A 5-year-old Shih Tzu is suffering from a  very painful stomach area. Pt 2/2
Channel: Dr David Sing
Date: 30/11/2018

During physical examination, the Shih Tzu tried to bite the vet when his neck was examined. She had painful areas including the neck and the lower "stomach" area as he had licked vigorously to relieve his itchiness. 

The Shih Tzu has been clipped bald. There are inflamed red areas which cause loss of sleep for the owner's wife as the dog kept licking to relieve his itchiness for the past one month.

Clipping bald removes infected hairs. An anti-inflammatory and antibiotic injection lead to relief from itchiness. Antibiotic medication and washes are given for the next 14 days. 

Early vet treatment has prevented the skin from developing black pigments and ulcerations, leading to bad body odour.