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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/
Tops Tips About Dogs That Anyone Can Follow
Bringing a dog into the home is a decision that should not be taken lightly. If you are considering, or have already extended your family to include a dog, there are things that you should know. Below, you will find a list of quality tips to use to help the transition easier for you and your dog.
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.
If your dog spends a lot of time outdoors, he or she may eventually come in contact with a skunk. If he gets sprayed, mix together one teaspoon of dish-washing detergent, a fourth a cup of baking soda and a quart of hydrogen peroxide solution (but make sure it is no more than three percent). Apply the mixture to your dog's coat and allow it to sit for five minutes. Wash your dog off well afterward.
Always give your dog plenty of attention and affection. When your dog behaves properly, make sure you let the dog know you are happy and give them some affection. This will help reinforce the good behavior and the dog will try to behave in this manner for the positive attention..
If your dog has separation anxiety or you wish to be really nice to them, keep music on while you are going to work. The noise make them feel more secure and keeps them company. This is a good way to keep your dog from feeling lonely.
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.
Positive reinforcement is the best way to train your dog. You should congratulate your dog when it displays a good behavior, for instance by giving it a treat or petting it. Talk to your dog in a soft voice and make sure you praise it every time the good behavior is displayed.
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 https://mousepan2.tumblr.com/post/659740835548626944/8-amazing-how-to-fix-inter-dog-aggression-hacks 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.
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.
When it comes to buying food for your dog, don't skimp by buying the cheap stuff. Your dog will enjoy greater health benefits from nutritious food. It costs more, but you'll save money on vet bills for health issues down the road.
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. do rabbits eat morel mushrooms to figure out which dog would be best for your family, your lifestyle and the size of your home.
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.
Always use a leash when your dog or puppy is out in public. This helps you make sure your dog always stays by you and prevents them from wandering off or getting into trouble. This can also help you restrain your dog if something upsets them so that they don't hurt another animal or person.
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.
When you are dog training, use the technique of positive reinforcement. Praise your dog and give it a treat when it does something well instead of using punishments to get rid of bad behaviors. Treating the dog in a humane manner offers the best possible training and has shown to work best over the long run. So be sure to be positive in your training!
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.
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.
Make sure that you carry small bags and gloves with you while you are out walking your dog. If he uses the bathroom outside, it is your responsibility to clean up the mess. It is unsanitary for you to leave it there, and it some places you may receive heavy fines for that.
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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