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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/


Dogs

Take Control Of Caring For Dogs Today!




A dog is a man's best friend, but how do you know that you are properly taking care of your dog if your dog doesn't speak the same language? Learning how to take care of your pet is very important. You need to consider the following helpful advice for taking care of your dog.

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.

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.

Take care to keep your dog cool while traveling during the summer by car. Even with your air-conditioning on, the dog may become over-heated in his pet carrier. A simple and low-cost countermeasure is freezing a few gallon jugs of water and placing them near him where he can curl up and cool off.

Never allow your dog to ride in a car unsecured. Sitting on your lap or in the front seat is dangerous both to him and your ability to drive. Always place him in an appropriately sized pet carrier or invest in a pet seat belt that will keep him snug and safe in the middle of the back seat.

Be sure to praise your dog thoroughly any time it behaves correctly, such as sitting when it is time to put their leash on. Let a dog know that their behavior is what you wish to see. It also reinforces the idea that they will receive attention if they behave as you want them to.

Positive reinforcement is the best way to train your dog. You should congratulate your dog when it displays a good behavior, for instance by giving it a treat or petting it. Talk to your dog in a soft voice and make sure you praise it every time the good behavior is displayed.

If your vet gives you medication to take home and administer to your dog, be sure and ask for ideas on getting him to swallow it. Dogs differ in their tolerance of pills and badly-flavored liquids, so have a few tricks up your sleeve in case he resists. Getting a dog to take medicine is important, but often challenging.

If you're considering becoming a dog owner, but are unsure if you're ready to take the step, you can foster one. There are many less than fortunate dogs in shelters that would love to find a forever home. Besides helping you figure out if full-time ownership is right for you, fostering will also do a great deal for the cause of abandoned animals as a whole.

When it comes to buying food for your dog, don't skimp by buying the cheap stuff. Your dog will enjoy greater health benefits from nutritious food. It costs more, but you'll save money on vet bills for health issues down the road.

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.

Make sure that you trim your dog's nails on a fairly regular basis. You do not want them to get too long since it will make it uncomfortable for them to walk and they may develop health issues. They should be at a length that just about touches the ground.

Brush your dog's teeth every week. Use a child's toothbrush that is soft, some nylon pantyhose over your finger, or a gauze pad. Don't use regular toothpaste. Instead, try using a baking soda and water paste or toothpaste made for dogs. Clean their teeth one to two times a week.

Never give someone a dog as a present. Most animals that are given as gifts eventually wind up in a shelter. This is due to the fact that many people can not handle the responsibilities that come with having a pet. If someone wants a dog bad enough they should be the one to make that purchase.

If you breed your dog, do so responsibly. The AKC advises all owners of pure-bred dogs to make an effort to advance the breed and discard all other motivations, such as money or experimentation. Consider the repercussions of your actions before allowing your dog to mate and create a litter of puppies.

Always try to do your training in an area where the dog has some distractions around them. Rarely are you going to be in a situation where you need your dog to obey and it is completely quiet. It is best for you to practice your training with the television on, kids running wild and maybe some music playing.

Make sure your dog does not have access to any dangerous products. You should keep all your cleaning products on a high shelve and avoid using poison if you are dealing with pest. Check your garage too and put your automotive products on high shelves too. Do not hesitate to keep your dog out of certain rooms if some items are dangerous.

Make sure that you carry small bags and gloves with you while you are out walking your dog. If how to clean dogs eyes 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.

how to clean dog's eyes tear stains have gained from this article will ensure that your dog is as happy and healthy as can be. That is what you are striving for, right? As long as you put in the effort to use this knowledge, you will benefit from it every single day. Love your dog and enjoy them!
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