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Dogs

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. dog breeds beginning with r 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/


Get All Your Dog Questions Answered Here




They say all dogs go to heaven, but that can be hard to believe when your pooch is acting out. If you're having trouble with your dog, you may be frustrated, and you may not know where to turn. The suggestions in this article will help you deal with your dog and appreciate its finer points.

Having a dog at your home is a big financial commitment. Expect to spend from $700 to as high as $1000 in a year to pay for medical attention, food and other items needed. It can cost a lot of money to take your dog to the vet in an emergency, so you will want to investigate health insurance for your pet.

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 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.

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.

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.

Be a good neighbor and discourage your dog from barking, unless he is alerting you to danger. Most people get used to the sound of their dog yelping, but others find it a constant annoyance. If your dog barks often, consider talking to your vet about what could be causing it and how you can put a stop to it, for everyone's sake.

Respect your pet. When out on a walk, do not force your dog to interact with other people or animals if he does not want to. There is a reason why your dog may not want to get too close, and it is important that you listen to him. If you try and make him interact, your dog may begin to act out over time.

If you are having trouble training your dog, see a professional. A lot of people wait until their problems are enormous, but if you would see a dog trainer as soon as you start having difficulty, you will find training goes more easily. Not only that, but you will save yourself a major headache.

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 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.

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.

Make sure you exercise both your dog's mind and its body. Train him to fetch the newspaper and help with other household chore. This gives him a job to do and he'll feel fulfilled as a result.

A great way to have some company on your car rides is to take your dog with you. Most dogs enjoy riding in the car. Riding in the car is also a good place to practice some training exercises with your pet as well. You can practice "stay"u009d when the dog enters and exits the vehicle. Always remember to leave windows down because heat from a closed car can kill the dog.

If your dog seems to have a bad reaction from every shampoo you use on him, try a green product. Most commercial brands of dog shampoo contain a lot of things like phosphates and sulfates, which can irritate your dog's skin. They are also harmful to the environment so you'll be solving two problems at once.

Crate training a puppy is a good idea if you're going to be gone all day and will have nobody there to watch your pet for you. Doing this can prevent your items from being damaged and keep the dog from using the bathroom inside the home.

Never punish your dog for being curious about a new baby. Instead, allow your dog to investigate the smells and sights that come with a baby at a safe distance. If the dog is made to feel like the baby has infringed on his home, the very worst is far more likely to happen.

Crate training a puppy is a good idea if you're going to be gone all day and will have nobody there to watch your pet for you. This can help prevent damage to your home and unwanted urine or feces inside.

Did you understand the above tips? If you have not, spend some time reviewing the information. When your problem is solved, you'll be glad you did. Use these tips everyday to better you and your dog's relationship.
Pets

Dealing With Dogs? What You Should Know First




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.

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.

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.

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.

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.


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.

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.

Your dog needs to exercise regularly. Like humans, dogs must exercise to burn calories, remain healthy, and help their minds stay sharp. Exercising also helps them avoid boredom that can cause destructive behaviors. Keeping your dog active can curb chewing, biting, digging, and chasing urges. It can even help them avoid depression.


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.

Know the symptoms of dehydration in your dog, as it is a common ailment that can be dangerous. Particularly during hot dry summer months, your dog may pant excessively and experience a loss of the elasticity of his skin. If you see this, encourage him to drink water and add a little Pedialyte to rehydrate him.

Your dog needs exercise and entertainment. Teach your dog to retrieve the newspaper or perform chores in your home. This will help your dog to feel like he is helping you out.

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

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.

Groom your dog frequently. Keep them clean and reduce the amount of hair they shed by brushing them frequently. When the weather warms up, start checking them for ticks and fleas daily. Dogs generally require a few baths a year. Before you give your dog a bath, make sure to cut or comb out mats and tangles. Rinse their coat thoroughly to avoid dirt sticking to any soap residue.

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.

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.

Give your dog love, just as you would with a child. Dogs are intended to live in groups, and in those settings they tend to be affectionate with one another throughout each day. To give your dog what it needs you must show it love through petting and snuggling. This will only strenghthen the bond that you will have through the years.

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.

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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