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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/

Want To Get A Dog? Try These Tips

It's natural that you would love having a dog. Dogs have been great pets for thousands of years. It's always a great idea to get a dog, but you have to remember that you are also taking on some responsibility when you bring a dog into your house. Here are some ways you can handle those responsibilities.

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.

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.

Refrain from making the training sessions with your dogs too long. Extended sessions can make a dog tire out and become bored easily when you are trying to teach them new things. Limit your training sessions to 20-30 minutes, as this will help to keep the full attention of your dog.

Don't buy your dog cheap dog food. Less expensive dog foods include fillers and additives that are not beneficial to your dog's health. Check with animal advocacy groups or consumer reviews to find the best dog foods that are recommended by professionals. Higher quality dog food will offer your dog many health benefits.

If you are considering owning a dog, keep in mind the size of your home when selecting the breed. Large dogs do not mix well with small apartments unless you have the ability to walk them frequently. They need exercise and room to roam. In this situation, a smaller barred might be the better choice.

When you have a dog, make sure that you give him enough water. Water should be made available to your dog at all times of the day, particularly in the summertime. Put his water bowl somewhere where no one will trip over it, otherwise you'll be cleaning your floors all day!

Unless you're okay with your dog playing with your shoes and other things around your home, buy him some toys. He will enjoy having things of his own, particularly if they are interactive like pull-toys you can use together. Also buy him things he can use to occupy himself and stay out of trouble!

If your dog gets anxious about being away from you, or you want to give him a little treat, leave music on while you are at work. The noise can help him feel more secure. It might help with any anxiety issues.

Shop carefully for a dog before you get a new one. Make sure that you have taken the time to research the breed and know how much exercise and grooming a new dog will need. If you take the time to choose carefully, you'll find that you are naturally a better match to the dog and both of you are happier.

If your dog does something that you do not like, try to avoid just saying no. To your dog, no doesn't really explain what you want your pup to do. Instead of saying no if your dog is jumping, try to get your dog to sit or lay down. By doing this, you provide your dog with an instruction of what to do.

Conduct daily flea and tick inspections on your dog when it starts getting hot outside. If you do find fleas, you can use a flea comb. To rid your dog of fleas and ticks, look for products that get rid of them. Talk to a vet regarding these products or some other options.

Make sure you exercise both your dog's mind and its body. Train him to fetch the newspaper and help with other household chore. This gives him a job to do and he'll feel fulfilled as a result.

If training your dog is more than you can handle, you should consider sending it to obedience school. Do some research to find out more about the different obedience schools in your area and talk to other dog owners to find the best school possible. It is best to send your dog to obedience school while it is still a young pup.

Does your dog chew a lot? how long can a cat survive without eating could be a sign that your dog is bored or anxious. You need to provide your dog with some toys that can be chewed and perhaps leave a shirt with your smell near your dog to avoid separation anxiety, especially if your dog is very young.

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.

Consider the placement of your dog house carefully. Think about the way that the winds typically blow and face the door on the opposite side. If you tend to get winds from all directions, consider a house with a door flap. There are some states that require a door flap, so check with your local animal shelter to learn more.

Crate training a puppy is a good idea if you're going to be gone all day and will have nobody there to watch your pet for you. This can help prevent damage to your home and unwanted urine or feces inside.

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.

Dog Advice You Should Not Skip Over

Owing an animal is a major responsibility. It is even somewhat akin to raising a child. Even though it's a big responsibility, you can learn to do it well. Carry on reading for plenty of excellent tips about caring for a dog.

some ideas needs to be 'dog-proofed'. It is important that you try to foresee any problems your dog might run into prior to bringing him home. Cleaning supplies and medications should be locked away, and any indoor trash cans need to be put in a cabinet. Research the toxicity of plants you own, and move or remove anything that might be an issue.

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 you are interested in providing your dog with the healthiest of diets and making positive contributions to the earth's environment, make his food from scratch. You can buy locally grown organic ingredients and provide him all the proteins, carbs and fats he needs with no preservatives while reducing the waste from packaging as well.

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.

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.

When you are trimming your dog's nails, keep a close eye on the tips of the nails. Once you see a pale oval on the tip, stop clipping. This is a sign that you are close to the vein. If you go too far, apply a little bit of styptic powder to it to help stop the bleeding.

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.

Make sure that you trim your dog's nails on a fairly regular basis. You do not want them to get too long since it will make it uncomfortable for them to walk and they may develop health issues. They should be at a length that just about touches the ground.

Does your dog chew a lot? This could be a sign that your dog is bored or anxious. You need to provide your dog with some toys that can be chewed and perhaps leave a shirt with your smell near your dog to avoid separation anxiety, especially if your dog is very young.

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.

Getting a dog on a whim is rarely a good idea. You need to make sure you can afford to feed a dog and cover medical expenses before getting a pet. Research different breeds to figure out which dog would be best for your family, your lifestyle and the size of your home.

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. They 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.

Consider the placement of your dog house carefully. Think about the way that the winds typically blow and face the door on the opposite side. If you tend to get winds from all directions, consider a house with a door flap. There are some states that require a door flap, so check with your local animal shelter to learn more.

When you eat snacks, you might be tempted to offer some to the dog. Some foods are okay to share, but there are foods that can be hazardous to a dog's health. Chocolate, caffeine, and grapes are some examples of food that should not be given to dogs. Foods such as these can do a lot of harm to your dogs health.

Make sure that your dog always has fresh water. Water that sits for too long can end up developing bacteria, and this can make your dog sick. Make sure that you change the water daily. You can also invest in a drinking fountain for your dog, which will provide a steady stream of clean water all the time.

Many dogs enjoy things like fruits and vegetables, rice, eggs and cottage cheese. There is nothing wrong with letting them have these things, but they should not make up the bulk of their diets. You should feed them dog food, and implement these items around 10 percent of the time.

Be sure to keep your dog's nails clipped in order to prevent injury. This can occur both from the dog scratching itself or also from having its nails get caught in things such as carpet. In order to be sure you are cutting the nails correctly, be sure to check with the veterinarian or groomer.

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.

As a fervent person who reads about Pets, I assumed sharing that editorial was a smart idea. For those who liked our post plz consider to pass it around. Many thanks for being here. Revisit us soon.