastly, in skin cases that don't respond to ANYTHING, we've had good results with hypoallergenic (or elimination) diets.
Steve
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