I think Ella is getting a lick granuloma

Discussion in 'Dog Health Care' started by Chewbecca, Feb 19, 2008.

  1. Chewbecca

    Chewbecca feel the magic

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    She has normally dry elbows and calloused elbows "concrete elbows", but lately she's been REALLY licking her right elbow. She's broken open some of the skin. I had been using bag balm on it, hoping that it was just unusually dry skin, but she really laid into licking it last night. I used the prescription lick granuloma spray the vet gave us last year when she had a lick granuloma and I tried to wrap it. BUT...wrapping an elbow is difficult. The wrap keeps slipping off her elbow. Plus, when I wrapped it, she went all straight legged and acted like she couldn't bend her elbow (which she COULD because I had Ben bend her elbow to make sure I hadn't wrapped it too tightly).

    Any suggestions on wrapping it?
    I'm afraid if she doesn't stop licking, I'm going to have to take her to the vet on Saturday. We gave her a bath Sunday and that usually clears up any itchies for her, but she's STILL licking that spot AND her paws and legs. I've also been giving her Benedryl. But she's still licking.
     
  2. SizzleDog

    SizzleDog Lord Cynical

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    When you wrap the elbow, are you going over the shoulder? That's the best way to wrao an elbow - wrap it up, then sling the bandage over the dog's back then wrap the other elbow to hold the whole thing in place.

    GOOD LUCK!!!
     
  3. Chewbecca

    Chewbecca feel the magic

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    Here's a pic:
    The circled part is the part of her elbow that has the increased baldness and redness, the other part is where her elbows are usually bald (concrete elbows). It ALL looks pinker and more irritated, though.
    [​IMG]
     
  4. milos_mommy

    milos_mommy Active Member

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    ick, poor Ella.

    If benedryl, bathing, and the spray isn't working, it must REALLY be bothering her. It might be a hot spot, it doesn't look scabby or rough enough to be a granuloma...

    you could try putting cortisone on it. That should stop the itch.

    And give her hugs from me!!
     
  5. Herschel

    Herschel New Member

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    I don't think any sort of wrap is going to work effectively because it is on her elbow. Could you try having her wear a long sleeve shirt just to cover the area?

    Could you tell me what is in the granuloma spray? Is it just a topical antibiotic + anti-inflammatory? If so, which ones? I would say have her wear a shirt/fleece and place a wrap under that. At this point, I'm not sure "granuloma spray" is your best course of treatment.
     
  6. Chewbecca

    Chewbecca feel the magic

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    It's Butler GentaSpray Topical Spray-gentamicin sulfate with betamethasone valerate veterinary topical spray.

    I made a vet appt. for her on Saturday. Remember, that probably looks a lot worse to you guys because you're probably not used to seeing concrete elbows. Only part of that is where she is licking.

    I can probably keep her in her fido fleece coat or her hoodie.
     
  7. SizzleDog

    SizzleDog Lord Cynical

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  8. Chewbecca

    Chewbecca feel the magic

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    She has never gotten a lick granuloma on her elbow before, but she had one on her forepaw last year. The elbow is a new area.

    Those things look awesome! And for almost $100 they'd better be!
    Thanks for the link!
     
  9. Herschel

    Herschel New Member

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    OK. The spray is an antibiotic + anti-inflammatory. A lot of prescription eye drops contain the same drugs (dexamethasone rather than betamethasone).

    If you go to your vet, they are probably going to give you more of the same (antibiotics + anti-inflammatory) and potentially systemic antibiotics. (Easier to treat from the inside, seeing that she keeps licking the outside) Personally, I would skip the vet on this one and handle it from home.

    The Merck Veterinary Manual has some great information about acral lick granulomas and other pyodermas:
    http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/70900.htm&word=acral,dermatitis,canine

    I think you should go with the recommendation of washing the area with an antibacterial solution (such as the ones recommended). Benzoyl peroxide (acne medications), chlorhexidine (in medicated mouthwash), and triclosan based soaps should be readily available at your local drug store.

    Then, treat with a topical antibiotic. Merck didn't mention Gentamicin specifically, but they did say that neomycin (another topical aminoglycoside) is not usually effective. The spray that you are using will help reduce the inflammation but I doubt it will treat any infection.
     
  10. Chewbecca

    Chewbecca feel the magic

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    Thank you, Hershel! I appreciate this and I will have to read it more when I have more time. Unfortunately, before I read this post I had already made a vet appt.

    I am happy to report, NO ITCHING LAST NIGHT. YAY!!!!!!!!

    I bought a ton of vet wrap.
     
  11. Chewbecca

    Chewbecca feel the magic

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    Ella's elbow is a deep pyoderma. She also has a small derma mass on her right side (2 cm). She's on simplicef for 3 weeks, and if that doesn't clear it up, then I'm going to have them do some skin testing.
     
  12. Caren+Bailey

    Caren+Bailey New Member

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    Poor thing :( I hope it heals up for her soon!
     
  13. Herschel

    Herschel New Member

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    Thanks for the update. Hopefully it will clear up soon. The Merck manual says that cephalosporin (Simplicef) should do the job.

    Are you washing the site of infection daily (as per the MVM)?

    Good luck!
     
  14. Chewbecca

    Chewbecca feel the magic

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    well, no. Oops! I'm a bad mom-lady!
    But I am spraying it daily and when I spray it, she doesn't lick at it throughout the day. The licking mainly only occurs at night. I don't know why.
     
  15. bubbatd

    bubbatd Moderator

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    I had a foster in that licked an area like this ..... I think it was mostly a nervous reaction . I put Goldbond powder on it .... whether it was that or TLC it cleared up .
     
  16. Herschel

    Herschel New Member

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    Haha. That is brilliant. I could totally see myself doing that.

    I probably try to treat way too many things at home. :)
     
  17. nuvetmarie

    nuvetmarie The BEST for your puppy..

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    Ella must have some kind of allergy problem...

    :(
    I sure do like a product called EMT gel.. It is a collegen product that sits on the hot spot??? area for 3-4 days.. ( all natural) Makes a protective area.
    ***you can get it from Revival Heath... ( on the net)
    This will help the area to heal. This will NOT stop what allergens are hitting her.

    My web site has some info on NuVET Plus - another supplement that is great for allergies ... I am a rep for them.. Many of my doggie hotel customers are on this product. ( about .54 cents per day)
    I am putting in a PLUG for NuVET only because I know it would help.
    Guarnateed or your money back..

    Anyway, She could be allergic to Environmental allergens beside food allergien.
    NuVEt will help her to build the immune system and fight off the allergies..

    Edited by a moderator: please keep your website links to the website forum
     
    Last edited by a moderator: Feb 26, 2008
  18. oriondw

    oriondw user not active

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    Was doing some searching for this illness and stumbled upon this thread.

    Did your pup's elbows ever get any better?


    I am having a terrible time dealing with the same thing. First it started as just concrete elbows, then progressed into obsessive compulsive licking.

    I treated it with different kinds of creams, antibiotics, etc (After numerous vet visits). Right now my best option is to use e-collar for every single moment when I can not be around him to supervise him (including at night). The disheartening thing for me happens after the treatment is finished. As soon as I take off the e-collar he starts to furiously lick the same spots, often to the point of bleeding. He doesn't do it right away, sometimes he won't lick it for a week, sometimes he will lick it the moment he gets to be alone.

    Right now I'm pretty much at loss as to what to do. I'm afraid that he will get a gangrene infection if he keeps licking the wound and I don't like him having to spend the rest of his life in an e-collar.

    It seems I have ruled out the physical aspect (given the treatments and their results) so that leaves mental issues. Once again, I am at a loss to find the exact issue.

    He has the free roam of the house all day/night (has not been crated in more then 4 years), he gets about 2-3 hours of walking/running/playing time outside with me, we meet lot's of dogs and people who he interacts with daily.

    Can it be that as he got older he just developed a doggie version of OCD?

    We are almost 6 years old and this has only started around about a year ago with just recently intensifying at a rapid pace.

    Any help/suggestions would be greatly appreciated.

    :(
     
  19. Renee750il

    Renee750il Felurian

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    This is going to sound crazed, but have you thought about saturating the area (avoiding open sore areas directly, of course) with bitter apple?

    And how about finding something to distract him when he starts the licking - a stuffed, frozen Kong or bone filled with some sort of treat and frozen?

    I know when my little Pittie, Tallulah, gets overwrought (Terrier frenzy :rolleyes: ), I used Nikki's trick with Buddy and started telling her to go get her toy. She'd go get whatever her favorite was at the moment, or whatever she found first, bring it to me and she'd calm down. Now, when she gets overexcited, she goes on her own and gets a toy. You might try that when you see him start to lick.
     
  20. Chewbecca

    Chewbecca feel the magic

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    Once the infection clears up, try keeping it moistened with bag balm.
    This time of year calls for dry skin, and my vet said that with concrete elbows, it's always good to use bag balm to keep them moist.
    I have been bad about keeping bag balm on Ella's elbows. I need to, though.
     

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