Question Details
Skin Dz And Reactivity In A Dog
by CorinneC - December 5, 2023    View Case Report
I have had great success with my fearful and reactive dogs with Halscion this Fall. However, Max was a different story and I'd love your opinion on what went wrong?

In June I first met Max, a 2yo MN Chocolate lab. He'd recently stayed at a kennel for 2 weeks and developed a Rt ear infection (really sore not itchy). He has been on Purina HA since March, beef liver for treats. O very happy with BMs, much reduced and firm, only BID. But ears persistently getting infected. Max is also a reactive barker! When you enter the room, he lunges and barks (looks scary if you don't know him but I can examine him fairly easily once he calms down with treats). I put him on Mometamax but also convinced the O to try a cooked diet - she came back a month later and he was doing really well - ears 100% clear! We also had to add some CHOs to his diet to really keep his wt up.

He came in again in November for his annual PE and was still doing well wrt allergies and ears, but his reactivity was really a burden for O. He would lunge and bark at strangers, esp men, on a walk daily. His tongue was a ruddy pink, normal size and moisture level. His pulses were well toned. I put him on Halscion to see if we could lower his anxiety. Unfortunately, Max didn’t react well to the Halcion. He was on it for nine days and, according to the O, after a couple of days he started becoming more reactive to sights and sounds. On the 9th day he panicked so badly to the sound of a drill that he sprayed fluid from his anal glands across the floor and in to his crate. The O took him off that evening and he has reverted to his usual self.

What would you do in this situation? Like I said, so many dogs (and a couple cats) are doing really well with Halscion. I'm wondering if I should be watching for anything else on exam before I prescribe?

Thanks in advance for your expertise!
Corinne
Replies
by CorinneC
December 6, 2023
I forgot to mention that O mentioned there were times when Max was seeing things that she couldn’t see and waking up from naps growling and barking as well while on Halscion.
by CorinneC
April 2, 2024
Much calmer today for recheck!! Not lunging at all, does jump up but to lick, not in an aggressive reactive way.

O VERY pleased - rec cont herbs for the next few mth - BZYQT and XCHT. Reassess early summer.
by CorinneC
November 3, 2024
Max's reactivity and skin allergies resolved dramatically on XCHT and BZYQT. We eventually stopped both herbs after ~6mth. O over the moon as she can now walk him safely and he's more comfortable in his body. I was so happy as well as these kinds of cases are so very rewarding. Max can enter the clinic now, no barking or lunging, I can examine him without him jumping up and pawing my face, teeth gnashing, loud barking. He is now so calm and sweet.

The best part of all of this is that the client was not convinced TCM can help cure dz and is not my biggest advocate :)
by CorinneC
November 8, 2024
Max is awesome to work with now, no lunging or barking at all for entire visit! He still itchy and scratchy - chews at paws occas, flaps ears around, sometimes chews his groin but never to excess, no seasonality to it. Still most reactive on-leash, but great off-leash and at daycare. Went off his herbs 1st week of July, V+ then, off for 3 weeks as also had some D+, noticed a marked increase in his reactivity until back on both herbs again. Incredibly cuddly with O now which he never used to be. Whatever touches his muzzle - food, water - has to rub his muzzle for a several minutes afterwards, so occurs multiple times/day. Does not like the heat, >15C.

Tongue lavender core with pink, thin edges, normal size; pulses toned, a little superficial, almost thought he had a slippery feel to them today?

Wondering if it would be safe to add SMS or CSWLT for pruritus?
by CorinneC
November 13, 2024
I am thinking Wind Invasion? Does that fit?
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