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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. great ideas for getting started 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/
Think Like A Dog. Be A Great Pet Owner.
Dogs are known as man's best friend. This saying is quite true. Knowing about dogs can help your relationship between you and your dog. This article will give you some great advice on having a dog as your best friend.
Be careful with your dog around Christmas season, many dangers are lurking just under the festive ambiance. For instance, electrical chords are typically strewn about during the holidays, and dogs often chew them, creating an electrical hazard. Dogs may be tempted to eat the decorations on the tree. They may also be tempted by the tree water, which can be toxic.
Don't give table scraps to your dog. That encourages him to beg and makes him not want his own food. Giving your dog table scraps isn't good for his health as it could result in weight gain and digestive problems. Insist that your dog wait away from the table during family meals to avoid temptation on his part - and yours.
Although the sound may be cute, your dog's nails shouldn't click along the floor when it walks. That's a sign that the nails are too long. The nails should actually just barely touch the ground. Seek the advice of a professional on what tools are the best for giving your dog a pedicure.
Never allow your dog to ride in a car unsecured. Sitting on your lap or in the front seat is dangerous both to him and your ability to drive. Always place him in an appropriately sized pet carrier or invest in a pet seat belt that will keep him snug and safe in the middle of the back seat.
The pads of your dog's feet can become dry and cracked, so make sure that you moisturize them regularly. Ask your veterinarian for advice on which product to use. Avoid using moisturizers that are intended for humans, because they can make the pads too soft and your dog may get hurt.
Pet boarding and day-care services are a billion dollar business, so make sure you get your money's worth if you have to leave home without your dog. Although kennels offer interesting opportunities to socialize, your dog will be happier with familiar surroundings. Thoroughly check references for a sitter-service and keep him in his own home if at all possible. Otherwise, put him in a reputable kennel and check up on him oft
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.
Use positive reinforcement to teach your dog the habits that you would like to see from them. For example, if you notice that your dog barks anytime someone enters your home you could reward him for not barking with a treat. The dog will then associate being quite with the reward that he will receive.
Always be the boss with your dog. A dog is not only much more apt to be obedient when you are in command, he'll also be much happier. Dogs need to know what's expected of them and that they are being led. This gives them a sense of security and you a more peaceful household.
Your dog should always have access to fresh water. You should always keep a bowl full of water where your dog can access it or purchase a small drinking fountain for your dog. If you have to leave your dog alone for long hours, so not leave more water than your dog needs.
To discourage your dog from chewing everything in the house, combine equal parts of water, white vinegar and apple-cider vinegar in a spray bottle. Gently mist things like shoes and umbrella handles and this should repel your dog. If not, dab a little minty muscle ointment on the things he's prone to chomping and that should work for sure.
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.
Just like people, dogs need plenty of exercise for optimum health. Dogs are naturally hunters and love to run by instinct. Take your dog to the park, play Frisbee with him and give him a daily walk. This will help keep him physically healthy but will also make him mentally healthier.
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.
Be sure to keep your dog's nails clipped in order to prevent injury. This can occur both from the dog scratching itself or also from having its nails get caught in things such as carpet. In order to be sure you are cutting the nails correctly, be sure to check with the veterinarian or groomer.
You need to watch your dog's diet. A puppy is fine with eating calorie-laden food, as it helps him grow. If a high calorie food is fed to an adult dog, it could result in weight gain.
Dogs will need veterinarian check ups twice a year when they become old. Dogs can age quickly over the course of a year, and older dogs will need more vet examinations in order to catch any changes their bodies may be going through. Additional tests, such as blood, urine, and ultrasound may be needed.
There are so many amazing aspects of being a dog owner, and you should be able to appreciate all of them. With these suggestions, you'll be equipped to handle any kind of issue that your dog might throw your way. Keep this advice in mind, and enjoy your wonderful pet.
Solid Advice For Taking Care Of A Dog
Are you looking to become a dog owner? Or do you already have a dog? Anyone with an interst in dogs should know what it takes to be a responsible owner. The following information can help you when it comes to man's best friend. Keep reading to learn more about dogs as pets.
You may know that chocolate is dangerous for dogs, but you may not know the specifics. Chocolate is dangerous because of the stimulants caffeine and theobromine. Baking chocolate is the most dangerous, with a high amount of stimulants. White chocolate contains the least amount of stimulants. Take you dog to vet if he ingests chocolate.
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.
Your pet needs vaccinations, much in the same way that your baby does. Some common vaccinations that dogs require include rabies, hepatitis and distemper. Each pet is different, and each will have a different immunization schedule. Your veterinarian is a great resource when it comes to which vaccinations are right for the age and breed of your pet.
Never give your dog milk! It's not necessary for his body and he doesn't have the proper enzymes to digest it anyway. Feeding your dog cow's milk can lead to chronic diarrhea and leave him with an upset stomach, among other health problems. Stick with plain old water for a healthy and hydrated dog.
Keep your dog at a healthy weight. Plenty of dogs are overweight, and just like humans, this can lead to health issues. People tend to overfeed their dogs, and many also feed them table scraps. A dog doesn't need as many calories as most people think; talk to your vet about how much you should feed him each day, and what food is most suitable. A vet will advise you based on his size, age and lifestyle.
Dogs need a great deal of attention on a daily basis. If you have a hard time making time for your dog you will soon notice that there are behavioral problems that were not there before. In the least, you should try to set aside an hour each day just to love your dog.
Try to always be aware of how your dog is feeling. If your dog seems to be nervous, fearful, or scared of certain things, you should take note of this and try to avoid putting your dog in a stressful situation. When a dog is stressed or afraid, you could traumatize your dog if you insist that it stays in the stressful situation.
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!
Getting a dog on a whim is rarely a good idea. You need to make sure you can afford to feed a dog and cover medical expenses before getting a pet. petsroof.com dog breeds starting with v to figure out which dog would be best for your family, your lifestyle and the size of your home.
Be certain a lost dog can be returned to you by giving him some identification. To make it more likely that your dog finds its way home to you should it become lost, outfit it with a collar that has identification tags attached. Make sure that a current telephone number and the dog's name are included on the tag. Another good thing to do would be to have a micro-chip put in your dog.
Perform tick and flea inspections daily on the dog when it gets warmer out. A flea comb can help you remove fleas that you see. There are a lot of available products that can control fleas and ticks on your dog. Speak with your vet before using anything and ask them what your options are.
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 live with other people, make sure they are aware of your training "rules." It is important that everyone redirects the dog off of the furniture, for example, and that they use the same language when doing so. If everyone's rules are different, your dog is just going to get confused, which will make the training process much longer and more difficult.
The kind of leash you use when walking your dog is very important. A small leash that would fit a small dog, like a chihuahua, is not going to fit a Rottweiler or pit bull. Get a leash that will fit your dog comfortably but also provided them with safety.
You must learn how to introduce your dog to other dogs. Keep him on his leash during introductions so you have better control. Start with a walk by while keeping his attention on you. Then, on the next walk by, allow the dogs to sniff each other a bit. This will allow them to get to know each other without the dangers of attacks.
If you have a new dog in the house, be careful with how much freedom you give him or her initially. The freedom to have access to all areas of your home needs to be earned. If you allow your pet to roam too soon, you may have to deal with damaged furniture and other issues. Use baby gates to help restrict your dog's movements, and house him in an appropriately sized crate when you cannot watch him.
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.
Puppies may be cute when biting on a slipper, but the cuteness fades when it turns into a dog who is ripping them apart. Stop these problems early. If he's doing something wrong, say "no" firmly. It is best to address this issue early.
While my dog and your dog may be polar opposites, they both need the same basic care to stay healthy and happy. This article has given you the foundation of knowledge you need to be a great owner, so make use if it when you can. Here's to wishing you and your pup many happy years to come!
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Public Last updated: 2021-08-18 02:00:08 AM