He goes to acupuncture once a month (for neck/back issues). The grass is in my backyard, where he spends his outdoor time. A non-grass area isn't realistic for me, but I could try booties when he goes outside. Would stopping direct contact with the grass improve things? I thought the allergens/pollen were airborne.
I've read bad things about apoquel and its side effects, so I haven't tried that.
He's not on any meds/vaccines for allergies.
For environmental triggers, yes, it could/would be both.
As an example, my SO is allergic to peanuts and has a friend who is allergic to peanuts as well, my SO only has an issue with contact or ingestion where his friend is so severe that if he smells peanut he can start getting itchy and his throat will begin to itch and potentially swell. Allergens and how they trigger the body can vary but I would be very far from surprised if he's allergic to grass that both airborne and physical are triggers.
Don't forget to pick up some hypoallergenic baby wipes for wiping him down after being outside too!
I'd highly recommend seeing a dermatologist or educated vet and conducting a fresh skin test to have an allergy serum made up. My boy has one and it's a huge help to him, the first few doses are low and close together and then eventually maintenance is once a month.
We haven't had to go as far as Apoquel, but we did switch to Zyrtec on our vets recommendation as Benadryl did nothing for Bubba, and we also were given an over the counter anti-histamine from the vet, we've found for Bubba personally, that alternating each month (Jan- Zyrtec/Feb- Prescription, etc...) seems to alleviate his itching during his worst months (winter) and avoid the horror that is his body on steroids. So i'd also recommend asking your vet or dermatologist about other itch relief methods.
As a reference:
Bubba gets a once a month allergy shot for environmental's, has a (thankfully) non prescription limited ingredient food, gets a bath with prescription Duoxo shampoo twice a month, and the Zyrtec or prescription twice a day (the last being only in the fall and winter when he gets the worst).
All that and he's still ended up itching himself raw into a skin infection and antibiotics three times and given himself a hematoma on his ear twice in the 2.5 years we've had him
He's allergic to almost every main protein, crap filler, or crap filler substitute, molds, dusts, pollens, trees, grasses, and mice and feathers.