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Pets

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. dog breeds l 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. some research 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/


Great Advice About Dogs That Anyone Can Easily Follow




Every dog is unique, like a fingerprint. They even have their own likes and dislikes, aptitude for patience or impatience, and some are loving while others are distance. How you care for them depends as much on who they are as your own situation, but the advice you will find below applies in every household which has a dog in it.

You may know that chocolate is dangerous for dogs, but you may not know the specifics. Chocolate is dangerous because of the stimulants caffeine and theobromine. Baking chocolate is the most dangerous, with a high amount of stimulants. White chocolate contains the least amount of stimulants. Take you dog to vet if he ingests chocolate.

Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.

When you are trying to teach your dog new tricks, you should always be patient. Different dogs will learn things differently. If your dog isn't picking up a new trick right away, give him time. You could also try changing your teaching method. Your dog may respond better to a different approach.

Talk to your vet to learn which foods are appropriate for your particular dog. A puppy's stomach may not be able to handle particular foods, which may cause stomach issues. Always exercise caution when it comes to your animal's food.

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.

There are many ways to show your dog how cherished he is. Do not focus on just the negatives with your dog. If you focus on the negatives, they will not maximize their potential. Try praising them at least 5 times more than when you scold them. When you do this, you will probably end up with a better behaved dog.

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.

If you choose to adopt a pet, take him or her to the veterinarian as soon as possible. Shelter dogs have likely been exposed to all kinds of viruses, such as parvo and distemper, which are deadly. It's crucial that your pet has all necessary shots before it's brought into your house.

Dogs can get a cut on their foot if they step on glass or debris. If your dog gets a cut, make sure that it is washed with antiseptic and then have a bandage wrapped around the wound. If the cut is relatively deep, bring your dog to the vet.

Your dog should always have access to fresh water. You should always keep a bowl full of water where your dog can access it or purchase a small drinking fountain for your dog. If you have to leave your dog alone for long hours, so not leave more water than your dog needs.

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.

Always use a leash when your dog or puppy is out in public. This helps you make sure your dog always stays by you and prevents them from wandering off or getting into trouble. This can also help you restrain your dog if something upsets them so that they don't hurt another animal or person.

If you have younger children in the home, make sure that you try to teach them what behavior is appropriate with your dog. Let them know the rules and what they are allowed to do. Some dogs are more tolerant of being jumped on, pulled on, and played with than other dogs.


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.

If you have a new dog in the house, be careful with how much freedom you give him or her initially. The freedom to have access to all areas of your home needs to be earned. If you allow your pet to roam too soon, you may have to deal with damaged furniture and other issues. Use baby gates to help restrict your dog's movements, and house him in an appropriately sized crate when you cannot watch him.

Stay up-to-date on dog food, specially foods that have been recalled. There have been foods recalled because of being toxic to dogs. You can look online for the latest information about any such recalls, especially on pet friendly forums. You can quickly get news this way.

Make sure that you carry small bags and gloves with you while you are out walking your dog. If he uses the bathroom outside, it is your responsibility to clean up the mess. It is unsanitary for you to leave it there, and it some places you may receive heavy fines for that.

Now that you know more about some great advice for taking care of your dog, you can make sure your loving addition to the family is pleased and satisfied. Your dog is going to do everything he can for you, so you need to make sure you return the favor. Use the information you have read to help you.
Dogs

Solid Advice For Taking Care Of A Dog




When you are doubting your dog ownership skills, you may feel very alone. There are many other dog owners out there who feel exactly the same! Mistakes are made, and we can learn from each other through those situations. Here are some simple tips on being a better owner 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.

Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.


Use flea treatments with caution. A lot of these medications have ingredients that can be harmful to children and can cause cancer. Bring up the subject of alternative and family-friendly treatments the next time you see your vet, and always be sure to apply these treatments when no children are present.

When you take your dog with you on vacation, take a picture and save it to your phone. By doing this, in case your dog gets lost, you can provide others with a picture and easily put up flyers, which will assist in finding your dog.

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.

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.

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.

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.

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.

Be certain a lost dog can be returned to you by giving him some identification. To make it more likely that your dog finds its way home to you should it become lost, outfit it with a collar that has identification tags attached. Make sure that a current telephone number and the dog's name are included on the tag. Another good thing to do would be to have a micro-chip put in your dog.

Attention exercises must be practiced daily. These exercises will help you gain your dog's attention when they are barking or being disruptive or destructive. Once you can gain your dog's attention, you will have less to worry about when you have him out of the house or when there is company over.

If you have younger children in the home, make sure that you try to teach them what behavior is appropriate with your dog. Let them know the rules and what they are allowed to do. Some dogs are more tolerant of being jumped on, pulled on, and played with than other dogs.

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.

When you are nibbling on a snack, you might be tempted to let your dog have a taste. This is true of some snacks, but not of others. Caffeine, grapes and chocolate should never be fed to dogs. Such foods tend to harm the health of dogs.

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.

When the weather is hot outside, check your dog daily for ticks and fleas. If you find fleas, use a flea comb and get rid of them. There are also other products you may want to consider using to get rid of fleas and ticks. Try to get your vet's opinion on these products or what you can do to help your dog.

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.

Puppies may be cute when biting on a slipper, but the cuteness fades when it turns into a dog who is ripping them apart. Stop these problems early. If he's doing something wrong, say "no" firmly. It is best to address this issue early.

Caring for a dog can be extremely hard, but that doesn't mean it's not worthwhile. Thanks to the advice in this article, you can appreciate the best parts of being a dog owner without getting hung up on the bad. Take advantage of what you've learned here, and forge a better relationship with your pet.
Dogs
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