If your furry friend is constantly scratching, licking, shaking their head, or dealing with tummy troubles, allergies might be the cause. The good news? Allergies are common in both dogs and cats, and while they can’t be cured, they can be managed successfully.
At Main Street Veterinary Hospital, our goal is to keep your pet comfortable and help your whole family enjoy peaceful, itch-free nights again.
Allergies don’t look the same in every pet, but here are some common signs we see at Main Street Veterinary Hospital:
In Dogs (and some cats): See below for photos as examples
Itchy skin (scratching, chewing, licking)
Red or irritated skin
Recurrent ear infections
Hair loss
Hot spots
Vomiting or diarrhea

Small scabs or bumps on the skin
Over-grooming that leads to hair loss
Severe itching around the head and neck
Swollen or irritated skin lesions
Allergies can appear seasonally, or persist year-round.
These are reactions to pollen, grass, dust mites, mold, and other environmental triggers.
Can be seasonal or year-round
Often begins between 6 months and 4 years of age
Can worsen over time if not managed
Very common in North Carolina due to our long allergy seasons
At Main Street Veterinary Hospital, we offer allergy testing to identify environmental triggers. This helps determine if allergy injections (immunotherapy) could improve your pet’s quality of life. While injections take time, up to a year, to show full benefit, they can significantly reduce flare-ups in many pets. See below for an example of a patient with significant positive allergy results.

Food allergies can develop at any age but are most common in very young or older pets.
Typically cause year-round symptoms
Diagnosed through an 8–12 week prescription diet trial
Over-the-counter diets aren’t reliable for testing due to cross-contamination
Hydrolyzed protein – broken down so the immune system doesn’t recognize it
Novel protein – a new protein source like rabbit or duck
Pets can have both food and environmental allergies at the same time, so a thorough evaluation is key.
Before we diagnose allergies, we rule out parasites. Fleas, mites, and intestinal parasites can cause similar symptoms:
Even one flea bite can trigger intense itching in an allergic pet
All pets in the home need year-round flea prevention
Flea infestations can take up to 3 months to fully clear
Treating only one pet isn’t enough
Parasite prevention is always the first step in keeping your pet comfortable
Pets with allergies often have a weakened skin barrier, making them more susceptible to bacterial and yeast infections:
Infections can make itching worse
Allergy medications alone won’t resolve them
Antibiotics or antifungal treatments may be needed
Yeast infections, in particular, can cause rapid and severe discomfort.
Every allergic pet is different, so we create customized management plans. Treatments may include:
💊 Fast-Acting Oral Medications ○ Daily medications that quickly relieve itching and inflammation.
💉 Cytopoint Injections ○ Given every 4–8 weeks, many pets feel relief within 1–2 days.
🕒 Long-Term Oral Medications ○ It takes several weeks to reach full effect, but is great for ongoing management.
🌱 Allergy Injections (Immunotherapy) ○ Based on allergy testing, these long-term treatments can reduce flare-ups over time.
🛁 Topical Therapy ○ Shampoos, mousses, sprays, and wipes help maintain skin health and manage flare-ups.
Managing allergies takes time and patience. At Main Street Veterinary Hospital, we’ll work with you to:
Rule out parasites
Clear infections
Complete diet trials
Adjust medications as needed
You’re not alone, we’ll guide you every step of the way to keep your pet comfortable and healthy. Allergies can be frustrating, but with the right approach, most pets can feel so much better. At Main Street Veterinary Hospital, our team is committed to creating a personalized allergy plan for your pet so they can enjoy a happy, itch-free life.
