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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, labrador retriever pregnancy timeline 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>


<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>

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<h3>Take Control Of Caring For Dogs Today!</h3>



Are you looking to become a dog owner? Or do you already have a dog? Anyone with an interst in dogs should know what it takes to be a responsible owner. The following information can help you when it comes to man's best friend. Keep reading to learn more about dogs as pets.


Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.

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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!


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. how long is a labrador retriever pregnant should be handled with a stern and disapproving voice as opposed to striking the animal.

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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.


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Keep your dog's teeth clean and healthy with regular brushing. Most canines don't mind you brushing their teeth, provided you introduce them to the process slowly and gently. Use a specially designed dog brush, along with other products made just for him. Remember to provide him with toys and biscuits that will also clean and protect his teeth.


Teach your dog to be trained, even if you don't plan on devoting a lot of time to special tricks. A dog needs to understand the basic hierarchy of the home and should be prepared to listen and learn throughout his life. Practice the basics like &quot;sit&quot; and &quot;down&quot; in the beginning and introduce something new every once in a while.


If your vet gives you medication to take home and administer to your dog, be sure and ask for ideas on getting him to swallow it. Dogs differ in their tolerance of pills and badly-flavored liquids, so have a few tricks up your sleeve in case he resists. Getting a dog to take medicine is important, but often challenging.


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.


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.


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.


You need to ensure your dog will come back if he runs away; that is why you need to have a collar with his information on it. A breakaway collar that includes an ID tag will ensure the return of your dog if they should wander. Put your own name and contact information on it, along with your dog's name. You can also opt to have a micro-chip inserted into your dog.


Always use a leash when your dog or puppy is out in public. This helps you make sure your dog always stays by you and prevents them from wandering off or getting into trouble. This can also help you restrain your dog if something upsets them so that they don't hurt another animal or person.


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.


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.


Always try to do your training in an area where the dog has some distractions around them. Rarely are you going to be in a situation where you need your dog to obey and it is completely quiet. It is best for you to practice your training with the television on, kids running wild and maybe some music playing.


Make sure your dog does not have access to any dangerous products. You should keep all your cleaning products on a high shelve and avoid using poison if you are dealing with pest. Check your garage too and put your automotive products on high shelves too. Do not hesitate to keep your dog out of certain rooms if some items are dangerous.


Make sure that you carry small bags and gloves with you while you are out walking your dog. If he uses the bathroom outside, it is your responsibility to clean up the mess. It is unsanitary for you to leave it there, and it some places you may receive heavy fines for that.


Knowing the background of different dog breeds can help you in selecting the type of dog that will fit your lifestyle. Whether you are looking for a lapdog or a hunting partner, this article provides some valuable information. Remember the tips you have learned here when you visit breeders and pick out a puppy.

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