Flea Allergies in Cats and Dogs

Fleabites make most pets itch. But did you know—some cats and dogs are allergic to the pests! Your doctor may call this flea allergy dermatitis (FAD) or fleabite hypersensitivity. If your pet has a flea allergy, even one or two flea bites can make your pet's life miserable.

Many cats and dogs are allergic to fleas. In fact, FAD is the most common skin disease in dogs in the U.S. Flea allergies often spike in the summer, and pets that have seasonal allergies are more likely to have an allergic reaction to fleabites, but any pet can get FAD.

Spot the Signs

When a flea bites your dog or cat to draw blood, it injects saliva into your pet’s skin. Flea saliva is irritating to most animals, including humans. But the compounds in it can trigger an allergic reaction in some pets.

Everyday itching from a flea bite isn’t the same thing as a flea allergy. If your pet has FAD, the itching will be intense and last longer. Your pet may itch for up to 2 weeks after a bite and the itching will be severe and damaging to their skin.

Other signs of FAD include:

• A rash on your pet’s skin or raw, irritated, or bleeding areas on your pet’s body. Dogs usually have it near their back legs, stomach, or tail area. Cats are more likely to have it near their neck and face.

• Hair loss, especially in areas where the bites happened

• Small red or pink raised bumps that may look like pimples

• Constant itching, biting, clawing, or grooming

Help Your Pet Get Relief

Unfortunately, this isn't a one and done situation—it's a process.

Step 1: See your pet’s veterinarian. Don’t assume that because you can’t see any fleas, your dog or cat doesn’t have a flea allergy. Often, animals with one groom themselves constantly. They may remove any fleas from their bodies — but the allergic reaction from bites can last for weeks.

If your dog or cat is scratching itself, set up an appointment with your veterinarian. Fleas and flea allergies are common, but it could also be another health problem, like a tick bite. It’s important to get the right diagnosis before your pet starts any type of treatment.

A vet will check your pet’s fur and skin thoroughly for fleas and “flea dirt,” which is flea poop that looks like pepper flakes. It often turns red when it's wet. If the vet suspects another cause for your pet’s itching, they may order certain blood or skin tests to be sure. Your vet also makes sure that your dog or cat doesn’t have any open wounds. If a pet is itching or chewing on itself a lot, bacteria or yeast can get into the skin and cause an infection.

Step 2: Break the cycle. Putting an end to your pet’s flea allergy means getting rid of fleas. Though they're more common in warmer months, fleas can live year-round indoors. Once they lay eggs, new fleas hatch and then lay more eggs, which means your pet is constantly exposed.

Using year-round treatment with a flea preventative medication can help break the cycle and prevent future allergic reactions.

Topical medications and oral meds kill adult fleas. Talk to your pet’s veterinarian about which treatment is best for your pet.

Medication is only half the battle. Fleas don’t actually live on animals. They live in carpets, bedding, and other surfaces in your home and jump onto your pet to eat. That’s why it’s important to wash your bedding, your pet’s bedding, and your throw rugs with detergent and warm water.

To remove fleas, flea eggs, and larvae, vacuum your carpets, larger rugs, and chair and sofa cushions. Empty the vacuum bag or canister afterward. Make sure to do it outside, or they could get back into your living space.

You may also consider using a flea spray on your carpets and upholstered furniture. Be sure to keep your pets and your family away from sprayed areas until they’ve dried. Having fleas in teh home doesn't mean your house is dirty or that you are a bad pet owner. Fleas are attracted to food sources, which is any pet cat or dog.

Step 3: Ease the itch. Your pet’s veterinarian will recommend a topical, oral, or injected medication to ease your pet’s itching and inflammation. If your dog or cat has an infection, the veterinarian may also prescribe an antibiotic or antifungal medicine.
You may have heard that human antihistamines can treat pet allergies. The trouble is, they’re often not strong enough to ease inflammation for many pets with a flea allergy, and they don’t work at all for many animals. Talk to your vet before using them for your pet to determine the best solution and dosage if so.
At home, one of the easiest ways to help ease your dog or cat’s irritation is to give them a bath with cool water. Unless your pet hates water, this can help by making their skin feel better and removing some fleas.

Step 4: Avoid irritants. Don’t use flea shampoo or other topical flea products without talking to your pet’s veterinarian first. Flea shampoos and sprays can contain alcohol and other chemicals that can make a rash or open wounds worse!
You may have seen onion or garlic tablets marketed for pet flea relief, but they can be toxic to dogs and cats. Skip essential oils and products that contain them, too. This can cause further irritation to your pet's skin.

Step 5: Stay in touch with your pet’s veterinarian. Regular checkups are especially important for spotting infection and making sure your flea and allergy treatment plans are working.
If you have a question between scheduled visits, don’t hesitate to call your vet! It is always better to be safe than sorry. The longer something is put off because it doesn't seem serious, could end up something far worse while waiting. Early detection and treatment is of utmost importance.

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What Pet Owners Should Know About Food Allergies

You've heard it before. Limited Ingredient Diets. Grain-Free. Allergen-Free. Animal byproduct free. The majority of these companies suggest that these dog food formulas may be helpful for pets with allergies. How true are these claims, though?

As it turns out, food allergies are not as common as many pet food companies and websites may like for you to think. And while food allergies are one possible cause for your dog’s itchy skin, ear infections, or your cat’s diarrhea—there are many more likely causes which may have nothing to do with the food

What is a food allergy?

Food allergies occur when an animal’s immune system misidentifies a protein from an ingredient in their food as an invader rather than a food item and mounts an immune response. The end result of this response can be itchy skin or ear and skin infections in some pets, while it may cause vomiting or diarrhea in others. Some unlucky pets will have both skin and gastrointestinal symptoms. However, food allergies have to be distinguished from numerous other more common causes of these issues.

What are other causes of gastrointestinal signs in dogs and cats?

There are dozens of causes of gastrointestinal issues in dogs and cats – parasites, viruses, bacterial infections, pancreatitis, eating something they shouldn’t, and many others. For pets that have symptoms only on certain diets, it could be due to a food allergy, but it could also be due to an intolerance. For instance, the food may have too much fat, too much or too little fiber, or have other properties or ingredients that don’t agree with that particular pet but aren’t due to an allergy. An appointment with your veterinarian will help narrow down the issue(s) at hand.

What are other causes of itching, and skin and ear infections?

The most common cause of itching, skin infections, and ear infections in both dogs and cats are fleas, allergies to fleas, and environmental allergies – dust mites, pollen, grasses. Both flea allergies and environmental allergies are MUCH more common in pets than food allergies but flea, environmental, and food allergies can all have similar symptoms.

Diagnosis of food allergies

One of the most frustrating things about food allergies is that there really isn’t an easy test. While many tests – using blood, saliva, and even hair – that can be performed by your veterinarian or purchased by a pet owner online (and even sometimes shockingly, through a Groupon!) advertise that they can diagnose food allergies or “sensitivities”, there is no proof that they work. None of the currently available tests have been shown to be accurate – that non-allergic dogs test negative and allergic dogs (and only allergic dogs) test positive. In fact, multiple studies have shown that these kinds of tests are not very helpful in diagnosing food allergies, despite their widespread use for this purpose. Research results presented at a veterinary dermatology conference even showed that some tests “diagnosed” plain water and stuffed animal “fur” as having food allergies.

The “gold standard” or best method that we currently have, for diagnosing food allergies is the dietary elimination trial. This means feeding your pet a diet purchased through a veterinarian or carefully made at home that contains only a few ingredients (typically one protein and one carbohydrate plus necessary fats, vitamins, and minerals) that your pet has never been fed before or that are hydrolyzed (where the proteins are broken down into very small pieces that can hide from the immune system) or purified to remove the parts that are likely to cause allergies. This diet is then fed as the only food or flavored thing to go into your pet's mouth for a minimum of a month or more, depending on your pet's medical history and issues. If your pet’s signs dramatically improve during the trial, then to confirm a food allergy, your pet then has to go back to the old diet again. A quick relapse is suggestive of an allergy to an ingredient in the old diet. You then go back to the test diet until things get better again before trying one ingredient from the old diet at a time until you identify the specific foods that trigger the problem. Many people switch diets and their pets’ signs improve, but they never re-challenge, so we can’t know if it was coincidence or the diet that actually helped the pet! We see this commonly when the seasons change – pet owners assume it was the diet that caused the improvement in their pet’s allergies when actually it is because seasonal allergens – such as certain pollens – are much reduced.

The “allergy diet” myth

There are no diets that are completely “hypoallergenic”, meaning that they will not cause allergies. The closest we have to this kind of a diet are the hydrolyzed diets that can be purchased through veterinarians. Dogs and cats can be allergic to pretty much any protein or carbohydrate ingredient that can be found in pet food. Feeding a diet with duck, kangaroo, lamb, or venison doesn’t prevent food allergies, it just makes it likely that if your pet develops one, it will be to that protein instead of something more common like pork or chicken. Likewise, there is no evidence that continually changing (rotating) diet ingredients prevents food allergies, but it definitely can limit diet choices to try to diagnose them (since every ingredient your pet has eaten before is no longer available to be used in a dietary elimination trial).

What foods are associated with the most allergies in pets?

While the overall percentage of dogs and cats that have food allergies is low, there are some ingredients that are associated with more of the confirmed cases than others. The most commonly reported food allergies in dogs and cats are chicken, beef, dairy, and egg (and fish for cats). There is nothing particularly special about these ingredients other than they have been the most common ingredients in pet foods for the past few decades, so both cats and dogs often have been exposed to them a lot. What surprises many pet owners is that grains are actually uncommon causes of food allergies – most pets are allergic to animal proteins! Yes, the occasional pet is allergic to a specific grain, or even another plant-sourced ingredient such as potato, or even carrot, but this is less common than an allergy to an animal protein. Unfortunately, this information doesn’t prevent hundreds of companies from advertising their grain-free diets as being good for pets with allergies. Many companies also advertise gluten-free diets for pets. Gluten allergies seem to be extremely rare in pets, having been clearly documented only in Irish Setter dogs, possibly in Border Terrier dogs, and never in cats.

Do I have to use a diet from my vet for a diet trial?

Many companies make over-the-counter diets that they market as being good for dogs with allergies, but they often don’t live up to the hype. Many of these so-called “limited ingredient diets” contain more than 1 protein and 1 carbohydrate source. They may contain fruits and vegetables, alfalfa, kelp, or other ingredients that could interfere with a diet trial. Even those that only have 1 protein and 1 carbohydrate as well as the necessary vitamins and minerals listed on the bag may still contaminated with other ingredients. Several studies recently have shown that large proportions of over-the-counter diets contain ingredients (admittedly sometimes in very small amounts) not listed on the label, likely due at least in part to the common industry practice of running one diet after another in the same manufacturing line at the factory, without a thorough cleaning in between (this is like human foods that are labeled as being made in a factory that also processes nuts – even though they don’t contain nuts, they could have nut residues). Because of the high risk of contamination for over-the-counter diets, we strongly recommend using a veterinary diet for your dietary elimination trial (either novel ingredient or hydrolyzed, depending on the individual pet) or a carefully prepared home-cooked diet designed by a board-certified veterinary nutritionist. The best diets for a food trial have 2-3 ingredients plus fat sources (which are very low risk for allergies) and supplements. Diets for a diet trial should never include fruits and vegetables (unless a vegetable like a potato is one of the 2-3 ingredients), herbs, or ingredients such as kelp because they can make it hard to interpret the results if your pet doesn’t improve on the diet.

If your veterinarian diagnoses a food allergy using a dietary elimination trial with a veterinary diet or home-cooked diet, you may be able to manage your pet afterward with specific over-the-counter diets (once the specific allergen is identified), keeping in mind that you could see a flare-up if you unknowingly purchase a contaminated bag.

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Types of Skin Problems Found in Cats

If your cat's got a case of constant scratching and licking, a skin problem may be to blame. Cats are susceptible to skin infections, parasites, allergies, and many other conditions commonly seen in people.

Feline Acne

Yes—cats get pimples, too. Feline acne typically appears on and around a cat's chin. Possible causes include stress, poor grooming, a reaction to a medication, an underlying skin condition, or even the plastic bowl you put out with her food or water. Your veterinarian may recommend a specialized shampoo or gel to clear up the breakout, or antibiotics if a bacterial infection accompanies the acne.

Bacterial Infections

In many cases, bacterial skin infections develop as a result of another skin problem. For example, feline acne can make a cat's hair follicles more vulnerable to infection, resulting in folliculitis. Bacterial infections may be treated with antibiotics, but it's important to address any underlying skin conditions to prevent a recurrence.

Yeast Infections

Yeast infections are caused by a fungus and are also more likely in cats that have other medical problems. The ear is one of the most common spots for a yeast infection. Symptoms may include a black or yellow discharge, redness of the ear flap, and persistent scratching of the ear. Yeast infections respond well to treatment with antifungal medicine, but be sure to get a diagnosis from a veterinarian before using anything on your cat.

Ringworm

Ringworm is another type of fungus that affects cats, especially if they are under age 1. It may cause circular lesions on a cat’s head, ears, and forelimbs as well as any other part of the body. The skin around these lesions is often flaky and bald. Ringworm is highly contagious and can spread to other pets in the home, as well as to people. Treatment depends on the severity but may include specialized shampoos, ointments, or oral medications.

Sporotrichosis

Yet another fungus — although rare — sporotrichosis produces small, hard skin lesions that may leak fluid. Sporotrichosis is considered to be a public health concern because the fungus is known to spread from cats to humans. People with a compromised immune system are especially vulnerable. For these reasons, cats with sporotrichosis should be treated promptly, and caregivers should be meticulous about hygiene.

Allergic Dermatitis

Cats can have allergic reactions to grooming products, food, and environmental irritants, such as pollen or flea bites. Scratching the head or neck is a common sign of food allergies. Symptoms of other allergies include chewing on the paws or base of the tail or scratching the ears. Allergies can also cause hair loss or skin lesions anywhere on the body, including the belly. There are a variety of treatments to soothe itchy skin associated with allergies, but avoiding exposure to the irritants is the best strategy.

Shedding and Hair Loss (Alopecia)

If you live with cats, you learn to cope with cat hair on your favorite sweater. But if you notice your cat is losing more hair than usual or has bald patches, see your veterinarian as soon as possible. Abnormal hair loss can be a warning sign of several illnesses, as well as fleas, stress, allergies, or poor nutrition.

Fleas

The idea of tiny insects feeding on the blood of your cat may make you shudder, but fleas are a very common problem. You can look for them or their droppings in a cat's coat, especially where the fur is pale. Other signs of a flea infestation are persistent scratching, crusty skin lesions, and thinning hair above the base of the tail. To eradicate fleas, you’ll need to treat your cat as well as your furniture, bedding, and rugs.

What has been the gold standard of flea control is a monthly flea prevention protocol. It not only kills fleas on your cat, but those in your home should eventually be eliminated as they fail to reproduce. Monthly control, though, is not the only option. There are also products that can be given every other month as well as a collar that can provide protection for up to 8 months. Talk to your vet about what would be best for your cat. And remember: Treating all pets in the home is necessary for whatever plan you use to be effective.

Ear Mites

Ear mites are tiny parasites that are drawn to the wax and oils inside a cat’s ear. As they feed, they cause inflammation that can lead to a serious skin or ear infection. Signs of ear mites include excessive scratching of the ears, head shaking, and a strong odor and a dark discharge from the ears. Suspect ear mites when both ears are affected. Mites can be treated with a topical product prescribed by your vet. Ear mites are also contagious to other animals.

Lice

Lice are parasites that feed on dry skin. They are commonly found on young, neglected cats and often go unnoticed. Large infestations can lead to scratching, restlessness, unusual coat appearance, and hair loss. Like mites, lice can be treated with a topical solution. Because lice are species-specific, you do not need to worry about getting lice from your cat.

Stud Tail

Also called tail gland hyperplasia, stud tail refers to overactive glands on the top of the tail. These glands produce waxy excretions that result in hair loss and crusty lesions. In severe cases, the condition can make the tail vulnerable to bacterial infections. Neutering may eliminate the problem in male cats. Other treatment options include diligent grooming of the tail and the use of specially formulated shampoos.

Eosinophilic Granuloma

If your cat has raised ulcers or lesions on the nose or lips, she may be having a type of allergic reaction known as an eosinophilic granuloma. This reaction can occur anywhere on the body, but is most common on the face, pads of the feet, and thighs. Food allergies or fleas are sometimes to blame, but the lesions can also result from bacterial infections. Treatment depends on what is causing the reaction.

Skin Tumors

A lump in your cat's skin is not necessarily cancer, but should be checked by a veterinarian. Older cats and those with white ears and heads are especially susceptible to skin cancer. To confirm a diagnosis of cancer, a biopsy is necessary. If the lump is small enough, a vet may recommend removing it entirely. For tumors that have not spread, this may be the only treatment needed.

Dry, Flaky Skin

Like people, some cats get dry, flaky skin in the winter. It's usually nothing serious, but have your veterinarian take a look. Persistent dandruff may be a sign of poor nutrition, inadequate grooming, or an underlying medical problem. Special shampoos and supplements of omega-3 fatty acids can help treat feline dandruff.

Compulsive Grooming

Cats are known to be fastidious groomers, but sometimes they overdo it. Compulsive licking, chewing, or sucking on the skin may lead to irritation, infection, and thinning hair (a condition called psychogenic alopecia). Cats may groom compulsively in response to stress, such as moving into a new home, but they may also overgroom due to a medical problem such as arthritis. If this describes your cat, talk to your vet about stress reduction and behavior modification strategies that can help as well as address some underlying medical issues.

When to See the Vet

Check with your veterinarian as soon as possible if you find any oddities on your cat’s skin -- flaking, scaling, redness, or bald patches. Even if the skin looks fine, your cat should be examined if she is scratching, licking, or biting herself excessively.

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Allergies in Cats: Symptoms & Treatment

When a cat has allergies, their immune system is overly sensitive to certain everyday substances and begins to identify them as dangerous. Even though this substances-or allergens-are usually common in most environments and harmless to most animals, a cat with allergies will have an extreme reaction to them. As their body tries to rid itself of these substances, they may show a variety of symptoms.

What Are Symptoms or Signs of Allergies in Cats?

• Sneezing, coughing (if asthmatic), wheezing

• Itchy skin/increased scratching

• Itchy, runny eyes

• Itchy back or base of the tail (most commonly seen in flea allergies)

• Itchy ears and ear infections

• Vomiting

• Diarrhea

• Snoring caused by an inflamed throat

• Paw chewing/swollen paws

Can Cats Be Allergic to Food?

Cats who have allergies to what they eat will commonly scratch at their heads and necks, as well as have gastrointestinal problems like diarrhea and vomiting. Food allergies may show up in cats at any age. If you know your cat is specifically allergic to chicken, you should avoid feeding them any products containing chicken protein or fat. Which cats are at risk of having allergies? All cats can be at risk for developing allergies. Cats who develop allergies have usually been exposed to substances— either airborne, in food, applied to their skin, or transmitted by fleas—that they cannot tolerate. Those who spend time outdoors may be more prone to flea and pollen allergies. Overweight cats and those exposed to cigarette smoke can also develop asthma.

What Are Cats Allergic To?

The following substances can cause allergic reactions in cats who are sensitive to them:

• Tree, grass, weed, mold, mildew and dust pollens

• Food

• Fleas and flea-control products

• Prescription drugs

• Perfumes

• Cleaning products

• Cigarette smoke

• Fabrics

• Rubber and plastic materials

A flea allergy may only require a few fleabites to trigger intense itchiness for 2 to 3 weeks.

What Should I Do If I Think My Cat Has Allergies?

Visit your veterinarian. After taking a complete history and conducting a physical examination, your veterinarian may determine the source of your cat’s allergic reaction. If not, your veterinarian may recommend skin or blood tests and/or a special elimination diet, to find out what's causing the allergic reaction.

How Are Cat Allergies Diagnosed?

It’s important to see a veterinarian or veterinary dermatologist for an allergy test if your cat has itchy or irritated skin. The test of choice is an intradermal skin test, as blood allergy tests are not considered as reliable.

The only way to diagnose a food allergy is to feed your cat a prescription or hydrolyzed protein diet exclusively for 12 weeks─that means no flavored medications or treats. This diet will be free of potential allergy-causing ingredients and will ideally have ingredients your cat has never been exposed to before. Your cat will remain on the diet until their symptoms go away, at which time you’ll begin to reintroduce old foods to see which ones might be causing the allergic reaction.

Please note, many cats diagnosed with a food allergy will require home-cooked meals, but this must be done in conjunction with your veterinarian as it requires a special protein and careful food balancing.

How Can Cat Allergies Be Treated?

The best way to treat allergies is to remove the offending allergens from the environment.

• Prevention is the best treatment for fleas. Start a flea control program for all of your pets before the season starts. One outdoor pet can not only be exposed but can carry fleas inside to indoor pets. See your veterinarian for advice about the best flea control products for both your cat and their environment.

• Use a dust-free, unscented litter. Your cat might have an allergy to the chemicals in a scented litter.

• If dust is causing your cat’s allergic symptoms, clean your pet's bedding once a week and vacuum a minimum of twice weekly-this includes rugs, curtains, and any other materials that gather dust.

• Bathing your cat one or two times per week regularly may help relieve itching and remove environmental allergens and pollen from their skin; talk to your veterinarian for a shampoo recommendation, as frequent bathing can also dry out the skin.

• If you suspect your cat has a food allergy, they will need to be put on a prescription or hydrolyzed protein diet. Once they are diagnosed, your vet will recommend specific foods or a home-cooked diet.

Are There Allergy Medications for Cats?

Since certain substances that cause allergic symptoms cannot be removed from the environment, your vet may recommend the following medications:

• In the case of airborne pollens, your vet may prescribe cortisone or steroids to help control the allergy, but the best way to manage airborne allergies is with allergy injections, which treat the allergy itself instead of just masking the itch.

• Antihistamines such as Benadryl can be used, but they work best preventatively before your cat is exposed to the allergen.

• Fatty acid supplements might help relieve your cat’s itchy skin. There are many shampoos that may help prevent skin infection, which occurs commonly in cats with allergies. Sprays containing oatmeal, aloe, and other natural products are also available.

• There are several flea-prevention products that can be applied monthly to your cat’s skin.

Note: Do not give your cat medications unless prescribed by a veterinarian.

Are Allergies and Asthma Related?

Sensitivity to environmental pollutants, pollen, and stress can cause asthma attacks in cats. For short-term relief, your veterinarian may prescribe medications that will open up breathing passages. For long-term treatment, though, corticosteroids may be used. And please remember, no cat should be exposed to cigarette smoke—but, if your cat has asthma, cigarette smoke is an absolute no-no.

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