Would you recommend using a shock collar as a training aid?

Could you tell me what you are feeding, what supplements you give and how long the gas has been going on?  How are his/her stools – firm, soft?  When does the gas occur – anytime, or only after meals? If the stools are soft it would be good to have the stool checked for parasites by your local veterinarian.

The quick and easy answer is to begin using probiotics. My favorite is Mitomax, a super probiotic. I have had many animals’ smelly gas clear up while using
this, though sometimes they need to stay on it. Unlike other probiotics, it is
very stable and is ok at the low stomach pH.There is an icon on my home page for it (www.MyHealthyAnimals.com). You could also get other pet probiotics if near a pet health store. (by the way, if you put in your city, we can be more specific in our answers)

The longer answer is to generally improve health. There are 7 keys that can help you do this, with a link on my home page. 

Please let me know a little more and if you have questions about the holistic approach (7 keys to health). 

the small worms you saw were probably tapeworms, whose eggs may not show up on a fecal, so be sure the vet staff saw the worms that you saw. they could also just be fly larvae and not from inside the dogs. 

Tthere are a number of holistic approaches that could stop the gas and even firm up the stools (raw meat diet, other diets, marshmallow root, aloe vera, charcoal, slippery elm, Reiki, flower essences to name a few) and conventional drugs. 

Since this has been a chronic issue, the very best approach will be to address the underlying energetic imbalance (Qi/Vital Force/Pranna) causing them to have a sensitive digestive tract. This is best done by an integrative veterinarian (links at my site – http://www.MyHealthyAnimals.com) who has many options to cure the underlying issues so you will not be dealing with digestive issues for life. 

Health is a journey, and there is not one right approach, so you may need to try different modalities or different practitioners on the path to deep healing. 

In terms of food, I would seriously explore feeding a fresh meat diet. What
are the best diets for people or animals — the most processed or the freshest,
most organic? The best ingredients should be the most
consciously raised – local, organic vegetables, free ranging protein sources.
Dogs and cats have ripping and tearing teeth, bone crunching teeth, no
digestive juices in the mouth, jaws that do not chew, a stomach full of acid
where the food sits for 4-12 hours and a very short transit time in the
intestines. Dogs and cats do not pull out a knife to de-bone their prey and do
not pull out matches to light a fire to cook their meat and vegetables.
Therefore the best diet for dogs and cats is raw meat including raw bones,
pureed raw and cooked vegetables and a few supplements (Calcium if no bones are
eaten is critical). There are many good books to guide you along with integrative veterinarians. Some TCVM (Traditional Chinese Veterinary Medicine) practitioners will suggest cooking meats or using specific foods as part of their food therapy. 

For processed foods, the Whole Dog Journal publishes a yearly review of the different brands. You want ones using organic sources, even to the point of organic grains being fed to the chicken and the beef not being finished with grains. The GMO and concomitant pesticides/fertilizers are causing a lot of intestinal distress in sensitive dogs. 

A hot spot is not a particular skin ailment, but rather an area that has been licked/chewed to the point where it develops a bacterial infection that causes the “spot” to be oozing a honey colored, gooey discharge, often with an odor. 

I am a holistic veterinarian, so I can offer a number of possible solutions for you and also some coaching for general itching problems. 

first, since he is worse this summer, I wonder if you have recently had  your old
“analog” electric meter (it has 4 little discs that spin and a man stops
monthly to read it) changed for a “smart meter” or “digital meter” – looks like a
computer. These can cause severe health problems or worsen current ones. Opt
out of getting one.  http://www.stopsmartmeters.org  If you already have one, pay the money to replace it, and the monthly fee we are charged for protecting our children, animals and ourselves from the high EMFs. http://marylandsmartmeterawareness.org/ has info to educate you and help you. 

Also, this summer has been much wetter, and some animals are more susceptible to that. Also, when were vaccines last given? they can cause skin problems. 

Finally, has he been showing any lameness, even mild? Sometimes they will chew on a part of the body that is in pain. 

the conventional treatment for itching is anti-itch medication, topically or orally and maybe an antibiotic. 

Holistically there are some treatments for this episode, then work to maximize health by
following the keys on my website, http://www.MyHealthyAnimals.com, especially the 7 keys to health. Healthy dogs just do not
get hot spots.  

Now, clip the hair around the spot if it is discharging, then use brown lye old fashioned soap followed by the black or green tea bags. Once it is dry, use aloe from your own plant or a drinkable organic aloe vera from the store, or plantain from your yard (if no chemicals there) made into a slurry or calendula to heal. If it is very itchy, SSStingSSSTop ( from the health store) may help. 

Merely improving the diet (raw meaty bones and pureed vegetables) may help end the itchiness, or you may need to seek professional care (Bel Air, Hereford, White Marsh are probably the closest holistic veterinarians to you – http://www.ahvma.org for details, or the links page on my site). Mitomax is
a super probiotic that
can improve nutrient absorption, so helps with all problems. I have had many
animals’ itchiness clear up while using this, though sometimes they need to
stay on it. Unlike other probiotics, it is very stable and is ok at the low
stomach pH.

 Rescue Remedy is an easily available (at any health food store and many regular stores) combination flower essence to “rescue” when needed. 10 drops in a cup of water and sponge on the itchy knee, or add to any other topical treatments you choose. Put one
drop in a separate water bowl for him (and any of the others) to drink – change daily.  If the RR seems to help, you can give some orally (few drops from the bowl) as frequently as any of the family thinks of it.  

Even if the licking is because of a knee issue, the Rescue Remedy may help, as will the self healing methods listed below. Of course, if symptoms worsen – time to visit a veterinarian, preferably an integrative one if you are interested in that approach. 

For the future, learn Reiki (www.AnimalReikiAlliance.com is a local Baltimore source of classes, and any holistic store or practice nearer to you as Reiki is the same for human and animals), acupressure, TTouch, healing Touch for Animals (HTA),
massage, acupressure (several good books) and take one of my homeopathy classes – August is a 6 days class.  

There is a great store that will be a healing resource for all your animals – Baron’s country Store (N of Bel Air, so should be close enough for you). It is near Dave’s natural market, another great resource. 

Ask more questions here if I was not clear. 

I would strongly agree.

Withholding food and water is usually the first thing I do for about 24 hours.  But that is very dependent on other signs that my pet may be showing.  If they are acting normally, I will withhold and then start with very small bland meals of rice and boiled chicken to see if they hold it down and resume access to water.  I usually also start them on famotidine, but i would check with your vet about that.

If they are pale, shaky, weak, any other things that are strange… they need to go be seen by a veterinarian.  There really are no over the counter anti-nausea medications that are safe for pets, so I would never give any human medications unless your vet expressly directs you to.  It often makes the situation much worse.

No food or water (NPO = nothing per os, nothing by mouth) is usually a good starting point.