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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/
Have A Happy Puppy Or Dog With These Ideas.
Are you looking for advice on being a better pet owner? Could you use a few tips on how to provide for your dog? You're in the perfect place. This article is bursting at the seams with tips, tricks, and suggestions, all of which will help you do right by your pet.
Always give your dog plenty of attention and affection. When your dog behaves properly, make sure you let the dog know you are happy and give them some affection. This will help reinforce the good behavior and the dog will try to behave in this manner for the positive attention..
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.
Keep your dog in good shape. He can suffer with the same weight-related issues that you can, so make sure he gets plenty of healthy exercise and eats a well-balanced diet. Remember that walking will benefit you as well, so make it a part of your daily routine together to be happier and healthier.
Ease your dog into knowing a new baby that comes into your home. Dogs can be very jealous and you need to continue to show him plenty of love an affection, even though you've got a brand new bundle of joy in your life. Talk to the dog as you handle the baby and keep him in the loop.
Make your own dog biscuits to provide your beloved canine with the healthiest treats. Most commercial products are over-loaded with chemicals that aren't good for dogs, despite adding flavor and aroma. Use quality ingredients and tell your dog what you're doing in the kitchen! Get him all excited and let him taste-test as soon as they're cool.
There are many ways to show your dog how cherished he is. Do not focus on just the negatives with your dog. If you focus on the negatives, they will not maximize their potential. Try praising them at least 5 times more than when you scold them. When you do this, you will probably end up with a better behaved dog.
Keep your dog in good shape. He can suffer with the same weight-related issues that you can, so make sure he gets plenty of healthy exercise and eats a well-balanced diet. Remember that walking will benefit you as well, so make it a part of your daily routine together to be happier and healthier.
Make sure that your dog is not kept outside your home all day long. Yes, people do this too often, but dogs require interactions with people and other dogs for their well-being. When your dog is the only one you have, leaving him alone will make him sad. It's especially important that your dog be inside if the weather outside is nasty.
When training your dog, consistency is everything. You must be consistent at all times. If your dog is not allowed to jump on people as they walk in, don't allow your dog to do it even if a person says they don't mind being jumped on. You should also make sure that everyone that's around your dog understands your rules and are consistent with them.
Know the symptoms of dehydration in your dog, as it is a common ailment that can be dangerous. Particularly during hot dry summer months, your dog may pant excessively and experience a loss of the elasticity of his skin. If you see this, encourage him to drink water and add a little Pedialyte to rehydrate him.
Owning a new puppy is very similar to having a new baby. Puppies need a lot of attention and have to be taken care of constantly. They are not ready to be left alone for long periods of time and need to have a fair amount of attention devoted to them.
Keep what is the difference between a rabbit and a bunny 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.
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.
Even if your dog does not spend the majority of his time outside, it is still important that you bring him or her to the vet for their yearly shots. Your dog could come in contact with other dogs at the dog park or at your home. If the other dog is sick, it could pass on to your dog. This is why it is important that they are vaccinated every year.
Don't bathe your dog after you have applied a flea or tick medication. whats the difference between bunnies and rabbits 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.
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.
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.
Your One Stop For All Your Dogs Questions
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.
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.
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.
Never bring your dog with you while flying during the hot summer months, unless the airline provides a climate-controlled cabin for him. Most of the major carriers use the same area for pets as they do for cargo, meaning your dog will have to endure some pretty high temperatures as you travel to your destination, jeopardizing his safety.
Always have your dog on a leash when he's off your property. He can be scared away by some wild animal, or an unforeseen provocation with another dog can result in an unpleasant situation. Your dog is your responsibility, so treat him right.
Speak to your vet about your dog's eating habits. Even though many people stick to the label on the can or package of the dog's food, sometimes these guidelines might not work for the type of dog that you have. This could lead to your dog becoming obese. Check with you vet to find out about the feeding guidelines for your particular dog.
In order to make sure that your dog is healthy, be sure to allow it to have access to clean water at all times during the day. Just like with all living beings, water is one of the most important components. The only exception would be that you would want to keep water from a puppy for three hours before bedtime.
Keep your dog's teeth clean and healthy with regular brushing. Most canines don't mind you brushing their teeth, provided you introduce them to the process slowly and gently. Use a specially designed dog brush, along with other products made just for him. Remember to provide him with toys and biscuits that will also clean and protect his teeth.
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.
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.
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.
If you've got the most well-behaved and lovable dog around, share his good nature with those less fortunate. You could bring him to visit the elderly in nursing homes or sick children in hospitals. Not only will you be improving the quality of life for those people, but your dog will love being a super-star wherever he goes!
Just like people, dogs need plenty of exercise for optimum health. Dogs are naturally hunters and love to run by instinct. Take your dog to the park, play Frisbee with him and give him a daily walk. This will help keep him physically healthy but will also make him mentally healthier.
If you are thinking about getting a dog, it is crucial that you choose a bread wisely. For instance, if you have children, large vicious dogs may not be a good idea. Or, if you live in an apartment, smaller breeds may be better. Pick a dog that works well with your lifestyle.
If you've just gotten a new dog, you must pick a place for it to sleep. If your dog is in a crate during the night, do not let your dog in your bed. If you do decide to allow your dog to enter your bedroom, make sure it's something you're okay with for the long term.
You should check your dog regularly to make sure that he does not have any ticks or fleas on him. There are combs you can purchase that can be used to help you locate them. To prevent fleas and ticks, you can purchase special collars from the pet supply store.
Don't expect too much from your dog. Dogs don't have long attention spans. Be sure to be patient and to only try to train your pup in many small intervals each day.
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.
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.
Hopefully, the advice you've found in this article has addressed any concerns you might have. Even if your problem isn't addressed specifically, you may find that these suggestions can help you resolve your issue. Dog care isn't as complicated as it seems, and some tips truly are one size fits all.
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