Friday, August 31, 2012
Populous pythons pet topic
URL: http://www.topix.com/pets/2012/08/populous-pythons-pet-topic?fromrss=1
Enclosure: http://www.topix.com/bigpic/mini-f7dc77712e42e583812626a1fba0bab3
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(13)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**
Venus the Two-Faced Cat Still a Mystery
URL: http://www.topix.com/pets/2012/08/venus-the-two-faced-cat-still-a-mystery?fromrss=1
Enclosure: http://www.topix.com/bigpic/mini-dc0db215894da77a4ba7ae20a47570d0
Salmonella Press Release for Milk Replacer
URL: http://www.fda.gov/Safety/Recalls/ucm317945.htm
Cat Loves to Have His Face Brushed
[** _place_holder;Comments _place_holder;(5)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx?ShowAllComments=True#comments)**
URL: http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx
Cumberland County Exhibition, a summer hit?
URL: http://www.topix.com/pets/2012/08/cumberland-county-exhibition-a-summer-hit?fromrss=1
Enclosure: http://www.topix.com/bigpic/mini-994eb558e9bba92ee6936667b5ace76d
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(12)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**
Cat Loves to Have His Face Brushed
[** _place_holder;Comments _place_holder;(4)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx?ShowAllComments=True#comments)**
URL: http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(11)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**
5 Ways to Trim Your Pet Care Budget
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Caring for Your Pet in a Tough Economy](http://healthypets.mercola.com/sites/healthypets/archive/2010/09/28/pet-care-budget-and-cost-cutting-tips.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Should You Price Shop for Veterinary Care?](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/02/should-you-price-shop-for-veterinary-care.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [My Top 20 Pet-Pleasing Gift Ideas](http://healthypets.mercola.com/sites/healthypets/archive/2011/12/15/pets-christmas-gifts.aspx)
[** _place_holder;Comments _place_holder;(2)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/5-pet-care-tips.aspx?ShowAllComments=True#comments)**
URL: http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/5-pet-care-tips.aspx
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(10)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**
Vaccinate Horses Against West Nile Virus, Veterinarians Say
URL: http://www.topix.com/pets/2012/08/vaccinate-horses-against-west-nile-virus-veterinarians-say?fromrss=1
Dog and Cat Vaccines are Not Harmless Preventive Medicine
> I talk a lot about vaccine dangers here at MercolaHealthyPets, and I often mention a condition called vaccinosis.
>
> Since vaccinosis isn't recognized by most traditional veterinarians and isn't something many pet owners have ever heard of before, I thought it would be helpful to do a short video to explain the condition.
## Vaccinosis Defined
> First, let's talk about what vaccinosis isn't.
>
> It isn't an acute, often immediate adverse reaction to a vaccine. Adverse events, or hypersensitivities, whether mild (such as lethargy, flu-like symptoms, etc.), or severe (such as anaphylactic shock), that are clearly linked to a recent vaccination are widely acknowledged by the traditional veterinary community.
>
> Unfortunately, these reactions are considered by traditional vets to be occasional aberrations that result from a basically safe procedure.
>
> Vaccinosis, on the other hand, is a problem only holistic veterinarians seem willing to acknowledge. It is a reaction of a pet's body to vaccines that have been injected without the pet having experienced a notable adverse event or hypersensitivity. These are chronic reactions to not only the altered virus contained in the vaccine, but also to the chemicals, adjuvants, and other components of tissue culture cell lines -- as well as possible genetic changes -- that can be induced by vaccines.
>
> Dr. Richard Pitcairn, who holds a PhD in immunology, defines it this way: _"Vaccinosis is to be understood as the disturbance of the vital force by vaccination that results in mental, emotional, and a physical change that can, in some cases, be a permanent condition."_
## Dr. Pitcairn: Vaccines Create Chronic Disease
> According to Dr. Pitcairn, vaccines intended to protect pets against acute natural diseases actually create chronic conditions with features of the disease the vaccine was supposed to prevent.
>
> This transformation begins in the laboratory, where natural viruses are modified in order to make vaccines.
>
> Whereas the natural virus would trigger a strong immune system response, the modified lab-created virus in the vaccine doesn't elicit much of a reaction by the animal's immune system. Instead, it creates chronic disease.
>
> The delivery of a vaccine is also very different from how a natural disease develops in an animal's body.
>
> Vaccines contain a number of toxic substances, including viruses, mutated bacteria, immune irritants, foreign proteins, and chemical preservatives. All of these toxins are delivered by injection directly into the blood and lymph, bypassing the usual first line of defenses, including the skin, mucous membranes, saliva, and so forth. So not only is the virus in the vaccine unnatural, the way it enters a pet's body is also very unnatural.
>
> When you look at the situation from this perspective, it's easy to see how abnormal immune reactions are triggered by vaccinations.
## Your Pet's Individual Risk of Vaccinosis
> The strength and balance of every animal's immune system is different, so there's no way to predict – unless your dog or cat has had a reaction in the past -- how much danger your pet is in from exposure to the modified virus contained in any given vaccine or the many toxic ingredients it contains.
>
> That's why I strongly encourage pet owners to avoid all unnecessary vaccines and re-vaccinations.
## Symptoms of Vaccinosis
> Common vaccine reactions include:
>
> Lethargy
> Stiffness
>
> Hair loss
> Lack of appetite
>
> Hair color change at injection site
> Conjunctivitis
>
> Fever
> Sneezing
>
> Soreness
> Oral ulcers
>
>  _place_holder;
>
> More serious reactions:
>
> Immunosuppression
> Granulomas and abscesses
>
> Behavioral changes
> Hives
>
> Vitiligo
> Facial swelling
>
> Weight loss
> Allergic hypersensitivity
>
> Reduced milk production (females)
> Respiratory disease
>
> Lameness
> Allergic uveitis
>
>  _place_holder;
>
> Very severe illness:
>
> Injection-site sarcomas (cancer)
> Glomerulonephritis
>
> Anaphylaxis
> Myocarditis
>
> Autoimmune arthritis
> Encephalitis or polyneuritis
>
> Polyarthritis
> Seizures
>
> Hypertrophic osteodystrophy
> Abortion
>
> Autoimmune hemolytic anemia
> Congenital abnormalities
>
> Immune-mediated thrombocytopenia
> Embryotic (fetal) death
>
> Thyroiditis
> Infertility
## Dog and Cat Vaccines: The Importance of Exercising Caution
> Since the introduction of dog and cat vaccines, the traditional view of their use has been that they are safe and can be given as frequently as once or twice a year. This approach, tragically, has caused a tremendous amount of suffering for millions of pets.
>
> As the truth about the dangers of vaccines slowly emerges, even traditional veterinary organizations and practitioners are acknowledging that vaccines are not the benign, "better safe than sorry" veterinary tools they were thought to be.
>
> [My recommendations for vaccinating your pet](http://healthypets.mercola.com/sites/healthypets/archive/2011/06/21/expert-proof-most-pets-are-vaccinated-way-too-often.aspx) can be found in several videos, articles, and interviews here at MercolaHealthyPets. Most importantly, I don't recommend [automatic re-vaccinations](http://healthypets.mercola.com/sites/healthypets/archive/2011/02/24/reasons-to-visit-your-veterinarian.aspx) at prescribed intervals for any pet.
>
> If you believe your pet could be suffering from the negative effects of over-vaccination, I strongly recommend you work with a homeopathic or holistic vet to create a tailor-made vaccine detox program to assist your dog's or cat's body in recovering from vaccinosis.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Good News About the Latest Canine Vaccination Guidelines](http://healthypets.mercola.com/sites/healthypets/archive/2011/10/27/new-canine-vaccination-guidelines.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How Often Should You Vaccinate Your Cat or Dog?](http://healthypets.mercola.com/sites/healthypets/archive/2011/05/31/what-your-vet-didnt-tell-you-about-all-those-puppy-and-kitty-vaccines.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How Much Money are You Wasting on Pet Vaccines?](http://healthypets.mercola.com/sites/healthypets/archive/2010/03/31/high-cost-of-pet-vaccinations.aspx)
[** _place_holder;Comments _place_holder;(53)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/20/pets-over-vaccination-disease.aspx?ShowAllComments=True#comments)**
Cat Loves to Have His Face Brushed
[** _place_holder;Comments _place_holder;(3)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx?ShowAllComments=True#comments)**
URL: http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(9)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**
Cat Loves to Have His Face Brushed
[** _place_holder;Comments _place_holder;(2)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx?ShowAllComments=True#comments)**
URL: http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/cat-loves-to-have-his-face-brushed.aspx
5 Ways to Trim Your Pet Care Budget
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URL: http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/5-pet-care-tips.aspx
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(5)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**
Why Dogs Really Do Feel Your Pain
URL: http://www.topix.com/pets/2012/08/why-dogs-really-do-feel-your-pain?fromrss=1
Why You Shouldn’t Ignore Your Dog’s Obsessive Licking
> Canine acral lick dermatitis (ALD), also known as lick granuloma, is an injury to the skin caused by chronic licking. ("Acral" pertains to or affects a limb or other extremity.)
>
> Persistent licking causes the skin to become inflamed, and over time, it thickens. The area can't heal because of the constant licking. Also, the licking and inflammation cause itching, which causes more licking, which creates a vicious cycle of itching and licking.
>
> Secondary problems that can result from ALD are bacterial infection, ruptured hair follicles (a condition called furunculosis), and ruptured apocrine glands (a type of sweat gland in dogs). Any of these secondary conditions can make the itching worse and perpetuate the itch-lick cycle.
>
> The most common (though not the only) location for a lick granuloma is on the front side of a front leg between the elbow and toes. The condition is seen most often in middle-aged, large-breed dogs.
>
> Many veterinarians believe itchy skin triggers excessive licking. It is also thought a painful condition can set it off – perhaps there's been trauma to the leg, a fracture, post-surgical discomfort, osteoarthritis, or peripheral neuropathy (damage to the nerves of the peripheral nervous system).
>
> A bacterial or fungal infection can also trigger itching, as can the presence of skin mites.
>
> In addition to physiological causes, incessant licking is also a common [obsessive-compulsive disorder](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx) (OCD) in dogs. The act of licking may trigger the release of endorphins (natural substances that promote a sense of well-being). The dog learns that licking brings about this pleasant feeling, and keeps on licking.
>
> There can also be psychological factors involved in obsessive licking, including boredom, stress, and [separation anxiety](http://healthypets.mercola.com/sites/healthypets/archive/2010/08/05/what-to-do-if-your-dog-panics-when-you-leave_2620_.aspx). It is important to determine the cause of the licking so it can be treated effectively.
## Determining the Cause
> If your dog has a lesion that could be ALD, there will typically be a raised area of ulceration, hair loss, and thickened skin around the lesion.
>
> Your veterinarian should rule out any potential underlying allergic diseases first. A dog with recurrent skin or ear infections, hot spots, or itching in other areas of the body very likely has a generalized allergic condition that needs to be addressed. A possible allergy to fleas, food, or something in the dog's environment should be investigated.
>
> Several tests are necessary to definitively diagnose lick granuloma, including deep skin scrapings and fungal cultures. Skin biopsies and cultures of the inflamed tissue are also necessary to rule out conditions with similar symptoms, and to look for infection.
>
> The vast majority of ALD cases involve bacterial infection. It's crucially important to identify the specific organism in order to determine the most effective treatment – especially since these organisms are often resistant to antibiotics, and 25 percent are methicillin resistant.
>
> Other tests, including x-rays, may be required in the absence of an allergic condition or itching elsewhere on the body.
>
> If the dog has no behavioral abnormalities other than constant licking, while the licking may escalate into an obsession over time, chances are it isn't rooted in OCD or another psychological disorder.
## Treating Acral Lick Dermatitis
> In addition to treating the wound, the underlying physical and/or emotional causes of ALD must also be addressed. Otherwise, the problem will recur.
>
> To keep your dog's mouth away from the wound while it heals, an Elizabethan (E-collar) or [BiteNot collar](http://www.bitenot.com/) may be required. The collar can also be useful in curbing the behavioral component of obsessive licking by breaking the cycle.
>
> Sometimes "out of sight, out of mind" also works, so applying a light, nonstick bandage may keep your dog from licking the wound. However, most dogs choose to eat the bandage, so don't take this approach if your dog will ingest the bandage! The most important point: the dog cannot lick the wound.
>
> Keeping the wound clean is imperative. I recommend disinfecting the wound with dilute betadine twice daily.
>
> I have had success using several topical remedies, but no one remedy works for every dog, so I always tell clients to keep working through the list until the wound is healed. A few options to try are:
>
> * Manuka honey applied to the wound twice a day (obviously honey is sweet, so an E-collar is critical to avoid your dog viewing his limb as a lollypop)
> * [Willard's Water](http://www.willardswater.com/information.php?information_num=4&gclid=CI7W0a_04LECFcXBKgodRjAAbQ) sprayed on the wound 6 to 8 times daily
> * [Pavia wound cream](http://www.paviasalesgroup.com.php5-21.dfw1-1.websitetestlink.com/wp-content/uploads/2012/02/woundcarecream.pdf) applied twice daily
> * [ElimiDerm](http://www.vetdepot.com/elimiderm-topical-cream-for-dogs-and-cats-0-75-oz-tube.html) applied twice daily
> * [Animal Scents Ointment](http://www.youngliving.com/natural-pet-care/Animal-Scents-Ointment), blended with a few drops of the essential oil of lavender applied twice daily
>
> You'll also need to deal with any psychological or emotional factors that may be contributing to your pet's obsessive licking. Large breed dogs need lots of physical activity, so that's a good place to start. Most dogs will develop behavior problems of one kind or another if they spend a lot of time alone and don't get much exercise.
>
> Changes in your dog's environment that create stress can also trigger behavior abnormalities. For example, if another pet in the family has died, or a new pet has been introduced, it can create stress for the existing dog. Make sure everyone in the family pays extra attention to your dog when there's any sort of change in household dynamics or routine.
>
> Address any conflict in your dog's life, for example, separation anxiety, problems between animals in the home, or long periods of confinement and boredom.
>
> In addition to making sure your pet is well-exercised, he also needs play time and activities that stimulate his brain, a species-appropriate diet, a consistent daily routine, and clear and regular communication from you.
>
> Crating or otherwise confining a large breed dog for several hours every day is asking for trouble – especially with dogs who are already displaying anxiety-based behaviors like incessant licking. If you're gone from home for long periods during the day, consider doggy day care or a dog walking service to give your pet opportunities for companionship and exercise while you're away.
## Drug Therapy
> Some veterinarians prescribe anti-depressants or anti-anxiety drugs, either short or long-term, for dogs with lick granuloma. Examples are clomipramine (Clomicalm®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), fluvoxamine (Luvox®) and citalopram (Celexa®).
>
> These drugs are powerful and have side effects, so I consider them an option of absolute last resort – for short-term use only – while other treatments and behavior modification therapies are being undertaken.
>
> At my hospital, I recommend starting with safer options, such as L-theanine, GABA, 5-HTP and Chinese herbs to Calm the Shen.
## Tip for Preventing Acral Lick Dermatitis
> The best way to avoid a painful, infected lick granuloma in your own dog is to deal with obsessive licking behavior as soon as you become aware of it.
>
> Some lick granulomas can develop very quickly – within a matter of hours. Others take longer to appear. If you can avoid it, don't wait until there's an obvious injury to your dog's skin before seeking advice from your veterinarian.
>
> * Develop the habit of running your hands over your dog – especially down the front legs – to check for damp fur or any sort of sensitivity.
> * If your dog tends to place himself outside your line of vision, check on him frequently to insure he isn't hiding his obsessive licking from you.
> * If he's licking a certain spot but there's no injury yet to the skin, try wrapping the area in an Ace bandage to discourage further licking. You can also try massaging a drop of the essential oil of lavender into the skin, or a dab of homeopathic Arnica gel over the area.
>
> You'll still need to see your vet to identify and deal with the underlying reasons for the licking, but in the meantime, anything you can do to prevent your dog from self-injury will be tremendously beneficial.
**Related Articles:**
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Obsessive Compulsive Disorder in Dogs and Cats](http://healthypets.mercola.com/sites/healthypets/archive/2011/08/23/obsessive-compulsive-disorder-in-dogs-and-cats.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [Help Your Dog Overcome These 3 Common Allergies...](http://healthypets.mercola.com/sites/healthypets/archive/2011/09/15/help-your-dog-overcome-these-common-allergies.aspx)
![](http://healthypets.mercola.com/themes/blogs/MercolaArticle/mercolaimages/bullet.gif) _place_holder; [How to Care for Your Dog's Painful Inflamed Skin Sores…](http://healthypets.mercola.com/sites/healthypets/archive/2010/04/21/treating-dog-hot-spots.aspx)
[** _place_holder;Comments _place_holder;(3)](http://healthypets.mercola.com/sites/healthypets/archive/2012/08/31/dogs-lick-granuloma-disorder.aspx?ShowAllComments=True#comments)**