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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/
Look Below For A Excellent Tips About Dogs
When it comes to an amazing pet, nothing compares to a dog. You likely care for a dog already, or are considering adopting one, as you have located this article. It isn't easy to take care of a dog, but this article has all the great hints you need to make dog ownership a blast.
Keep on top of fleas. Not only can fleas cause infection in your dog, if one is swallowed, your pet can get tapeworms as well. Speak to your veterinarian about the best prevention method, but remember that this is not a one shot deal. You will have to continue your efforts over the life of your pet.
If your young dog is teething and gnawing at everything, buy him a fun chew toy and keep it in the fridge. Not only does this provide him with a good alternative to your furniture, but the cold will help to make his gums feel better. Most younger dogs gnaw out of necessity, not poor manners.
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.
Do you have a "wrinkly" dog, like a bulldog? If so, you have to be conscientious about the grooming process in order to help keep your pet clean. After you brush, take a baby wipe and use it to get in between the folds on their body. Make sure, though, to get them fully dry after doing so.
Make sure you have the correct dog supplies. Before bringing your dog home for the first time, be sure that you are equipped with the right supplies. Every dog needs a good sized food and water bowl, a collar and leash, toys, and a comfy place to sleep. Also, remember to purchase an identification tag immediately.
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.
Just like humans, dogs need to get a good amount of exercise each and every day. If your dog does not get the exercise it needs, it health will decline, and so will his attitude towards life. Take the time to exercise your dog for at least a half hour each day for the best results.
Be sure your dog wears identification so it can always get back home. One thing a lot of people do to be sure they get their dog back is they fit them with a collar that's breakaway and has an ID tag. Include your dog's name and information on how to contact you. Another good thing to do would be to have a micro-chip put in your dog.
If your dog is a digger, make sure to protect him and your garden. Some plants are poisonous to dogs, not to mention the damage those paws can do to your prized flowers and produce. Put up an appropriately sized fence to keep him out or consider using an electric one.
Dog training requires you to be consistent. Once you decide you want to establish a rule for your dog, do not make any exceptions. Make sure everyone at home helps you enforce the rule and encourage your guests not to let your dog jump on them or to not acknowledge your dog when it barks.
You should remember the quote about too many cooks spoiling the soup while trying to train your dog. If the other people who help you train your dog are not consistent with what you started teaching, your dog will have a hard time. One person should be the master while the others reinforce what the dog is learning.
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.
If you live with other people, make sure they are aware of your training "rules." It is important that everyone redirects the dog off of the furniture, for example, and that they use the same language when doing so. If everyone's rules are different, your dog is just going to get confused, which will make the training process much longer and more difficult.
Be politically active when it comes to your dog. Keep an eye on legislation that might regulate or restrict your rights as a dog owner. This typically occurs because of a certain kind of breed that has attacked other people, usually because of the negligence of the owner. Get in touch with local officials to let them know about the good behavior of your dog.
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.
Make sure that you buy an appropriate sized collar for your dog in order to ensure its health and safety. If the collar is too lose, it may become snagged on something. If the collar is too tight, it may restrict the dog's breathing ability. Allow for find this between the dog and the collar.
Make sure that you spend adequate time on each thing that you try to teach your dog. Even though your dog might catch on to something, for example the "sit" command, it may not be mastered. You'll want to make sure that the command is done every time that you ask no matter what situation you are in before you move onto a new command.
Now that you have all of these tips and tricks in mind, you are ready to make your dog's life better. It is up to you to use each tip one by one, changing your dog's lifestyle bit by bit. The more you do for your dog, the more he'll love you in return.
Free Expert Advice On The Topic Of Dogs
A dog is a man's best friend, but how do you know that you are properly taking care of your dog if your dog doesn't speak the same language? Learning how to take care of your pet is very important. You need to consider the following helpful advice for taking care of your dog.
If you are looking for a great family pet, but are on a budget, consider rescuing an animal.You can get one at a local shelter for minimal costs and the dog will come with a clean bill of health and all his shots. If you are interested in a specific breed, contact a rescue group specializing in only those pooches.
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.
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.
Always, have your dog spayed or neutered. Research suggests that this small thing can give extended life to your dog by reducing cancer risk. Additionally, dogs who undergo this procedure are much less likely to wander off and maybe get into to an accident.
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.
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 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.
Lift your dog properly. If you have a little dog or puppy, place your one hand under their chest and use your other hand for supporting their rump and hind legs. If you're lifting a big dog, lift them from their underside supporting their chest using your one arm and using your other arm to support their rear end. Never lift a dog by their back legs, tail, or the nape of their neck.
Just like people, dogs need their exercise too. Playing a game of fetch or Frisbee is a great way to get your dog to burn some calories, while having fun at the same time. Dogs should also be walked everyday. Some dogs require more exercise than others, which is why it is so important to understand your dogs needs.
Be prepared for natural disasters that also impact your dog. Have an emergency supply of water and food for him and know in advance if your local shelter for people will allow pets inside. Too many pets are injured or lost following storms, floods and other situations that cause chaos in a community.
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.
Be careful when choosing what to feed your dog. Find a type suited for your dog's breed, age and condition and be sure to consider other factors such as potential allergens. Feeding your dog leftovers is a good way to save money but provide your dog with a healthy diet is not easy if you feed it leftovers.
Some people think it is cute to give their dog alcohol, but it is dangerous. In high doses, alcohol is toxic to humans and even more so for animals. In addition, it affects co-ordination, causing accidents, and can decrease a dog's respiratory rate. Even small amounts of alcohol can kill a dog.
Do you have a hard time keeping your dog from barking? You might be encouraging this behavior without even realizing it. Your dog will keep barking if you acknowledge this behavior. It is best to ignore your dog until it stops barking, even if your dog wants to come inside.
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.
Your canine friend needs to be cleaned regularly. You should bathe and brush your dog on a weekly basis. Not only will this help you to avert future skin problems - it'll also help you to keep your house tidy.
In order to potty train a puppy, it is of utmost importance to take the dog outside frequently. Doing this will familiarize your puppy with the association between outside and going to the bathroom. Failure to do this will result in a harder time breaking your new family member of his/ her bad habits.
If you want a happy and healthy dog, you must be a responsible pet owner. There are many things you must do and that will not only help your dog, but will be helpful to you and your relationship with him, too. Use the tips here to make sure your time with your dog is the best it can be.
Good Morning from the Golden Retriever Channel. This pupper is taking-in rain. Who turned on the sprinkler in the sky? Another good day in his life, so far.
(Lifeofsterlingnewton IG)#dogs #puppies #cute pic.twitter.com/ooQqHn9XIfAugust 20, 2021
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