How-to home care
Client guide · Home care

Managing incessant scratching

protect the skin, ease the itch

A pet that scratches nonstop quickly damages its skin. While your veterinarian's treatment takes effect, you can help prevent lesions and calm the itch. Here are the right devices, the steps that soothe, and the signs that mean it is time to call again.

Protect the skin Ease the itch Frequently asked questions

This guide is a home-care support tool. It does not replace personalized advice from your veterinarian. For any questions, contact us at 514-223-1197.

Background

Scratching, and why to see the vet first

A pet that scratches nonstop can damage its skin, and the tissue beneath, in very little time. The key is to have it evaluated by a veterinarian: they are the one who will find the cause of the itch and treat the underlying disease. While the medication takes effect, you can help it avoid lesions. In cats, the itch often shows up as excessive grooming rather than obvious scratching.

Allergies

Environmental (grasses, pollens) or food, and sometimes to fleas.

Hot spots

Acute moist dermatitis: red and intensely itchy.

Fleas and mites

Tiny parasites that itch enormously.

Infections

Bacterial or fungal, often secondary to the scratching.

Check flea protection

Fleas are the itch cause you can most easily control at home: a single bite can reignite days of itching. Make sure a vet-recommended flea preventive is current on every pet in the household, and treat the environment (bedding, home). A lapse here is a common reason the itch persists despite treatment. Never put a dog flea product on a cat: some are fatal to cats. When in doubt, ask us for the right product.

Ask about a bridge treatment

While the cause is being brought under control, ask us whether a short-term treatment can reduce the itch. It can take a few days before the underlying treatment fully kicks in.

No human medication without asking us

In the meantime, do not give anything by mouth for the itch (an antihistamine such as Benadryl, a painkiller) without our go-ahead: the choice of drug and the dose are the veterinarian's to set, and antihistamines are often ineffective for this kind of itch. Never use a combination cold or allergy product: some contain a decongestant or acetaminophen, which are toxic to pets, and acetaminophen can be fatal to cats.

Check first

Before you start

The devices below help protect the skin, but only with a few precautions.

  • Always supervised: pets are very clever at removing whatever you put on them. Do not leave your pet alone with a device you have just put on.
  • A collar long enough: it should extend past the muzzle, so the pet cannot reach its head, ears, eyes, or neck with its hind legs.
  • A lesion that grows: if a skin lesion increases in size, call us for a prompt check.
Protect the skin

Preventing self-trauma

Four physical barriers to keep claws and teeth from reaching the area while the treatment works. None is perfect; choose based on the area to protect and your pet's temperament.

The Elizabethan collar

It keeps the hind legs from reaching a lesion on the head, and the mouth from nibbling the trunk and legs. Bulky, but it does not cover the wound: a hot spot can dry in the air, which slows bacteria and speeds healing.

See the Elizabethan collar guide

A t-shirt

In the right size, head through the neck and front legs through the sleeves, it limits scratching of the upper body. On males, do not cover the penis. Many pets scratch right through the fabric: it is a stopgap.

Socks

On the paws, they soften the force of scratching. Secure them if needed with a cohesive wrap (snug, never tight: the toes should stay warm and not swell), keep them dry, and change them daily. Outside, a plastic bag over each keeps them dry; remove it once back in.

Booties

Booties on the hind paws prevent scratching. For chronic or recurring itch, they are often the best option.

Adapt for cats

Many cats tolerate a rigid cone, socks, and booties poorly: they freeze, hide, and stop eating. Prefer a recovery suit or a soft collar, and keep any limb wrap loose and time-limited. Above all, check that your cat keeps eating, drinking, and using the litter box: a cat that stops eating needs to be seen promptly.

Well-sized Elizabethan collar
A well-sized collar: deeper than the length of the muzzle, so the pet cannot nibble an irritated area.
T-shirt protecting the back and chest
A t-shirt: protects lesions on the back and chest, while letting the area breathe to heal.
Children's socks on the paws
Children's socks: on the paws, they reduce the damage from scratching.
Pet booties
Pet booties: on the hind paws, for chronic itch.
Soothe

Easing the itch

Alongside the devices, a few measures can calm the sensation, carefully.

Soothing creams

Aloe vera, vitamin E ointments: one or two applications on intact skin carry little risk. Never on an open wound. Since anything you apply ends up licked off, keep the E-collar on until it dries; in cats, who groom constantly, ask us which product to use instead. For prolonged use, ask us: some products worsen infections.

A cool-water rinse

It can soothe, but only if your pet is comfortable and you can dry the whole coat right after.

Soothing shampoo

A gentle, soothing shampoo (colloidal oatmeal, for example) can help. Rinse extremely well: soap residue is itchy too. A truly medicated shampoo (one with an active drug) should only be used when prescribed.

What not to apply

Do not improvise with the family medicine cabinet or “natural” remedies. Never use tea tree oil or essential oils: on the skin or licked off, they are toxic to dogs and cats (drooling, tremors, unsteady gait, lethargy), and cats are very sensitive, even from a diffuser. Also avoid human anti-itch creams (hydrocortisone, calamine) and vinegar, including apple cider vinegar: cortisone masks infection and clouds our diagnosis, and vinegar burns raw skin. When in doubt, ask us before applying anything.

Inflamed skin is very painful

Very inflamed skin is extremely sensitive: even room-temperature water can feel icy and hurt. Only rinse if your pet is comfortable, and dry the coat completely right after; damp hair encourages bacteria and can worsen the itch.

The foundation is treating the cause

All of these measures only buy time. The medications your veterinarian prescribes against the cause of the itch are the real treatment: they go after the root of the problem.

Stay watchful

Watch, and when to call us

These devices help, but they call for vigilance.

Never without supervision

Unsupervised, these items can be removed (and the area scratched again), or pieces of material (a sock, wrap, plastic) can be swallowed, with a risk of intestinal obstruction. Stay nearby, and remove anything your pet starts to chew. If you know or suspect a piece has been swallowed, call us right away rather than waiting, and watch for: repeated vomiting, refusing food, lethargy, a painful or bloated belly, straining to pass stool with no result.

  • A lesion that grows, or skin that gets more damaged.
  • A pet that keeps scratching despite treatment.
  • An area that turns red, hot, moist, and very sensitive (a possible hot spot).
  • A cat that stops eating or hides after a collar or wrap is placed: call us promptly.
  • A swallowed piece of material, or a device your pet manages to chew.
FAQ

Your questions, our answers

What owners ask us most about scratching.

Is it normal for my pet to scratch?
A little occasional scratching is normal and often goes unnoticed. But scratching you notice, that is repeated, always in the same spot, or that causes hair loss is probably excessive: contact us. In cats, the itch often shows up as excessive grooming rather than obvious scratching: watch for a cat that licks or chews far more than usual, pulls out fur, leaves bald patches (belly, flanks, inner thighs), or small crusty bumps along the back. This counts as itch, even without visible scratching.
How do allergies make my pet itchy?
Allergies do not show up the way they do in people: in pets, they mostly cause itchy paws, ears, and skin. In cats, allergy more often shows as excessive licking with bald patches, small crusty bumps (miliary dermatitis), plaques or lip ulcers, or scratching sores on the head and neck. They can come from the environment (grasses, pollens) or from food. And yes, many pets are allergic to fleas: a single bite can trigger days of itching. If an allergy is suspected, a veterinary dermatology consult can help pin down the allergens.
What is a 'hot spot'?
It is a red, moist, very itchy skin lesion; the medical term is acute moist dermatitis (or pyotraumatic dermatitis). It comes from moisture trapped against the skin, surface bacterial overgrowth, and intense inflammation. The pet licks and scratches the same area, which becomes very sensitive, moist, and inflamed, with hair matted by the discharge. In cats, a red, moist, or ulcerated sore that looks similar is more often an eosinophilic lesion or a bite abscess than a true hot spot: it warrants an exam just as much. Contact us: the area will need clipping and treatment, and it is almost always larger than it looks. Prevent licking and scratching until it has fully healed.
Can I 'catch' what my pet has?
Sometimes, depending on the cause. Fleas, some mites, and fungi (such as ringworm) are zoonotic, meaning they can pass to people through contact with the lesion. Ask us for the precise diagnosis and whether there is a contagion risk, and always wash your hands after applying any product to your pet.
See also

See also

Protect the skin while the cause is treated

Stopping the scratching, calming the itch, and above all treating the cause with your veterinarian: that combination protects your pet's skin and brings lasting relief. As long as the scratching continues, do not face it alone, we are here.

A pet that will not stop scratching?

Itching, a hot spot, hair loss? We can find the cause and bring your pet relief quickly. Book an appointment.