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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. why is my dog constantly licking his lips 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&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>
<img width="330" src="https://spanishstraydogs.org.uk/wp-content/uploads/2021/08/DUENDE-20.jpg" />
<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>
<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. It honestly 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>
<h3>Being The Best Dog Owner In Town: Tips And Tricks</h3>
Dogs make absolutely wonderful pets. They are faithful, loyal and provide unconditional love. They are also a ton of fun to play with. As a responsible dog owner, it is important that you educate yourself on proper dog care. Utilize the dog care tips outlined in this article to keep your pooch healthy and happy for many years.
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.
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.
When you have a dog, make sure that you give him enough water. Water should be made available to your dog at all times of the day, particularly in the summertime. Put his water bowl somewhere where no one will trip over it, otherwise you'll be cleaning your floors all day!
Make sure your dog is getting enough exercise. In order to stay fit and sharp-minded, a dog needs to spend plenty of time being physically active and playing constructive games. No matter what you do, whether it's going for a long walk or simply throwing a ball or stick, both you and your dog will benefit. Besides just getting some exercise, you'll be creating a bond between you and your dog.
If your dog is still getting used to the grooming process, only work with him or her in short bursts. Groom for about five minutes and then stop and move on to another activity. Eventually, start adding on two or three minutes to your total grooming time until your pet is able to handle a full session.
Your dog needs a stimulating environment if it is going to live a long and healthy life. Providing him or her with one is not really that hard. Simply make sure you take your dog for walks each day, and purchase a few toys that you and your pet can play with together.
If you are struggling to get your pet to behave during a grooming session, apply positive reinforcement. With your words and your tone, praise your dog for anything little thing that he or she does well during the time you are working with him. Give him a treat when you are finished, so he begins to associate grooming with something good. You should turn your dog's behavior around in no time!
Know the symptoms of dehydration in your dog, as it is a common ailment that can be dangerous. Particularly during hot dry summer months, your dog may pant excessively and experience a loss of the elasticity of his skin. If you see this, encourage him to drink water and add a little Pedialyte to rehydrate him.
Be careful around Christmas time with a dog in your home; it's the busiest time of year at 24/7 animal clinics! Things like hanging and tree lights pose a danger to your dog, as they could become tangled or gnaw their way down to raw wires. The loveliest of Christmas plants are also hazardous to a dog's health, so take extra care during holidays.
Be thoughtful about breeding your dog. Repeated breeding of a female can evetually lead to severe health problems for both the dog and the puppies that is born from her. If you plan to breed be sure to do your research first so that you can be sure that you are doing the right thing for your animals.
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You need to train the dog by yourself; more than one person might confuse him. People have different ways of doing things, and having multiple commanders can confuse your dog. Be sure that one individual is in control of the training and keeps others working with the dog on the same page.
Consider getting your dog from a shelter. Many of the dogs that are brought there are well behaved, yet the owners could not handle the responsibility that came with raising them. For the best results, visit the shelter a few times so that you can find the dog that is right for you and your lifestyle.
Make sure that you buy an appropriate sized collar for your dog in order to ensure its health and safety. If the collar is too lose, it may become snagged on something. If the collar is too tight, it may restrict the dog's breathing ability. Allow for a two finger space between the dog and the collar.
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 your dog suffers from constipation or diarrhea, you can try feeding the pet canned pumpkin. This is not same as pumpkin pie filling. Pumpkin contains fiber which helps with constipation. In addition, it also absorbs water which helps with diarrhea. Don't give the dog much, just a teaspoon or two with the dog's regular meal.
If you want your dog to learn to "sit", start by holding a cookie, or other treat, above his head. This will cause him to look up. When he looks up, gently push his hind end down, and give the command to sit. Give this article tells you all you need to know about dog breeds start with r , and praise him. Soon, he will sit just by hearing the command and seeing your hand go up, and eventually will obey to the "sit" command alone.
Never punish your dog for being curious about a new baby. Instead, allow your dog to investigate the smells and sights that come with a baby at a safe distance. If the dog is made to feel like the baby has infringed on his home, the very worst is far more likely to happen.
Taking care of a dog should be a serious matter. The dog is similar to a child, in that you have to provide it with everything. It can be a huge undertaking but something that can be easily accomplished by just about anyone. Use the information in the article above to help you give your dog the best care you can.
<img width="100%" style="float:right; margin:10px;" src="https://drive.google.com/uc?id=1SNobANzyCIqpg6z1uWGe_qx9Rmsx02IE" alt="Dogs" />
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Homepage: https://en.wikipedia.org/wiki/List_of_dog_breeds
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