If You Don't australian Shepherd With Children Now, You'll Hate Yourself Later
They are making a few good pointers about Dogs in general in this content directly below.
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.
Bringing a dog into the home is a decision that should not be taken lightly. If you are considering, or have already extended your family to include a dog, there are things that you should know. Below, you will find a list of quality tips to use to help the transition easier for you and your dog.
If the cost of your dog's high-quality food is a burden for your family, team up with another one and buy in bulk. The big-name pet store chains offer top rated names in pet cuisine at a significant discount when bought in the larger quantities. You can minimize the cost for you and some friends while still providing your dogs with fresh and wholesome meals.
Avoid insisting that https://marblesmell4.doodlekit.com/blog/entry/16575828/australian-shepherd-and-children-is-your-worst-enemy-8-ways-to-defeat-it 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.
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.
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.
The pads of your dog's feet can become dry and cracked, so make sure that you moisturize them regularly. Ask your veterinarian for advice on which product to use. Avoid using moisturizers that are intended for humans, because they can make the pads too soft and your dog may get hurt.
If you do not have any ear cleaner solution on hand, you can use a baby wipe instead. Simply wrap it around the tip of your finger and wipe the inside of the ear's surface. Only go as far as your finger can easily fit. Do not use Q-tips as they can injure the ear.
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!
No matter what kind of dog you may have, hang up a few "Beware of Dog" signs on your property. They are known deterrents to would-be burglars and can help protect you and your family. Just the sign alone indicates probable failure of any robbery attempt and a single bark will have them running away!
When it comes to buying food for your dog, don't skimp by buying the cheap stuff. Your dog will enjoy greater health benefits from nutritious food. It costs more, but you'll save money on vet bills for health issues down the road.
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.
When taking care of your dog's grooming needs, do not neglect their feet. Obviously, dog's do not wear shoes so their feet are exposed to the elements and could hurt their feet in debris outside. Look for any cuts or abrasions on their feet and if you find something serious, bring him or her to their vet.
Although some dogs do well on the recommended amount of food to be given each day, some dogs need more or less. Instead of just going by what your food says to feed your dog, try to keep an eye on your dog's body. If you notice that your dog is gaining a bit of weight, cut the food intake back a bit.
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.
If you breed your dog, do so responsibly. The AKC advises all owners of pure-bred dogs to make an effort to advance the breed and discard all other motivations, such as money or experimentation. Consider the repercussions of your actions before allowing your dog to mate and create a litter of puppies.
Although some dogs do well on the recommended amount of food to be given each day, some dogs need more or less. Instead of just going by what your food says to feed your dog, try to keep an eye on your dog's body. If you notice that your dog is gaining a bit of weight, cut the food intake back a bit.
You need to watch your dog's diet. A puppy is fine with eating calorie-laden food, as it helps him grow. If a high calorie food is fed to an adult dog, it could result in weight gain.
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.
The knowledge you have gained from this article will ensure that your dog is as happy and healthy as can be. That is what you are striving for, right? As long as you put in the effort to use this knowledge, you will benefit from it every single day. Love your dog and enjoy them!
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