This is an old revision of the document!
external siteThey are making a few good points relating to Dogs overall in this post which follows. 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 [[http://lerablog.org/?s=skin%20scrapings|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. If you loved this short article and you would want to receive more details about [[https://Sunshinediamondriver7.com/ssd/profile.php?id=404346|cat lying down while eating]] assure visit our own site. )
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=1AHscbOKoZlWuV-87TuiwSbPAIWXwx70m) external frame You And Your Dog - Tips For A Great Relationship
Dogs may be man's best friend, but that doesn't mean they're always easy to live with. From fleas to barking, from bedtime issues to toilet troubles, there are a number of problems that dogs can cause. Thankfully, the tips in this article will help you to take top notch care of your dog.
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.
Keep your dog's teeth in tip tip condition. Just like humans, a dog can suffer from toothache, gum disease and even tooth loss. Regular brushing will ensure that that his teeth and gums stay healthy and strong. Without regular brushing, it is estimated that dental disease will affect up to 80% of dogs by the age of three. As well as dental cleaning by a vet, make sure that you brush your dog's teeth regularly.
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 your puppy or dog is constantly chewing up your furniture, invest in some chew-toys. Scatter them around the floor, especially around the legs of the sofa and end-tables. Be enthusiastic about your offers to play with the chewies with your dog to encourage frequent use. This should eventually deter him from chomping your furniture.
Dogs love to eat grass and other plants. When you're outside, this may not be much of a problem, but if you maintain houseplants indoors, chances are they are poisonous to dogs. Before bringing a dog into the home, make sure all your houseplants are well out of reach of a dog who may be tempted by a green tasty treat.
If you are training your dog, make sure the treat you are giving him really is desirable. Pets have preferences too, and if your dog does not like the treat you are providing, there is not going to be much motivation to do the right thing. Try out a few different brands, and remember that soft, chewy treats are generally the most well-received.
Designate a family member or close friend to be responsible for your dog, should something happen to you. If you are in an accident and unable to get home, your dog will need someone to feed him and address other needs. Perhaps you trust a neighbor with your house keys and they could act for you in a time of need.
Makes sure your dog gets adequate exercise. This will keep his bones and muscles strong and healthy. Whether you decide to take the dog for a walk or if you're just playing fetch, it will benefit both of you. This will create a great bond with your dog when performing these activities.
Have a rotating schedule for dog-related responsibilities in your home. It's not fair for one person to always be taking care of him, and he'll feel more like a family pet if everyone pitches in. Kids often lose interest in a pet and leave the work to parents, but it's important that you teach them to keep up the commitment!
Let your dog feel the love that you have for him. It is easy to overlook the good behavior your dog shows while you concentrate on eliminating the bad. If that persists, your dog may begin to act inappropriately to get your attention. You should ensure you give your dog positive reinforcement. Your dog's behavior will improve because of your new technique.
Before you head out for a day of fun in the sun with your dog, dab a little sunblock on him! Dogs can get very serious burns on their noses and the inside of their ears, so include him in your sun-protection regimen. Just make sure there's no zinc or PABA in the product you use.
Before you have your dog fitted with a microchip, be sure and check the database of the company that will store his information. Not all of them are created equal and you want to know that you'll get a fast response if your dog is lost. Look for a large database that connects to shelters and vets near you.
If you have a hard time with keeping your dog from chewing your possessions or your furniture, use a taste deterrent. Most pet stores sell bitter apple sprays or other products you can use to keep your dog from chewing. Choose a product that does not contain any chemicals if possible.
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.
Just as you would with a baby who has just begun to walk, you should take certain measures to protect your dog from harm in your home. For instance, if you decide to get a dog, get rid of any poisonous plants you have in your home. So many dog injuries and deaths can be prevented by taking a few simple steps.
If your dogs breath smells extremely bad, it is important to set up a vet visit to make sure this is not coming from some type of mouth problem. Such problems could be tooth decay or an infection. If untreated, more problems could arise causing further expenses down the road.
Your dog requires cleaning just as a human would. Though dogs don't need bathing every day, they ought to have one each week. Also, this will help prevent skin issues from forming on your dog.
Time, energy and knowledge will make the living arrangement with a dog more enjoyable for everyone. Use what you have just learned to help the household adapt to the addition. Dogs can be great friends and companions if you take the time to train, love and care for them properly. (Image: https://drive.google.com/uc?id=1hxzH0lN9SBp5Xx2RZ42EXG7RkMVk0HfQ) Do you like more info about Pets? Create feedback down below. We would be happy to hear your ideas about this piece. In hopes to see you back again before long. Are you aware of somebody else who is very much interested in the topic? Be sure share it. Thanks for going through it.