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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, can bunnies eat zucchini 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/
Enjoy A Healthy And Happy Dog With These Ideas.
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.
Hugging is okay but kissing should be avoided. Kisses from dogs are adorable, but they're a lot less cute when you realize how filthy your dog's mouth actually is. Dogs rummage through trash, drink toilet water and lick other dog's body parts. Keep in mind that an animal's mouth is full of germs. It is not necessarily true.
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.
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.
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.
If your dog does something that you do not like, try to avoid just saying no. To your dog, no doesn't really explain what you want your pup to do. Instead of saying no if your dog is jumping, try to get your dog to sit or lay down. By doing this, you provide your dog with an instruction of what to do.
To ensure that your dog is safe, you should try to make your home as dog-proof as possibly. This includes making sure that only safe play toys are within your dogs reach. If you have a problem with your dog getting into your kitchen trash or the things on your counter, you could consider getting a baby gate to prevent your pup from entering the kitchen.
If you are training your dog, make sure the treat you are giving him really is desirable. Pets have preferences too, and if your dog does not like the treat you are providing, there is not going to be much motivation to do the right thing. Try out a few different brands, and remember that soft, chewy treats are generally the most well-received.
Be careful if you're searching for a new dog on Craigslist or other classified ads. Many people exaggerate the truth in order to unload problems or challenging training issues and you could end up with an impossible situation on your hands. Only talk to people who are verifiable through vet records and demonstrate positive handling experience.
Use an olive oil spray to keep your dog's dish sparkling clean. Particularly if you feed him canned food, it can quickly cake-up and dry on the inside of the bowl, making it hard to wash later. As a bonus, the olive oil will help to keep his coat shiny too.
Before getting a dog make sure you have thought about your daily routing, as well as special events like vacations. No matter how much you may want a furry friend, you may realize that you aren't ready for that kind of responsibility.
Before you head out for a day of fun in the sun with your dog, dab a little sunblock on him! Dogs can get very serious burns on their noses and the inside of their ears, so include him in your sun-protection regimen. Just make sure there's no zinc or PABA in the product you use.
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.
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.
Never approach a dog you are unfamiliar with. Teach your children the same thing. An unfamiliar dog may look friendly, but he could have a vicious bite. Even if he is not a biter, he might jump on you, potentially causing harm. Always ask his owner for permission before approaching him.
Be clear with your pet during training. The word "no" does not explain anything to your dog, other than that you are unhappy with something. Instead, explain which behavior you do want to see. For example, if your dog jumps on the furniture, tell him to get down instead of just saying the word no.
Consider the placement of your dog house carefully. Think about the way that the winds typically blow and face the door on the opposite side. If you tend to get winds from all directions, consider a house with a door flap. There are some states that require a door flap, so check with your local animal shelter to learn more.
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.
Did you understand the above tips? If you have not, spend some time reviewing the information. When your problem is solved, you'll be glad you did. Use these tips everyday to better you and your dog's relationship.
Don't Look Anywhere Else Until You Read These Great Tips About Dogs
Your dog is always there for you. No matter what, a dog will do what it takes to make sure you are alright. He always looks out for you, always wants your attention, and is always happy with you. Shouldn't you see what you can do for him? Here are some tips to help you be a great owner for your dog.
When training your puppy or dog, keep the sessions short! Experts say that a dog has the attention span of a small child, sometimes less, and that longer sessions will actually cause him to forget everything you've learned together. Use positive reinforcement and limit your training sessions to no more than 15 minutes.
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 allow your dog to be alone with small children, no matter how much you trust his temperament. Many little kids have been attacked by family dogs who have otherwise never demonstrated a tendency towards violence. Sleeping dogs may be woken by a toddler and react negatively or some other offense is committed against the animal that sets him off.
Fight the urge to feed table scraps to your dog. This will only teach him to beg constantly and also inhibit his appetite toward his regular food. Feeding table scraps to your dog could lead to digestive problems or obesity. If you spend the time to train your dog to spend mealtimes well removed from the table, there won't be any scrap-feeding temptations to worry about.
If your vet gives you special instructions for your dog's care, follow them to the letter. He might not want to wear that cone on his neck and head, but it's there for a real reason! Your vet will recommend things that are good for the health of your dog, so make sure that you follow his advice.
Dog training requires you to be consistent. Once you decide you want to establish a rule for your dog, do not make any exceptions. Make sure everyone at home helps you enforce the rule and encourage your guests not to let your dog jump on them or to not acknowledge your dog when it barks.
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.
If your dog spends a lot of time alone, think seriously about adding a second animal to your family. Because dogs typically run in packs, they typically love being around other canines. Match them up carefully by temperament and energy levels and your dog should be in canine heaven!
Does your dog chew a lot? This could be a sign that your dog is bored or anxious. You need to provide your dog with some toys that can be chewed and perhaps leave a shirt with your smell near your dog to avoid separation anxiety, especially if your dog is very young.
Keep your dog in comfortable housing. They should be able to rest off the floor and away from drafts. A training crate is a good choice or any covered shelter outside. Try placing a dog bed inside that has a warm blanket or a pillow inside. Wash the dog's bedding frequently.
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
Consider spaying or neutering your dog. This simple operations increases the lifespan of your dog and will help you avoid many behavioral issues, including running away or aggressiveness. If you do not want to have your dog neutered, be responsible and do not let your dog go outside without supervision.
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
Make sure there is one policy in your home for giving your dog table scraps. While some owners do not give their dog any table food at all, yet others wait until the family meal is done. This causes less confusion on the part of your dog, and makes meals much easier for your family.
If you are in the market for purchasing a dog that has been breed you need to make sure that you have every stipulation in writting. For example, if the breeder promises to spay or nueter the pet, you must get that in your contract. Doing this will protect you from any conflict later on.
Just because a dog is outside doesn't mean they need less attention than indoor dogs. He is likely to begin barking, digging holes or chewing if you do not give him enough attention. There is also a chance me may become aggressive. Spend some time with your dog and take the time to train it properly.
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.
Now that you know more about dogs, you shouldn't have serious concerns about caring for them. Just stay firm and consistent, and most of all, patient. Learn as much as you can, and enjoy the time you spend with your companion!
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