Dog has suffered his whole life with itching on kibble since he was born. He changed his diet 5 months ago
Since 5 months ago was on pure rabbit and dermatologist said switch to kangaroo- has been 3 weeks of pure lamb raw Big country raw.
Very gassy and no vomiting
frequent Bm and very constipated at first and 5 mins later goes again and normal
Typically suffers from constipation. After he introduced him to raw.
takes dexamethazone 4mg. Owner gives opposite to ketoconazole- Ketoconazole makes it worse? according to owner
Adorned beast yeasty beast protocol for 14 days. did well- no itching and now 2 days of really bad.
Got into a beef bone from the treat box and he ate it.
All day long pruriritc
Started at the flank and bald on both flanks
2nd episode his head and lost hair
then belly and blisters and was all over lastly his paws.- owner still uses shampoo’s
bloodwork has been done and liver enzymes ok. 4-6 months.
Hemp seed oil
Dex calms down for a day.
Doesn’t scoot much
Owner got him in winter time. and now summer so unsure- says worse in winter
not outdoors much
Has had heartworm and topical 1 x monthly.
Dreams and is restless a lot
Used to eat grass a lot when on kibble and used to vomit on kibble (stopped at 7 months old)
Seems depressed and hard to motivate, low energy for a young dog
drinks large amount of water less often
prefers the cold
ear tip scales, crusting and redness and alopecia present
Confident/fearless and also affectionate to owner but suffers from separation anxiety as well
Tongue : red, enlarged, white coating
Pulse: didn't assess at first visit, turns out dog was ok for blood collection back leg.
Bloodwork: TG increased, amylase low, lymphocytes low (likely from dex), cobalamin,& folate normal, Diarrhea PCR panel small amounts Clostridium p alpha A nega for rest.
Responded to dex and apoquel. Apoquel seemed transient according to owner.
I was going to try Si Miao San
I feel there is a blood deficiency (dreaming) damp heat/phlegm - coating on tongue, red
not sure where to go with this. What does the worsening response to ketoconazole mean?
Thank you so much!