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The article down the page pertaining to Dogs is indeed intriguing. Give it a try and draw your own personal final thoughts. 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. If you have any kind of inquiries pertaining to where and ways to make use of dogs keep licking lips, you can contact us at the web-page. 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=1pn9YniBaFB5M9Omo-RRm6UDvfLKIrpA-) external frame Solid Dog Tips And Advice Just For You
Are you ready to change a dog's life? Whether you already own one or are planning to adopt one, the time is now to learn how to take really good care of them. This article details a bunch of great ideas, some you may never have thought of before, relating to dogs, so read on.
Never hit your dog. There are better ways to train a dog without having to resort to violence. The best way to train a dog is to reinforce positive behaviors with treats and attention. Negative behavior should be handled with a stern and disapproving voice as opposed to striking the animal.
Never bring your dog with you while flying during the hot summer months, unless the airline provides a climate-controlled cabin for him. Most of the major carriers use the same area for pets as they do for cargo, meaning your dog will have to endure some pretty high temperatures as you travel to your destination, jeopardizing his safety.
If you are in the market for a new puppy, make sure you will have enough time to devote to his training. On average, you need to take a young dog outside to do his business eight times a day and that can take a lot away from your schedule. Training takes more time and patience than most people realize.
Do not force your dog to do anything. Some dogs won't love all treats, and you shouldn't push your dog to like something. Get to know your dog better to figure out how you can make it happy.
Research a particular breed of dog you may be interested in before bringing him home. Lots of people make the mistake of falling in love with a type of dog, then find out later that the animal isn't really for them. Chihuahuas, for example, are a trendy type, but very difficult to fully potty train, especially in colder climates!
Do not overlook your dog's bad behavior. Ignoring it for a while can make it harder to correct later and you don't know what may happen if you don't. This could lead to huge problems down the road.
If you are not allowed to place a fence in your yard but want your dog to run freely there, consider an electric fence. Electric fences are easy and inexpensive to install, and they can help to keep your free roaming pet safely contained. Using them will require a little training, but they are quite effective if you put the work in.
Don't forget about your dog when writing your will. Many pets end up being fought over or neglected completely because specific instructions were not left regarding their care. Include a clause that clearly directs your loved ones on what to do with your dog so that he's well taken care of.
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.
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.
Make sure that you're feeding your dog a good quality food. Most dog foods available at your grocery store are mainly made up of grains or corn. Instead of this, you should try to find a dog food that is mostly made of meat. Foods that are high quality can provide you with many benefits, such as having a healthy pup, less vet visits, and your dog's coat will shine more.
When you are walking your dog in the wintertime, there may be rock salt or chemical ice melters that come in contact with his feet. Once you get back in the house, wash his paws and dry them gently. This will prevent these items from causing any type of infections.
Puppies are cute and cuddly, but remember that puppies eventually grow into dogs, and rather quickly. Make sure that you put a lot of thought in your decision to get a dog. Taking a dog into your home is a long-term commitment and comes with certain costs and responsibilities, but is ultimately rewarding.
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.
If you bathe your dog often, watch out for signs of painful earaches that can be problematic for canines. They can happen when too much water gets into the ears. Use cotton balls dabbed in baby oil while giving him a bath, and that should keep water from getting in, even if he splashes around.
If you are thinking about getting a dog, it is crucial that you choose a bread wisely. For instance, if you have children, large vicious dogs may not be a good idea. Or, if you live in an apartment, smaller breeds may be better. Pick a dog that works well with your lifestyle.
Some people think it is cute to give their dog alcohol, but it is dangerous. In high doses, alcohol is toxic to humans and even more so for animals. In addition, it affects co-ordination, causing accidents, and can decrease a dog's respiratory rate. Even small amounts of alcohol can kill a dog.
Caring for a dog can be extremely hard, but that doesn't mean it's not worthwhile. Thanks to the advice in this article, you can appreciate the best parts of being a dog owner without getting hung up on the bad. Take advantage of what you've learned here, and forge a better relationship with your pet. (Image: https://drive.google.com/uc?id=1ciI3qJsGSvtRbMZatjnQiq5tKYWqaJ6_) I have been very curious about Pets and I hope you enjoyed reading the post. Sharing is nice. Helping people is fun. Thanks a lot for going through it.