Hello,
There are numerous things that can cause skin issues. For all of my clients I make sure they are on a good diet, good exercise plan and preventatives for fleas and ticks.
After that skin scrapes, trichograms, and even skin biopsies might be needed. Also a full blood work and thorough physical exam. It is a long list of diagnostics to identify the root cause.
For many people this can be costly so we take a step by step approach. We also try things like Apoquel and cytopoint if we suspect atopy
If I can’t find the answer within a reasonable time frame I refer to a dermatologist.
I hope this helps.
Please understand that photos of bad skin often all look alike regardless of the cause.
Hello,
I’m not quite sure of what you are describing. There isn’t enough information to assess this? For example I have no idea what a puffy butt refers to? Is it possible to follow up with your vet for an exam and explain to them in person? I’m not sure if there is a problem here or not but I do know that diabetes is one of the most difficult conditions to manage and it requires a lot of help from the vet staff to manage well.
Best of luck.