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Time for the vet. I had to do that with Zody, when he started to scratch holes in his spots. I think Zody's is a combo of fleas (only takes one bite to set off a reaction) and environmental allergies. I generally start him out on Benedryl and once that stops working (and at some point it does) bring him to the vet for something stronger, last year the vet prescribed Temaril P, basically antihistamine and prednisone, this year he prescribed Apoquil. I hate to give him either of those, and wish I could stick to the Benedryl, but without it he's miserable and will scratch himself till he's raw.

Is what's on Trixie dirt or is it scabs? What Zody will do is target one area, I guess it itches the most, and will scratch till his skin gets sort of like that. It'll start with hair loss and redness, but if he keeps going he gets tiny tears in the skin that scab over like that. If it's dirt like coffee grains it's liable to be flea dirt, to find out if that's the case try putting some in a drop of water and see if they turn it a reddish color.
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