Short answer: the next step is a visit with your vet. Itching and hair loss are signs, not a diagnosis. Fleas, other skin parasites, skin infections and allergies are the usual causes, and they can look alike. Your vet will check one thing at a time, and treatment depends on what the cause turns out to be.
Scratching, licking, chewing or rubbing more than usual. Red skin, bald or thin patches, scabs, sore spots, a smell from the skin or ears, or fur stained by licking. Some dogs scratch and lick when no one is looking, so a patch of damp or stained fur can be the first clue.
Try to note where it is, when it started, and whether it changes with the season. That helps your vet more than anything else you can bring.
Fleas. This is the first thing a vet checks. Some dogs are allergic to flea bites, and in those dogs a single bite can set off a lot of itching.
Other skin parasites and infections. Mites, lice, ringworm, and bacterial or yeast infections can all make skin itchy and patchy. Scratching can also cause an infection on top of the first problem, which is one reason not to wait it out.
Allergies. A dog can react to things in the air such as pollen, mould and dust mites, to something in the food, or to something the skin touches, like a cleaning product or bedding. Allergies often start after about six months of age. The itching can be in one spot or all over, and it may be worse in some seasons.
Other causes of hair loss. Hormone problems can thin the coat. A poorly fitted collar can rub fur away in one spot. Normal shedding should not leave bald or patchy areas, so patches are worth a call.
There is no single test for most allergies. Your vet will ask questions, look over the skin and coat, and rule out fleas, mites and infections first. They may take skin samples or comb the coat to look closer. If a food allergy is suspected, they will plan a diet trial that runs for several weeks, with no other treats or table food during that time. It asks for patience, and it is how a food allergy is found.
If an allergy is found, it often needs long-term care with regular check-ins, and your vet can adjust the plan as you go.
Book a visit with your vet, even if your dog seems cheerful. Before you go, jot down when it started, where it is, any change in food or treats, what flea prevention your dog has had and when, and anything else you have noticed, such as weight, thirst or energy.
Please hold off on creams, shampoos, supplements or medicine until your vet has seen the skin, and do not use anything made for people. The right treatment depends on the cause, and your vet will choose it for your dog.
If your dog has a swollen face or muzzle, hives, trouble breathing, or seems weak or collapses, go to an emergency vet straight away. This is less common, and your vet or an emergency vet can help quickly.
Keep up with the flea prevention your vet recommends, and keep a short note on your phone of what you see and when. A few photos of the skin on different days can show your vet how it changes.
Sources: Merck Veterinary Manual: itching, allergies, hair loss. AVMA, allergies in pets. VCA Animal Hospitals: allergies in dogs, allergic reactions. PDSA: itchy skin, hair loss, severe allergic reactions.
General education only, not veterinary advice or a plan for your individual dog. If your dog is itching, losing hair or has skin that looks sore, please contact a vet. See our legal page.
This guide does not cover skin problems, allergies or medical care. It is background on calm, clear handling at home, including getting your dog used to being touched and checked.
The HandlerTiming, rewards and body language · $9.99Read the guide →This guide is part ofThe Busy Brain PackFive guides for a dog with a busy brain.Describe your dog's problem and get the guidance that fits. No account needed to look.
Describe your dog's problem →