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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.



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/


Properly Care For Your Dog With These Tips




Sometimes our dogs can get a little fat. This usually happens do to dietary reasons and due to a lack of exercise. The excess weight isn't doing much for your dog's physical appearance or it's health. You can help your dog lose that weight by using the tips included below.

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.

If your dog comes with you on vacations, you need to have an up-to-date picture of it on hand and in your phone. This allows you to have a photo of him if he gets lost.

Be careful around Christmas time with a dog in your home; it's the busiest time of year at 24/7 animal clinics! Things like hanging and tree lights pose a danger to your dog, as they could become tangled or gnaw their way down to raw wires. The loveliest of Christmas plants are also hazardous to a dog's health, so take extra care during holidays.

Pet-proof your home before bringing a dog into it, just as you would for a crawling toddler. You need to move anything toxic to a higher shelf and consider the danger that plants may pose if nibbled by your dog. Remember that anti-freeze is deadly and that leaving things like pennies or crayons on floors can pose a choking hazard to curious pups.

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 australian shepherd show dog in a reputable kennel and check up on him oft

Exercise your dog frequently. A dog needs to play and exercise on a regular basis so that it can be happy and healthy. Your dog will get the exercise it needs (and you'll be a little more active yourself!) from virtually any kind of outdoor activity you share with it. Exercise is a great way to bond with your pet.

Not every dog is capable of going to the dog park. Some dogs will not do well around other dogs that they do not know. Get to know how your dog does around friends' or neighbors' dogs before you attempt to take him to the park. This way, you will know if he will be aggressive towards other dogs.

Check and double check your fenced in yard for spots your dog could escape through before letting him roam. The most secure method of keeping your dog outside is on a long run with a strong collar, but if you are comfortable that your fence can hold him, he'll enjoy that even more. Just make sure there's no room for error!

Don't force your dog to eat something. If you offer him a treat he doesn't seem to like, do not make him eat it. Keep an eye on your dog's likes and dislikes.

Just like people, dogs need their exercise too. Playing a game of fetch or Frisbee is a great way to get your dog to burn some calories, while having fun at the same time. Dogs should also be walked everyday. Some dogs require more exercise than others, which is why it is so important to understand your dogs needs.

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.

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.

If training your dog is more than you can handle, you should consider sending it to obedience school. Do some research to find out more about the different obedience schools in your area and talk to other dog owners to find the best school possible. It is best to send your dog to obedience school while it is still a young pup.

Did you know that vitamins could actually be harmful to your dog? Don't give your dog extra vitamins if he's eating a well-balanced diet. You can cause damage to your dog's joints, bones and circulatory system with excessive vitamins. Speak to your vet about your dog's requirements.

Not all dogs are meant to be outdoor dogs. If you plan to keep your dog outside, carefully choose the breed. Small dogs, short-hair, or older dogs will not do well being kept outside. Choose one that has a nice thick coat, that is mature and one that is extremely healthy.

Never punish your dog for being curious about a new baby. Instead, allow your dog to investigate the smells and sights that come with a baby at a safe distance. If the dog is made to feel like the baby has infringed on his home, the very worst is far more likely to happen.

If your dog seems to be struggling with learning commands, consider getting a clicker. A clicker is a tool that is useful when training as it teaches your pup that when he does something correctly, a click will happen which is immediately followed by a reward. Clicker training can be helpful for teaching commands, tricks, and walking manners.

After reading this article, hopefully you now have some ideas in mind to ensure that your dog gets the care he deserves. He certainly deserves it, as he gives you plenty of attention and love. Make sure you put these tips into action, so that your dog can get the benefits.
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Dealing with a dog can be hard to do if you're not prepared. It's not a pet that will come with instructions and it can't be given instructions at first either. You have to learn a few things if you want to be able to make sure your dog is living comfortably. Take the below article into consideration if you are dealing with dogs.

If you are planning to take your dog on an extended car-ride, talk to your vet about motion sickness medication first. Avoid feeding him before setting out to prevent queasiness and vomiting and make sure you buy him bottled water if you are traveling to any destination that is known to have issues with water quality.

Don't give in to the urge to feed your dog food meant for humans. This teaches dogs bad habits. Your dog may develop digestive problems and become fat if you feed it table scraps. Make your dog stay out of the room when the family is eating.

Pet-proof your home before bringing a dog into it, just as you would for a crawling toddler. You need to move anything toxic to a higher shelf and consider the danger that plants may pose if nibbled by your dog. Remember that anti-freeze is deadly and that leaving things like pennies or crayons on floors can pose a choking hazard to curious pups.

Try hand signals in conjunction with verbal commands when training your dog. Your dog can figure out things easier when they get these signals. Not every dog will learn the same, so try different techniques with 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.

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.

Timing is key when bringing your dog home. Try to introduce him to his new home over the weekend or when you have a couple of days off. Take the time to get to know one other - this will make him feel much more comfortable when he has to spend time in the home alone. Also, if you have children, make sure that they don't overwhelm him at first. If you have other pets in the house, be extra cautious when introducing the new arrival.

If you are considering owning a dog, keep in mind the size of your home when selecting the breed. Large dogs do not mix well with small apartments unless you have the ability to walk them frequently. They need exercise and room to roam. In this situation, a smaller barred might be the better choice.

Groom your dog frequently. Keep them clean and reduce the amount of hair they shed by brushing them frequently. When the weather warms up, start checking them for ticks and fleas daily. Dogs generally require a few baths a year. Before you give your dog a bath, make sure to cut or comb out mats and tangles. Rinse their coat thoroughly to avoid dirt sticking to any soap residue.

It is natural to want to get your dog trained as quickly as possible. However, remember that there is a limit as to how fast this process is going to go. If you are not realistic, you are much more likely to get frustrated with your pet, which could damage your relationship. Your pet will learn over time, but it may not happen as fast as you would like.

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 you have tried everything to get your dog to stop digging your garden to no avail, head to your kitchen. Mix up a batch of cayenne pepper (five tablespoons), hot sauce (also five tablespoons) and a quart of water in a spray bottle and spray it where he digs. It should discourage him quickly.

If you pick up a dog from a shelter, make sure that he has been seen by a medical professional. You don't want to bring home a sick dog unless you are aware of it, particularly if you have other dogs at home. Make sure to ask if the dog you have chosen has been around sick dogs in the past few weeks as well.


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.

Owning a new puppy is very similar to having a new baby. Puppies need a lot of attention and have to be taken care of constantly. They are not ready to be left alone for long periods of time and need to have a fair amount of attention devoted to them.

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.

Be careful when choosing what kind of food to feed your dog. Some dog foods contain dyes and fillers that are simply not healthy for them. When choosing a food, look on the label for words like "AAFCO feeding studies" and "feeding tests". These foods have gone through feeding trials and have been proven to be healthy.

Your dog does his best to make sure you are happy. There can be no question that he places you above anyone else. That's why this article was written, to make sure that you return the favor. Use the tips laid out here to help you to be the kind of owner your dog deserves.
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Public Last updated: 2021-08-18 04:24:32 AM