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The publisher is making a number of great pointers relating to Pets in general in the content underneath. 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. 

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  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. 

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  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.

(Image: http://i.ytimg.com/vi/hQdg0qOVik0/maxresdefault.jpg)

  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. If you are you looking for more info on How To Train Aggressive Dog Towards Other Dogs look at the web site. He looks very cute in it.

https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/

(Image: https://drive.google.com/uc?id=1iCteJFo5fucjPQe12vHob03VRbdstzVD) external frame Secrets Which Will Help You Find Success With Dogs

Dogs are unlike any other animals you can own as a pet. They love you unconditionally, cheer you up when you are down, and want you to love them as much as they do you. This article will tell you how to make your dog's life as amazing as it deserves it to be.

Keep on top of fleas. Not only can fleas cause infection in your dog, if one is swallowed, your pet can get tapeworms as well. Speak to your veterinarian about the best prevention method, but remember that this is not a one shot deal. You will have to continue your efforts over the life of your pet.

Keep on top of fleas. Not only can fleas cause infection in your dog, if one is swallowed, your pet can get tapeworms as well. Speak to your veterinarian about the best prevention method, but remember that this is not a one shot deal. You will have to continue your efforts over the life of your pet.

Brushing your dog's teeth is important, but it is not easy. If your dog is resisting, once a day simply lift their lips and use your finger to rub their teeth lightly. Do it quickly at first, and then begin to draw out the time you spend performing this action. This will help them get use to the process. After that, you can begin using an actual brush and toothpaste.

When training your dog, consistency is everything. You must be consistent at all times. If your dog is not allowed to jump on people as they walk in, don't allow your dog to do it even if a person says they don't mind being jumped on. You should also make sure that everyone that's around your dog understands your rules and are consistent with them.

Ease your dog into knowing a new baby that comes into your home. Dogs can be very jealous and you need to continue to show him plenty of love an affection, even though you've got a brand new bundle of joy in your life. Talk to the dog as you handle the baby and keep him in the loop.

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.

Avoid issues of jealously if you have more than one animal. Particularly if you bring a young dog into the home of an older dog, problems can arise. Be considerate of the patience and energy levels of your senior dog and make sure his feelings aren't hurt by giving the new guy all the attention.

Pay attention to your dog's breath. Dogs will always have “dog breath,”u009d however, really bad breath is a sign that they need a dental check up. Plaque buildup caused by bacteria could be the culprit and that will need to be treated by a professional. After their treatments, you will need to brush their gums and teeth and feed them food that helps maintain good dental health.

Unless you're okay with your dog playing with your shoes and other things around your home, buy him some toys. He will enjoy having things of his own, particularly if they are interactive like pull-toys you can use together. Also buy him things he can use to occupy himself and stay out of trouble!

If you're trying to break one of your dog's unwanted habits, make sure that you understand that it will not happen overnight. Breaking a habit takes time and patience. Don't get discouraged and give up if it seems like your pup isn't making progress. Keep at it and maybe try changing your approach to the training. Sometimes this can be the boost that your dog needs.

It is important to train your dog as soon as you get him or her. Behavior that might seem cute as a puppy, can develop into bad habits as your dog matures. It is essential that your dog understands and obeys simple commands. Not only for your safety, but the safety of your dog as well.

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.

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 shelter from the sun in the summertime. You should not let your dog outside for too long unless there are a few cool spots in which your dog can be shielded from the sun. You should also make sure your dog always has access to some cool water and.

It is important to train your dog as soon as you get him or her. Behavior that might seem cute as a puppy, can develop into bad habits as your dog matures. It is essential that your dog understands and obeys simple commands. Not only for your safety, but the safety of your dog as well.

You should check your dog regularly to make sure that he does not have any ticks or fleas on him. There are combs you can purchase that can be used to help you locate them. To prevent fleas and ticks, you can purchase special collars from the pet supply store.

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.

If you own a dog, you carry quite a bit of responsibility. You may, in fact, feel like you work harder at caring for your pet than you do at your regular job! But, since reading this piece, you have tips to help make things easier. Soon, you'll be doing a lot less worrying. (Image: https://drive.google.com/uc?id=1K5iDrwaloia1FZsAmo4VjtC0srGfNchb) We had been shown that article about Dogs from an associate on another web address. Sharing is good. You won't know, you may just be doing someone a favor. I am grateful for being here. Return soon.