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Best Advice for Dogs with Skin Issues

I still need to publish a real post about Mr. Stix's full backstory, but this feels more pressing. For nearly 18 months, Mr. Stix's permanent nakey spot (from unknown injuries before he was rescued, including 15 fractures and this big patch of coat missing) has featured several inflamed, peeling areas. Initially I tried to fix it myself at home with things like aloe vera, vaseline, a veterinary ointment called animax that the shelter had give us while we fostered him most of 2019, etc. It's sort of a combination of steroids, antibacterial, and antifungal stuff. I took him to see our main veterinarian in spring 2020, when there was a 2-month wait to get into see a board-certified veterinary dermatologist. It has been quite a journey since then, and it's nowhere near over. Here's my best advice for dogs with skin issues.

Before I tell the ongoing saga with Mr. Stix's skin. Here is my best advice for dogs with skin problems.

See a board-certified veterinary dermatologist as soon as you can. Yes, your main veterinarian can probably help, but it's honestly best to go right to the top experts.

Agree to whatever skin scrapings / cytology the veterinary dermatologist recommends. This provides information about what types of secondary infections currently grow on your dog's damaged skin.

Do NOT assume every skin issue is allergies. It often is some sort of allergic process, but NOT always and assuming so (and acting accordingly may only delay real solutions and subject your dog to all kinds of quack advice and home remedies).

Buy the best quality fish oil and Vitamin E supplements you can afford, if it's recommended for your particular case of a dog with skin issues.

When necessary, agree to the skin biopsies (yes, like minor surgery) and have them reviewed by a veterinary pathologist that specializes in dogs with skin issues. dog beginning with p used is at Texas A&M.

Follow your veterinary dermatologist's advice and plans, and keep the faith. These dogs with skin problems often don't improve quickly. ( dog breeds that begin with the letter p need to take my own advise. See below.)

Mr. Stix's Story as a Dog with Skin Problems

This is what Mr. Stix's nakey spot looks like when it's normal. Photo from May 2019 soon after his hip surgery. The bald patch is permanent. That's not the issue.

This is how bad the red / peeling areas got in mid-2020 when we saw our main veterinarian, who added a low-dose of oral Vitamin E and some topical too and told me to keep using the animax.

This is how it looked when Mr. Stix first saw the board-certified veterinary dermatologist in early August 2020, but the specialist had me STOP the animax and instead use a prescription anti-bacterial ointment (mupirocin) ... as well as add a better quality oral fish oil and continue both topical and oral Vitamin E (but at a higher dose twice a day). We knew from the skin scrapings / cytology they did onsite that Mr. Stix had a bacterial infection.

But, without the daily topical steroids (which long term are a bad idea), Mr. Stix's skin got much, much worse -- even breaking open and scabbing over.

Our veterinary dermatologist had recommended doing the skin biopsies right away in August 2020, and I *almost agreed to it then, but I was VERY worried about the cuts resulting in skin that would NOT heal. And, I figured it was at least worth a try to use the prescription antibiotic ointment and other supplements and stuff.

But, by around Thanksgiving, it was clear we had to do the biopsy. That photo is kind of gruesome, so you can see it here, if you want. I wish I had done the biopsy sooner. I feel like I wasted time from August through November.

Post-Biopsy Diagnosis

As I expected, despite all the know-it-alls trying to tell me it was an allergic issue, it turns out that Mr. Stix instead has an autoimmune condition called erythema multiforme. They believe it was triggered by the trauma of his earlier injuries. They don't think it is life-threatening. They don't think it will spread to other areas of his skin. Just the already damaged, permanent nakey spot.

With that information in hand, we updated the treatment plan to include a topical, non-steroidal anti-inflammatory ointment (tacrolimus -- often pricey, but we used a Good RX coupon at Costco to get the cost down). They use a version of this medication orally for people who have had various kinds of transplants. It's the smallest / safest option for treatment, and that's where we started.

I was so hopeful it would work at the once-daily application, but the skin still didn't heal completely.

So, in early 2021, we started applying it twice daily on the advice of our veterinary dermatologist.

But, it still hasn't healed completely. It often improves a lot and then comes roaring back, so we had another appointment to see the specialist last week. We had to try something new.

Enter the Big Immune-Suppressing Drug

Despite my concerns and form of veterinary PTSD about major immune suppression drugs (after our experiences with Lilly), I agreed last week to add oral cyclosporine, which is also a drug that people get after various transplants. Mr. Stix would need to take it daily for life.

It smells like it's made from skunk butts, so each gel-cap pill is individually packaged, and you keep them in the freezer because that can help with nausea it can cause (since it's recommended you give on an empty stomach).

I found some good info on this med, and our veterinary dermatologist assured me that it has been safely used in veterinary medicine for like 20+ years, etc.

The med only comes in doses of 25 mg, 50 mg, and 100 mg, and at his size Mr. Stix's ideal dose is around 88 mg once a day. So we went with 75 mg (25+50) to err on the lower side.

It takes like 3-7 days for the med to build up in the blood to therapeutic levels, but it takes more like 4-6 weeks to know if it's going to help the skin (or not).

We made it to day 4, then the barfing started.

Anxiety

I wish I could say that this is all going to be fine, but I just don't know. I feel like I just have to accept that the skin will never fully heal, even though seeing his raw spots up close while applying the topical med twice a day and topical Vitamin E once a day causes me so much angst and anxiety.

I supposed to check in with our veterinary dermatology team next week to confirm that Mr. Stix's weirdness and apparent suffering has improved.

It took a lot of convincing to get Mr. Champion of My Heart to agree to try the cyclosporine, so even if the specialist comes back and recommends maybe a lower dose, I doubt we'll want to risk it ... because Mr. Stix sure seemed to be having some neurologist issues to me, and after the Lilly situation, I just cannot do that again.

He is only 3 years old. I don't want to make anything worse. It honestly felt like I'd poisoned him.

The good news is that most of the time his skin doesn't seem to hurt or itch or anything -- though I do have pain meds, if he needs them. It mostly just looks bad, and he has to wear a no-lick collar for about 20 minutes after I apply his meds so that he doesn't lick it off.

His nakey spot is prone to sunburn anyway, and the topical tacrolimus increases the risk of burning, so I used his earlier sun-reflecting coat (which started to look ragged) as a pattern and sewed him a new / light sun protection coat. He looks very cute in it.

https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/

Your One Stop For All Your Dogs Questions

A dog is a person's very best friend, as the saying goes. Millions of dog owners know that to be true. The challenge that you must be as good a friend to your dog as he is to you. If you use the tips below, you are going to be able to know you are a great friend to your dog.

Start training your dog as soon as you bring them home. Create a vocabulary list that all your family members will use to command the dog and stick to it. Dogs can become confused if the same words are not used to give them directions. The dog will see "get over here"u009d and "come"u009d as two different commands.

If the cost of your dog's high-quality food is a burden for your family, team up with another one and buy in bulk. The big-name pet store chains offer top rated names in pet cuisine at a significant discount when bought in the larger quantities. You can minimize the cost for you and some friends while still providing your dogs with fresh and wholesome meals.

Your pet needs vaccinations, much in the same way that your baby does. Some common vaccinations that dogs require include rabies, hepatitis and distemper. Each pet is different, and each will have a different immunization schedule. Your veterinarian is a great resource when it comes to which vaccinations are right for the age and breed of your pet.

Make sure that your dog receives plenty of exercise. Dogs need physical activity and play time; it's good for their physical and mental health. Throw a ball around the park with your dog and play fetch. This doesn't just entertain and exercise your dog, it helps you form a bond.

Take your grown dog to the vet at least once a year. The vet will check to see if the dog's vaccines up to date. In addition, the vet will check the dog's teeth and vital signs. If any major health or behavioral issues come up between annual checkups, you should see the vet earlier.

If you get a dog that was in a pound or shelter, you must see a vet right away. Dogs that live in shelters may be sick or may have been around other sick dogs. It's smart to ensure your dog has all shots necessary before you take him home.

If you're trying to break one of your dog's unwanted habits, make sure that you understand that it will not happen overnight. Breaking a habit takes time and patience. Don't get discouraged and give up if it seems like your pup isn't making progress. Keep at it and maybe try changing your approach to the training. Sometimes this can be the boost that your dog needs.

If you are having trouble training your dog, see a professional. A lot of people wait until their problems are enormous, but if you would see a dog trainer as soon as you start having difficulty, you will find training goes more easily. Not only that, but you will save yourself a major headache.

Let your dog have rawhide rather than bones from the meat you eat. Real bones can chip or break and are dangerous for the dog. Rawhide is a healthy alternative and will help keep your dog's teeth clean as he satisfies his need to chew.

If your dog is always drinking out of the toilet, try changing how you provide him with water. Most prefer it cold and fresh, hence the attraction to the bathroom, so buy a fountain or thermally insulated dish to keep his water at a more appealing temperature. Also, add ice-cubes when it's hot out and he's panting

Make sure that you carry small bags and gloves with you while you are out walking your dog. If he uses the bathroom outside, it is your responsibility to clean up the mess. It is unsanitary for you to leave it there, and it some places you may receive heavy fines for that.

If you are planning on getting a new puppy, plan on investing in some training classes. These classes offer a great opportunity for your puppy to socialize with other dogs and learn basic commands. These classes will provide your new puppy with a great foundation for future training and will help them get a great start in life.

If you are training your dog to not pull when on the leash, you should invest in a quality collar and leash. If you have a larger dog, the force of it pulling might be able to break basic collars and leashes. For this reason a good, strong collar is recommended when you are walking your pup.

When taking your senior dog to the vet for an annual visit, make sure to request senior blood work. A blood panel can help your vet to identify any kidney, heart or vascular concerns. If caught early, treatment is often minimally invasive and less costly. This is a great way to keep your pet healthy for years to come.

If you have a hard time with keeping your dog from chewing your possessions or your furniture, use a taste deterrent. Most pet stores sell bitter apple sprays or other products you can use to keep your dog from chewing. Choose a product that does not contain any chemicals if possible.

You should not let your dog go outside without supervision. It is best to provide your dog with a safe space such as a fenced yard. Inspect your fence to make sure your dog cannot escape. If you do not have a fence, always go outside with your dog so you can keep an eye on it.

It is wise to check your area to find out what the local leash laws are. Many areas require a dog to be leashed at all times if it is not on your property. keeping your dog on a leash is a good idea anyway, as it can be dangerous to let your pet run unattended, where he could be hit by a car, or fight with other dogs.

After reading these tips, you should now have the information you need to be a true pal to the animal who has always been true to you. Just make sure that you try each tip out to see what works best for you and your dog. That way, both of you are happy.

Excellent Article About Dogs That Is Simple To Follow Along

Your dog is always there for you. No matter what, a dog will do what it takes to make sure you are alright. He always looks out for you, always wants your attention, and is always happy with you. Shouldn't you see what you can do for him? Here are some tips to help you be a great owner for your dog.

Always give your dog plenty of attention and affection. When your dog behaves properly, make sure you let the dog know you are happy and give them some affection. This will help reinforce the good behavior and the dog will try to behave in this manner for the positive attention..

When you are trying to teach your dog new tricks, you should always be patient. Different dogs will learn things differently. If your dog isn't picking up a new trick right away, give him time. You could also try changing your teaching method. Your dog may respond better to a different approach.

If you want a dog that behaves well you must take the time to properly train it. If you do not do this then you will almost surely be dealing with behavioral problems for the length of the dog's life. Training is the only way that you can prevent this from happening.

Fight the urge to feed table scraps to your dog. This will only teach him to beg constantly and also inhibit his appetite toward his regular food. Feeding table scraps to your dog could lead to digestive problems or obesity. If you spend the time to train your dog to spend mealtimes well removed from the table, there won't be any scrap-feeding temptations to worry about.

Some people think that it is necessary to bath a dog often. The truth is that unless your dog gets into something to get dirty, they only need bathed once every two to four months. Bathing more often could strip their skin of the oils they need for a healthy coat and skin.

If your dog has long hair, make sure to take the time to trim the fur around his feet. If you allow your dog's hair to grow too long, they can get things stuck in their fur. This could lead to injuries between the pads of the feet and around the nails.

Be careful to not over feed your dog. Obesity is a huge problem for animals these days due to the fact that many dog owners allow the animal to determine how much it eats each day. For the best results, and health of your dog, you should follow the instructions of your vet when it comes to feeding habits.

Teach your dog to be trained, even if you don't plan on devoting a lot of time to special tricks. A dog needs to understand the basic hierarchy of the home and should be prepared to listen and learn throughout his life. Practice the basics like "sit" and "down" in the beginning and introduce something new every once in a while.

Try to provide your dog with plenty of opportunities to socialize. Take him on walks to the park or beach where he will be around people and other dogs. Encourage his interactions with others and praise him for good manners. He'll be much more comfortable in any setting and generally happier too.

If you're on a tight budget at home, think carefully before getting a dog. They actually cost hundreds of dollars annually, but many people don't realize this until they've actually forked over the money. Depending on the size and regular maintenance requirements of your new dog, you could be getting in way over your head and forced to part with him later so make sure beforehand.

If your puppy has an accident, take the time to clean thoroughly. Use a cleaner that is professional strength, and follow up with an odor remover. If the smell from your pet's mess stays there, it might motivate your dog to continue defecating there.

When you are walking your dog in the wintertime, there may be rock salt or chemical ice melters that come in contact with his feet. Once you get back in the house, wash his paws and dry them gently. This will prevent these items from causing any type of infections.

Check you dog for parasites and take preventative measure. Flea and tick collars are important. Keep in mind certain collar work better in different seasons and geographic areas. In addition, check your dog's ears. Ear mites are common. Also, check the dog's stool to ensure he hasn't picked up worms in his digestive system.

Make sure that you're feeding your dog a good quality food. Most dog foods available at your grocery store are mainly made up of grains or corn. Instead of this, you should try to find a dog food that is mostly made of meat. Foods that are high quality can provide you with many benefits, such as having a healthy pup, less vet visits, and your dog's coat will shine more.

Make sure there is one policy in your home for giving your dog table scraps. While some owners do not give their dog any table food at all, yet others wait until the family meal is done. This causes less confusion on the part of your dog, and makes meals much easier for your family.

Where is your dog going to sleep? Never let your dog sleeps with you or inside the house if you want to keep it in a crate. If they sleep in your bed, be sure that this is okay with you every night.

Dogs love to chew. Make sure your dog has plenty of things that he can chew on so he doesn't chew on things he shouldn't be chewing on. Dogs love to chew on rawhide and various other things that are manufactured and sold just for dogs to chew on.

In the past, most people used dogs to help them hunt or herd. Now, the relationship between humans and dogs is very different. However, that doesn't mean the past no longer applies. There's a wealth of dog care knowledge out there, and if you use it, you'll be much better off.

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