Albert Einstein On will Cats Eat Their Young
This post below involving Dogs is quite entertaining. Don't miss out on it.
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/
Think Like A Dog. Be A Great Pet Owner.
Raising a dog is a big undertaking and long term commitment. The responsibilities that come along with owning a pet are numerous, however so are the rewards. This article aims to provide you with a few useful tips to help you with the different aspects of owning and caring for a dog.
Make sure your house is free of doggy danger. Create a safe area to bring a new puppy into the home. Place any meds or household cleaning supplies out of reach, and place any trash cans in a cabinet. Some very common plants are quite toxic to animals, so always make sure they are out of reach.
Be careful with your dog around Christmas season, many dangers are lurking just under the festive ambiance. For instance, electrical chords are typically strewn about during the holidays, and dogs often chew them, creating an electrical hazard. Dogs may be tempted to eat the decorations on the tree. They may also be tempted by the tree water, which can be toxic.
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.
Be careful around Christmas time with a dog in your home; it's the busiest time of year at 24/7 animal clinics! Things like hanging and tree lights pose a danger to your dog, as they could become tangled or gnaw their way down to raw wires. The loveliest of Christmas plants are also hazardous to a dog's health, so take extra care during holidays.
Rather than merely using verbal commands, it is wise to utilize hand signals when training your dog. These signals will help you keep your dog under control in a noisy environment. Look at both options and see if one particular way works best.
Give your dog a great place to sleep. Every dog needs a bed to call his own that is temperature controlled and comfortable. If not, the dog may alternate sleeping locations between undesirable locations, such as your sofa when you're not watching. A bed also gives him a great sense of security and belonging.
Send your dog to school! He will feel more comfortable knowing exactly what is expected of him and obedience school will help him learn that. It will also boost his self-confidence, and of course, make a more well-behaved pet of him. Call around locally and see if you can sign him up for a trial class and take it from there.
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.
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.
If you are not allowed to place a fence in your yard but want your dog to run freely there, consider an electric fence. Electric fences are easy and inexpensive to install, and they can help to keep your free roaming pet safely contained. Using them will require a little training, but they are quite effective if you put the work in.
Consider puppy training classes for your young pet. Puppies are eager to learn, and a class is a wonderful atmosphere to let them do so in. Classes are also often cheaper than individual lessons. This will teach your pup essential behavioral skills and allow the two of you bonding time too.
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.
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.
Don't bathe your dog after you have applied a flea or tick medication. https://postheaven.net/valuecandle7/10-mesmerizing-examples-of-cat-eating-babies 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.
Before you decide to go get a dog you should think about the individual needs of different breeds of dogs. Some dogs can get enough exercise in the home, while others may need a few hours outside each day. These factors can mean a lot when it comes to meeting the needs of your new family member.
Make sure there is one policy in your home for giving your dog table scraps. While some owners do not give their dog any table food at all, yet others wait until the family meal is done. This causes less confusion on the part of your dog, and makes meals much easier for your family.
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.
While my dog and your dog may be polar opposites, they both need the same basic care to stay healthy and happy. This article has given you the foundation of knowledge you need to be a great owner, so make use if it when you can. Here's to wishing you and your pup many happy years to come!
I'm certainly very focused on Pets and I am assuming you appreciated our entry. Liked our posting? Please quickly share it. Let somebody else discover it. Thanks for being here. Return soon.