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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


It's natural that you would love having a dog. Dogs have been great pets for thousands of years. It's always a great idea to get a dog, but you have to remember that you are also taking on some responsibility when you bring a dog into your house. Here are some ways you can handle those responsibilities.

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 you have medication is your home, even if it is just over-the-counter medication, place it where your dog cannot access it. Just a few of your pills could literally kill your dog. If your pet does manage to ingest some medicine, contact the vet right away.

Never hit your dog. There are better ways to train a dog without having to resort to violence. The best way to train a dog is to reinforce positive behaviors with treats and attention. Negative behavior should be handled with a stern and disapproving voice as opposed to striking the animal.


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.

When choosing a dog for your home, don't forget to estimate the size it will be as a full grown adult. This is especially true if you have small children at home. Although a small puppy will be cute, it may grow into a large, one hundred pound dog. Do some research on the average adult size of the breeds you are considering.

It is very common for objects to get lodged in the pads of your dogs paws. Check them regularly to make sure that nothing is in there. If you see something, be very careful about taking it out, or it may become lodged even deeper. It is a wise to use tweezers for this.

Send your dog to school! He will feel more comfortable knowing exactly what is expected of him and obedience school will help him learn that. It will also boost his self-confidence, and of course, make a more well-behaved pet of him. Call around locally and see if you can sign him up for a trial class and take it from there.

Some people think that it is necessary to bath a dog often. The truth is that unless your dog gets into something to get dirty, they only need bathed once every two to four months. Bathing more often could strip their skin of the oils they need for a healthy coat and skin.

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 lonely or seems to have separation anxiety, leave the radio or a CD on when you leave the house. The sounds of the music will provide a sense of security and company for your dog. This little touch can help your dog feel less anxious as he awaits your return.

Be sure your dog sees the vet once a year. It's important that the dog sees a vet every so often to make sure there aren't any shots that they might need. Puppies have to go to the vet more often than older dogs. This will help your vet diagnose any physical issues with your dog.

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.

If your dog makes messes in the house or chews when you are away, consider crate training. Crate training involves providing your pet with an appropriate sized crate to,stay in while you're out of the house. It can keep your pet and belongings safe. Just make sure to never leave him in the crate for a very lengthly period of time.

Make sure that you're feeding your dog a good quality food. Most dog foods available at your grocery store are mainly made up of grains or corn. Instead of this, you should try to find a dog food that is mostly made of meat. Foods that are high quality can provide you with many benefits, such as having a healthy pup, less vet visits, and your dog's coat will shine more.

Every dog needs to have a good amount of exercise in order to stay healthy and fit. It is a good idea for you to take your dog out for a walk at least once a day if you do not have a yard he can use to run around freely.

Dogs will need veterinarian check ups twice a year when they become old. Dogs can age quickly over the course of a year, and older dogs will need more vet examinations in order to catch any changes their bodies may be going through. Additional tests, such as blood, urine, and ultrasound may be needed.

Hopefully, the advice you've found in this article has addressed any concerns you might have. Even if your problem isn't addressed specifically, you may find that these suggestions can help you resolve your issue. Dog care isn't as complicated as it seems, and some tips truly are one size fits all.

Learn What The Professionals Don't Want You To Know About Dogs


Dogs are truly the greatest creatures on Earth. Whether or not you agree with my assessment, you must love them as you have arrived at this article which gives you many tips and tricks regarding caring for a dog. Pet ownership is not easy, so continue reading this article to find out as much as you can.

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.

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.

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.

Purchase or construct a dog house if your dog must stay outside when the weather is cold. This is especially important during wet weather. Keep your dog safe from precipitation and winds by providing him with a place that is spacious, with a dry floor.

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.

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 a dog in a physical manner, as this will lead to lifelong mistrust. Also, when he behaves, remember to praise him!

Brush your dog often, even if he's got short hair. It's good for his coat and skin and can alert you of possible issues like fleas, tics and eczema. The dog will also enjoy the attention and brushing him regularly will keep more of his fur from flying around the house and landing on your furniture and carpets.

Some breeds have inherent health issues you need to watch for. Do what you can to combat those issues early. Ask your veterinarian what steps can be taken to prevent issues that are common with your dog's breed.

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.

Identification will be great in the event that your dog gets away from you. A common way to find a lost dog is to ensure it has a collar with an ID tag. Make sure that a current telephone number and the dog's name are included on the tag. Have you considered micro-chipping your dog?

If you've got the most well-behaved and lovable dog around, share his good nature with those less fortunate. You could bring him to visit the elderly in nursing homes or sick children in hospitals. Not only will you be improving the quality of life for those people, but your dog will love being a super-star wherever he goes!

Punish your dog carefully. You should never punish your dog for a mischief that happened more than fifteen minutes ago since your dog will probably not establish a connection between the punishment and the bad behavior. If you catch your dog misbehaving, say no in a firm voice and have your dog sit in a corner for a few minutes.

Before you head out for a day of fun in the sun with your dog, dab a little sunblock on him! Dogs can get very serious burns on their noses and the inside of their ears, so include him in your sun-protection regimen. Just make sure there's no zinc or PABA in the product you use.

Just like people, dogs need their exercise too. Playing a game of fetch or Frisbee is a great way to get your dog to burn some calories, while having fun at the same time. Dogs should also be walked everyday. Some dogs require more exercise than others, which is why it is so important to understand your dogs needs.

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.

If you have a dog, it is important that you see the vet for a routine check up at least twice a year. Doing so verifies the good health of your beloved family member. If a problem is caught, it is more likely to be less detrimental if caught sooner than later.

Don't bathe your dog after you have applied a flea or tick medication. Some medications tout that they are waterproo, but they only mean against rain or swimming. They will largely wash away with a dog shampoo, rendering the treatment ineffective. If you must bathe the dog after a treatment, use a soap free shampoo.

Puppies may be cute when biting on a slipper, but the cuteness fades when it turns into a dog who is ripping them apart. Stop these problems early. If he's doing something wrong, say "no" firmly. It is best to address this issue early.

You need to take your responsibilities as a dog owner seriously. Your dog must be cared for as carefully as you would take care of a child. dog breeds that begin with r must have what he needs to thrive. Though it is a big job to do, you should be able to do it. Just use these suggestions if you need some extra help, and keep caring for your pet.

I was made aware of that article on Pets from an acquaintance on our other domain. For those who liked our post kindly make sure you remember to pass it around. I praise you for your time. Return soon.


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