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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.  https://peatix.com/user/9466028  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 your mistakes 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.

Make your home dog-proof. Before you bring a dog into your home, you should be sure that the area you're bringing it to is safe. All cleaning supplies and medications should be moved out of reach of your dog. You should also find a way of securing your trash somewhere that your dog cannot get to, such as in a cabinet. Some common house plants that are toxic to pets should be removed from your home.

Do you have a "wrinkly" dog, like a bulldog? If so, you have to be conscientious about the grooming process in order to help keep your pet clean. After you brush, take a baby wipe and use it to get in between the folds on their body. Make sure, though, to get them fully dry after doing so.

If you want a dog that behaves well you must take the time to properly train it. If you do not do this then you will almost surely be dealing with behavioral problems for the length of the dog's life. Training is the only way that you can prevent this from happening.

If you want a dog that behaves well you must take the time to properly train it. If you do not do this then you will almost surely be dealing with behavioral problems for the length of the dog's life. Training is the only way that you can prevent this from happening.

Build or buy a house for your dog if he has to stay outdoors for any length of time in cold weather. Particularly if his feet get wet, extended exposure to extreme temperatures causes stress and can lead to health complications. Keep your dog safe from the elements by providing shelter.

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 consistent with this will help him learn faster, making training him much easier on you and him.

To protect your dog in the event he is lost or stolen, have a microchip surgically implanted by your vet. These handy chips store data that can be retrieved by a shelter or animal officer and used to contact you. They are painless to put in and offer peace of mind for the pet lover!

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.

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.

To ensure that your dog is safe, you should try to make your home as dog-proof as possibly. This includes making sure that only safe play toys are within your dogs reach. If you have a problem with your dog getting into your kitchen trash or the things on your counter, you could consider getting a baby gate to prevent your pup from entering the kitchen.

Do not make training your dog seem like a chore. Dogs pick up on this negative energy and will have a difficult time learning if you are not in the right mind frame. Make it fun and try to look at it as a bonding experience with your pet. When your dog is having fun, they will learn their training quicker.

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.

You need to think everything through before you bring a dog home. There are a lot of ways you can do this and it is simple to be in love with a puppy dog face. Make sure that you understand all of the care dogs need so that you will know if you'll be able to do it all.


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.

If you've just brought home a new puppy, you need to designate a sleeping area for him. Never let your dog sleeps with you or inside the house if you want to keep it in a crate. Before letting your dog into your bed, you should be sure that you're okay with this being a long-term sleeping arrangement.

Check you dog for parasites and take preventative measure. Flea and tick collars are important. Keep in mind certain collar work better in different seasons and geographic areas. In addition, check your dog's ears. Ear mites are common. Also, check the dog's stool to ensure he hasn't picked up worms in his digestive system.

There is a wealth of information available to help you to become a fantastic dog owner. Bringing him home is only the start of the journey. Caring for your dog is a lot of work. Take the information learned today and use it to make the experience with your dog very rewarding.

Dogs



Suggestions That Will Work For Any Dog




If you walk down the street, you probably notice that a lot of people own a dog. Perhaps you own one as well, and wish to know a little more about them. This article is going to teach you the basics of caring for a dog, along with other tips. Keep reading and you'll be an expert on dogs in no time.

Your dog speaks to you, but it is through non-verbal cues. Your job is to learn to listen carefully so you understand the message. If they seem hesitant upon meeting up with other dogs or people, don't force interaction. This could end up in negative biting or fighting behavior. Take heed of these non-verbal cues, and act accordingly.

Refrain from making the training sessions with your dogs too long. Extended sessions can make a dog tire out and become bored easily when you are trying to teach them new things. Limit your training sessions to 20-30 minutes, as this will help to keep the full attention of your dog.

can dogs eat oatmeal cookies  is very important in training your dog. Make your dog understand you are pleased with the behavior and expect to see it again. This will teach the dog that when they do what you wish, they'll get praised.

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.

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.

It's very important for your dog to get the correct amount of exercise. Dogs need game time and regular exercise to keep them mentally and physically healthy and happy. Your dog will be happy with any kind of activity, even if it's just going for a walk or throwing them a ball. Not only does it give them the exercise they need, but it also improves your relationship with your dog.

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 you have other pets in the house, be extra cautious when introducing the new arrival.

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.

Just like people, dogs need their exercise too. Playing a game of fetch or Frisbee is a great way to get your dog to burn some calories, while having fun at the same time. Dogs should also be walked everyday. Some dogs require more exercise than others, which is why it is so important to understand your dogs needs.

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.

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.

It is very important for you to monitor all of the food your dog eats. Puppies need to eat foods with lots of calories in order to grow. But, adults dogs who eat these foods tend to gain weight, leading to health issues.

If you've brought home a new puppy, getting them on a strict feeding schedule should be your top priority. Dogs thrive on routine, and making sure they know exactly when they'll get fed can eliminate a host of problems. Getting an older dog on a schedule can be hard work, but you may find it's worth the effort.

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.

When it comes to your dog, you need to be aware of the laws in your area. Keep track of local laws which affect dog owners. This is often caused by a few bad dogs, or a particular breed. You should speak out as a good dog owner, and talk with officials in your area.

You should be giving your dog clean water regularly. Even if your dog does not drink too much water, you should still change his bowl twice a day. Also, if the tap water in your area isn't great, give him or her bottled water. When it comes to drinking water, your dog should have the same quality as you have.

You need to trim your dog's nails regularly. Avoid cutting too much or you could cause bleeding. If you can see a black line inside the dog's nails, stay away from it. It is best to take your dog to the vet or to a professional groomer if you are not sure how you should cut your dog's nails.

After reading this article, hopefully you now have some ideas in mind to ensure that your dog gets the care he deserves. He certainly deserves it, as he gives you plenty of attention and love. Make sure you put these tips into action, so that your dog can get the benefits.

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



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