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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/
Tips To Help You Care For Your Pet Dog
There is no such thing as a perfect dog owner. You may look back regretfully on mistakes you've made, but the truth is that you're not alone. Learning from pop over to these guys is key, and this article should show you the right way to care for your dog as it is chock full of advice from other owners like you.
Be sure your dog is neutered or spayed. This helps reduce the probability of cancer and extends the life of your dog. Additionally, dogs who undergo this procedure are much less likely to wander off and maybe get into to an accident.
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.
Research a particular breed of dog you may be interested in before bringing him home. Lots of people make the mistake of falling in love with a type of dog, then find out later that the animal isn't really for them. Chihuahuas, for example, are a trendy type, but very difficult to fully potty train, especially in colder climates!
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.
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.
Control your voice to control your dog. When he is a good boy, speak in a high-pitched voice and shower him with praise. When he misbehaves, use a very low and gruff voice to indicate your displeasure. Being is nopal good for dogs with this will help him learn faster, making training him much easier on you and him.
Don't leave your dog outside all day long. Dogs are social creatures and need interaction with others. If you only have one dog, he can get lonely outside. Plan on bringing your dog inside when the weather is rainy, snowy, very hot, or very cold.
If your dog has long hair, make sure to take the time to trim the fur around his feet. If you allow your dog's hair to grow too long, they can get things stuck in their fur. This could lead to injuries between the pads of the feet and around the nails.
Your dog should not be left outside all the time. While this happens quite often, a dog needs interaction during the day. Your dog may be lonely if it is just him. Also, they could be bitten by ticks, hurt by other animals or even abducted.
Keep your dog's teeth clean and healthy with regular brushing. Most canines don't mind you brushing their teeth, provided you introduce them to the process slowly and gently. Use a specially designed dog brush, along with other products made just for him. Remember to provide him with toys and biscuits that will also clean and protect his teeth.
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!
Getting a dog on a whim is rarely a good idea. You need to make sure you can afford to feed a dog and cover medical expenses before getting a pet. Research different breeds to figure out which dog would be best for your family, your lifestyle and the size of your home.
When it comes to feeding your dog, make sure that you are using a reputable brand that contains enough nutrition. This is important because there are dog foods that contain an undesirable amount of filler in the food. You want to be sure that your dog is getting the amount of nutrients that it needs in order for it to be healthy.
It is not uncommon for dogs to get cuts on their paws from stepping on pieces of glass and debris. If you notice a small cut on your dog, use antiseptic to wash it, and then put a bandage around it. Deep or serious wounds must be seen by a vet.
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.
Naming a dog can be an absolute blast, but there are several things you should consider. Be sure that your dog's name doesn't rhyme with a word like stop or no, as this can be extremely confusing for your pet. Try and keep the name at one or two syllables in length, so that it's easy for you to call out in a hurry.
When you make the decision to get a dog, it is important that you have the proper type of fence in your yard. Of course, the size of the fence you need depends on the kind of dog you will be getting. The bigger the breed, the higher the fence should be.
You don't have to worry about your pet's care anymore. There are many more options concerning dog food than what you find in the grocery store. Just keep everything you've read here in your mind and you shouldn't have a problem finding a good diet for your dog.
Become A Dog Expert With These Tips
Owing an animal is a major responsibility. In a way, it's almost as if you have a child, but your dog barks vs crying. While this is a serious responsibility, you can care for them with knowledge and patience. Continue reading to find out some great tips for caring for your dog.
Look into subsidized health care for your dog if money is tight. Many local communities, in cooperation with groups like the SPCA offer discounted services that have proven invaluable to dog owners. Look into getting your dog spayed or neutered and vaccinated for a fraction of veterinary costs at a sponsored event probably close-by to you. Just contact the SPCA or an animal shelter in your town.
Your dog needs to be secured when in a car. Not only will it make the journey safer, as it will lead to fewer distractions for the person driving the car, but in the event of an accident, it could also save your dog's life. Look for a seat belt harness, often sold at pet stores, that you can put in your car for your pet.
If there are prescription medications in your home, be sure to keep it out of your dog's reach. Your dog could have a heart attack or a seizure if it swallows some pills. If your pet does manage to ingest some medicine, contact the vet right away.
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.
Keep your dog's teeth in tip tip condition. Just like humans, a dog can suffer from toothache, gum disease and even tooth loss. Regular brushing will ensure that that his teeth and gums stay healthy and strong. Without regular brushing, it is estimated that dental disease will affect up to 80% of dogs by the age of three. As well as dental cleaning by a vet, make sure that you brush your dog's teeth regularly.
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.
Some people think it is cute to give their dog alcohol, but it is dangerous. In high doses, alcohol is toxic to humans and even more so for animals. In addition, it affects co-ordination, causing accidents, and can decrease a dog's respiratory rate. Even small amounts of alcohol can kill a dog.
Getting a dog on a whim is rarely a good idea. You need to make sure you can afford to feed a dog and cover medical expenses before getting a pet. Research different breeds to figure out which dog would be best for your family, your lifestyle and the size of your home.
Check to make sure your dog's collar is adjusted properly by fitting two of your fingers comfortably underneath it and pulling gently. There should be just enough room to do this and no more, otherwise he may be able to wiggle out of it. Always keep it on, except during crate transport, as the collar can get snagged and injure.
Use positive reinforcement to teach your dog the habits that you would like to see from them. For example, if you notice that your dog barks anytime someone enters your home you could reward him for not barking with a treat. The dog will then associate being quite with the reward that he will receive.
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.
The kind of leash you use when walking your dog is very important. A small leash that would fit a small dog, like a chihuahua, is not going to fit a Rottweiler or pit bull. Get a leash that will fit your dog comfortably but also provided them with safety.
Many dogs enjoy things like fruits and vegetables, rice, eggs and cottage cheese. There is nothing wrong with letting them have these things, but they should not make up the bulk of their diets. You should feed them dog food, and implement these items around 10 percent of the time.
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.
You should talk to your veterinarian about microchip IDs. Your contact information can easily be stored inside a microchip and most veterinarians or shelters own a scanner they can use to scan the microchip. This will greatly increase your chances of getting your dog back in case it gets lost.
If your dog suffers from constipation or diarrhea, you can try feeding the pet canned pumpkin. This is not same as pumpkin pie filling. Pumpkin contains fiber which helps with constipation. In addition, it also absorbs water which helps with diarrhea. Don't give the dog much, just a teaspoon or two with the dog's regular meal.
In order to potty train a puppy, it is of utmost importance to take the dog outside frequently. Doing this will familiarize your puppy with the association between outside and going to the bathroom. Failure to do this will result in a harder time breaking your new family member of his/ her bad habits.
When it comes to priceless information, you now have all you need to get started. The first step is to take one tip and put it to use. Once you have mastered that technique, move on to the next. When you are using all the advice, find another article and start over. Your dog will appreciate it!
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 was guided to that editorial on Pets from a pal on a different blog. Sharing is good. Helping people is fun. I cherish reading our article about Dogs.