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What are your thoughts about 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. 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/
(Image: https://drive.google.com/uc?id=1SAa1HtI3mTalCyBaevznvUqEjyvaUmJD) external frame Confused About Your Canine? Read This For Clarity
There is not another pet in the world like a dog. A dog can give you the loyalty and friendship that you can't get with another animal. That's why they deserve special attention. Here are some suggestions to assist you in making sure your dog can live the good life.
Much like people in the United States, many dogs are overweight. Having a few extra pounds on their frame can lead to a number of health problems, like cancer or diabetes. Many owners simply overfeed their pets. Talk to your veterinarian about how many calories your dog needs each day so you can adjust their meals accordingly.
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.
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.
Having fresh and clean water available to your dog at all times is a must. Dogs become dangerously dehydrated in a matter of days, so its very important to always have water ready. Dogs will also appreciate water that is clean. If you find it necessary to drink filtered or bottled water because of the quality of water from your tap, then be sure to provide your dog with the same high quality water.
To protect your dog in the event he is lost or stolen, have a microchip surgically implanted by your vet. These handy chips store data that can be retrieved by a shelter or animal officer and used to contact you. They are painless to put in and offer peace of mind for the pet lover!
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.
House-training your dog will be much easier if you adopt a routine. You should go for walks regularly throughout the day and come home during your lunch break if necessary. If your dog has to be home alone for long hours, do not leave a bowl full of water unless it is very hot.
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.
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.
Prior to bringing home another dog, arrange a meeting between your current pet and your prospective pet. Most dogs enjoy another dog's company, but some dogs do not get along. Finding a dog that gets along well with your current pet will be best for everyone in the long run.
Having too many people trying to train one dog can cause problems. Your dog might become confused by different methods, different vocal commands and different ways of offering praise or punishment. One person should be in charge, and everyone else needs to reinforce everything this person teaches the dog.
If you are looking into getting a dog you should ask as much about the dog that you can think of. For example, you will want to know about its mannerisms, level of activity and how affection it is. Ask whatever you can think of, so that you do not regret your decision later.
Check you dog for parasites and take preventative measure. Flea and tick collars are important. Keep in mind certain collar work better in different seasons and geographic areas. In addition, check your dog's ears. Ear mites are common. Also, check the dog's stool to ensure he hasn't picked up worms in his digestive system.
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. If you liked this article and you would certainly like to obtain even more facts regarding why do dogs like to lay by your feet (https://yogaasanas.science) kindly check out our web-site. 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.
When your dog has a bathroom accident on the floor, be sure to thoroughly clean the area. Use a cleaner that's professional strength and follow that up with a good odor remover. If you still smell dog waste, the dog could be emptied to return to the scene of the crime and repeat the actions.
If training your dog is more than you can handle, you should consider sending it to obedience school. Do some research to find out more about the different obedience schools in your area and talk to other dog owners to find the best school possible. It is best to send your dog to obedience school while it is still a young pup.
If you want your dog to learn to “sit”, start by holding a cookie, or other treat, above his head. This will cause him to look up. When he looks up, gently push his hind end down, and give the command to sit. Give him the treat, and praise him. Soon, he will sit just by hearing the command and seeing your hand go up, and eventually will obey to the “sit” command alone.
Caring for your dog starts with a good education, and this article is a stepping stone to true understanding of the species. Thankfully, you have read it in full, so keep these tips in mind as you continue loving your dog. Read as much as you can to learn more about your pet. (Image: https://drive.google.com/uc?id=1Kp77gQFOguH5Nr2rpm6-43nsn5xA6ony) We hope you enjoyed reading our topic on Dogs. Thank you so much for taking time to read through our blog. Sharing is nice. One never knows, you may very well be helping someone out. Thanks for going through it.