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This great article which follows on the subject of Pets is exceedingly insightful. Check it out for yourself and see what you think about it.

<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>


<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>

<img width="438" src="https://maxyaya.com/wp-content/uploads/2021/08/cheesy-fried-hot-dogs.jpg" />


<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>

<img width="300" style="float:right; margin:25px;" src="https://drive.google.com/uc?id=1zX7DKdIwPjWHAtXaBVjk1sX_TvyPbSTu" alt="Pets" />

<h3>Great Advice About Dogs That Anyone Can Easily Follow</h3>



Dogs are known as man's best friend. This saying is quite true. Knowing about dogs can help your relationship between you and your dog. This article will give you some great advice on having a dog as your best friend.


Always give your dog plenty of attention and affection. When your dog behaves properly, make sure you let the dog know you are happy and give them some affection. This will help reinforce the good behavior and the dog will try to behave in this manner for the positive attention..


If your dog gets lost, it is very unlikely that you will see him again unless he has proper identification. Tags can come off, so the best option is a microchip. It is quick to put in your dog, and it causes minimal discomfort. Simply register the chip ID after it is put in, and your pet will always have his identification with him.


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!


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Your dog needs to be secured when in a car. Not only will it make the journey safer, as it will lead to fewer distractions for the person driving the car, but in the event of an accident, it could also save your dog's life. Look for a seat belt harness, often sold at pet stores, that you can put in your car for your pet.


Be sure to praise your dog thoroughly any time it behaves correctly, such as sitting when it is time to put their leash on. Let a dog know that their behavior is what you wish to see. It also reinforces the idea that they will receive attention if they behave as you want them to.


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.


Do not make training your dog seem like a chore. dog show australian shepherd pick up on this negative energy and will have a difficult time learning if you are not in the right mind frame. Make it fun and try to look at it as a bonding experience with your pet. When your dog is having fun, they will learn their training quicker.


If you have a smaller breed dog, make sure everyone who touches him knows the proper way to hold him. Small dogs can be easily injured by inappropriate handling and many owners find this out the hard way. Gently lift at the belly from under his front legs and secure him with both hands.


When it comes to your dog, you need to be aware of the laws in your area. Make sure that you know all legislation that may be going through your local system. Some of it may be trying to regulate you as a dog owner. It often results from one bad breed or bad dog. Talk to responsible pet owners all around you by contacting your local officials.


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.


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.


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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.


Never approach a dog you are unfamiliar with. Teach your children the same thing. An unfamiliar dog may look friendly, but he could have a vicious bite. Even if he is not a biter, he might jump on you, potentially causing harm. Always ask australian shepherd with a tail for permission before approaching him.


Keep in mind that some behavioral problems in your dog could be connected to health issues, especially if your dog is displaying a new behavior. Your dog might become aggressive when you touch it because of a pain and it might have a hard time with house-training because of an infection.


Never approach a dog you are unfamiliar with. Teach your children the same thing. An unfamiliar dog may look friendly, but he could have a vicious bite. Even if he is not a biter, he might jump on you, potentially causing harm. Always ask his owner for permission before approaching him.


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.


It is wise to check your area to find out what the local leash laws are. Many areas require a dog to be leashed at all times if it is not on your property. keeping your dog on a leash is a good idea anyway, as it can be dangerous to let your pet run unattended, where he could be hit by a car, or fight with other dogs.


Your dog loves you unconditionally, and you want to make sure you provide the most for him. Therefore, it's imperative that you utilize the information you've been given so that you can work towards taking good care of your pet. Your pet deserves proper care, and you can now provide that to him.

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I'm very occupied with Dogs and I'm hoping you enjoyed our blog posting. Sharing is nice. Helping people is fun. Thank-you for going through it.




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