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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/
Dog Care Tips And Tricks For The Beginner
In some ways, caring for a dog is almost like caring for a kid - a big, furry, slobbery kid. Dog care is a tremendous amount of work, and it can be hard to figure out what action you should take. Thankfully, you're in the right place. This article will help you with your dog.
It is expensive to own a dog. Dogs require quality food, medical care, and general supplies that can vary in costs. Emergency visits to the vet can cost thousands, so you may want to invest in health insurance for your dog.
Take care to keep your dog cool while traveling during the summer by car. Even with your air-conditioning on, the dog may become over-heated in his pet carrier. A simple and low-cost countermeasure is freezing a few gallon jugs of water and placing them near him where he can curl up and cool off.
When you have a dog, make sure that you give him enough water. Water should be made available to your dog at all times of the day, particularly in the summertime. Put his water bowl somewhere where no one will trip over it, otherwise you'll be cleaning your floors all day!
Keep your dog at a healthy weight. Plenty of dogs are overweight, and just like humans, this can lead to health issues. People tend to overfeed their dogs, and many also feed them table scraps. A dog doesn't need as many calories as most people think; talk to your vet about how much you should feed him each day, and what food is most suitable. A vet will advise you based on his size, age and lifestyle.
Make sure you have the correct dog supplies. Before bringing your dog home for the first time, be sure that you are equipped with the right supplies. Every dog needs a good sized food and water bowl, a collar and leash, toys, and a comfy place to sleep. Also, remember to purchase an identification tag immediately.
If training has become routine and boring with your dog, consider introducing agility exercises into the mix. These will still teach your dog to obey and be challenging, but they tend to be a lot more fun than the regular commands. Get the whole family involved by making an obstacle course and working the dog through it frequently.
Always follow any instructions from the vet carefully, especially if your dog requires medication or other special attention. He might not want to wear that cone on his neck and head, but it's there for a real reason! Any thing that your vet tells you to do should be done to ensure a healthy dog.
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!
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.
Dog training requires you to be consistent. Once you decide you want to establish a rule for your dog, do not make any exceptions. Make sure everyone at home helps you enforce the rule and encourage your guests not to let your dog jump on them or to not acknowledge your dog when it barks.
Be prepared to have a lot of patience with your dog during potty-training. Much like children, dogs learn at different speeds and ages and your canine may be slow or stubborn. Have good resources at your fingertips to assist your efforts and remember not to get angry when your dog has "accidents" as that will only impede his progress.
Punish your dog carefully. You should never punish your dog for a mischief that happened more than fifteen minutes ago since your dog will probably not establish a connection between the punishment and the bad behavior. If you catch your dog misbehaving, say no in a firm voice and have your dog sit in a corner for a few minutes.
Be a responsible dog owner, to represent the species well. For example, Pit Bulls are feared and often even hated in most places these days, due to irresponsible ownership. People tend to blame the animals when in fact it's the human factor influencing the dog's behavior. Train your dog well and leave a good impression on others!
Be politically active when it comes to your dog. Keep an eye on legislation that might regulate or restrict your rights as a dog owner. This typically occurs because of a certain kind of breed that has attacked other people, usually because of the negligence of the owner. Get in touch with local officials to let them know about the good behavior of your dog.
Before getting a dog make sure you have thought about your daily routing, as well as special events like vacations. You may really want a dog; however, you need to have both the time and patience to make the commitment that a dog requires.
You need to consider your own life when you are thinking about getting a dog. Lots of people want dogs, but actually caring for them requires a real commitment.
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.
With all of this great information in hand, prepare to use it to better your dog's life. There is nothing like making your canine companion happy! In return for what you do for your dog, you will get their love back as well as feel great about making them a happy, healthy pup.
All It Takes Is One Read Of This Article About Dogs To Master The Topic
Do you want a canine companion? Do you understand what you will be responsible once you take possession of your dog? There are many responsibilities which come with dog ownership, and they start the first time you bring your puppy home. This article will show you the ropes and get you ready for your new best friend.
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.
Store your prescriptions and over-the-counter medicines in a safe place where your dog cannot get them. Getting into cat lying down to eat could seriously impact your dog's health and even cause death. If your dog does ingest some of your medication, get in touch with your veterinarian immediately.
Rawhide treats are better for your dog than real meat bones. Real bones can splinter and can get caught in your dog's mouth or digestive tract. In contrast, rawhide has health benefits for your pet.
Never lose your temper or punish your dog if you find that they did something wrong. Negative reinforcement will simply make your dog scared, which will make it difficult for you to train them. Use positive reinforcement at all times to get your dog to cooperate when teaching him new things.
It is important for you to take your dog in to see the vet on a fairly regular basis. Just like humans, dogs can develop health problems like toothaches, arthritis and weight gain. Do not wait until you think your dog is sick before taking him in to be seen.
Always follow through with instructions from your vet if your dog has medication or needs special attention. Your dog may hate wearing a cone, however it is prescribed for good reason. Your veterinarian only has your dog's best interests at heart, and if you don't listen, you may inadvertently cause your dog harm.
If your dog does something that you do not like, try to avoid just saying no. To your dog, no doesn't really explain what you want your pup to do. Instead of saying no if your dog is jumping, try to get your dog to sit or lay down. By doing this, you provide your dog with an instruction of what to do.
Determine your dog's specific exercise regimen. Dogs have different fitness needs based their sex, overall health, age, breed mix, or breed. Every dog should have a couple 10-minute walks a day around the block. Dogs between 6 and 18 months, active breed or mixed breeds, terriers, hounds, and herding dogs will most likely require more fitness than others types of dogs.
If you live with other people, make sure they are aware of your training "rules." It is important that everyone redirects the dog off of the furniture, for example, and that they use the same language when doing so. If everyone's rules are different, your dog is just going to get confused, which will make the training process much longer and more difficult.
Dogs love the outdoors. For the most part, dogs really enjoy being outside and being able to stretch their legs. Remember this when choosing the right dog for your family. If you live in an apartment, it is not really fair go look at a dog that needs lots of exercise, unless you are planning on jogging with your dog twice a day.
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.
If you're trying to break one of your dog's unwanted habits, make sure that you understand that it will not happen overnight. Breaking a habit takes time and patience. Don't get discouraged and give up if it seems like your pup isn't making progress. Keep at it and maybe try changing your approach to the training. Sometimes this can be the boost that your dog needs.
Be sure to keep your dog's nails clipped in order to prevent injury. This can occur both from the dog scratching itself or also from having its nails get caught in things such as carpet. In order to be sure you are cutting the nails correctly, be sure to check with the veterinarian or groomer.
Punish your dog carefully. You should never punish your dog for a mischief that happened more than fifteen minutes ago since your dog will probably not establish a connection between the punishment and the bad behavior. If you catch your dog misbehaving, say no in a firm voice and have your dog sit in a corner for a few minutes.
Keep in mind that the pads on a dog's foot are very similar to the skin at the bottom of a human foot. This means that they have a hard time withstanding extreme heat and cold. If you have to take your dog out in extreme weather, make sure that you cover their paws, or you don't have them out for very long.
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're bringing a new dog into your house, you'll have to figure out where that pet will be sleeping. If the plan is for the dog to be crated by night, never let the dog sleep in your bed. If your wants to sleep in your space, ensure you can handle it.
Now that you understand the undertaking of owning a dog, you should feel confident in the fact that you can now provide for your pet fully. When he pees on the floor, forgive him. When he barks at the moon, bark with him. And when he gives you a big kiss, return the favor!
Good Morning from the Golden Retriever Channel. This pupper is taking-in rain. Who turned on the sprinkler in the sky? Another good day in his life, so far.
(Lifeofsterlingnewton IG)#dogs #puppies #cute pic.twitter.com/ooQqHn9XIfAugust 20, 2021
I ran across that post on Pets while perusing the web. If you please take the time to promote this write-up if you enjoyed reading it. step-by-step article thank you for reading our article about Dogs.