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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/

All The Answers You Need About Dogs Lie Within This Article


Are you looking for advice on being a better pet owner? Could you use a few tips on how to provide for your dog? You're in the perfect place. This article is bursting at the seams with tips, tricks, and suggestions, all of which will help you do right by your pet.

Just like people need regular yearly physicals, dogs need the same thing. Your dog can't speak to you, which means it isn't easy to tell if they're having a tooth ache or issues with arthritis. Annual checkups can catch these things before they become major problems.

Take your grown dog to the vet at least once a year. The vet will check to see if the dog's vaccines up to date. In addition, the vet will check the dog's teeth and vital signs. If any major health or behavioral issues come up between annual checkups, you should see the vet earlier.

Buy or build a dog house if he is going to be outside for long periods in the winter. Adverse weather conditions can be detrimental to your pooch, causing illnesses, anxiety and poor behaviors. Make certain your dog house has a good floor that keeps your dog up off the ground and dry.

Your dog has teeth just like you, so it makes sense that he needs proper dental care. Invest in a dog toothbrush and brush his teeth often. Simply allowing the vet to do it at his regular checkups is not enough. You can also purchase treats that are specifically meant to help with your pet's teeth.

Let your dog know who is boss! Unless shown otherwise, a dog will naturally assume that he is the leader of the pack - once this has been established it is quite difficult to persuade him otherwise! When disciplining your dog, be firm in tone, but calm. Never punish cat pregnant while nursing in a physical manner, as this will lead to lifelong mistrust. Also, when he behaves, remember to praise him!

To make your dog happy and increase the bond between you, try learning how to give him a massage! It's been shown in recent studies that structured massages are highly beneficial to a dog's health and can improve their overall well-being. This activity can also be very relaxing for you as well.

To protect your dog in the event he is lost or stolen, have a microchip surgically implanted by your vet. These handy chips store data that can be retrieved by a shelter or animal officer and used to contact you. They are painless to put in and offer peace of mind for the pet lover!

If you get a dog that was in a pound or shelter, you must see a vet right away. Illness is common in shelters, and your new pet could be at risk or already nursing an ailment. It's smart to ensure your dog has all shots necessary before you take him home.

Always be the boss with your dog. A dog is not only much more apt to be obedient when you are in command, he'll also be much happier. Dogs need to know what's expected of them and that they are being led. This gives them a sense of security and you a more peaceful household.

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 breed your dog, do so responsibly. The AKC advises all owners of pure-bred dogs to make an effort to advance the breed and discard all other motivations, such as money or experimentation. Consider the repercussions of your actions before allowing your dog to mate and create a litter of puppies.

If your dog has been playing outside, take the time to inspect its ears and neck for ticks. These parasites are very common and could make your dog sick if you do not take action right away. Take your dog to the vet if you do not know how to remove the ticks yourself.

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.

Control your voice to control your dog. When he is a good boy, speak in a high-pitched voice and shower him with praise. When he misbehaves, use a very low and gruff voice to indicate your displeasure. Being consistent with this will help him learn faster, making training him much easier on you and him.

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.

Before getting a dog make sure you have thought about your daily routing, as well as special events like vacations. You may want to get a dog, but there are lots of hard responsibilities that are involved in being a great dog owner.

When you start training, try different reward systems. You will quickly notice that some rewards are more appreciated than others. If food is the motivator, use hot dog pieces as a reward. If your canine likes playing with toys, tug of war might be a good game for them. Quality time spent giving them a good petting can even do the trick.

You don't have to worry about your pet's care anymore. There are can a cat get pregnant while still nursing concerning dog food than what you find in the grocery store. Just keep everything you've read here in your mind and you shouldn't have a problem finding a good diet for your dog.


Here Are A Few Barking Good Dog Tips.


Owing an animal is a major responsibility. In a way, it's almost as if you have a child, but your dog barks vs crying. While this is a serious responsibility, you can care for them with knowledge and patience. Continue reading to find out some great tips for caring for your dog.

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.

It doesn't matter how good your dog is, you should never leave your property without keeping him or her leashed. Wild animals could get the dog's attention and lead him into dangerous places, or unanticipated circumstances could provoke conflicts with others. As the owner, you will be held responsible for any damages your dog causes.

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.

Accept the aging process in your dog and know how to meet his changing needs. Your older dog may require dietary changes, more rest and not be as playful as he once was. This doesn't mean he should be left to grow old in a corner. Adapt to his needs and make his golden years enjoyable!

If you are in the market for a new puppy, make sure you will have enough time to devote to his training. On average, you need to take a young dog outside to do his business eight times a day and that can take a lot away from your schedule. Training takes more time and patience than most people realize.

Keep your dog's teeth in tip tip condition. Just like humans, a dog can suffer from toothache, gum disease and even tooth loss. Regular brushing will ensure that that his teeth and gums stay healthy and strong. Without regular brushing, it is estimated that dental disease will affect up to 80% of dogs by the age of three. As well as dental cleaning by a vet, make sure that you brush your dog's teeth regularly.

Take your dog outside so that he can get fresh air and exercise. Regular play and exercise is essential to keep your dog happy, both physically and mentally. Whether you take a dog on an extended walk or toss a ball around, your dog and you will both benefit. Exercising with your dog will help you establish a bond with it.

Feed your dog dry, premium-quality dog food. This kind of dog food helps to make sure your dog gets all of their vital nutrients. Making sure that they get proper nutrition helps them live a longer life and reduces their chances of obesity, malnutrition, skeletal problems, muscular problems, and many more conditions.

Keep your dog warm during winter with the latest in canine fashion and accessories. You may think it's just for show, but dogs need protection from the elements too! Keeping your dog's paw-pads dry is essential to their health in sub-freezing weather, so invest in suede or leather footwear and pick him up a coat while you're at it. Make them instead if you are creative!

Your dog has to be leash trained. Your dog should walk beside you, not lag behind or run ahead, and should obey the command "heel." Doing this will not only be easier on you, but it will also keep your dog safe. Understanding that command is great, even if you choose to still walk with a loose leash periodically.

Make sure that you are keeping up with your dog's vet appointments. Having the annual exam is the only way to diagnose problems that arise. An annual check-up for your pet can help to avoid future expense and needless suffering for your dog.

Keep in mind that the pads on a dog's foot are very similar to the skin at the bottom of a human foot. This means that they have a hard time withstanding extreme heat and cold. If you have to take your dog out in extreme weather, make sure that you cover their paws, or you don't have them out for very long.

If you are trying to teach your dog some basic commands, one of your first ones should be a recall. Everyone wants their dog to return to them when called for. If you have a solid recall for your dog, you will not have to worry about chasing your dog down it manages to get outside. It should come back to you when you use your recall word.

Keep in mind that the pads on a dog's foot are very similar to the skin at the bottom of a human foot. This means that they have a hard time withstanding extreme heat and cold. If you have to take your dog out in extreme weather, make sure that you cover their paws, or you don't have them out for very long.

Owning a new puppy is very similar to having a new baby. Puppies need a lot of attention and have to be taken care of constantly. They are not ready to be left alone for long periods of time and need to have a fair amount of attention devoted to them.

A dog needs plenty of love and attention. You should try spending at least a couple of hours a day with your dog. Play in your backyard or take your dog to the nearest park. You should get plenty of exercises before coming home and petting your dog for a while.

You need to trim your dog's nails regularly. Avoid cutting too much or you could cause bleeding. If you can see a black line inside the dog's nails, stay away from it. It is best to take your dog to the vet or to a professional groomer if you are not sure how you should cut your dog's nails.

Taking care of your dog is a serious job. Your dog will need everything it must have to survive, plus attention and love from you. Although it takes work, you can handle it. If you need some assistance, reread this article for advice. Your pet will thank you for it!
Good Morning from the Golden Retriever Channel. This pupper is taking-in rain. Who turned on the sprinkler in the sky? Another good day in his life, so far.

(Lifeofsterlingnewton IG)#dogs #puppies #cute pic.twitter.com/ooQqHn9XIf
— Golden Retriever Channel (@GoldretrieverUS) August 20, 2021
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