Monitor — routine vet appointmentNot an emergency. However, symptoms often persist for months without diagnosis — early veterinary assessment prevents unnecessary suffering and secondary complications.

Food allergy or intolerance in dogs

If your dog has chronic itching, recurring ear infections, or persistent skin or gut problems, book a vet appointment to discuss an exclusion diet trial. This is not an emergency, but ongoing inflammation causes discomfort and secondary infections. A proper dietary trial is the only reliable way to diagnose food allergy.

Dog

In the next 60 seconds

  1. 1. Keep a food diary — record everything the dog eats including treats, supplements, flavoured medications, and dental chews. Note any correlation between diet changes and symptom flare-ups.
  2. 2. Photograph the dog's skin, paws, and ears to document the condition and track progress over time.
  3. 3. Book a veterinary appointment — the vet will rule out other causes (parasites, environmental allergy, infection) before recommending a dietary trial.
  4. 4. Do not start a dietary trial without veterinary guidance — an improperly conducted trial produces unreliable results and delays diagnosis.
  5. 5. Do not give antihistamines or steroids without veterinary advice — short-term relief masks symptoms and makes diagnosis harder.
  6. 6. Avoid switching foods randomly — this does not constitute a proper exclusion diet and may make allergy testing more difficult.
  7. 7. If the dog is scratching severely, check for fleas first (flea allergy dermatitis is far more common than food allergy and is the most important differential).
  8. 8. Ensure all family members understand that during a dietary trial, no treats, table scraps, or flavoured products of any kind can be given — even a single exposure to the allergen invalidates the trial.

Recognise the signs

  • Chronic or recurring itching — often year-round (unlike seasonal environmental allergy), affecting ears, paws, armpits, groin, face, and around the eyes
  • Recurring ear infections (otitis externa) — often with dark, waxy discharge; may affect one or both ears
  • Recurring skin infections (pyoderma) — red, angry skin, pustules, crusting
  • Paw licking and chewing — red, stained paw fur from saliva
  • Facial rubbing on furniture or carpet
  • Vomiting — chronic or intermittent, not related to eating grass or scavenging
  • Diarrhoea or loose stools — sometimes with mucus; more common with food intolerance than true allergy
  • Increased frequency of bowel movements
  • Anal sac problems — scooting or anal sac impaction secondary to gut inflammation
  • Poor coat condition, dull fur, dandruff

First aid steps

  1. 1. Keep a food diary — record everything the dog eats including treats, supplements, flavoured medications, and dental chews. Note any correlation between diet changes and symptom flare-ups.
  2. 2. Photograph the dog's skin, paws, and ears to document the condition and track progress over time.
  3. 3. Book a veterinary appointment — the vet will rule out other causes (parasites, environmental allergy, infection) before recommending a dietary trial.
  4. 4. Do not start a dietary trial without veterinary guidance — an improperly conducted trial produces unreliable results and delays diagnosis.
  5. 5. Do not give antihistamines or steroids without veterinary advice — short-term relief masks symptoms and makes diagnosis harder.
  6. 6. Avoid switching foods randomly — this does not constitute a proper exclusion diet and may make allergy testing more difficult.
  7. 7. If the dog is scratching severely, check for fleas first (flea allergy dermatitis is far more common than food allergy and is the most important differential).
  8. 8. Ensure all family members understand that during a dietary trial, no treats, table scraps, or flavoured products of any kind can be given — even a single exposure to the allergen invalidates the trial.

Do NOT

  • Do NOT conduct a food trial with a standard commercial diet — the trial diet must be either a hydrolysed protein diet (proteins broken into fragments too small to trigger immune response) or a strict novel protein diet using a protein the dog has never eaten.
  • Do NOT give any treats, chews, flavoured toothpaste, flavoured worming tablets, or rawhide during the exclusion trial — these can all contain allergenic proteins.
  • Do NOT shorten the dietary trial — 8–12 weeks is required for accurate results; the immune system takes time to settle.
  • Do NOT assume a grain-free diet will resolve food allergy — the allergen is nearly always a protein, not a grain.
  • Do NOT confuse food allergy (chronic itching) with anaphylaxis (acute allergic reaction) — these are different conditions requiring different management.
  • Do NOT use home-cooked diets without veterinary nutritional guidance — nutritional imbalances cause serious long-term health problems.

While transporting to the vet

  • Food allergy does not require emergency transport. Standard precautions for a comfortable car journey apply.

When to phone the vet immediately

  • Severe skin infection with open sores, swelling, or significant hair loss — needs same-day vet attention
  • Dog is not eating, has lost significant weight, or has frequent vomiting or diarrhoea
  • Acute allergic reaction (facial swelling, hives, collapse) — this is anaphylaxis, not food allergy — emergency
  • Ear infection not responding to treatment or causing severe pain

When it can usually wait

  • Mild, intermittent itching without skin damage or infection — book a routine vet appointment.
  • Occasional loose stools without blood or significant frequency — monitor and book a routine appointment.
  • Mild paw licking without hair loss — note and mention at the next routine vet visit.

Common causes

  • True food allergy (immune-mediated, IgE and non-IgE mediated) — the immune system reacts to a protein in the food
  • Food intolerance (non-immune, digestive) — the digestive system cannot properly process a food component
  • Most common allergens in UK dogs: beef, dairy products, wheat/gluten, chicken, lamb, egg, soy, fish
  • Novel proteins can also become allergens if fed long-term
  • Additives, colourings, and preservatives — occasionally implicated but less common than protein allergens
  • Overlap with environmental allergy (atopy) — many dogs have both simultaneously, complicating diagnosis

What you'll need

As an Amazon Associate we earn from qualifying purchases — at no extra cost to you. Links are affiliate links.

What the vet will need to know

  • Full dietary history including all brands, flavours, treats, and supplements given
  • Age of onset and duration of symptoms
  • Whether symptoms are year-round or seasonal (year-round suggests food; seasonal suggests environmental allergy)
  • Any pattern relating symptoms to specific foods or diet changes
  • Which body areas are affected — distribution pattern helps differentiate food allergy from atopy
  • History of ear infections and what treatment was used
  • Has the dog ever had a skin scraping, skin cytology, or allergy testing?
  • Any current or recent medications including flea treatment

Aftercare

  • If the dietary trial confirms food allergy (symptoms resolve during the trial and return upon food challenge), the dog will need a long-term diet avoiding the identified allergen(s).
  • Some dogs can be managed on commercial diets that avoid known allergens; others require prescription hydrolysed diets long-term.
  • Your vet may refer to a veterinary dermatologist for intradermal allergy testing if environmental allergy is also suspected.
  • Secondary infections (skin pyoderma, ear infections) will be treated with antibiotics and/or antifungals — these do not resolve with diet change alone and need specific treatment.
  • Omega-3 fatty acid supplementation (fish oil) can support skin barrier function — discuss dose with your vet.
  • Regular follow-up is important to monitor for new allergen sensitisation over time.

Prevention

  • There is no guaranteed way to prevent food allergy, but feeding a varied diet from puppyhood may reduce sensitisation risk (emerging evidence).
  • Avoid feeding the same protein source exclusively for years — variety may reduce the likelihood of developing an allergy to a single protein.
  • Read ingredient labels carefully when purchasing food or treats.
  • Ensure all household members know what the dog is and is not allowed to eat.
  • Use plain, ingredient-simple treats during any dietary trial.
  • Discuss long-term dietary planning with your vet, particularly if the dog has a breed predisposition to skin conditions.

Breed-specific notes

  • West Highland White Terriers — significant predisposition to both food allergy and atopy; skin problems are very common.
  • Labrador and Golden Retrievers — overrepresented for food allergy and atopic dermatitis.
  • Cocker Spaniels — prone to recurrent ear infections which may have an allergic basis.
  • German Shepherd Dogs — higher incidence of food-responsive enteropathy and skin conditions.
  • Boxers and French Bulldogs — predisposed to skin-fold dermatitis and atopy which can mimic or co-exist with food allergy.
  • Shar-Peis — predisposed to recurrent skin infections and allergic skin disease.

Frequently asked questions

How is food allergy different from a dog just having a sensitive stomach?

A sensitive stomach (food intolerance) typically causes digestive symptoms — vomiting, diarrhoea, wind — and is a non-immune digestive reaction. True food allergy is an immune-mediated response and most commonly causes skin symptoms (itching, ear infections, skin infections) rather than gut signs. Both can occur together. Your vet can help distinguish between them.

My dog has been fine on chicken for five years — can it suddenly develop an allergy to chicken?

Yes. Food allergies develop over time with repeated exposure. A dog needs to encounter the allergen multiple times before the immune system becomes sensitised and begins reacting to it. This is why some of the most common allergens in dogs are also the most commonly fed proteins — chicken, beef, and dairy.

Can I use a raw food diet for the exclusion trial?

Raw food diets can be used for exclusion trials if they are truly novel — containing a single protein source the dog has never eaten, with no additives. However, raw feeding carries food safety risks (Salmonella, Campylobacter) and nutritional imbalance risks. Discuss with your vet whether a commercial prescription hydrolysed diet or a carefully formulated home-cooked/raw novel protein diet is more appropriate for your dog.

What is a hydrolysed diet and why does the vet recommend it?

A hydrolysed diet contains proteins that have been broken down into fragments so small that the immune system cannot recognise them as allergens and therefore cannot react to them. They are useful when a dog has been exposed to so many protein sources that finding a true novel protein is difficult. Examples include Hill's z/d, Royal Canin Anallergenic, and Purina Pro Plan HA.

My dog tested positive for 30 different foods on an online allergy test — what should I do?

Online or postal food allergy tests (typically saliva or hair-based) are not validated and are not recognised by veterinary dermatologists. Veterinary evidence shows they are no more accurate than chance. The gold standard for diagnosing food allergy in dogs is a strict dietary exclusion trial conducted under veterinary supervision — this is the only reliable method.

Best Vet Care

Vet-prescribed treatments delivered to your door

Prescription and over-the-counter treatments from a licensed UK veterinary pharmacy — flea, tick, worm, skin and wound care for dogs and cats.

Affiliate link — we may earn a commission at no extra cost to you. Supplied by Best Vet Care (licensed UK veterinary pharmacy).

Browse Best Vet Care →
Animal PoisonLine01202 509 000 Emergency
contacts