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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/

Great Advice About Dogs That Anyone Can Easily Follow

It's natural that you would love having a dog. Dogs have been great pets for thousands of years. It's always a great idea to get a dog, but you have to remember that you are also taking on some responsibility when you bring a dog into your house. Here are some ways you can handle those responsibilities.

Your daily lifestyle should help guide your choice of dog breed. Joggers should get a high energy dog, for example. If you like to stay at home, perhaps you would like a small dog. By selecting the right dog breed, both you and your dog will be more content.

Don't give table scraps to your dog. That encourages him to beg and makes him not want his own food. Giving your dog table scraps isn't good for his health as it could result in weight gain and digestive problems. Insist that your dog wait away from the table during family meals to avoid temptation on his part - and yours.

Avoid impersonating a medical professional when it comes to your dog's health. In an attempt to save money, many people try to diagnose their pet's conditions or use human treatments on various elements and that can be very dangerous to the animal. If you can't afford full vet care, tell that to the doctor and ask their advice anyway or if they could arrange a payment plan for you.

When training your puppy or dog, keep the sessions short! Experts say that a dog has the attention span of a small child, sometimes less, and that longer sessions will actually cause him to forget everything you've learned together. Use positive reinforcement and limit your training sessions to no more than 15 minutes.

Make your own dog biscuits to provide your beloved canine with the healthiest treats. Most commercial products are over-loaded with chemicals that aren't good for dogs, despite adding flavor and aroma. Use quality ingredients and tell your dog what you're doing in the kitchen! Get him all excited and let him taste-test as soon as they're cool.

Remember that dogs are creatures of habit and anything you start with him will be expected in the future. If you're not keen on him sleeping with you, don't let him do it only on occasion. Likewise, if you don't want him begging at the table, never offer him a bite of people food. He will learn and accept things if you are consistent.

If you are thinking about adopting a dog, try taking a couple of weeks off work so you can spend some time with your puppy and teach it a few good habits. Training your puppy and helping it get used to its new environment will be much easier if you are home.

If your vet has given you medication or special instructions for your dog, make sure that you follow them. He might not want to wear that cone on his neck and head, but it's there for a real reason! Your vet makes recommendations that will help your dog be happy and healthy, so you should follow your vet's advice.

When it comes to your dog, you need to be aware of the laws in your area. Make sure that you know all legislation that may be going through your local system. Some of it may be trying to regulate you as a dog owner. It often results from one bad breed or bad dog. Talk to responsible pet owners all around you by contacting your local officials.

Remember that dogs are creatures of habit and anything you start with him will be expected in the future. If you're not keen on him sleeping with you, don't let him do it only on occasion. Likewise, if you don't want him begging at the table, never offer him a bite of people food. He will learn and accept things if you are consistent.

You shouldn't use a chilly, wet nose to gauge your pet's health. There are many reasons for your dog's nose to be cold and wet even if the dog is sick. The overall amount of energy your dog has, its eating habits, and its general behavior are what you should watch. These are better signs of how your dog is feeling. Their temperature can be checked via their rectum.

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.

Be can a dog be too old to train 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.

Yelling at your dog or displaying any other violent behaviors are not good options. Your dog will fear you and establishing a bond with your pet will be very hard. The best way to train your dog is to use positive reinforcement and simply say no in a firm voice when you catch your dog misbehaving.

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.

Make sure there is one policy in your home for giving your dog table scraps. While some owners do not give their dog any table food at all, yet others wait until the family meal is done. This causes less confusion on the part of your dog, and makes meals much easier for your family.

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.

There are so many amazing aspects of being a dog owner, and you should be able to appreciate all of them. With these suggestions, you'll be equipped to handle any kind of issue that your dog might throw your way. Keep this advice in mind, and enjoy your wonderful pet.

Caring For Your Dog: Tips And Tricks

There are over a hundred pets that any pet owner might choose to own. You could get a cat, a fish, a reptile, or even a amphibian. But, as far as a pet who'll show you unconditional love, nothing can compare to a dog. The following piece will give you tips for properly caring for a dog.

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. Avoid forcing your dog to interact with others if he doesn't want to. It could end up with someone getting bit. Look for non-verbal cues and follow what the dog is telling you.

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 https://www.vingle.net/posts/3922960 , often sold at pet stores, that you can put in your car for your pet.

Keep on top of fleas. Not only can fleas cause infection in your dog, if one is swallowed, your pet can get tapeworms as well. Speak to your veterinarian about the best prevention method, but remember that this is not a one shot deal. You will have to continue your efforts over the life of your pet.

Pet-proof your home before bringing a dog into it, just as you would for a crawling toddler. You need to move anything toxic to a higher shelf and consider the danger that plants may pose if nibbled by your dog. Remember that anti-freeze is deadly and that leaving things like pennies or crayons on floors can pose a choking hazard to curious pups.

Speak with your vet to see how much you're going to have to feed your dog daily. The amounts on the label might not apply in your dog's situation. Speak with a vet about your dog's needs and what they should have.

Reward your dog for doing right things, such as sitting while you place it's food down, with lots of praise and attention. This is to let the dog know that you want more of that behavior. It teaches your pup that he will be rewarded for good behavior.

Does your dog chew a lot? This could be a sign that your dog is bored or anxious. You need to provide your dog with some toys that can be chewed and perhaps leave a shirt with your smell near your dog to avoid separation anxiety, especially if your dog is very young.

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.

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.

Make an appointment with a good vet right after getting a new dog. This should be done as soon as he is adopted. Your vet will administer the necessary shots and make sure your dog is in good health. You also want to check with the vet about fixing your dog if you will not be breeding him.

Make time for your dog. You are probably aware that your dog always has time for you, so it's time to return the favor. You might take the dog out for some exercise, or you might just set some time aside to rub his belly. Remember to spend a bit of special time with your dog, and he'll appreciate it.

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.

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.

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.

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.

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.

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.

It's time for you to do something about your dog's weight. Your dog will only continue to get fatter if you don't do anything about it. If you truly care about your friend and companion, you'll do what it takes to make sure it stays healthy. Use these tips and help it slim down.

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