presented in 4/21 for severe gingivitis
regular vet had recomended prophy +/- biopsy, +/- extractions- when I examined her gingiva were angry and red
over-grooming since kittenhood-alopecia ventral abdomen, lateral front limb (around PC and LI meridians) and more mildly lateral pelvic limbs (around GB 31-33) area, skin appears normal
inappropriate grooming increases with anxiety, decreased when another cat entered house
tongue: sides are red
diet: good quality canned rabbit (client felt that chicken or beef exacerbated grooming)
had been taking daily detox gold a nettles based product
the client is wiling to do homemade but I could not think of an appropriate protein that is easy to obtain since she can’t have chicken or beef and doesn’t like fish so she remains on canned rabbit.
I added in san ren tang
At 2 month recheck in June:
gingiva were less red
alopecia was mostly resolved
client complained of some constipation
I added in Xiao Yao San thinking that the constipation indicated I had missed some stagnation and also some metamucil.
she had a dental prophy, I think the gingivitis had improved the dentist elected not to do a biopsy or extractions.
In late September the client told me that Petra’s self grooming was worse as well as her anxiety.
I have not examined her since June- she is very hard to examine so I try to minimize exams.
But it seems like xiao yao san was the wrong way to go, right? could it exacerbate the self mutilation? is this a Fall Liver flare up? I don’t know where to go from here…