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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/
You And Your Dog - Tips For A Great Relationship
Dogs are unlike any other animals you can own as a pet. They love you unconditionally, cheer you up when you are down, and want you to love them as much as they do you. This article will tell you how to make your dog's life as amazing as it deserves it to be.
Hugs are great to give your pets, but kisses are not that great. Dog kissing may be adorable, but dogs have awfully dirty mouths. Keep in mind that dogs drink from toilet bowls and eat whatever is on the ground. Some believe the mouth of a dog is even cleaner than our own. This is not the truth!
It is important for you to take your dog in to see the vet on a fairly regular basis. Just like humans, dogs can develop health problems like toothaches, arthritis and weight gain. Do not wait until you think your dog is sick before taking him in to be seen.
If you are in the market for a new puppy, make sure you will have enough time to devote to his training. On average, you need to take a young dog outside to do his business eight times a day and that can take a lot away from your schedule. Training takes more time and patience than most people realize.
Speak with your vet about the amount of food you should be feeding your dog each day. It is important to follow guidelines for the sake of your dog's health. Ask your vet for some recommendations if you are not sure which brands are best for your dog or need help with quantities.
Keep the fur around your pup's paws trimmed so that it does not get matted. Use a comb and a small pair of scissors for this task. If you're uncomfortable trimming hair, you should probably have your dog groomed by a professional.
Be a good neighbor and discourage your dog from barking, unless he is alerting you to danger. Most people get used to the sound of their dog yelping, but others find it a constant annoyance. If your dog barks often, consider talking to your vet about what could be causing it and how you can put a stop to it, for everyone's sake.
You can find pure breeds at the dog shelter. People who aren't fully committed to dog ownership often abandon their animals at the pound. Call the pound to see what breeds they've got. You could possibly be saving a dog's life in the process.
Giving your dog a bath is essential to his health. Depending on a few of our recent reports and activity level, toss him in the tub weekly or monthly and always use a shampoo that is made for dogs and is pH balanced. Pets have different pH levels than humans and a good dog shampoo will leave your canine clean with a beautiful shiny coat.
A dog needs plenty of love and attention. You should try spending at least a couple of hours a day with your dog. Play in your backyard or take your dog to the nearest park. You should get plenty of exercises before coming home and petting your dog for a while.
Always be sure that your dog understands that you are the master if you want to have a well behaved pet. This is important because if your dog believes that he is dominant over you, then you have a much smaller chance of getting it to obey your commands and behave according to your wishes.
Make time for your dog. You are probably aware that your dog always has time for you, so it's time to return the favor. You might take the dog out for some exercise, or you might just set some time aside to rub his belly. Remember to spend a bit of special time with your dog, and he'll appreciate it.
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.
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.
Your dog needs shelter from the sun in the summertime. You should not let your dog outside for too long unless there are a few cool spots in which your dog can be shielded from the sun. You should also make sure your dog always has access to some cool water and.
Pick up your dog's messes when you're out in public. There are still some dog owners who take their dogs on walks and don't bother to "poop scoop". This is not a wise thing to do for a number of reasons. Be a responsible dog owner and carry a little bag and scooper if necessary, so that you can properly dispose of the waste. Non-owners will thank you.
If you are in the market for purchasing a dog that has been breed you need to make sure that you have every stipulation in writting. For example, if the breeder promises to spay or nueter the pet, you must get that in your contract. Doing this will protect you from any conflict later on.
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.
You now know what it takes to care for your dog as best as possible, so you are ready to bring your new mutt or purebred home! Keep learning to be have a pet that is healthy and happy. Join online forums and mailing lists to talk to other owners. You can always learn more, so you should never stop educating yourself.
Tips On Dog Care That Will Help
Do you currently own a dog or have you owned one in the past? If so, you are already aware of the many blessings that come from dog ownership. However, as is often the case, education can make a big difference in the experience you have. This piece will offer terrific advice for any dog owner.
If your dog spends a lot of time outdoors, he or she may eventually come in contact with a skunk. If he gets sprayed, mix together one teaspoon of dish-washing detergent, a fourth a cup of baking soda and a quart of hydrogen peroxide solution (but make sure it is no more than three percent). Apply the mixture to your dog's coat and allow it to sit for five minutes. Wash your dog off well afterward.
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.
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 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.
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 spends a lot of time outdoors, he or she may eventually come in contact with a skunk. If he gets sprayed, mix together one teaspoon of dish-washing detergent, a fourth a cup of baking soda and a quart of hydrogen peroxide solution (but make sure it is no more than three percent). Apply the mixture to your dog's coat and allow it to sit for five minutes. Wash your dog off well afterward.
Don't assume your toy-sized dog's bite isn't dangerous, just because he's little. A lot of owners brush-off training, thinking that the smaller breed dog can get away with a little bad behavior and this isn't true. As a responsible canine master, you've got to make certain your dog does not pose a threat to anyone by having him well trained.
Check and double check your fenced in yard for spots your dog could escape through before letting him roam. The most secure method of keeping your dog outside is on a long run with a strong collar, but if you are comfortable that your fence can hold him, he'll enjoy that even more. Just make sure there's no room for error!
Don't forget about your dog when writing your will. Many pets end up being fought over or neglected completely because specific instructions were not left regarding their care. Include a clause that clearly directs your loved ones on what to do with your dog so that he's well taken care of.
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.
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.
If your dog is covering everything in the house with his shedding fur, grab a paper towel. Lightly wet it with water and rub it down his back in the direction of fur growth. The loose hair should come off easily on the paper towel and your dog will love the attention too!
Be careful when you select food for 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. Also, avoid giving your pet table scraps. petsroof.com how many toys does a puppy need are unhealthy for him.
If you want your dog to learn to "sit", start by holding a cookie, or other treat, above his head. This will cause him to look up. When he looks up, gently push his hind end down, and give the command to sit. Give him the treat, and praise him. Soon, he will sit just by hearing the command and seeing your hand go up, and eventually will obey to the "sit" command alone.
When it is hot outside, do everything necessary to keep your dog safe. Dogs tend to get overheated easily. Provide a shady, cooler place for them to relax. Also, be sure your dog has clean, cold water. Consult with your vet about the necessity and advisability of sunscreen for your dog.
Don't be afraid to be stern when disciplining your dog for bad behavior. Dog owners think it is alright to bend the rules occasionally If a dog is very cute, it will often be spoiled in this manner. Be firm, and things will remain intact. For instance, you might not mind offering your dog your scraps when finished, but this can lead to your dog thinking it's fine to jump and grab the whole steak from your plate!
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.
Your dog does his best to make sure you are happy. There can be no question that he places you above anyone else. That's why this article was written, to make sure that you return the favor. Use the tips laid out here to help you to be the kind of owner your dog deserves.
We were introduced to that editorial about Pets through a good friend on another web page. Sharing is caring. Helping others is fun. Thank you so much for going through it.