Q. I think my cat has feline hyperesthesia. He has all the symptoms. But I've took him to the vet and they give him flea medicine. What should I do?
DR. MASSIMO ORIOLES, DVM, MRCVS
A. Feline hyperesthesia syndrome (FHS) diagnosis is established by ruling out other most common causes, such as flea infestation and pain/discomfort from flea bites, fungal/mites infection/infestations, food allergies. Your veterinarian is trying to rule out other causes before considering it.
Once it has established itself, this condition (FHS) doesnâ€™t progress very much, and the prognosis is pretty good as long as the scratching doesnâ€™t result in a serious infection.
If the diagnosis will be established, recommended treatment will likely include a behavioral component and some ''neuroactive'' drugs such as amitryptyline or fluoxetine, phenobarbital and or gabapentin. Your veterinarian will be able to help your cat with the most appropriate treatment.