This dog is a 13 year old SF Chihuahua who presented to me last summer for trtmt of her allergies. She'd had skin problems since age 5, several bouts of recurrent pyoderma, was treated for nail bed infections, had nasal congestion during allergy season and was PU/PD for ~ 1 year. BUN was 42, Creatinine and liver enzymes,, proteins normal. On UA; USG 1.012, pH 6.0. She also has periods of anorexia for 1-2 days every 1-2 months.
At that time (end of August in MN), she had swollen pink feet (all four). A few nails had a slight serum type discharge (did not culture but my impression is just dT inflammation). Ventrum was alopecic, she was shy but not nippy (first Chihuahua EVER!). Pulse deeper, fast. sl. thready. Tongue pink and dry. Chanel was on kibble then, so I asked them to feed home- cooked and move to a novel protein (turkey). We continue Apoquel until the freeze.
I started her on XFZYT , feet improved on rechecks, but were not 100% at the start of winter. Her pulse improved some ( a bit more middle position, fuller). Around Christmas, she had what appeared to be an IVDD episode - was treated with chiropractic and did well.
Thru the winter on XFZYT her feet definitely looked better , but she does improve after the frost historically.
Now with the spring melt she is starting to lick her feet more and has ^ redness and swelling. I'm having them start D-hist and antihistamine, but would love some herbal advice as well.