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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. petsroof 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/
Tips You Should Know When Dealing With Dogs
Sometimes our dogs can get a little fat. This usually happens do to dietary reasons and due to a lack of exercise. The excess weight isn't doing much for your dog's physical appearance or it's health. You can help your dog lose that weight by using the tips included below.
If your dog gets lost, it is very unlikely that you will see him again unless he has proper identification. Tags can come off, so the best option is a microchip. It is quick to put in your dog, and it causes minimal discomfort. Simply register the chip ID after it is put in, and your pet will always have his identification with him.
It is important to use your lifestyle as a guide to what breed of furry friend you should get. If you are a hunter for example, perhaps a retriever is the dog for you. If you prefer to stay at home, seek out a small dog that loves to snuggle on the couch. Finding a dog that matches your personality will make both of you happy.
Don't assume your toy-sized dog's bite isn't dangerous, just because he's little. A lot of owners brush-off training, thinking that the smaller breed dog can get away with a little bad behavior and this isn't true. As a responsible canine master, you've got to make certain your dog does not pose a threat to anyone by having him well trained.
Don't assume your toy-sized dog's bite isn't dangerous, just because he's little. A lot of owners brush-off training, thinking that the smaller breed dog can get away with a little bad behavior and this isn't true. As a responsible canine master, you've got to make certain your dog does not pose a threat to anyone by having him well trained.
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.
House-training your dog will be much easier if you adopt a routine. You should go for walks regularly throughout the day and come home during your lunch break if necessary. If your dog has to be home alone for long hours, do not leave a bowl full of water unless it is very hot.
When you are trimming your dog's nails, keep a close eye on the tips of the nails. Once you see a pale oval on the tip, stop clipping. This is a sign that you are close to the vein. If you go too far, apply a little bit of styptic powder to it to help stop the bleeding.
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!
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.
When taking your senior dog to the vet for an annual visit, make sure to request senior blood work. A blood panel can help your vet to identify any kidney, heart or vascular concerns. If caught early, treatment is often minimally invasive and less costly. This is a great way to keep your pet healthy for years to come.
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.
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.
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.
Always make sure your dog has fresh water available. Water is essential for the health of a dog. He can easily become dehydrated without it or look for unsafe water sources, such as puddles or contaminated ponds. Making sure your dog always has water is an easy way to keep him happy and safe.
It is important that you choose the best veterinarian for your dog. Randomly picking out a name from the phone book may not be such a good idea. Instead, ask friends or family members if they know of a good vet or look online for reviews on vets in your area.
If you are in the market for purchasing a dog that has been breed you need to make sure that you have every stipulation in writting. For example, if the breeder promises to spay or nueter the pet, you must get that in your contract. Doing this will protect you from any conflict later on.
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.
Open The Can Of Worms About Dog Ownership
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.
Your dog cannot speak, so you have to interpret non-verbal cues. You should never pressure your pet into interacting with strangers, be they human or canine. This could cause your dog to harm a person or another dog. Watch out for those non-verbal clues and let your dog guide any actions you perform.
If your dog has fleas, and they fall off his coat onto your floor, vacuum them up. However, remember that fleas are pretty good escape artists, so you need to throw out the bag immediately after you are finished. To be on the safe side, tape the bag completely shut before you take it out to your trash can.
If you notice your dog gets dry skin in the winter, you probably need to brush him or her more often. Doing so will get rid of old fur and help get their oil glands working properly. Try brushing once in the morning and once in the evening to see if it makes a difference for your pet.
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.
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.
Avoid impersonating a medical professional when it comes to your dog's health. In an attempt to save money, many people try to diagnose their pet's conditions or use human treatments on various elements and that can be very dangerous to the animal. If you can't afford full vet care, tell that to the doctor and ask their advice anyway or if they could arrange a payment plan for you.
Certain breeds of dog are prone to certain health problems, and you should be aware of what's typical for your type of dog. If you don't know the type of dog he is, research it so you will know the type of problems your dog could have. Also, talk to your vet about things that can be done to increase the odds for your dog's breed.
It is essential that you get your dog vaccinated. Vaccinations will protect your dog from different types of illness and diseases. Most vaccinations are done at your dogs yearly check-up. Your vet can explain what each vaccination is for. The rabies vaccine is required by law in many different states.
Dogs need a great deal of attention on a daily basis. If you have a hard time making time for your dog you will soon notice that there are behavioral problems that were not there before. In the least, you should try to set aside an hour each day just to love your dog.
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.
Get creative with your dog's ongoing training. For example, teach him commands in other languages or show him how to do something that will really impress everyone he meets. He will love showing off to people and the extra learning will create a more well-behaved animal who is happier with himself.
Invest in a separate tub if your dog gets frequent baths. Buy a large metal basin where you will have plenty of room to scrub, but won't risk clogging the pipes in your bathroom. Giving him a bath outside and away from the slipperiness of a porcelain tub is also safer for you
Be clear with your pet during training. The word "no" does not explain anything to your dog, other than that you are unhappy with something. Instead, explain which behavior you do want to see. For example, if your dog jumps on the furniture, tell him to get down instead of just saying the word no.
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.
Shop carefully for a dog before you get a new one. Make sure that you have taken the time to research the breed and know how much exercise and grooming a new dog will need. If you take the time to choose carefully, you'll find that you are naturally a better match to the dog and both of you are happier.
Before you head out for a day of fun in the sun with your dog, dab a little sunblock on him! Dogs can get very serious burns on their noses and the inside of their ears, so include him in your sun-protection regimen. Just make sure there's no zinc or PABA in the product you use.
Keep in mind that some behavioral problems in your dog could be connected to health issues, especially if your dog is displaying a new behavior. Your dog might become aggressive when you touch it because of a pain and it might have a hard time with house-training because of an infection.
After reading the tips, you should have a good understanding of the kinds of tasks you can undertake to care for your dog. You can always make improvements, so make sure you put the tips into practice. When you start seeing results, you'll be glad that you did, and your dog will be happy too.
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