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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. 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/
Buying A Dog? Consider This Advice First
A dog is a person's very best friend, as the saying goes. Millions of dog owners know that to be true. The challenge that you must be as good a friend to your dog as he is to you. If you use the tips below, you are going to be able to know you are a great friend to your dog.
It takes quite a bit of money to take good care of a dog. Not only do you have to buy food, but you have to pay their vet bills and purchase other items that they need. You could spend as much as a thousand dollars in one year on your pet! Health insurance for your pet can be a great idea to help you in emergency situations.
Get your dog neutered. Research has shown that by doing this you can be sure your pet can have a longer life and not be at risk for things like cancer. In addition, dogs that are spayed or neutered do not have as strong of a desire to wander from their home, meaning that they are less likely to get lost or hit by a car.
If your dog is very rowdy or easily excitable, experts recommend that you don't bring them along on vacation. Many times the thrill and confusion of a new area filled with strangers is too much for the hyper dog and unpleasant incidents may occur. Find a great kennel to care for your pooch instead.
Don't buy your dog cheap dog food. Less expensive dog foods include fillers and additives that are not beneficial to your dog's health. Check with animal advocacy groups or consumer reviews to find the best dog foods that are recommended by professionals. Higher quality dog food will offer your dog many health benefits.
It is very important for you to keep your dog's ears clean. Keeping the inside of the ears clean will help prevent infections of the ear. This is also a good time for you to inspect the ear for fleas, ticks and any other pests that could have made your dog's ear home.
If your dog has been playing outside, take the time to inspect its ears and neck for ticks. These parasites are very common and could make your dog sick if you do not take action right away. Take your dog to the vet if you do not know how to remove the ticks yourself.
Avoid impersonating a medical professional when it comes to your dog's health. In an attempt to save money, many people try to diagnose their pet's conditions or use human treatments on various elements and that can be very dangerous to the animal. If you can't afford full vet care, tell that to the doctor and ask their advice anyway or if they could arrange a payment plan for you.
Your dog's claws must be trimmed. If they get too long, they may start to curl under and cause your dog pain. Find some good clippers you can use to trim your dog's nails yourself. If you lack the confidence to attempt this, take the dog to a professional groomer.
When you own a dog, you typically understand the general costs of ownership, such as food, vet visits, and grooming. A generally overlooked cost is emergency situations. Although it may not happen frequently, you should have a bit of money set aside for any emergency that may arise. It's better to be prepared for an emergency vet visit than to wonder how you are going to pay for it.
If your dog is always drinking out of the toilet, try changing how you provide him with water. Most prefer it cold and fresh, hence the attraction to the bathroom, so buy a fountain or thermally insulated dish to keep his water at a more appealing temperature. Also, add ice-cubes when it's hot out and he's panting
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.
Invest in a separate tub if your dog gets frequent baths. Buy a large metal basin where you will have plenty of room to scrub, but won't risk clogging the pipes in your bathroom. Giving him a bath outside and away from the slipperiness of a porcelain tub is also safer for you
If you are training your dog to not pull when on the leash, you should invest in a quality collar and leash. If you have a larger dog, the force of it pulling might be able to break basic collars and leashes. For this reason a good, strong collar is recommended when you are walking your pup.
Many dogs enjoy things like fruits and vegetables, rice, eggs and cottage cheese. There is nothing wrong with letting them have these things, but they should not make up the bulk of their diets. You should feed them dog food, and implement these items around 10 percent of the time.
Never leave your dog inside your vehicle. Remember that your dog needs supervision and that it could become dehydrated very quickly, especially during the hot summer months. It is best to leave your dog at home for a few hours if you have to go somewhere and cannot take your dog inside.
Never give your dog away for free, no matter how desperate you might feel to get rid of it quickly. Even if you can not care for the animal, it is still your responsibility to be sure that it will have a good life to come. Instead, take the time to investigate the person that you will give it to and charge a re-homing fee to ensure that they are serious about caring for the animal.
Crate training a puppy is a good idea if you're going to be gone all day and will have nobody there to watch your pet for you. This can help prevent damage to your home and unwanted urine or feces inside.
After reading these tips, you should now have the information you need to be a true pal to the animal who has always been true to you. Just make sure that you try each tip out to see what works best for you and your dog. That way, both of you are happy.
Some Tips To Help You Take Care Of Your Canine.
Anyone can go out and get a dog and bring him home. However, if you wish to properly care for your dog, you must know what you're doing. Pay attention to the following helpful advice so that you can make sure your dog has everything it needs in order to live and long and healthy life.
Be careful when selecting canine flea treatments. A lot of them can cause cancer in children. Talk to the vet to determine if there are other options for your dog.
Giving your dog a bath is essential to his health. Depending on his size and activity level, toss him in the tub weekly or monthly and always use a shampoo that is made for dogs and is pH balanced. Pets have different pH levels than humans and a good dog shampoo will leave your canine clean with a beautiful shiny coat.
Never lose your temper or punish your dog if you find that they did something wrong. Negative reinforcement will simply make your dog scared, which will make it difficult for you to train them. Use positive reinforcement at all times to get your dog to cooperate when teaching him new things.
Be a good neighbor and discourage your dog from barking, unless he is alerting you to danger. Most people get used to the sound of their dog yelping, but others find it a constant annoyance. If your dog barks often, consider talking to your vet about what could be causing it and how you can put a stop to it, for everyone's sake.
In order to make sure that your dog is healthy, be sure to allow it to have access to clean water at all times during the day. Just like with https://pastelink.net/399x3 living beings, water is one of the most important components. The only exception would be that you would want to keep water from a puppy for three hours before bedtime.
No matter what kind of dog you may have, hang up a few "Beware of Dog" signs on your property. They are known deterrents to would-be burglars and can help protect you and your family. Just the sign alone indicates probable failure of any robbery attempt and a single bark will have them running away!
Become familiar with the medical peculiarities of the breed of dog you have chosen. Check your dog's genetic background if possible to determine if he is more likely to develop certain medical conditions. Also, ask your vet what you can do to help your canine beat the odds for his breed.
Be strong when the time comes to say goodby to your beloved dog. Many owners keep the animal suffering to keep them in their lives and that's not fair to the dog. Consult with your vet, then talk it over with family. If it's time to part ways with your dog, do what's best for him.
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.
When taking your senior dog to the vet for an annual visit, make sure to request senior blood work. A blood panel can help your vet to identify any kidney, heart or vascular concerns. If caught early, treatment is often minimally invasive and less costly. This is a great way to keep your pet healthy for years to come.
Control your voice to control your dog. When he is a good boy, speak in a high-pitched voice and shower him with praise. When he misbehaves, use a very low and gruff voice to indicate your displeasure. Being consistent with this will help him learn faster, making training him much easier on you and him.
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.
Clean up after your dog when they go to the bathroom in public. Many dog owners let their dog do their business wherever they please whether its on a sidewalk, neighbor's lawn, etc. They can do their business in public, but you must take a bag with you to clean it up when they're done so that it doesn't cause an unsightly and smelly mess for someone else.
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.
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.
If your dog makes messes in the house or chews when you are away, consider crate training. Crate training involves providing your pet with an appropriate sized crate to,stay in while you're out of the house. It can keep your pet and belongings safe. Just make sure to never leave him in the crate for a very lengthly period of time.
Dogs love to chew. Make sure your dog has plenty of things that he can chew on so he doesn't chew on things he shouldn't be chewing on. Dogs love to chew on rawhide and various other things that are manufactured and sold just for dogs to chew on.
A dog is around for only around ten to fifteen years, so making the most of his life is extremely important. This article provides you with so much data, you may find it overwhelming. That said, take it one step at a time and you can make your dog's short life amazing.
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