[Susan]

I would STOP feeding the Royal Canin SO….. When I first recused Patch Patch was put the Royal Canine SO kibble & the SO wet tin food to dissolve his crystals, vet said he was probably used for breeding & got an infection….. Patch was desexed put on antibiotics 2 weeks & the R/C SO for 6 weeks, after the 6 weeks he had another Ultra Scan to see if Patches crystals had dissolve & they had, so vet said now you can put him back on his regular diet, he doesn’t have to keep eating the R/C SO anymore but while eating the R/C SO for 6 weeks, Patch started to itch & scratch, had smelly itchy ears, shaking his head & stunk of yeast, I have since learnt Patch can’t eat Wheat, Corn, Maize, Gluten, Barley & Chicken….
If you can start feeding a raw balanced diet or a cooked balanced diet, the Honest Kitchen has some really good formulas & Base Mixes you just add the protein & the meal is balanced also there’s groups on Face Book you can join “Home Cooking for dogs” “Raw Feeding For Dogs” there’s Monica Segal group called “K-9 Kitchen” https://www.facebook.com/groups/K9Kitchen/
Monica puts up recipes, she has one at the moment “Omega 3 Boost” cookies looks very easy too make, Monica also does consults & special diets for health problems….

With Nelly’s itchy skin & hot spots, bath 5-7 days, weekly baths in an antibacterial shampoo, I use “Malaseb medicated shampoo” its kills any bacteria & leaves the skin & fur feeling sooooo soft & itch free…. change diet to a healthy natural diet, bath weekly or when your dog is itchy & has hot spots, you’ll start to see a big change after changing diet & weekly baths, here’s the Honest Kitchen site “Zeal” or “Brave” are excellent formula’s for dogs with skin problems & low in carbs…. http://www.thehonestkitchen.com/dog-food/zeal

Also google “Dr Judy Morgan” she has diets on You-Tube for dogs with certain health problems & sells the supplements & does consults for diets for health problems..