What is My Pet Allergic To? Part 2 – FOOD

Yesterday, I saw one of my favorite patients – a super-sweet, chocolate Labrador Retriever. He had yet another ear infection and constant licking and scratching. Grandma and grandpa were over last weekend and they just can’t resist sneaking some of their dinner left-overs when those sad eyes stare longingly at them. Problem is… our sweet Labrador is allergic to chicken so now we have started the cycle of itching and infection all over again.

Today, we will discuss food allergies that cause chronic skin and ear problems. (Sensitivities to food that cause signs such as vomiting and diarrhea or conditions, such as inflammatory bowel disease, will be saved for a later post.)

So how do you know if your pet is allergic to a specific food?

If your pet has chronic skin and/or ear problems, your veterinarian will likely be suspicious of an underlying allergy. But what is your pet allergic to? First, as discussed in the previous post, make sure to rule out the possibility of a flea allergy. You don’t want to spend a lot of time, money, and energy chasing down a difficult to determine allergen, only to find that a flea allergy was the problem all along.

Next, your veterinarian may suggest a food trial to determine if there is an allergy to an ingredient in your pet’s food. This does not mean that there is a problem with the quality of your pet’s current food. It is just that your individual pet may have an allergy to one of the ingredients, such as chicken, beef, corn, wheat, etc.

Pets that have food allergies will usually be itchy year round. This is because they usually eat the same food all the time. If your pet’s problems appear to be seasonal, a food allergy is less likely, and your veterinarian may suggest skipping a food trial and going straight to addressing potential atopic dermatitis – to be discussed in the next post.

To conduct a food trial, your veterinarian will recommend a food that you must feed your pet exclusively for three months without any other food or treats given at any time. There are strict requirements that need to be met when conducting a food trial so it is best to consult with your veterinarian.  Usually, the selected food will be based on either a “novel protein” or “hydrolyzed protein”. A novel protein is one that your pet has not been exposed to before such as venison or rabbit. A hydrolyzed protein is so small that it is unlikely to cause an allergic reaction.

Food can be homemade, but there are also several commercially available pet foods. The important thing to remember is that it must be a novel protein or hydrolyzed protein and specifically designed for food trials. A food simply labeled for sensitive skin is not suitable for a food trial. Many appropriate foods will be by prescription and a bit more expensive, but it is best to do it right the first time and then after determining the specific problem ingredient, search for other options that might work for your pet.

The most important thing during a food trial is that your pet does not receive any other food or treats during the three months of the trial. Remember that once exposed to an allergen it can cause a reaction for up to 6 weeks. So if your dog is allergic to chicken and you feed a dog biscuit treat or rawhide with chicken flavoring, your dog will react for up to six weeks and you are back to square one. Also watch out for any flavored products such as medications (heartworm pills are commonly flavored) and toothpaste that may contain the food allergen.

If your pet has successfully completed a food trial and their allergy signs have resolved, it is assumed that they have a food allergy, but the specific allergy is still not yet identified. At this point, different food ingredients can be introduced one at a time for a week’s duration, and the animal observed for any recurrence of signs. For example, you may feed your pet chicken for 1 week. Then stop feeding chicken and just feed the food trial food for 1 week. If itching, skin, or ear problems develop, it is assumed that your pet has a chicken allergy. If not, chicken is allowed and you go on to test the next possible ingredient.

If your pet’s allergic signs never resolved with the food trial, then it is assumed that it is not a food allergy and we progress to the next step in allergy identification which we will discuss in the next post – What is My Pet Allergic To? Part 3 – Atopic Dermatitis.


What is My Pet Allergic To? Part 1 – FLEAS!

Fleas are itchy and annoying for all pets, but for a pet that is flea allergic, fleas can be intensely itchy and cause secondary skin infections. Yesterday, I saw a cat that was so itchy from her flea allergies that every time you pet her she would uncontrollably chatter and bite at the air or obsessively lick herself. She was just miserable!

Believe it or not, if your pet has allergies, you might hope that the allergy is to fleas rather than some other allergen. This is because compared to most types of allergies, you are more likely to be able to identify and possibly eliminate fleas. However, this does not necessarily mean that it will be easy!

What are the Signs of a Flea Allergy in Dogs and Cats?

Signs of a flea allergy include itching, scratching, licking, hairloss, and/or skin infections. Signs may be concentrated on the lower back, tail, and rear legs, but not necessarily. Cats will frequently get a condition known as miliary dermatitis which appears as many, small, crusty bumps on the skin. Keep in mind that the presence of these signs does not definitively diagnose a flea allergy, but are commonly seen with the condition.

But I Don’t See Fleas…

Often, when I ask an owner, they are confident they have never seen fleas. This is actually not unusual even when an animal has a severe flea infestation. Fleas are notoriously good at hiding. One tell-tale sign, that an animal has a flea problem, even if actual fleas have not been directly seen, is the presence of “flea dirt”. Flea dirt appears as tiny black specs within the hair coat or on the skin when the skin is combed against the grain. Flea dirt is actually flea feces or digested blood and if placed on a white towel and moistened, it will turn a red color.

What do I do to Treat Flea Allergies?

Even if there is no direct evidence of fleas, I still usually recommend taking steps to rule out the possibility of a flea allergy before delving into the often more complicated, time-consuming, and costly task of identifying other allergies. This is because the saliva from a flea bite can cause an allergic reaction for up to 6 weeks, long after the flea is dead and gone. So even if just one flea had the chance to bite, your pet could suffer the consequences for up to 6 weeks.

No flea product is a magic bubble that prevents fleas from biting if the animal is in a flea infested environment so keep this in mind when assessing your pet’s risk to flea exposure. Do you take your pet to the dog park regularly? Do you have stray cats that frequent your yard? These are questions to ask yourself when considering the possibility of potential flea exposure.

My first recommendation is usually to ensure adequate flea control by treating the affected animal, all animals in the household, the house itself, and the yard, as well as avoiding situations in which your pet may come in contact with fleas. Always use flea control products that are safe and effective for your pet. (We will discuss this in more detail in a later post.) If you can ensure that there is no chance of flea exposure for two months, there are no signs of infection, and your dog or cat is still itchy, we usually assume that flea allergy is not the primary problem. Always consult with your veterinarian about your pet’s specific medical conditions and treatment recommendations.

Can You Give Your Pet Human Medications?

The answer is yes and no depending on the medication, the dose, and your pet’s medical condition. Some human medications are extremely toxic to animals and should never be administered to your pet. Always use medications in your pet with caution and under the direction of your veterinarian. Keep medications out of the reach of your pet to avoid accidental ingestion or overdose.

Today, there was an article in the Wall Street Journal about the dangers of your pet getting into your medications.

 When Pills and Medications Get Into the Wrong Paws

Often pets will climb counters or scavenge pills that have fallen on the floor. Even pet medications, many of which are flavored to encourage the pet to take them, can cause a serious overdose if your pet gains access to them.

As a veterinarian, I have seen many cases where pets have gotten into medications left within their reach – a 4 month old puppy that ate a bottle of valium left in the owner’s purse, a 10 year old poodle that ingested a month’s supply of its flavored arthritis pain medication that was left on the kitchen counter, a pet skunk that ate two Advil left on a coffee table, just name a few. Unfortunately, these scenarios have resulted in very sick pets with extended, expensive hospital stays or have even proved fatal. Always treat medications as you would if there was a small child in the home. Keep them in childproof containers in closed cabinets well out of reach of even the most resourceful pet. You would be surprised what feats an animal can accomplish to gain access to a forbidden substance.

I have also seen many good-intentioned owners unknowingly poison their pets by giving them human medications that are toxic. The most common scenario – an owner who wants to provide some pain relief for a pet that has an injury or arthritis gives their pet a human pain medication such as ibuprofen (Advil) or acetaminophen (Tylenol). Unfortunately, these medications are extremely toxic to animals and are frequently fatal. One Tylenol can kill a cat. NEVER give your pet a human pain medication!

Some human medications are safe and commonly used in pets. However, you should always consult your veterinarian for advice on which medications are appropriate for specific medical conditions and what dose is correct for your pet.

If your pet ingests a human medication not prescribed by your veterinarian or an overdose of any medication including pet medications, contact your veterinarian or animal poison control hotline immediately.

ASPCA Animal Poison Control Center

Pet Poison Helpline