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Almost everyone seems to have their private idea about Dogs. 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.
(Image: https://farm66.static.flickr.com/65535/48016668166_e74b0a4cc8.jpg)
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 [[https://www.youtube.com/results?search_query=skin%20issues,creativecommons|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=1h2F1mJePOh2lfCMkygI6mMabfzlK87Xg) external page Dog Care Tips That Will Work Like Magic
Bringing a dog into the home is a decision that should not be taken lightly. If you are considering, or have already extended your family to include a dog, there are things that you should know. Below, you will find a list of quality tips to use to help the transition easier for you and your dog.
Always give your dog plenty of attention and affection. When your dog behaves properly, make sure you let the dog know you are happy and give them some affection. This will help reinforce the good behavior and the dog will try to behave in this manner for the positive attention..
If you are interested in providing your dog with the healthiest of diets and making positive contributions to the earth's environment, make his food from scratch. You can buy locally grown organic ingredients and provide him all the proteins, carbs and fats he needs with no preservatives while reducing the waste from packaging as well.
If you are interested in providing your dog with the healthiest of diets and making positive contributions to the earth's environment, make his food from scratch. You can buy locally grown organic ingredients and provide him all the proteins, carbs and fats he needs with no preservatives while reducing the waste from packaging as well.
You should only try to teach your dog one new command during each training session. Even if you think your dog is good at picking up on things and will have no issues with that, it is much less confusing for you and him if you focus on just one thing at a time.
Be prepared for natural disasters that also impact your dog. Have an emergency supply of water and food for him and know in advance if your local shelter for people will allow pets inside. Too many pets are injured or lost following storms, floods and other situations that cause chaos in a community.
Pet boarding and day-care services are a billion dollar business, so make sure you get your money's worth if you have to leave home without your dog. Although kennels offer interesting opportunities to socialize, your dog will be happier with familiar surroundings. Thoroughly check references for a sitter-service and keep him in his own home if at all possible. Otherwise, put him in a reputable kennel and check up on him oft
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.
Not every dog is capable of going to the dog park. Some dogs will not do well around other dogs that they do not know. Get to know how your dog does around friends' or neighbors' dogs before you attempt to take him to the park. This way, you will know if he will be aggressive towards other 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 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.
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 have a smaller breed dog, make sure everyone who touches him knows the proper way to hold him. Small dogs can be easily injured by inappropriate handling and many owners find this out the hard way. Gently lift at the belly from under his front legs and secure him with both hands.
Check your dog for ticks and fleas every day when the weather gets warm. Try using a flea comb to remove any fleas that you find. There are a lot of available products that can control fleas and ticks on your dog. Talk to a vet regarding these products or some other options.
When you loved this short article and you want to receive much more information about can my dog walk up stairs after being neutered generously visit our web page. Make sure that your dog always has fresh water. Water that sits for too long can end up developing bacteria, and this can make your dog sick. Make sure that you change the water daily. You can also invest in a drinking fountain for your dog, which will provide a steady stream of clean water all the time.
Just like people, dogs need their exercise too. Playing a game of fetch or Frisbee is a great way to get your dog to burn some calories, while having fun at the same time. Dogs should also be walked everyday. Some dogs require more exercise than others, which is why it is so important to understand your dogs needs.
It is wise to check your area to find out what the local leash laws are. Many areas require a dog to be leashed at all times if it is not on your property. keeping your dog on a leash is a good idea anyway, as it can be dangerous to let your pet run unattended, where he could be hit by a car, or fight with other dogs.
Do your homework before getting a new dog. Take your time to research the different breeds and what their needs are. You might find that a dog you like the looks of, would be a terrible fit for your family. Too many dogs end up in shelters because people didn't take the time to learn about their newest family member before getting them.
After reading this article, hopefully you now have some ideas in mind to ensure that your dog gets the care he deserves. He certainly deserves it, as he gives you plenty of attention and love. Make sure you put these tips into action, so that your dog can get the benefits. (Image: https://drive.google.com/uc?id=1lJw80aZhaBrY0fGUKOtnKcIigOgB15z_) Do you really like reading about Dogs? Try to leave a remark down below. We will be pleased to know your views about this blog posting. We are looking forward to see you back again in the near future. In case you appreciated our post plz be sure to pass it around. Thanks for your time invested reading it.