Liz Buchanan BVSc MRCVS
Keymaster
Hello, No - don't worry, I'm sure she's not in walking agony. But sometimes e.g. arthritis, rubbing bones, internal pain, creaky back, that sort of thing, they don't really show on the surface, and the first awareness the owner has of it is a licked patch of skin. We are only just beginning to understand the signs of pain in other animals - it has changed a lot since I qualified. 'Down to the skin' lesions tend not to itch e.g. demodex mites, endocrine diseases: self-trauma tends to leave a short bit of hair behind (but it sounds as if you know it's self trauma because you've seen it). Fleas tend to start in one place, usually above the tail, and spread out. Anal gland damage tends to start either side of the anus. Tapeworms and other parasites can present as rubbing around the perineum. However these are all tendencies rather than hard and fast rules, so hopefully your vet will help you to narrow it down! Best of luck
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