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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. The one we 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. (I 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/

Ideal Information All Dog Owners Should Know About

Is owning a dog something that you may have considered? Are you already a proud dog owner? If the answer to one of these questions is yes, then you'll be helped by the advice below. You are sure to come across some advice that will make dog ownership a delight well into the future.

If you are thinking about adopting a dog, try taking a couple of weeks off work so you can spend some time with your puppy and teach it a few good habits. Training your puppy and helping it get used to its new environment will be much easier if you are home.

Get your dog neutered. here’s a great place to get started has shown that by doing this you can be sure your pet can have a longer life and not be at risk for things like cancer. In addition, dogs that are spayed or neutered do not have as strong of a desire to wander from their home, meaning that they are less likely to get lost or hit by a car.

If your dog gets lost, it is very unlikely that you will see him again unless he has proper identification. Tags can come off, so the best option is a microchip. It is quick to put in your dog, and it causes minimal discomfort. Simply register the chip ID after it is put in, and your pet will always have his identification with him.

Having fresh and clean water available to your dog at all times is a must. Dogs become dangerously dehydrated in a matter of days, so its very important to always have water ready. Dogs will also appreciate water that is clean. If you find it necessary to drink filtered or bottled water because of the quality of water from your tap, then be sure to provide your dog with the same high quality water.

Always make sure your dog understands how to walk correctly on a leash. He should stay by your side, not in front of or behind you, and respond to the command "heel". Following this tip can make walking safer for your pet, and it can also make walks more enjoyable for both of you. This will also help to prevent your dog from choking themselves, when trying to pull ahead.

Before giving your dog a new dog food, talk to your vet. Some puppies take longer to develop, and some types of food may be too rich, leading to an upset belly or vomiting. Always be cautious about dog food.

Avoid impersonating a medical professional when it comes to your dog's health. In an attempt to save money, many people try to diagnose their pet's conditions or use human treatments on various elements and that can be very dangerous to the animal. If you can't afford full vet care, tell that to the doctor and ask their advice anyway or if they could arrange a payment plan for you.

Get creative with your dog's ongoing training. For example, teach him commands in other languages or show him how to do something that will really impress everyone he meets. He will love showing off to people and the extra learning will create a more well-behaved animal who is happier with himself.

Don't force your dog to eat something. If you offer him a treat he doesn't seem to like, do not make him eat it. Keep an eye on your dog's likes and dislikes.

If you bathe your dog often, watch out for signs of painful earaches that can be problematic for canines. They can happen when too much water gets into the ears. Use cotton balls dabbed in baby oil while giving him a bath, and that should keep water from getting in, even if he splashes around.

If your welcome a new dog into your family, immediately schedule a check up for him. This should be one of the first things that you attend to when you're bringing home a new pet. In addition to giving your dog a check up, the vet will schedule vaccinations. Talk with a vet about your dog being spayed or neutered. There are lots of homeless dogs and you don't want to make the problem worse.

If you have a new dog in the house, be careful with how much freedom you give him or her initially. The freedom to have access to all areas of your home needs to be earned. If you allow your pet to roam too soon, you may have to deal with damaged furniture and other issues. Use baby gates to help restrict your dog's movements, and house him in an appropriately sized crate when you cannot watch him.

Avoid matting on your dog's paws by keeping the hair on them trimmed. Straighten hair with a comb a bit before you trim it. A professional groomer may be a good solution if you are confident about trimming the hair yourself.

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.

Treat your dog like he is a member of your family and he will return the favor ten fold. Dogs are known as man's best friend for a reason. They will be loyal, loving and your protector as long as they know that they are getting the same in return.

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.

If your dog seems to be struggling with learning commands, consider getting a clicker. A clicker is a tool that is useful when training as it teaches your pup that when he does something correctly, a click will happen which is immediately followed by a reward. Clicker training can be helpful for teaching commands, tricks, and walking manners.

You can have a good dog today. A well behaved and loving dog can easily be yours. You have the power to transform you dog into a well behaved pet. Use the things you've learned here so that you can teach your dog what to do.

Some Tips To Help You Take Care Of Your Canine.

Adopting a dog is a great idea. They make perfect pets and are incredibly loving. To ensure that your dog is healthy and happy does, however, take some effort. Utilize the great dog-care tips discussed in this article to avoid problems and ensure that your doggy lives a happy and healthy life full of fun and joy.

If you are planning to take your dog on an extended car-ride, talk to your vet about motion sickness medication first. Avoid feeding him before setting out to prevent queasiness and vomiting and make sure you buy him bottled water if you are traveling to any destination that is known to have issues with water quality.

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.

Never allow your dog to be alone with small children, no matter how much you trust his temperament. Many little kids have been attacked by family dogs who have otherwise never demonstrated a tendency towards violence. Sleeping dogs may be woken by a toddler and react negatively or some other offense is committed against the animal that sets him off.

If your puppy or dog is constantly chewing up your furniture, invest in some chew-toys. Scatter them around the floor, especially around the legs of the sofa and end-tables. Be enthusiastic about your offers to play with the chewies with your dog to encourage frequent use. This should eventually deter him from chomping your furniture.

If your vet gives you medication to take home and administer to your dog, be sure and ask for ideas on getting him to swallow it. Dogs differ in their tolerance of pills and badly-flavored liquids, so have a few tricks up your sleeve in case he resists. Getting a dog to take medicine is important, but often challenging.

Not every dog is capable of going to the dog park. Some dogs will not do well around other dogs that they do not know. Get to know how your dog does around friends' or neighbors' dogs before you attempt to take him to the park. This way, you will know if he will be aggressive towards other dogs.

Be consistent when giving your dog commands. This is an area where a lot of dog owners have a problem, especially when you won't feed your dog from the table but your spouse will. Make sure that everyone in your home understands what's acceptable so that the dog will receive a clear message. That will make him more likely to obey.

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.

Remember that dogs are creatures of habit and anything you start with him will be expected in the future. If you're not keen on him sleeping with you, don't let him do it only on occasion. Likewise, if you don't want him begging at the table, never offer him a bite of people food. He will learn and accept things if you are consistent.

Be a responsible dog owner, to represent the species well. For example, Pit Bulls are feared and often even hated in most places these days, due to irresponsible ownership. People tend to blame the animals when in fact it's the human factor influencing the dog's behavior. Train your dog well and leave a good impression on others!

If you breed your dog, do so responsibly. The AKC advises all owners of pure-bred dogs to make an effort to advance the breed and discard all other motivations, such as money or experimentation. Consider the repercussions of your actions before allowing your dog to mate and create a litter of puppies.

Clean up after your dog when they go to the bathroom in public. Many dog owners let their dog do their business wherever they please whether its on a sidewalk, neighbor's lawn, etc. do rabbits eat blueberries can do their business in public, but you must take a bag with you to clean it up when they're done so that it doesn't cause an unsightly and smelly mess for someone else.

Keep in mind that the pads on a dog's foot are very similar to the skin at the bottom of a human foot. This means that they have a hard time withstanding extreme heat and cold. If you have to take your dog out in extreme weather, make sure that you cover their paws, or you don't have them out for very long.

It is natural to want to get your dog trained as quickly as possible. However, remember that there is a limit as to how fast this process is going to go. If you are not realistic, you are much more likely to get frustrated with your pet, which could damage your relationship. Your pet will learn over time, but it may not happen as fast as you would like.

Never allow a puppy to climb up or down steps in order to prevent joint problems in the future. This is extremely important, especially with breeds that are at high risk for hip dysplasia. Any sort of high impact shock such as jumping or stair climbing should be avoided due to the fact that their growth plates are still developing.

If your dog makes messes in the house or chews when you are away, consider crate training. Crate training involves providing your pet with an appropriate sized crate to,stay in while you're out of the house. It can keep your pet and belongings safe. Just make sure to never leave him in the crate for a very lengthly period of time.

It is important that you give your dog plenty of exercise. Doing so will promote a healthy lifestyle for your dog and you. This is especially the case if the dog in question is very energetic. If you give your dog sufficient exercise, it is less likely he or she will cause problems inside the home.

Now are you really ready to care for your dog in the best way possible? As long as you endeavor to use what you have learned, you should be! Take your new knowledge and put it to use and you'll see changes right before your eyes. Enjoy your dog and love them to bits!

We were guided to that editorial on Pets through a good friend on our other blog. In case you liked our blog post kindly do not forget to pass it around. Thanks a lot for taking the time to read it.