Hi,
I am having difficulty with my dog Yuki. He is a shiba inu of 4 years, his birthday is coming up on halloween so he will be 5 soon.
I do apologize this will be long, but I want to explain the entire history to you so you get the whole backstory.
When Yuki was about 6 months old, he got a traumatic experience. We had a couple of lovebirds who were prone to escape. I went to the store for about 30-40mins and when I got back, the lovebirds had escaped their enclosure and Yuki was nowhere to be found. The birds had pushed the bath I had put onto their enclosure off, it had fallen on the floor, and that's how they got out.
So I gathered the lovebirds and put them in their cage. I then went looking for Yuki and found him in the furthest corner of our yard, behind the shed, behind the rain barrel. He was all balled up and shaking out of fear, and it was summer so flies were buzzing around.
I gathered him and comforted him and that was that.
But Yuki wasn't himself anymore. All of a sudden, he was afraid of flies in the house and outside.
About two weeks later we noticed Yuki had scratched open his lip. He had also been chewing his right hind paw to the point it was irritated.
Having forgotten the traumatic event, we went to see our vet, and they said it was allergies. We were sent home with apoquel for it.
The apoquel never really worked very well, and Yuki had been developing severe panick attacks. At times he would be skittish, even when playing, he would suddenly sit down and having to scratch/bite his buttocks and sides.
He still does this. Like he feels an itch or something brushing his fur lightly and he has to react to it.
He developed fly-biting syndrome.
I washed him with douxo calm to soothe his skin and it would make him settle for a little bit but it was really hard to deal with.
We went back to the vets a couple of times but never found a solution.
So we went to my moms vet. At that time we had switched to cytopoint because I read apoquel wasn't to be given to pups under a year old.
Mom's vet gave him a cytopoint shot, and we told her the history.
She referred us to another vet who specialised in dogs with fear and agressive behavior.
We went to see her and she prescribed us Sertraline which we had to try for at least a month to see if it helped at all.
It did not. Yuki would still get flare ups of intense fear, fly-biting, seeing things that aren't there, following shadows, barking at things that aren't there and licking his paws raw.
At this point we stopped the Sertraline as it didn't help anyway and went back to our regular vets. We went the allergy route.
At 9 months old, Yuki got a blood test panel for environmental allergies and we put him on hypoallergenic kibble.
We had a shot made for his allergies and gave him monthly injections of immunotherapy and apoquel on the side since cytopoint did give a tiny bit of relief at the start but it didn't anymore.
It all didn't work. We gave the immunotherapy for a littly shy of 2 years. Alongside the apoquel.
As the immunotherapy didn't help, we stopped giving it after that and he had been on apoquel alone.
Being fed up we went to another vet, who prescribed us cortavance spray to put on his paws every day. And adaptil chews for when the panick is to much and so we all can sleep a bit at night.
We did see some improvement using this. Problem is adaptil only works for about 4 hours until it wears off.
Then Numelvi came out and we tried that, it didn't work at all.
Then Zenrelia came out and it has been better. But not fantastic.
I've been giving him the daily cortavance spray on his paws for almost 2 years now. The Zenrelia I have been giving since december last year.
I had an allergy calendar for him, but every year is different. He seems to be the worst in spring, also that is when all the flies and buzzing bugs are starting to come out. But other than that there is no clear pattern to be seen.
His paws are licked bare on all 4 paws. If he does have a flare up, he will lick one paw. I will treat it with Fucicort cream, and when it's healed, he will lick open another paw. And so on and so forth.
I am still a bit on the fence about the allergy diagnosis. He never has ear infections, no red belly, no real hot spots. It's only the paws, and most of the time it is one paw at a time. Sometimes 2, but never more then that.
Now the house next to us is under construction and the noise is putting a lot of stress on Yuki. He will be ok during the day but in the evening when everything has settled he is so BAD. Panick attacks and licking in the air like he has bitten his tongue or something and licking his paws and not being able to settle, looking around and always being vigilant, being hyper aware of his surrounding and barking at seemingly nothing.
Looking back i notice his episodes have always been triggered by stressful periods. So, out of desperation, I started googling...
I came onto something called focal seizures, nerve pain etc. Triggered by stress. Also the gut-brain axis. He does have less firm stools at the time, and he does once or twice a year, vomit like there is no end, I had to go to the emergency vet twice already to get him something to stop vomiting. Second time the shot didn't work enough and he had to get a second shot the day after and anti nausea meds for the coming days.
The vet kept thinking he ate something in the yard, we took x-rays of his belly but the only thing to see was a lot of air in there. I also didn't find anything remotely strange in the back yard.
So here I am, wondering, pondering, trying to help my boy find some rest.
And I want to ask the vets here what they think. Allergies? Focal-seizures? Something gut related?
What should we do? Should we visit a neurologist? A dermatologist? Leave it like this?
Please help us. Thank you.