Everyone seems to be asking the old man about allergies at the moment.
“My dog is itching and scratching all the time, and he’s got scabs on his tummy” I heard from behind the door as yet another overweight Labrador waddled into the consulting room. “His eyes are all red and gungey”
It seemed to me that it might be a good moment to talk about the ways the guys in white coats manage pet allergies these days. The key seems to be to try to identify exactly what it is that we are allergic to – beef, maize, egg, pollens, grass, trees, that sort of thing – because some of these you can avoid. Blood tests, skin tests, it’s all pretty sophisticated these days.
But if, like Buster, you’re allergic to house dust mites, what are you going to do about that? They’re everywhere, the little buggers. If you choose to live in a house, that is. Mind you, I’ve never seen a house dust mite. Apparently they’re very small, which coming from me means they must be very small indeed. No wonder you can’t see them.
In the bad old days, they used to treat them with cortisone, ie with steroids. Aaargh! Thirsty! Hungry! Fat! No adrenal glands left! Immune system falling apart! Saggy belly and thin skin!
Then that became rather unfashionable. Treat the underlying bacterial infection with 3 months of antibiotics was another favourite. Bleurk! Foul taste, runny tummy, bored of taking pills after about 10 minutes.
Vaccines! Weekly injections of Allergen Specific Immuno Therapy, going on for months. The majority of dogs show some improvement in the first few months, they say. Hmmm. Can’t we do better than that?
Essential Fatty Acids – mixtures of plant and fish oils with other bits of anti-oxidants (things like Vacutan and Efavet) – apparently have a natural anti inflammatory effect on the skin. Used with appropriate soothing shampoos – you know, Allermyl, Episoothe, that sort of thing – and sometimes antihistamines, some of us definitely get better.
Diet! Raw food! (actually that bit is quite good), Homeopathy. I saw a case the other day that was loads better where before it’d just been a mess. I think we like the sound of that.
Then along comes the new BIG GUN. Ciclosporin, or Atopica. Bash the misbehaving part of the immune system on the head until it gives up and stops working in overdrive. Bit sicky sometimes, but, yes, the skins do seem better. Ok we are fairly happy with that.
Then around the same time appeared the green boxes of Phytopica. Herbs. Flowers. Now we really like the sound of that. Came over from the Chinese medicine field. Eighty per cent of dogs show good improvement but about twenty per cent don’t respond at all. I’d take the risk if I were you.
Then in walked Jett.
“My dog’s eyes are all red – has he got conjunctivitis?”
The old man went into the usual pre-allergy diagnosis questioning. Turned out his eyes were sore because he’d been for a long drive in the owners convertible Bentley. The treatment?
Doggles.
Check ‘em out, they’re a scream.