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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/

If You Want To Learn About Dogs, We're Telling All


There is no such thing as a perfect dog owner. You may look back regretfully on mistakes you've made, but the truth is that you're not alone. Learning from your mistakes is key, and this article should show you the right way to care for your dog as it is chock full of advice from other owners like you.

Whenever you travel with your pet, don't skimp on the packing. Of course you need to be well supplied with his food, water and any medications he may be on, but experts advise that you also bring his grooming supplies, vaccination paperwork, tags and an extra leash. Also, bring a flat sheet for when your dog will be on hotel furniture.

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.

Never give your dog milk! It's not necessary for his body and he doesn't have the proper enzymes to digest it anyway. Feeding your dog cow's milk can lead to chronic diarrhea and leave him with an upset stomach, among other health problems. Stick with plain old water for a healthy and hydrated dog.

Do you have a "wrinkly" dog, like a bulldog? If so, you have to be conscientious about the grooming process in order to help keep your pet clean. After you brush, take a baby wipe and use it to get in between the folds on their body. Make sure, though, to get them fully dry after doing so.

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.

If you are thinking about adopting a dog, try taking a couple of weeks off work so you can spend some time with your puppy and teach it a few good habits. Training your puppy and helping it get used to its new environment will be much easier if you are home.

Avoid issues of jealously if you have more than one animal. Particularly if you bring a young dog into the home of an older dog, problems can arise. Be considerate of the patience and energy levels of your senior dog and make sure his feelings aren't hurt by giving the new guy all the attention.

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.

If you have a new puppy in the house that suddenly begins chewing things, do not fear. This could be a sign that your puppy is teething. To keep puppy from chewing on your belongings, make sure that you have provided him with plenty of chew toys of his own.

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!


Yelling at your dog or displaying any other violent behaviors are not good options. Your dog will fear you and establishing a bond with your pet will be very hard. The best way to train your dog is to use positive reinforcement and simply say no in a firm voice when you catch your dog misbehaving.

You must learn how to introduce your dog to other dogs. Keep him on his leash during introductions so you have better control. Start with a walk by while keeping his attention on you. Then, on the next walk by, allow the dogs to sniff each other a bit. This will allow them to get to know each other without the dangers of attacks.

Make sure your dog gets an annual health check-up. From thyroid issues to heartworm, your vet can find something wrong which isn't visible to the naked eye. Annual physicals save dog owners money and saves your pet a lot of undue suffering.

Don't let too many people train your dog. Your dog might become confused by different methods, different vocal commands and different ways of offering praise or punishment. You need to put just one person on the task of teaching the dog.

If you leave your dog with a boarder, there are certain things you need to tell them. First, make sure the boarder has a number to reach you in case of an emergency. Also, tell them of any behavioral issues you dog has. If the dog needs special foods or medication, let the boarder know this as well.

If training your dog is more than you can handle, you should consider sending it to obedience school. Do some research to find out more about the different obedience schools in your area and talk to other dog owners to find the best school possible. It is best to send your dog to obedience school while it is still a young pup.

When you make the decision to get a dog, it is important that you have the proper type of fence in your yard. Of course, the size of the fence you need depends on the kind of dog you will be getting. The bigger the breed, the higher the fence should be.

Now that you have some simple tips to use with your dog, you should feel more confident in being a pet owner. That will result in a happier life for both you and your puppy pal. Don't stop learning here, instead keep reading all you can to ensure you're always up on the latest when it comes to dog ownership.


Dog Tips You Will Benefit From Knowing


Do you want a canine companion? Do you understand what you will be responsible once you take possession of your dog? There are many responsibilities which come with dog ownership, and they start the first time you bring your puppy home. This article will show you the ropes and get you ready for your new best friend.

If the cost of your dog's high-quality food is a burden for your family, team up with another one and buy in bulk. The big-name pet store chains offer top rated names in pet cuisine at a significant discount when bought in the larger quantities. You can minimize the cost for you and some friends while still providing your dogs with fresh and wholesome meals.

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.

Don't make you dog eat something they don't want to eat. If you have food or treats your dog does not like, leave it alone. Upon initially bringing a dog into the home, spend some time discovering its likes and dislikes.

You should talk to your vet about the foods you give your dog. Different breeds and stages of development might mean that certain brands and types of food cause an upset stomach. Always be cautious when you're thinking of feeding your dog.

Make your own dog biscuits to provide your beloved canine with the healthiest treats. Most commercial products are over-loaded with chemicals that aren't good for dogs, despite adding flavor and aroma. Use quality ingredients and tell your dog what you're doing in the kitchen! Get him all excited and let him taste-test as soon as they're cool.

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.


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.

Do you have a hard time keeping your dog from barking? You might be encouraging this behavior without even realizing it. Your dog will keep barking if you acknowledge this behavior. It is best to ignore your dog until it stops barking, even if your dog wants to come inside.

Do not keep your dog outdoors all day. Lots of folks do this, but it's bad because dogs need constant attention. free tools and services left alone outside will get very lonely. If you're area is experiencing rain or snow, you'll need to bring your dog inside to prevent your dog from getting ill.

If you have a new puppy in the house that suddenly begins chewing things, do not fear. This could be a sign that your puppy is teething. To keep puppy from chewing on your belongings, make sure that you have provided him with plenty of chew toys of his own.

If training your dog is more than you can handle, you should consider sending it to obedience school. Do some research to find out more about the different obedience schools in your area and talk to other dog owners to find the best school possible. It is best to send your dog to obedience school while it is still a young pup.

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.

If training your dog is more than you can handle, you should consider sending it to obedience school. Do some research to find out more about the different obedience schools in your area and talk to other dog owners to find the best school possible. It is best to send your dog to obedience school while it is still a young pup.

If you are not sure how your dog will react to other dogs, make sure you keep them on a leash during the first introduction. Rescue dogs especially can be unpredictable around other dogs. Keeping your dog on the leash will allow you to better control their behavior. Once you feel comfortable and your dog is adjusted, you can take them off the leash and let them play.

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.

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.

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.

You need to take your responsibilities as a dog owner seriously. An animal is just like any other member of the family, and it needs to be taken care of so it can survive. Though it is a big job to do, you should be able to do it. Use what you learned here and incorporate it into taking care of your own dog.
Good Morning from the Golden Retriever Channel. This pupper is taking-in rain. Who turned on the sprinkler in the sky? PetsRoof.com in his life, so far.

(Lifeofsterlingnewton IG)#dogs #puppies #cute pic.twitter.com/ooQqHn9XIf
— Golden Retriever Channel (@GoldretrieverUS) August 20, 2021
We had been made aware of that article on Dogs through a buddy on another web blog. Please set aside a second to share this blog entry if you enjoyed reading it. I truly appreciate your readership.


Here's my website: https://en.wikipedia.org/wiki/Dog_breed
     
 
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