Yorkie With Long-Running Bacterial and Yeast Infections on the Paws and Belly
by Ruby
(Red Oak, Texas, USA)
We're sorry he's been so uncomfortable. When paw and belly infections keep coming back despite antibiotics and steroids, there is usually an underlying cause that hasn't been controlled, most often an allergy. In some dogs, a hormone problem is involved instead, such as an underactive thyroid or Cushing's disease, which long-term steroids can also cause. Mention his recent low blood sugar episode to your vet when planning tests. Steroids can also make bacterial and yeast infections harder to clear.
Some things to ask your vet about: a culture to choose the right antibiotic, since resistant bacteria are common after long treatment; tape tests to check for yeast at each visit; a strict elimination diet trial of at least 8 weeks to test for food allergy; and referral to a veterinary dermatologist. For the yeast, antifungal shampoos with chlorhexidine and miconazole have the best evidence, and some vets also prescribe medicated wipes, mousses or sprays for small dogs. Please don't add vitamins or human products without checking with your vet. Hot, red skin and moaning mean he's in pain, so ask about relief for that too.
See paw yeast infections and why dogs lick their paws.
This is general information, not a diagnosis. Please follow your own vet's advice.
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