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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.  labrador retriever webbed feet  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).  check here  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/

Need Some Dog Advice? Read This Article

Your dog is always there for you. No matter what, a dog will do what it takes to make sure you are alright. He always looks out for you, always wants your attention, and is always happy with you. Shouldn't you see what you can do for him? Here are some tips to help you be a great owner for 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.

You should only try to teach your dog one new command during each training session. Even if you think your dog is good at picking up on things and will have no issues with that, it is much less confusing for you and him if you focus on just one thing at a time.

Having fresh and clean water available to your dog at all times is a must. Dogs become dangerously dehydrated in a matter of days, so its very important to always have water ready. Dogs will also appreciate water that is clean. If you find it necessary to drink filtered or bottled water because of the quality of water from your tap, then be sure to provide your dog with the same high quality water.

If your dog has separation anxiety or you wish to be really nice to them, keep music on while you are going to work. The noise make them feel more secure and keeps them company. This is a good way to keep your dog from feeling lonely.

When choosing a dog for your home, don't forget to estimate the size it will be as a full grown adult. This is especially true if you have small children at home. Although a small puppy will be cute, it may grow into a large, one hundred pound dog. Do some research on the average adult size of the breeds you are considering.

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 you buy a new dog, set up a vet appointment as soon as possible. Once the dog arrive home, place a call to the vet and schedule that appointment. The veterinarian will make sure your pet is as healthy as you think he is and also talk to you about vaccinations. You should also speak to your vet concerning your dog being spayed or neutered because there is an overpopulation of dogs in shelters.

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.

Your dog needs healthy teeth and you should brush them regularly. This helps to prevent dental problems and gum disease, but also prevents other illnesses. Infections in the mouth can spread to other areas of the dog's body, like the kidneys and the heart. Pet stores sell special toothpaste for dogs.

Your dog should always have access to fresh water. You should always keep a bowl full of water where your dog can access it or purchase a small drinking fountain for your dog. If you have to leave your dog alone for long hours, so not leave more water than your dog needs.

You need to ensure your dog will come back if he runs away; that is why you need to have a collar with his information on it. A breakaway collar that includes an ID tag will ensure the return of your dog if they should wander. Put your own name and contact information on it, along with your dog's name. You can also opt to have a micro-chip inserted into your dog.

Always use a leash when your dog or puppy is out in public. This helps you make sure your dog always stays by you and prevents them from wandering off or getting into trouble. This can also help you restrain your dog if something upsets them so that they don't hurt another animal or person.

Never approach a dog you are unfamiliar with. Teach your children the same thing. An unfamiliar dog may look friendly, but he could have a vicious bite. Even if he is not a biter, he might jump on you, potentially causing harm. Always ask his owner for permission before approaching him.

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.

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.

Do you feel stressed out a lot? Dogs have been proven to help lower your blood pressure and help you to feel calm. People who own dogs often live longer than those who do not. Dogs can also bring you happiness and comfort if you are suffering from an illness.

Make sure that you carry small bags and gloves with you while you are out walking your dog. If he uses the bathroom outside, it is your responsibility to clean up the mess. It is unsanitary for you to leave it there, and it some places you may receive heavy fines for that.

A dog can be a faithful companion, but you must know what it takes to be a responsible owner. The article here shared tips any dog owner can use to help make sure their time with their pet is enjoyable. Use what you learned to have the best relationship possible.

Unsure About Caring For A Dog? Learn The Best Tips Here!

Every dog is unique, like a fingerprint. They even have their own likes and dislikes, aptitude for patience or impatience, and some are loving while others are distance. How you care for them depends as much on who they are as your own situation, but the advice you will find below applies in every household which has a dog in it.

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.

Always be prepared to pick up after your dog with a scoop and bag. Although most people think that this is simply a polite thing to do so that others don't step in it, your dog's excrement is actually hazardous!rnIt contains a bacterium that can contaminate local supplies when it washes through to ground water.

Hot summer days are harder for dogs to handle than humans. Always make sure your pet has enough water to drink. Provide them with a shaded area to rest if they are going to be outside for any length of time. And, if your dog begins acting in an unusual manner, call the veterinarian. Heatstroke could be fatal, so it is important to get medical care as soon as possible.

When you take your dog with you on vacation, take a picture and save it to your phone. By doing this, in case your dog gets lost, you can provide others with a picture and easily put up flyers, which will assist in finding your dog.

Make sure that you trim your dog's nails on a fairly regular basis. You do not want them to get too long since it will make it uncomfortable for them to walk and they may develop health issues. They should be at a length that just about touches the ground.

Talk to the vet about which foods you should avoid giving the dog. A puppy's stomach may not be able to properly digest certain brands, sometimes causing an adverse reaction. Choose dog food adapted to the age of your puppy and use common sense when determining which foods are healthy for your dog.

Try to always be aware of how your dog is feeling. If your dog seems to be nervous, fearful, or scared of certain things, you should take note of this and try to avoid putting your dog in a stressful situation. When a dog is stressed or afraid, you could traumatize your dog if you insist that it stays in the stressful situation.

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.

Be consistent when giving your dog commands. This is an area where a lot of dog owners have a problem, especially when you won't feed your dog from the table but your spouse will. Make sure that everyone in your home understands what's acceptable so that the dog will receive a clear message. That will make him more likely to obey.

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.

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.

If you have younger children in the home, make sure that you try to teach them what behavior is appropriate with your dog. Let them know the rules and what they are allowed to do. Some dogs are more tolerant of being jumped on, pulled on, and played with than other dogs.

A great way to have some company on your car rides is to take your dog with you. Most dogs enjoy riding in the car. Riding in the car is also a good place to practice some training exercises with your pet as well. You can practice "stay"u009d when the dog enters and exits the vehicle. Always remember to leave windows down because heat from a closed car can kill the dog.

When you are walking your dog in the wintertime, there may be rock salt or chemical ice melters that come in contact with his feet. Once you get back in the house, wash his paws and dry them gently. This will prevent these items from causing any type of infections.

If you are trying to teach your dog some basic commands, one of your first ones should be a recall. Everyone wants their dog to return to them when called for. If you have a solid recall for your dog, you will not have to worry about chasing your dog down it manages to get outside. It should come back to you when you use your recall word.

Carefully consider your dog's diet. Not all brands of dog food are equal, and food that costs the most is not always the best. Ask a veterinarian to recommend a brand that is best for your dog's age, breed and health. This can help your dog live a longer, healthier life.

Teach your dog a few basic commands. Simple commands like sit, stay and heel are important for keeping your dog safe and helping him to become friendly around other people. Dogs can easily learn these commands in very little time, and lessons are available if you need some extra assistance.

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.

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!

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