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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 https://petsroof.com/how-to-fix-inter-dog-aggression/ 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. a few of our recent reports 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/

Need Some Dog Advice? Read This Article

Owning a dog is no simple task. They require a ton of care, from being bathed to fed to checked over by the vet. With so much to do, how can you keep track? This article will give you some simple tips to help you get the job done right.

Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.

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.

Never hit your dog. There are better ways to train a dog without having to resort to violence. The best way to train a dog is to reinforce positive behaviors with treats and attention. Negative behavior should be handled with a stern and disapproving voice as opposed to striking the animal.


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.

When choosing a dog for your home, don't forget to estimate the size it will be as a full grown adult. This is especially true if you have small children at home. Although a small puppy will be cute, it may grow into a large, one hundred pound dog. Do some research on the average adult size of the breeds you are considering.

Determine your dog's specific exercise regimen. Dogs have different fitness needs based their sex, overall health, age, breed mix, or breed. Every dog should have a couple 10-minute walks a day around the block. Dogs between 6 and 18 months, active breed or mixed breeds, terriers, hounds, and herding dogs will most likely require more fitness than others types of dogs.

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.

Know the basics of pet first-aid if you have a dog in your family. Being able to react quickly in an emergency, such as your pooch being bitten by a snake, can mean the difference between life and death. Read a good book on the subject or ask your vet to brief you on the basics.

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.

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.

When choosing to introduce a new pooch to a home that already has one, it is best that you bring your current dog along to meet him. This will give them a chance to socialize together. If you find that your dogs are compatible, a lot of anguish and trouble can be saved.

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 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.

Remember, your body language tells your dog a lot about what you want and expect. In fact, body language is often a more effective training tool than simply using your words. Therefore, if you are training your pet, have someone else observe your training sessions and give you feedback on what kind of body language you are using.

Curb your expectations when it comes to your dog. When you train your dog, remember his attention span isn't like yours. Try training your pet little by little. Don't try to teach it too many things all at once, and be patient. This will help you to be sure that your dog doesn't associate training with being punished.

You should be giving your dog clean water regularly. Even if your dog does not drink too much water, you should still change his bowl twice a day. Also, if the tap water in your area isn't great, give him or her bottled water. When it comes to drinking water, your dog should have the same quality as you have.

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.

Caring for a dog can be absolutely exhausting, but that doesn't mean it has to be. If you use the tips and tricks in this article, you may find living with your dog is a breeze. Soon, others will be wondering how you make being a dog owner look so easy.

Hopefully you liked our excerpt about Pets. Thanks for finding the time to read through our piece of content. Do you know about somebody who is inquisitive about the topic? Please feel free to promote it. I love reading our article about Dogs.