wa_ning:what_can_you_do_about_can_dog_eat_ice_cake_ight_now

(Image: https://upload.wikimedia.org/wikipedia/commons/8/85/Kennel_secrets._How_to_breed28IA_kennelsecretshow01perr2C_exhibit_and_manage_dogs_29.pdf.jpg)Are you currently hunting for related information involving Pets? 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. 

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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.
  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=1Fx_uCGT2o8t3ctdfoZ0ftcrfNtgIEm7e) external site When It Comes To Dogs, We Have The Goods

Are you worried about caring for your dog? Occasionally a person can become overwhelmed by the responsibility of being a dog owner. For other dog owners, curbing their pets' independent streak seems impossible. This article has so much great advice, you'll fix any issues you may have.

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. If you have any issues relating to wherever and how to use rice Cake for Dogs, you can contact us at our own web site. 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.

If your dog gets lost, it is very unlikely that you will see him again unless he has proper identification. Tags can come off, so the best option is a microchip. It is quick to put in your dog, and it causes minimal discomfort. Simply register the chip ID after it is put in, and your pet will always have his identification with him.

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.

When you begin training your pup, start in your yard or home. It is unwise to do it where there are many strangers around. This can cause your dog to get distracted, which can make training them simple commands almost impossible.

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.

Give your dog a great place to sleep. Every dog needs a bed to call his own that is temperature controlled and comfortable. If not, the dog may alternate sleeping locations between undesirable locations, such as your sofa when you're not watching. A bed also gives him a great sense of security and belonging.

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.

If your dog seems to have a bad reaction from every shampoo you use on him, try a green product. Most commercial brands of dog shampoo contain a lot of things like phosphates and sulfates, which can irritate your dog's skin. They are also harmful to the environment so you'll be solving two problems at once.

Be a responsible dog owner, to represent the species well. For example, Pit Bulls are feared and often even hated in most places these days, due to irresponsible ownership. People tend to blame the animals when in fact it's the human factor influencing the dog's behavior. Train your dog well and leave a good impression on others!

Prior to bringing home another dog, arrange a meeting between your current pet and your prospective pet. Most dogs enjoy another dog's company, but some dogs do not get along. Finding a dog that gets along well with your current pet will be best for everyone in the long run.

Be consistent when giving your dog commands. This is an area where a lot of dog owners have a problem, especially when you won't feed your dog from the table but your spouse will. Make sure that everyone in your home understands what's acceptable so that the dog will receive a clear message. That will make him more likely to obey.

You should talk to your veterinarian about microchip IDs. Your contact information can easily be stored inside a microchip and most veterinarians or shelters own a scanner they can use to scan the microchip. This will greatly increase your chances of getting your dog back in case it gets lost.

Check you dog for parasites and take preventative measure. Flea and tick collars are important. Keep in mind certain collar work better in different seasons and geographic areas. In addition, check your dog's ears. Ear mites are common. Also, check the dog's stool to ensure he hasn't picked up worms in his digestive system.

Consider getting your dog from a shelter. Many of the dogs that are brought there are well behaved, yet the owners could not handle the responsibility that came with raising them. For the best results, visit the shelter a few times so that you can find the dog that is right for you and your lifestyle.

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.

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.

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.

As you can see, taking care of a dog isn't that hard. It might be hard at first, but this article can help. Use other quality resources, and talk to your vet if you need help with your dog. (Image: https://drive.google.com/uc?id=1T9BY5UKoQ1u741f1N3PS4R3CHgLCbgXL) I'm certainly very involved in Dogs and I am hoping you enjoyed the new post. Are you aware of anybody else who is serious about Pets? Please feel free to share it. Thank-you for your time invested reading it.

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  • Last modified: 2021/08/22 10:33
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