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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/
Your One Stop For All Your Dogs Questions
Dogs are wonderful pets. They are reliable, loyal and often very loving to their owners. Many people, over time, begin to see their dog as another member of their family. Therefore, it is important that you care for your pet in the best way possible to ensure that they live a healthy, happy and productive life. The following tips will help you as you attempt to raise and care for a canine companion.
Never allow your dog to ride in a car unsecured. Sitting on your lap or in the front seat is dangerous both to him and your ability to drive. Always place him in an appropriately sized pet carrier or invest in a pet seat belt that will keep him snug and safe in the middle of the back seat.
Start training your dog as soon as you bring them home. Create a vocabulary list that all your family members will use to command the dog and stick to it. Dogs can become confused if the same words are not used to give them directions. The dog will see "get over here"u009d and "come"u009d as two different commands.
Let your lifestyle determine what breed of dog you should bring into your home. For instance, if you like to go running, you're not going to want a little dog that can't keep up with you. Likewise if you spend quite a lot of time at home you may want to get a dog that likes to be pampered a lot. Finding a dog that matches your personality will make both of you happy.
Don't buy your dog cheap dog food. Less expensive dog foods include fillers and additives that are not beneficial to your dog's health. Check with animal advocacy groups or consumer reviews to find the best dog foods that are recommended by professionals. Higher quality dog food will offer your dog many health benefits.
If you are considering owning a dog, keep in mind the size of your home when selecting the breed. Large dogs do not mix well with small apartments unless you have the ability to walk them frequently. They need exercise and room to roam. In this situation, a smaller barred might be the better choice.
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 sure to praise your dog freely and consistently whenever he exhibits a desired behavior. Always make sure your dog knows when they perform a behavior you wish to see repeated. It also teaches your dog that when he does the things you want, he will get praised.
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.
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.
If you leave your dog with a boarder, there are certain things you need to tell them. First, make sure the boarder has a number to reach you in case of an emergency. Also, tell them of any behavioral issues you dog has. If the dog needs special foods or medication, let the boarder know this as well.
Don't be hasty when deciding if you will get a dog or not. It's not difficult to love a puppy when you see them for the first time. Consider all options so that you know you have taken care of everything.
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.
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.
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.
If you have a hard time with keeping your dog from chewing your possessions or your furniture, use a taste deterrent. Most pet stores sell bitter apple sprays or other products you can use to keep your dog from chewing. Choose a product that does not contain any chemicals if possible.
Never allow a puppy to climb up or down steps in order to prevent joint problems in the future. This is extremely important, especially with breeds that are at high risk for hip dysplasia. Any sort of high impact shock such as jumping or stair climbing should be avoided due to the fact that their growth plates are still developing.
Consider your daily routines, and decide whether a dog would fit into that scenario well. Wanting a dog is easy, but it is not always easy to deal with responsibilities of dog ownership.
The joy and delight a dog can provide is truly something amazing to behold. The fact remains, however, that a significant amount of know-how is required in order to make life with a dog the very best it can possibly be. Hopefully the insights found above have provided a strong foundation for canine aficionados everywhere.
Some Canine Care Tips For Owners And Buyers.
It's a great feeling to own a dog. They are happy, loyal and friendly. They can be great friends to you, your children and your parents. To repay them, you've got to make sure you are doing the best job you can to take care of them. Here are some tips you can use to do that.
Whenever you travel with your pet, don't skimp on the packing. Of course you need to be well supplied with his food, water and any medications he may be on, but experts advise that you also bring his grooming supplies, vaccination paperwork, tags and an extra leash. Also, bring a flat sheet for when your dog will be on hotel furniture.
Start training your dog as soon as you bring them home. Create a vocabulary list that all your family members will use to command the dog and stick to it. Dogs can become confused if the same words are not used to give them directions. The dog will see "get over here"u009d and "come"u009d as two different commands.
Never allow your dog to be alone with small children, no matter how much you trust his temperament. Many little kids have been attacked by family dogs who have otherwise never demonstrated a tendency towards violence. Sleeping dogs may be woken by a toddler and react negatively or some other offense is committed against the animal that sets him off.
Try hand signals in conjunction with verbal commands when training your dog. Your dog can figure out things easier when they get these signals. Not every dog will learn the same, so try different techniques with your dog.
Dogs love to eat grass and other plants. When you're outside, this may not be much of a problem, but if you maintain houseplants indoors, chances are they are poisonous to dogs. Before bringing a dog into the home, make sure all your houseplants are well out of reach of a dog who may be tempted by a green tasty treat.
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.
Timing is key when bringing your dog home. Try to introduce him to his new home over the weekend or when you have a couple of days off. Take the time to get to know one other - this will make him feel much more comfortable when he has to spend time in the home alone. Also, if you have children, make sure that they don't overwhelm him at first. If why does my cat try to bury her food have other pets in the house, be extra cautious when introducing the new arrival.
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.
It is very important for you to keep your dog's ears clean. Keeping the inside of the ears clean will help prevent infections of the ear. This is also a good time for you to inspect the ear for fleas, ticks and any other pests that could have made your dog's ear home.
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.
If you are planning on getting a new puppy, plan on investing in some training classes. These classes offer a great opportunity for your puppy to socialize with other dogs and learn basic commands. These classes will provide your new puppy with a great foundation for future training and will help them get a great start in life.
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!
If your dog is always drinking out of the toilet, try changing how you provide him with water. Most prefer it cold and fresh, hence the attraction to the bathroom, so buy a fountain or thermally insulated dish to keep his water at a more appealing temperature. Also, add ice-cubes when it's hot out and he's panting
Make sure that you spend adequate time on each thing that you try to teach your dog. Even though your dog might catch on to something, for example the "sit" command, it may not be mastered. You'll want to make sure that the command is done every time that you ask no matter what situation you are in before you move onto a new command.
Never give your dog away for free, no matter how desperate you might feel to get rid of it quickly. Even if you can not care for the animal, it is still your responsibility to be sure that it will have a good life to come. Instead, take the time to investigate the person that you will give it to and charge a re-homing fee to ensure that they are serious about caring for the animal.
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!
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.
With these great tips, you can now really be an exceptional dog owner. This information provides a good foundation for dog ownership that you can build on in years to come. Put these tips into practice, and you and your dog will be better off.
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