As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.Submit Your Question
Question:Hello I have a large breed Persian rescue dog which was diagnosed with Generalized Demodicosis, 8 months ago, he was prescribed antibiotics (metronidazole, Ciprofloxacin, and Coamoxiclave) and very frequent injections of ivermectin (1cc) every other day, plus multivitamins and omega 3,6,9, vitamin c+zinc, vitamin E, and Dr Clauder immune boost paste. Also he has been washed by Lindan and Permethrin Shampoos at least 15 times, and once with a henna solution(which really helped). Unfortunately, it keeps recurring and the foul smell and itchy skin cause him to scratch and make his skin bleed. I was searching for other treatments when I came across 2 topics: 1st) antibiotics aggravate demodectic mange?! (Small acne-like bumps-I was told they are folliculitis & I shouldn¿t worry) Mites are microscopic and live in hair follicles More common in dogs recently treated with steroids or antibiotics More common in dogs that are "rescues" or have been in stressful conditions Most common victims are under 3 years of age Dog may have a yeasty, musty odor or a yeast infection Allergy treatments didn't work or last) 2nd) Cheyletiella Symptoms Patchy hair loss Dusty hair with dandruff-like flakes Flakes may appear to move Mites are very tiny but may be visible occasionally Rough, unkempt, patchy-looking coat It's contagious ¿ other pets or people in the household may be itchy. He has both these condition, please help, should I continue giving him the antibiotics? Is it safe for him to tolerate Amitraz? Or Lime Sulfur? Any suggestions? Any products you would suggest? I have lab results, and photos too. Thank you for your patience with my long text. I¿m desperate please help 🙏🙏
Answer:Be sure you are still treating Demodex - like it needs to be regularly confirmed by a skin scrape at your veterinarian. Some dogs will have demodex when they are young and then (unrelated) allergies when they are older and people assume it's the mange coming back. If it is still Demodex, I would start him on monthly Nexgard and probably a lime sulfur shampoo and you may need to increase the ivermectin to daily, but only do that if your veterinarian rechecks him and recommends it. (Oh, antibiotics do not make demodex worse - that is an internet myth - steroids do though.)
Question:My dog was diagnosed with red mange. Is this contagious to other dogs? Puppies in particular? Also is it possible for humans to get this?
Answer:No and No. Red mange is also called Demodectic mange which is not contagious (to other dogs or people). The other mange (Sarcoptic) is the one that is contagious.
Question:From this link... https://www.1800petmeds.com/education/mange-treatment-dog-cat-9.htm You said... "Heartgard, which is used at 6 micrograms/kg/month to prevent heartworm infections, is given at 100 times the heartworm dose (600 micrograms/kg/day) for 2-3 months to clear demodex infections. Treatment is continued until dogs have skin scrapings with no live or dead mites for at least a month." Is this .60 cc of Ivermectin per day for a 60 lb dog?
Answer:It would entirely depend on the concentration of the ivermectin and since this is off label usage, I can't recommend that you use that, especially because ivermectin at that dosage can be toxic to certain breeds(collies, border collies, shelties, australian sheperds, etc), so speak to your veterinarian about whether this might be right for your individual dog.
Question:My orange cat has bumps under the skin of his ears and nose.he scratches them till they bleed, but they dont seem to hurt him. My other cats are not affected . What is it?
Answer:It could be many things (allergies, ringworm, cancer, etc)- I would need to examine him and run a couple quick tests to really help you so see your veterinarian if they persist or worsen.
Question:Is this a forever thing? Will my dog have to take medication for the rest of his life?
Answer:Usually not - especially if your dog is less than a year old - they usually just outgrow it. There is a very small % (probably less than 1% with the new, better treatment options) that will continue to have problems.
Question:my pup is a rescue and about 10yrs old and although I haven't been able to afford a vet visit due to no money about to move and family with medical conditions I've done my research and I know my pup has sarpotic mange. I've tried countless over counter but she's clearly miserable and in pain.. I need something to help til I can afford vet visit. please. thank you
Answer:The new flea medications, Nexgard and Bravecto and Simparica help mange. They require a prescription from a veterinarian - if you go to your local Petco when their veterinarian is there, you have to wait in a long line but there is no office visit.
Question:If I dilute tea tree oil for cleaning and disinfectant for around my house is that safe for my cats? I will never directly put anything on them and don¿t use a diffuser but I want to cut down on the chemicals used In my house.
Answer:I actually wouldn't do that if you have cats. It would be hard to control the amount they might ingest if they started licking the floor, counter or wherever you cleaned.
Question:I've been treating my 12 week old puppy for mange using shampoos for mange and a home remedy my dad always used of borax peroxide and water how long should it take to start clearing up also is there any other home remedies that are better than what I'm using?
Answer:There are 2 kinds of mange (demodectic and sarcoptic) and they are treated entirely differently so I will need to know more about your puppy to make a recommendation. Here is a link to treating Demodectic mange, the article is kind of old and doesn't mention some of the newer, better treatments but they are prescription so you would have to get them from your vet: https://www.1800petmeds.com/education/mange-treatment-dog-cat-9.htm
Question:We just rescued a part Australian shepherd/ lab mix 6 months old in Alabama and took her to the vet and she has the red mange and was full of worms. He gave us medicine for the worms and she was heartworm negative thank goodness and gave us Heartguard and Nexguard and said the Nexguard would kill the mites causing the mange and is not contagious to humans or other pets. Is this correct and do you recommend a topical treatment along with the Nexguard to help treat this ?
Answer:All of that is correct and I usually start with just Nexgard. Some dogs will need stronger medication, but starting with just the Nexgard is a good plan.
Question:My dog is licking his pads a lot ?
Answer:This can be caused by many things (allergies, demodectic mange, interdigital cysts, fungal or bacterial pododermatitis, etc etc) so you need your veterinarian to make a diagnosis first because most of these are treated entirely differently. Since allergies are the most common, here is a link to our article about various treatments for allergies, both over-the-counter and prescription: https://www.1800petmeds.com/education/allergy-treatment-dog-cat-9.htm
Question:I have a limited amount of money if my dog has Demo mItes is there a store product that can help my dog I don¿t know if I have enough money for the vet and I don¿t want my dog to die
Answer:Here is a link to our article about treating Demodectic mange with multiple treatment options, both over-the-counter and prescription: https://www.1800petmeds.com/education/mange-treatment-dog-cat-9.htm
Question:How can I treat my dog's mange? Due to scratching, my dog's hair falls off and gets a skin bleeding. It happens not only in one area. It happens on the side of his legs, stomache, and neck. What medicine should I buy in vet stores or what home-remedy can I do? Thank you very much.
Answer:There are 2 kinds of mange and they are treated differently - then there are many other causes of itchiness (allergies, ringworm, pyoderma, etc) so you need a definitive diagnosis before a recommendation can be made. Here is a link to possible treatment options for Demodectic mange with over-the-counter and prescription options: https://www.1800petmeds.com/education/mange-treatment-dog-cat-9.htm
Question:hi. dr. is there any other injection better than neomac, if there is please tell me, neomac cannot cure mange.
Answer:Occasionally we will have to use daily oral Ivermectin for a few days, weeks - consult your veterinarian to see if that might be an option for your dog.
Question:hi dr.i have a st bernard about 2years old, he has demodectic mange, does heartgard plus can cure this mange, i have been fighting this for 2 years till now cannot cure , form 2 month to till now i am going to vet, our local vet is giving a injection call neomec.
Answer:No, Heartgard does not help mange - some of the flea and tick medications that we use with Heartgard do (Nexgard, Bravecto, Simparica). I would recommend one of those monthly after you get Neomec from your veterinarian.
Question:I have a mixed area I believe it has almost like a yeast infection and maybe a skin problem issues like the mange a little not bad what is best to use
Answer:I would need to see what we are talking about to really help you but if it's not too bad, a lot of the new, really good & strong flea & tick medications help mange as well: Nexgard, Bravecto and Simparica in particular.