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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/
Need Some Dog Advice? Read This Article
In some ways, caring for a dog is almost like caring for a kid - a big, furry, slobbery kid. Dog care is a tremendous amount of work, and it can be hard to figure out what action you should take. Thankfully, you're in the right place. This article will help you with your dog.
Take care to keep your dog cool while traveling during the summer by car. Even with your air-conditioning on, the dog may become over-heated in his pet carrier. A simple and low-cost countermeasure is freezing a few gallon jugs of water and placing them near him where he can curl up and cool off.
Groom your dog regularly. A dog requires constant grooming to keep his coat in tip top condition. Make sure that your dog is completely relaxed before you start the grooming session; this is especially important if he is excitable. Keep the session quite short (5 to 10 minutes at most) until he is comfortable with the idea of being groomed. Most importantly - be sure to praise him and offer a treat after a successful grooming session!
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.
When training your puppy or dog, keep the sessions short! Experts say that a dog has the attention span of a small child, sometimes less, and that longer sessions will actually cause him to forget everything you've learned together. Use positive reinforcement and limit your training sessions to no more than 15 minutes.
If your dog has been playing outside, take the time to inspect its ears and neck for ticks. These parasites are very common and could make your dog sick if you do not take action right away. Take your dog to the vet if you do not know how to remove the ticks yourself.
It is very common for objects to get lodged in the pads of your dogs paws. Check them regularly to make sure that nothing is in there. If you see something, be very careful about taking it out, or it may become lodged even deeper. It is a wise to use tweezers for this.
Do not make training your dog seem like a chore. Dogs pick up on this negative energy and will have a difficult time learning if you are not in the right mind frame. Make it fun and try to look at it as a bonding experience with your pet. When your dog is having fun, they will learn their training quicker.
Know the basics of pet first-aid if you have a dog in your family. Being able to react quickly in an emergency, such as your pooch being bitten by a snake, can mean the difference between life and death. Read a good book on the subject or ask your vet to brief you on the basics.
Keep your dog safe from dangerous chemicals. Similar to kids, cleaning chemicals and any car maintenance substances are harmful to them. These substances are poisonous, so if a dog gets any on them or ingests any, they could get burned, become very sick, or die. Store your hazardous chemicals in a place that your dog can't get to, or keep them in a closed area using a child-proof lock.
To ensure that your dog is safe, you should try to make your home as dog-proof as possibly. This includes making sure that only safe play toys are within your dogs reach. If you have a problem with your dog getting into your kitchen trash or the things on your counter, you could consider getting a baby gate to prevent your pup from entering the kitchen.
Brush your dog's teeth every week. Use a child's toothbrush that is soft, some nylon pantyhose over your finger, or a gauze pad. Don't use regular toothpaste. Instead, try using a baking soda and water paste or toothpaste made for dogs. Clean their teeth one to two times a week.
If your dog is lonely, consider a friend for him. Dogs are naturally pack animals, and they like to be around other dogs. Ensure you carefully select your dog's match based on behavior and energy levels. By doing this, both of your dogs will be happy.
Control your voice to control your dog. When he is a good boy, speak in a high-pitched voice and shower him with praise. When he misbehaves, use a very low and gruff voice to indicate your displeasure. Being consistent with this will help him learn faster, making training him much easier on you and him.
Don't bathe your dog after you have applied a flea or tick medication. Some medications tout that they are waterproo, but they only mean against rain or swimming. They will largely wash away with a dog shampoo, rendering the treatment ineffective. If you must bathe the dog after a treatment, use a soap free shampoo.
Curb your expectations when it comes to your dog. When you train your dog, remember his attention span isn't like yours. Try training your pet little by little. Don't try to teach it too many things all at once, and be patient. This will help you to be sure that your dog doesn't associate training with being punished.
Stay up-to-date on dog food, specially foods that have been recalled. There have been foods recalled because of being toxic to dogs. You can look online for the latest information about any such recalls, especially on pet friendly forums. You can quickly get news this way.
Dogs will need veterinarian check ups twice a year when they become old. Dogs can age quickly over the course of a year, and older dogs will need more vet examinations in order to catch any changes their bodies may be going through. Additional tests, such as blood, urine, and ultrasound may be needed.
There are few greater joys in life than the love you can share with your loyal companion. It won't always be a walk in the park but the rewards are more than worth it. Enjoy your pup and continue to learn more to help keep your lives happy and healthy.
Great Ideas To Help Any Dog Owner
When you are doubting your dog ownership skills, you may feel very alone. There are many other dog owners out there who feel exactly the same! Mistakes are made, and we can learn from each other through those situations. Here are some simple tips on being a better owner for your dog.
Consider teaching your dog hand signals along with verbal commands. Consistency and practice are key to teaching a dog these non-verbal commands. Many owners get frustrated and resort back to verbal commands, but a well-trained dog should understand both. Try using only verbal commands when the dog is out of sight range, but when close up, only use the hand signals.
Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.
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.
Schedule regular veterinary visits. Regular veterinary exams are extremely important for your dog's overall health - as with humans, it is important to catch any health problems early on. The vet will make sure that your dog is up to date on his vaccinations, and check for any other issues such as weight and dental problems or parasites.
Keep your dog at a healthy weight. Plenty of dogs are overweight, and just like humans, this can lead to health issues. People tend to overfeed their dogs, and many also feed them table scraps. A dog doesn't need as many calories as most people think; talk to your vet about how much you should feed him each day, and what food is most suitable. A vet will advise you based on his size, age and lifestyle.
Be strong when the time comes to say goodby to your beloved dog. Many owners keep the animal suffering to keep them in their lives and that's not fair to the dog. Consult with your vet, then talk it over with family. If it's time to part ways with your dog, do what's best for him.
To make your dog happy and increase the bond between you, try learning how to give him a massage! It's been shown in recent studies that structured massages are highly beneficial to a dog's health and can improve their overall well-being. This activity can also be very relaxing for you as well.
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.
Designate a family member or close friend to be responsible for your dog, should something happen to you. If you are in an accident and unable to get home, your dog will need someone to feed him and address other needs. Perhaps you trust a neighbor with your house keys and they could act for you in a time of need.
Your dog needs healthy teeth and you should brush them regularly. This helps to prevent dental problems and gum disease, but also prevents other illnesses. Infections in the mouth can spread to other areas of the dog's body, like the kidneys and the heart. Pet stores sell special toothpaste for dogs.
Yelling at your dog or displaying any other violent behaviors are not good options. Your dog will fear you and establishing a bond with your pet will be very hard. The best way to train your dog is to use positive reinforcement and simply say no in a firm voice when you catch your dog misbehaving.
Punish PetsRoof . You should never punish your dog for a mischief that happened more than fifteen minutes ago since your dog will probably not establish a connection between the punishment and the bad behavior. If you catch your dog misbehaving, say no in a firm voice and have your dog sit in a corner for a few minutes.
Put your dog through obedience training. A well-trained dog is a joy to live with for both you and them. Teaching information online like "Come,"u009d "Heel,"u009d "Sit,"u009d and "Stay"u009d can help curb or prevent troublesome behaviors in no time. You can either teach them yourself, or you can find out about obedience courses by contacting the SPCA or the local humane society for class recommendations.
Be safe in the summer with your dog. Dogs tend to get overheated easily. Have a shaded, cool area they can go to in the summer. Make sure your dog has access to clean and cool water. Additionally, the sun can affect your dog, but you can get doggie sunscreen.
Yelling at your dog or displaying any other violent behaviors are not good options. Your dog will fear you and establishing a bond with your pet will be very hard. The best way to train your dog is to use positive reinforcement and simply say no in a firm voice when you catch your dog misbehaving.
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 won't be the only person tending for your dog, make sure that everyone who will be taking care of the dog is on the same page. If you have one way of doing things and your significant other has another way, you should sit down and explain the ways and figure out which one will be applied constantly by both people.
Puppies may be cute when biting on a slipper, but the cuteness fades when it turns into a dog who is ripping them apart. Stop these problems early. If he's doing something wrong, say "no" firmly. It is best to address this issue early.
Your new family member, or the dog you've loved for many years, will be so thankful once you start changing your habits to better suit them. As you use the tips in this article, both his and your life will become better. Giving your dog what he deserves is the best feeling ever!
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