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[[//www.youtube.com/embed/https://www.youtube.com/watch?v=V2Hd2Wsh3UI|external frame]]Every person seems to have their private opinion on the subject of Dogs.
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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. [[http://Www.Google.Co.uk/search?hl=en&gl=us&tbm=nws&q=Stix%27s%20weirdness&gs_l=news|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/|https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/]]

Want Great Ideas About Dogs? Look Here!


Anyone can go out and get a dog and bring him home. However, if you wish to properly care for your dog, you must know what you're doing. Pay attention to the following helpful advice so that you can make sure your dog has everything it needs in order to live and long and healthy life.

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.

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.

Keep a leash on your dog at all times. Something could distract him, like a squirrel or a cat, causing him to leave your side. You are responsible for anything your dog does, as well as for his safety.

If you notice your dog gets dry skin in the winter, you probably need to brush him or her more often. Doing so will get rid of old fur and help get their oil glands working properly. Try brushing once in the morning and once in the evening to see if it makes a difference for your pet.

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.

Be careful around Christmas time with a dog in your home; it's the busiest time of year at 24/7 animal clinics! Things like hanging and tree lights pose a danger to your dog, as they could become tangled or gnaw their way down to raw wires. The loveliest of Christmas plants are also hazardous to a dog's health, so take extra care during holidays.

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.

Your dog needs healthy teeth and you should brush them regularly. This helps to prevent dental problems and gum disease, but also prevents other illnesses. Infections in the mouth can spread to other areas of the dog's body, like the kidneys and the heart. Pet stores sell special toothpaste for dogs.

Dogs, like humans, can develop health problems, and because of this they should be taken to see their vet at least once eat year. This can help to diagnosis any health issues early on, reducing both the extremity of the illness and the cost to fix it. Do whatever you can to follow this rule of thumb strictly.

If your dog is prone to getting burs in his coat, keep a can of Crisco in your kitchen cupboard. Next time you notice a bur, put gloves on to protect yourself and work the Crisco around until you can pry the bur out. Give him a nice shampoo to get the shortening out later.

Be strong when the time comes to say goodby to your beloved dog. Many owners keep the animal suffering to keep them in their lives and that's not fair to the dog. Consult with your vet, then talk it over with family. If it's time to part ways with your dog, do what's best for him.

Be clear with your pet during training. The word "no" does not explain anything to your dog, other than that you are unhappy with something. Instead, explain which behavior you do want to see. For example, if your dog jumps on the furniture, tell him to get down instead of just saying the word no.

If your dog isn't happy or is lonely, consider buying a second dog. The company could do your pet a lot of good. Match the two dogs by energy levels and temperament, and both dogs will be in heaven!

Never give your dog away for free, no matter how desperate you might feel to get rid of it quickly. Even if you can not care for the animal, it is still your responsibility to be sure that it will have a good life to come. Instead, take the time to investigate the person that you will give it to and charge a re-homing fee to ensure that they are serious about caring for the animal.

When choosing a leash and collar, opt for strength. A thick, short leash is your best bet to ensure complete control of your dog. If you have multiple dogs, consider a leash which attaches around your waist to free up your hands for picking up poop or pulling a dog back into line.

You need to teach your dog a few simple commands at a very young age for its own safety. Your dog should always come when you call its name and a command such as 'give' should be used to get your dog to stop gnawing at a potentially dangerous object.

It is important that you regularly care for your dog's teeth. By neglecting their teeth, they may develop dental problems like gingivitis, which could lead to an array of health problems. Believe it or not, there are toothpastes made especially for dogs that you can put on a small toothbrush to brush their teeth.

Anyone who owns a dogs knows how amazing they can be. However, anyone who owns a dog also knows that they can be a ton of trouble. If you use the suggestions in this article, you'll be able to cut down on the bad and enjoy more of the good.
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The Pros Are Keeping These Dog Tips From You


You love your dog to the ends of the world. He loves you straight up to the moon. That love is irreplaceable, which means you have to ensure your dog is happy and healthy every day of the year. This article has a ton of great advice for you, so continue through until the very end.

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.

When you have virtually any queries relating to where by along with the best way to make use of [[http://Ttlink.com/leandrogcv|rabbits eat zucchini]], you'll be able to call us in our own web-site. 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.

Although the sound may be cute, your dog's nails shouldn't click along the floor when it walks. That's a sign that the nails are too long. The nails should actually just barely touch the ground. Seek the advice of a professional on what tools are the best for giving your dog a pedicure.

In addition to verbal commands, employ a variety of hand signals when training your dog. Your dog can figure out things easier when they get these signals. Try these things to find out what is the best for your pet.

Not everyone is good at training dogs, so quit trying if you see things are not going as well as planned. Instead of beating yourself up about it, get in touch with a trainer in your area. Since they have more experience with dogs, it may be much easier for them to train yours.

Know the basics of pet first-aid if you have a dog in your family. Being able to react quickly in an emergency, such as your pooch being bitten by a snake, can mean the difference between life and death. Read a good book on the subject or ask your vet to brief you on the basics.

Just like humans, dogs need to get a good amount of exercise each and every day. If your dog does not get the exercise it needs, it health will decline, and so will his attitude towards life. Take the time to exercise your dog for at least a half hour each day for the best results.

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.

It is very common for objects to get lodged in the pads of your dogs paws. Check them regularly to make sure that nothing is in there. If you see something, be very careful about taking it out, or it may become lodged even deeper. It is a wise to use tweezers for this.

In order to make sure that your dog is healthy, be sure to allow it to have access to clean water at all times during the day. Just like with all living beings, water is one of the most important components. The only exception would be that you would want to keep water from a puppy for three hours before bedtime.

If your dog is always drinking out of the toilet, try changing how you provide him with water. Most prefer it cold and fresh, hence the attraction to the bathroom, so buy a fountain or thermally insulated dish to keep his water at a more appealing temperature. Also, add ice-cubes when it's hot out and he's panting

Remember, your body language tells your dog a lot about what you want and expect. In fact, body language is often a more effective training tool than simply using your words. Therefore, if you are training your pet, have someone else observe your training sessions and give you feedback on what kind of body language you are using.

You need to invest in a quality collar and ID tag with your address on it. Choose a robust collar that is adapted to the size of your dog. You should be able to easily fit two fingers inside the collar. Do not forget to update the ID tag if you get a new phone number.

If your dog is ruining your home while you are gone, it is probably suffering from anxiety. This issue is very common in young puppies, especially if they are still getting used to being home alone. You should find some toys your dog can play with and let your dog have a shirt or a blanket that smells like you.

Consider spaying or neutering your dog. This simple operations increases the lifespan of your dog and will help you avoid many behavioral issues, including running away or aggressiveness. If you do not want to have your dog neutered, be responsible and do not let your dog go outside without supervision.

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.

Discipline is as important for puppies as it is for children. In fact, it can be more important because puppies quickly grow to full size and need to respect you before reaching full size. You should gently but firmly teach your puppy he is not allowed to bite or jump up on anyone.

Dog ownership undoubtedly offers lots of benefits, including true friendship. Dog owners, current or future, would all do well to research and learn about what dogs really need. Apply the tips you just read and take the time to look for other useful resources.
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