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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/







Answering Your Dog-related Questions Is Our Job






Caring for your dog is a major responsibility. There are many similarities between the care of a pet and the care of a young child. While it can seem overwhelming at times, you have the potential to be a great owner. Continue reading to learn some tips on how to care for your dog.

Groom your dog regularly. A dog requires constant grooming to keep his coat in tip top condition. Make sure that your dog is completely relaxed before you start the grooming session; this is especially important if he is excitable. Keep the session quite short (5 to 10 minutes at most) until he is comfortable with the idea of being groomed. Most importantly - be sure to praise him and offer a treat after a successful grooming session!

If you decide to take your dog with you on a trip, take a photo of him on your phone. You'll be prepared to take effective action in case your pet gets lost. You can use your recent photo to illustrate just what your dog looks like as well as to print up flyers, if necessary.

When why do mother cats eat their kittens are trying to teach your dog new tricks, you should always be patient. Different dogs will learn things differently. If your dog isn't picking up a new trick right away, give him time. You could also try changing your teaching method. Your dog may respond better to a different approach.

Not everyone is good at training dogs, so quit trying if you see things are not going as well as planned. Instead of beating yourself up about it, get in touch with a trainer in your area. Since they have more experience with dogs, it may be much easier for them to train yours.

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.

Make sure your dog gets enough exercise. This is vital to the care of a happy dog. Many people don't bother to exercise their dog, thinking that walks are enough. Dogs are active creatures and need to play. Talk to your veterinarian about how much activity your dog needs, and make sure he gets it.

Make sure that you trim your dog's nails on a fairly regular basis. You do not want them to get too long since it will make it uncomfortable for them to walk and they may develop health issues. They should be at a length that just about touches the ground.

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.

Check you dog for parasites and take preventative measure. Flea and tick collars are important. Keep in mind certain collar work better in different seasons and geographic areas. In addition, check your dog's ears. Ear mites are common. Also, check the dog's stool to ensure he hasn't picked up worms in his digestive system.

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.

When it comes to your dog, you need to be aware of the laws in your area. Keep up with local legislation to learn about new changes that might have an effect on your situation as a dog owner. These legislatures generally arise from specific breeds or random cases of bad instances. Talk to responsible pet owners all around you by contacting your local officials.

If you want to take good care of your dog, you need to learn to think like a dog. Does your pet seem distressed? Think about what you might want if you were a dog. Is your pet having trouble sleeping? Consider where you'd want to sleep if you'd been born with a tail. Taking your pet's needs into account can make it easy to solve any problem.

Have a rotating schedule for dog-related responsibilities in your home. It's not fair for one person to always be taking care of him, and he'll feel more like a family pet if everyone pitches in. Kids often lose interest in a pet and leave the work to parents, but it's important that you teach them to keep up the commitment!

Outdoor doghouses are not enough to keep your furry friend comfortable in cold weather. You must also provide some sort of bedding for him. Choose from straw, hay, cedar bedding or even blankets. Make sure that you change the bedding often no matter what you choose to ensure that there no bugs move in and mold doesn't grow.

If you have a new dog in the house, be careful with how much freedom you give him or her initially. The freedom to have access to all areas of your home needs to be earned. If you allow your pet to roam too soon, you may have to deal with damaged furniture and other issues. Use baby gates to help restrict your dog's movements, and house him in an appropriately sized crate when you cannot watch him.

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.

Be sure that you're washing your dog's water and food bowls regularly. Just like for humans, it is not sanitary for your pets to continuously eat from a dirty bowl. Be sure to wash your dog's bowls daily and provide fresh, clean food and water.

After reading these tips, you should now have the information you need to be a true pal to the animal who has always been true to you. Just make sure that you try each tip out to see what works best for you and your dog. That way, both of you are happy.




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Great Tips That Can Help Any Dog Owner




Dogs bring people joy, companionship and unconditional love. Their owners must provide them with food, entertainment, medical care and attention. Together, owner and dog make each other's lives complete. If you already own a dog or are planning on adopting one, you have to understand what lies ahead. This article will guide you through some tips to make dog ownership easier and better for both parties.

Hugging is okay but kissing should be avoided. While getting kisses from your dog may seem cute, your dog's mouth is extremely dirty. After all, dogs eat out of the garbage, drink from toilet bowls, and lick all over their body. There is an old wives' tale that says that the mouth of a dog is cleaner than that of a human. This is absolutely a myth!

Do not buy the cheapest dog food you can find. After a while it's good for the dog if it has been eating nutritious and high quality food. Even though you are paying more, it will save on health bills down the road.

Pick and choose when you are going to groom your dog. You do not want to attempt grooming when your pet is in a particularly frisky mood, because the process will not go well. Instead, do so only when your dog is calm and tired, like after you have taken him for an especially long walk.

Having fresh and clean water available to your dog at all times is a must. Dogs become dangerously dehydrated in a matter of days, so its very important to always have water ready. Dogs will also appreciate water that is clean. If you find it necessary to drink filtered or bottled water because of the quality of water from your tap, then be sure to provide your dog with the same high quality water.

If your puppy or dog is constantly chewing up your furniture, invest in some chew-toys. Scatter them around the floor, especially around the legs of the sofa and end-tables. Be enthusiastic about your offers to play with the chewies with your dog to encourage frequent use. This should eventually deter him from chomping your furniture.

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.

If you do not have any ear cleaner solution on hand, you can use a baby wipe instead. Simply wrap it around the tip of your finger and wipe the inside of the ear's surface. Only go as far as your finger can easily fit. Do not use Q-tips as they can injure the ear.

Keep trimming the soft hair near the paws of your dog to keep it from matting. Use a comb and a small pair of scissors for this task. Another option is to take your dog to the groomers and ask for this task to be performed.

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.

Be certain a lost dog can be returned to you by giving him some identification. A popular way to ensure your dog gets back home safely is to make them use a breakaway collar that has an identification tag. On the tag, make sure to include your pet's name and your phone number. You can also have your dog micro-chipped.

Make sure that you trim your dog's nails on a fairly regular basis. You do not want them to get too long since it will make it uncomfortable for them to walk and they may develop health issues. They should be at a length that just about touches the ground.

Always make sure your dog has fresh water available. Water is essential for the health of a dog. He can easily become dehydrated without it or look for unsafe water sources, such as puddles or contaminated ponds. Making sure your dog always has water is an easy way to keep him happy and safe.

Keep your dog's teeth clean and healthy with regular brushing. Most canines don't mind you brushing their teeth, provided you introduce them to the process slowly and gently. Use a specially designed dog brush, along with other products made just for him. Remember to provide him with toys and biscuits that will also clean and protect his teeth.

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.

Pick up your dog's messes when you're out in public. There are still some dog owners who take their dogs on walks and don't bother to "poop scoop". This is not a wise thing to do for a number of reasons. Be a responsible dog owner and carry a little bag and scooper if necessary, so that you can properly dispose of the waste. Non-owners will thank you.

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.

Never leave your dog inside your vehicle. Remember that your dog needs supervision and that it could become dehydrated very quickly, especially during the hot summer months. It is best to leave your dog at home for a few hours if you have to go somewhere and cannot take your dog inside.

A dog can be a great source of happiness in any family. Spend some time learning about the things that keep your dog healthy, loving, and energetic. If you are lucky, the information here will help you care for your best friend.


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