Skin issues and perineum licking - help!

c.sheltie

Forums Regular
Hello everyone,

I'm new here, and I'd like to first say that I'm so glad that there is this community for fellow sheltie lovers to interact and exchange breed-specific advice :)

Apologies in advance for the long mail, but I'm writing to seek kind advice regarding the following health issues plaguing my 7-year-old sheltie:

1) Licking a specific spot at his perineum (around 7-8 o'clock position with reference to his anus)

This started around November 10, the occurrence I believe is a coincidence with my switching him to a raw diet a week or so prior. I did suspect anal gland issues, and so brought him to the vet for a check. The vet found the glands quite full, expressed them, and remarked that the material looked normal. What was interesting (and which, to me, indicated that the cause wasn't an anal gland issue) was that the right gland, the site of which he never paid attention to, was fuller and slightly tougher to express. Anyway, the vet diagnosed the cause of his licking as a mild allergy, and also informed me that my sheltie will possibly still lick the area for a while post-gland expression. This has persisted, however, even till now, and the spot-of-interest has since increased in diameter. There isn't visible irritation to the skin, nor are there swellings in the region either. I've tried to keep the area clean with some chlorhexidine solution and silver sulfadiazine topical cream, but I'd still find his fur around the region matte with his saliva. :gaah

I have, for a long while, found brown specks/flecks along his tail and occasionally hind legs - nevertheless, because those were still present even after Frontline application and the vets diagnosed them as so, I convinced myself that those were just dirt or scabs from previous nibbling. I raise this observation because, though fleas may be a potential cause for perineum licking, these specks aren't found at the exact perineum spot of interest - nor have they bothered him anytime before. In an attempt to eliminate fleas as a potential cause, I'd applied a vial of Frontline just 4 days ago - to no avail or relief, though I've heard from some that Frontline didn't work for their dogs either.

2) Slight reddish discoloration/irritation to snout
My sheltie has a white fur patch on his snout, which makes the months-old slightly reddish discoloration on his snout (just where his nose meets his snout) all the more obvious. I do see the same brown flecks within the area, and there are some black scab-like stuff at the nose-snout junction as well. The vet did a skin scrape for mites, but it came back negative.

I'm quite at wits' end, especially for 1). My vet suggested that I bring him back in for an allergy shot, but I'm really reluctant to do so without understanding the underlying cause.

Any ideas/advice? I'd be most grateful!

Best,
JT
 
If it's some kind of parasite, perhaps switching from Frontline to Advantage Multi might help. Sometimes itching and inflammation are self-perpetuating woes. I once had an inflamed gum above a tooth, and I kept brushing and flossing the area to no avail; it continued to be inflamed. I asked my dentist, and he told me to stop brushing and flossing it so much, and switch to a softer-bristled toothbrush. I took his advice, and the inflammation went right away. It seemed that my repeated efforts to make the problem better were actually making it worse.
 
Welcome to SN.

Skin disorders can be really difficult to pin down. Punch biopsies are often recommended for a skin issue that is not responding to treatment. Unfortunately having this done is fairly expensive...last year one of my dogs had punch biopsies done and the total cost was just over $800...this included the pre-surgical visit to do a full check up and blood work...as well as the actual surgery itself.

I assume your vet has done a full blood panel to try and identify if there are any obvious underlying issues that blood work would show?

Trini
 
Thanks Mignarda for your suggestion and reply!

I'm wondering if there might be other causes for the incessant perineum licking. I believe I'd spotted those brown specks long before the licking, and am worried that there could be some other causes that I'm not addressing.

Also, to speed the healing process I'd be most grateful if anyone could recommend some home remedies that can reduce the itch (I'm guessing that's why he's licking the area).

Thanks in advance!
 
Also, to speed the healing process I'd be most grateful if anyone could recommend some home remedies that can reduce the itch (I'm guessing that's why he's licking the area).

Thanks in advance!

Have you tried an Epson salt bath/soak for the itchy areas? Follow directions on the package for how much Epson salt to add to the warm water.

Trini
 
Hi Trini and sorry that I missed your earlier post - thanks for replying and for your suggestions too :)

With reference to blood work, no my vet did not - she said that it was a very mild allergy (there was hardly any skin irritation at the exact spot that he was licking), and that it could be controlled with antihistamines. I'm reluctant to rely on dosing my sheltie, and so would rather get to the bottom of the itching. Currently the spot he's been licking has grown larger in area, and he's starting to lick the base of his tail (where the brownish flecks and dead skin-like things can be found). Would that be indicative of fleas? He's had those stuff before, but never bothered him to this extent.

Also, with reference to Epsom salts, I don't have any at home right now but I'm considering baking soda which I do have at hand. Would that be useful too?

Thanks again for all your suggestions!
 
Yes, I think baking soda can also help itchy skin...definitely worth a try.

Blood work is not that expensive to have done and could rule out any serious underlying issues that might be contributing to these skin problems. With my vets, doing comprehensive blood work is one of the first steps they take.

Was staph infection checked for?

Trini
 
Baking soda doesn't seem to have worked or helped :(

No, checking for staph infection wasn't done either. The vet commented that the licking's due to allergies, though it's very mild given that the skin wasn't very inflammed. Since so she recommended that it be controlled with anti-histamines. I did request for a skin scrape for mites but it returned negative.

I did write to my vet again the following week because the licking didn't cease, and she suggested that I bring him in for an allergy shot and to discuss measures to identify the allergen. That actually deterred me from bringing him to my vet any earlier. I've since tried to hunt for alternative ways to stop the licking, to no avail. The area of interest has since increased in size, and now also includes the base of his tail which the vet shaved to get a better skin scrape. His light brown fur there is now starting to turn red from the licking, and I'm desperate to put a stop to this.
 
Getting an allergy shot or meds is a good idea. My female once had a really bad lick granuloma around her privates from allergies. The vet thinks she started working on that area because she was probably bitten and started licking the bite. Nowadays she leaves those parts alone and licks her paws instead. We believe she has a grass allergy, although I never got her tested because lots and lots of dogs (and people) here have grass allergies so it's pretty much a given.

In the interim you can try using a human anti-histamine to see if that gives relief. Antihistamines are good not only for allergies but a range of other itches that have generated a histamine response. My female (6.5kg) gets a 1/4 Phenergan (promethazine) or 1/2 Zyrtec (cetirizine) during allergy season. I find the Phenergan works for longer than the zyrtec but you need a pill cutter to get the smaller size. There are many more you can use. Here is a list of the different human antihistamines you can use and dosage
http://communityvet.net/2009/07/diy-antihistamines/

A cold compress on the area will also provide some relief, as will topical creams or spray with cortisone in it. If you can't get hold of dog creams you can use a baby nappy rash cream, it contains ingredients to soothe and babies have a similar skin pH to dogs.
 
getting a balance

Hi Trini and sorry that I missed your earlier post - thanks for replying and for your suggestions too :)

With reference to blood work, no my vet did not - she said that it was a very mild allergy (there was hardly any skin irritation at the exact spot that he was licking), and that it could be controlled with antihistamines. I'm reluctant to rely on dosing my sheltie, and so would rather get to the bottom of the itching. Currently the spot he's been licking has grown larger in area, and he's starting to lick the base of his tail (where the brownish flecks and dead skin-like things can be found). Would that be indicative of fleas? He's had those stuff before, but never bothered him to this extent.

Also, with reference to Epsom salts, I don't have any at home right now but I'm considering baking soda which I do have at hand. Would that be useful too?

Thanks again for all your suggestions!

skin stuff can be tricky, because essentially it means there is unbalance. Epsom salt alkalizes, as does baking soda, which draws out toxins. On skin erruptions on my dogs I use raw honey...get it mostly from a bee keeper, and occasionally I get manuka honey which is fantastic stuff. If they lick it off, no harm to them. If you think it is fleas, alkalizing the diet helps against that as well.
 
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