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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/







Want More Expert Knowledge On The Topic Of Dogs?




Is the range of dog food available at your store not to your satisfaction? Do you want to be a better dog owner? Alternative solutions are being sought by many. Be better informed about caring for your dog by reading this article.

Hugs are great, but steer clear of kisses. It is unsanitary to be licked by a dog. Dogs are always getting into garbage, drink from places like the toilet, and they clean their bodies with their tongues. It's an old wives' tale that a dog has a very clean mouth. It simply is not the case.

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.

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.

Brushing your dog's teeth is important, but it is not easy. If your dog is resisting, once a day simply lift their lips and use your finger to rub their teeth lightly. Do it quickly at first, and then begin to draw out the time you spend performing this action. This will help them get use to the process. After that, you can begin using an actual brush and toothpaste.

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.

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.

Don't assume your toy-sized dog's bite isn't dangerous, just because he's little. A lot of owners brush-off training, thinking that the smaller breed dog can get away with a little bad behavior and this isn't true. As a responsible canine master, you've got to make certain your dog does not pose a threat to anyone by having him well trained.

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!

Keep vet appointments for your dog. Vets can detect diabetes, kidney, and thyroid issues before you see signs. This means reduced medical expenses for you in the long run, and it can also save your dog from a lot of pain and suffering.

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.

You should take the time to reflect about your lifestyle before getting a dog. You may really want a dog; however, you need to have both the time and patience to make the commitment that a dog requires.

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. Research different breeds to figure out which dog would be best for your family, your lifestyle and the size of your home.

Know that an animal doesn't need too many people telling it what to do when it's being trained. Many people do it differently than just having a few commands to give your dog. Only allow one person to teach the dog things and then everyone else should learn what that person has taught the dog and stick with that.

It is not uncommon for dogs to get cuts on their paws from stepping on pieces of glass and debris. If you notice a small cut on your dog, use antiseptic to wash it, and then put a bandage around it. Deep or serious wounds must be seen by a vet.

Make sure that your dog always has fresh water. Water that sits for too long can end up developing bacteria, and this can make your dog sick. Make sure that you change the water daily. You can also invest in a drinking fountain for your dog, which will provide a steady stream of clean water all the time.

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.

Shop carefully for a dog before you get a new one. Make sure that you have taken the time to research the breed and know how much exercise and grooming a new dog will need. If you take the time to choose carefully, you'll find that you are naturally a better match to the dog and both of you are happier.

All of the expert advice contained above should have you ready to really take good care of your dog. That said, focus on love and everything else will fall into place. As long as you continue to adore your four-legged friend, and mistakes you make will be forgotten quickly and won't be so harmful.





Pet Care Tips Specifically For Dog Owners.




It's a great feeling to own a dog. They are happy, loyal and friendly. They can be great friends to you, your children and your parents. To repay them, you've got to make sure you are doing the best job you can to take care of them. Here are some tips you can use to do that.

Look into subsidized health care for your dog if money is tight. Many local communities, in cooperation with groups like the SPCA offer discounted services that have proven invaluable to dog owners. Look into getting your dog spayed or neutered and vaccinated for a fraction of veterinary costs at a sponsored event probably close-by to you. Just contact the SPCA or an animal shelter in your town.

Give your dog hugs, but don't kiss him. Your dog's mouth is fairly dirty at any given time. Dogs poke around trash cans, love smelling and licking other dogs' body parts and enthusiastically drink from toilet bowls. It's an old wives' tale that a dog has a very clean mouth. It simply is not true.

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.

Always, have your dog spayed or neutered. Research suggests that this small thing can give extended life to your dog by reducing cancer risk. Additionally, dogs who undergo this procedure are much less likely to wander off and maybe get into to an accident.

If your dog is a digger, make sure to protect him and your garden. Some plants are poisonous to dogs, not to mention the damage those paws can do to your prized flowers and produce. Put up an appropriately sized fence to keep him out or consider using an electric one.

Check to make sure rabbits eat blueberries is adjusted properly by fitting two of your fingers comfortably underneath it and pulling gently. There should be just enough room to do this and no more, otherwise he may be able to wiggle out of it. Always keep it on, except during crate transport, as the collar can get snagged and injure.

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.

If you're thinking about getting a dog that is pure bred, keep the local pound in mind. People who aren't fully committed to dog ownership often abandon their animals at the pound. Contact your pound and ask them what breeds are currently there. This might save your dog's life.

Check to make sure your dog's collar is adjusted properly by fitting two of your fingers comfortably underneath it and pulling gently. There should be just enough room to do this and no more, otherwise he may be able to wiggle out of it. Always keep it on, except during crate transport, as the collar can get snagged and injure.

Make time for your dog. You are probably aware that your dog always has time for you, so it's time to return the favor. You might take the dog out for some exercise, or you might just set some time aside to rub his belly. Remember to spend a bit of special time with your dog, and he'll appreciate it.

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.

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.

It is very important that you put a lot of thought into whether or not you're ready to add a dog to your family. It's a great deal of responsibility, after all. Take the time to consider everything first so that you can be confident that you are capable of managing it all.

Make sure your dog does not have access to any dangerous products. You should keep all your cleaning products on a high shelve and avoid using poison if you are dealing with pest. Check your garage too and put your automotive products on high shelves too. Do not hesitate to keep your dog out of certain rooms if some items are dangerous.



Your dog needs healthy teeth and you should brush them regularly. This helps to prevent dental problems and gum disease, but also prevents other illnesses. Infections in the mouth can spread to other areas of the dog's body, like the kidneys and the heart. Pet stores sell special toothpaste for dogs.

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.

If you're bringing a new dog into your house, you'll have to figure out where that pet will be sleeping. If the plan is for the dog to be crated by night, never let the dog sleep in your bed. If your wants to sleep in your space, ensure you can handle it.

Now that you know more about some great advice for taking care of your dog, you can make sure your loving addition to the family is pleased and satisfied. Your dog is going to do everything he can for you, so you need to make sure you return the favor. Use the information you have read to help you.


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