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external siteJust about everyone will have their personal 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.
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. When you liked this information as well as you want to obtain more info relating to can rabbits eat succulents generously go to our web site. 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=1Eh-N9JwjFkSaQV7LBAVjKWEkUE_1oz6e) external site A Few General Tips Geared To Dog Owners.
Dogs are wonderful pets. They are reliable, loyal and often very loving to their owners. Many people, over time, begin to see their dog as another member of their family. Therefore, it is important that you care for your pet in the best way possible to ensure that they live a healthy, happy and productive life. The following tips will help you as you attempt to raise and care for a canine companion.
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.
If you are planning to take your dog on an extended car-ride, talk to your vet about motion sickness medication first. Avoid feeding him before setting out to prevent queasiness and vomiting and make sure you buy him bottled water if you are traveling to any destination that is known to have issues with water quality.
Do you have a “wrinkly” dog, like a bulldog? If so, you have to be conscientious about the grooming process in order to help keep your pet clean. After you brush, take a baby wipe and use it to get in between the folds on their body. Make sure, though, to get them fully dry after doing so.
Try giving the dog rawhide versus actual meat bones. Rawhide limits the danger when your dog is chewing. Rawhide is healthy for their teeth and gums, so don't share your bones, even if the dog wants it!
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.
Some people think that it is necessary to bath a dog often. The truth is that unless your dog gets into something to get dirty, they only need bathed once every two to four months. Bathing more often could strip their skin of the oils they need for a healthy coat and skin.
Send your dog to school! He will feel more comfortable knowing exactly what is expected of him and obedience school will help him learn that. It will also boost his self-confidence, and of course, make a more well-behaved pet of him. Call around locally and see if you can sign him up for a trial class and take it from there.
Timing is key when bringing your dog home. Try to introduce him to his new home over the weekend or when you have a couple of days off. Take the time to get to know one other - this will make him feel much more comfortable when he has to spend time in the home alone. Also, if you have children, make sure that they don't overwhelm him at first. If you have other pets in the house, be extra cautious when introducing the new arrival.
Punish your dog carefully. You should never punish your dog for a mischief that happened more than fifteen minutes ago since your dog will probably not establish a connection between the punishment and the bad behavior. If you catch your dog misbehaving, say no in a firm voice and have your dog sit in a corner for a few minutes.
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 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.
It is natural to want to get your dog trained as quickly as possible. However, remember that there is a limit as to how fast this process is going to go. If you are not realistic, you are much more likely to get frustrated with your pet, which could damage your relationship. Your pet will learn over time, but it may not happen as fast as you would like.
Every dog needs to have a good amount of exercise in order to stay healthy and fit. It is a good idea for you to take your dog out for a walk at least once a day if you do not have a yard he can use to run around freely.
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.
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.
Never allow a puppy to climb up or down steps in order to prevent joint problems in the future. This is extremely important, especially with breeds that are at high risk for hip dysplasia. Any sort of high impact shock such as jumping or stair climbing should be avoided due to the fact that their growth plates are still developing.
All of these hints are now at your fingertips, so it is time to make use of them. Take them each, one by one, and start using them every day. The more you change about your dog's life, the better it will be overall. A happy dog makes for a happy owner, after all! (Image: https://drive.google.com/uc?id=1fi5XfrFtVijmooOuQ2ZA1J3KZgRwOryR) Do you appreciate reading up on Pets? Make a comment further down. We would be glad to know your opinion about this blog post. We hope that you come back again in the future. Do you know somebody else who is excited by the subject? Do not hesitate to promote it. Thanks a lot for going through it.