What to do when it itches?
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By
Dr. med. vet. Sabina Büttner - Aug 19, 2019

Is your dog scratching a lot? Is he nibbling at his paws? Is your cat constantly licking and pulling out whole tufts of fur? Itching is one of the most common reasons why dogs and cats are presented at the small animal clinic. And it is one of the most important symptoms, not just for many skin conditions.
Causes
The possible causes of itching are numerous:
• Parasites such as fleas, mites, biting insects, etc.
• Allergic diseases: Atopic dermatitis or Food allergy
• Skin or ear infections with bacteria or yeasts (primary or as a result of the itching)
• Skin tumors
• Autoimmune diseases
• Contact allergies
• Psychological or hormonal diseases
Diagnosis
To be able to carry out the correct treatment that can bring relief to your furry friend, it is important to determine the cause of their itching.
Important for the veterinarian is the patient's history (age, breed, living conditions, etc.), as this information provides initial clues as to what disease it could be. In cases of itching, skin parasites and infections should always be ruled out first. This can be done by detecting flea dirt, as well as skin swabs and scrapings. Further laboratory tests may be necessary to find a possible cause for the itching (fungal culture, blood tests).
If a Food allergy is suspected, an elimination diet must be carried out for 8 to 10 weeks for verification, during which the animal exclusively receives food with protein and Carbohydrates (NfE) sources that it has never received before.
Treatment
The treatment of itching primarily depends on the primary disease and can therefore vary greatly. Parasites and skin infections are combated, after which the itching usually disappears within a few days to weeks. If a Food allergy is diagnosed, the allergy-triggering ingredients must be permanently avoided with a suitable diet.
Environmental allergies (atopic dermatitis) are kept in check with allergen avoidance and immunotherapies. Anti-inflammatory and itch-relieving medications such as cortisone are sometimes indicated, at least in the initial phase of treatment, to quickly bring relief to the animal.
The treatment of itchy skin conditions can also be positively influenced by nourishing shampoos and the administration of essential fatty acids and vitamins through food.