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<blockquote cite="https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/">
<h3>Best Advice for Dogs with Skin Issues</h3>

<p>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. </p>

<h2>Before I tell the ongoing saga with Mr. Stix's skin. Here is my best advice for dogs with skin problems.</h2>

<p> 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. </p>


<p> 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. </p>


<p> 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).</p>


<p> 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. </p>


<p> 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&amp;M.</p>


<p> 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.)</p>

<h2>Mr. Stix's Story as a Dog with Skin Problems</h2>

<p>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. </p>

<p>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. </p>

<p>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. </p>

<p>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.</p>

<p>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. </p>


<p>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. </p>

<h2>Post-Biopsy Diagnosis</h2>

<p>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. </p>


<p>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. </p>


<p>I was so hopeful it would work at the once-daily application, but the skin still didn't heal completely. </p>


<p>So, in early 2021, we started applying it twice daily on the advice of our veterinary dermatologist.</p>


<p>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. </p>

<h2>Enter the Big Immune-Suppressing Drug</h2>

<p>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. </p>


<p>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). </p>


<img width="325" src="https://i.cbc.ca/1.3103804.1433693346!/fileImage/httpImage/image.jpg_gen/derivatives/16x9_620/kuwait-dogs.jpg" />

<p>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.</p>


<p>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. </p>


<p>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). </p>


<p>We made it to day 4, then the barfing started. </p>

<h2>Anxiety</h2>

<p>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. </p>


<p>I supposed to check in with our veterinary dermatology team next week to confirm that Mr. Stix's weirdness and apparent suffering has improved. </p>


<p>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. </p>


<p>He is only 3 years old. I don't want to make anything worse. do bunnies eat succulents felt like I'd poisoned him.</p>


<p>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. </p>


<p>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. </p>
<p><strong></strong> https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/ </p>
</blockquote>

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<h3>Tops Tips About Dogs That Anyone Can Follow</h3>

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In some ways, caring for a dog is almost like caring for a kid - a big, furry, slobbery kid. Dog care is a tremendous amount of work, and it can be hard to figure out what action you should take. Thankfully, you're in the right place. This article will help you with your dog.


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 on top of fleas. Not only can fleas cause infection in your dog, if one is swallowed, your pet can get tapeworms as well. Speak to your veterinarian about the best prevention method, but remember that this is not a one shot deal. You will have to continue your efforts over the life of your pet.


Research a particular breed of dog you may be interested in before bringing him home. Lots of people make the mistake of falling in love with a type of dog, then find out later that the animal isn't really for them. Chihuahuas, for example, are a trendy type, but very difficult to fully potty train, especially in colder climates!


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's time for dog training, you'll want to do it inside your house or in your yard. This will give you security and an area that your dog is comfortable. Distractions occur, making it difficult to get your dog to focus on basic commands.


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.


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.


Your dog should not be left alone outside all day. While this happens quite often, a dog needs interaction during the day. When your dog is the only one you have, leaving him alone will make him sad. Plan on bringing your dog inside when the weather is rainy, snowy, very hot, or very cold.


When training your dog, consistency is everything. You must be consistent at all times. If your dog is not allowed to jump on people as they walk in, don't allow your dog to do it even if a person says they don't mind being jumped on. You should also make sure that everyone that's around your dog understands your rules and are consistent with them.


It is natural to want to get your dog trained as quickly as possible. However, remember that there is a limit as to how fast this process is going to go. If can bunnies eat succulents are not realistic, you are much more likely to get frustrated with your pet, which could damage your relationship. Your pet will learn over time, but it may not happen as fast as you would like.


When taking care of your dog's grooming needs, do not neglect their feet. Obviously, dog's do not wear shoes so their feet are exposed to the elements and could hurt their feet in debris outside. Look for any cuts or abrasions on their feet and if you find something serious, bring him or her to their vet.


Keep your dog safe from dangerous chemicals. Similar to kids, cleaning chemicals and any car maintenance substances are harmful to them. These substances are poisonous, so if a dog gets any on them or ingests any, they could get burned, become very sick, or die. Store your hazardous chemicals in a place that your dog can't get to, or keep them in a closed area using a child-proof lock.


If you pick up a dog from a shelter, make sure that he has been seen by a medical professional. You don't want to bring home a sick dog unless you are aware of it, particularly if you have other dogs at home. Make sure to ask if the dog you have chosen has been around sick dogs in the past few weeks as well.


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.


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 that you spend adequate time on each thing that you try to teach your dog. Even though your dog might catch on to something, for example the &quot;sit&quot; command, it may not be mastered. You'll want to make sure that the command is done every time that you ask no matter what situation you are in before you move onto a new command.


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.


Caring for a dog can be absolutely exhausting, but that doesn't mean it has to be. If you use the tips and tricks in this article, you may find living with your dog is a breeze. Soon, others will be wondering how you make being a dog owner look so easy.

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