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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 https://petsroof.com/product-reviews/best-dog-food-for-american-bully/ 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. here’s a great blog article 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/
Have Dog Questions? Read This Helpful Piece
Your dog is always there for you. No matter what, a dog will do what it takes to make sure you are alright. He always looks out for you, always wants your attention, and is always happy with you. Shouldn't you see what you can do for him? Here are some tips to help you be a great owner for your dog.
If the cost of your dog's high-quality food is a burden for your family, team up with another one and buy in bulk. The big-name pet store chains offer top rated names in pet cuisine at a significant discount when bought in the larger quantities. You can minimize the cost for you and some friends while still providing your dogs with fresh and wholesome meals.
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.
Offer rawhide rather than actual meat bones. Bones can lodge in the mouth or throat, causing devastating injuries. Also, rawhide is better for the health of your dog's teeth.
Talk to your vet to learn which foods are appropriate for your particular dog. A puppy's stomach may not be able to handle particular foods, which may cause stomach issues. Always exercise caution when it comes to your animal's food.
Remember that dogs are creatures of habit and anything you start with him will be expected in the future. If you're not keen on him sleeping with you, don't let him do it only on occasion. Likewise, if you don't want him begging at the table, never offer him a bite of people food. He will learn and accept things if you are consistent.
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.
Be cautious with female dogs in the heat. If you aren't, you may have to deal with an unwanted pregnancy. Male dogs can pick up the scent of a female dog in full heat up to five miles away. This may cause a fight or impregnation if a male dog spots her.
To ensure that your dog is safe, you should try to make your home as dog-proof as possibly. This includes making sure that only safe play toys are within your dogs reach. If you have a problem with your dog getting into your kitchen trash or the things on your counter, you could consider getting a baby gate to prevent your pup from entering the kitchen.
Dogs can get a cut on their foot if they step on glass or debris. If your dog gets a cut, make sure that it is washed with antiseptic and then have a bandage wrapped around the wound. If the cut is relatively deep, bring your dog to the vet.
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.
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.
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 trust the feel of your dog's nose as the sole diagnosis of a health condition. There are many reasons for your dog's nose to be cold and wet even if the dog is sick. Judge a dog's health by demeanor, appetite, and energy levels. They'll all really tell the story of your pet's health. To check a dog's temperature, you need to do it rectally.
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.
You need to teach your dog a few simple commands at a very young age for its own safety. Your dog should always come when you call its name and a command such as 'give' should be used to get your dog to stop gnawing at a potentially dangerous object.
In order to potty train a puppy, it is of utmost importance to take the dog outside frequently. Doing this will familiarize your puppy with the association between outside and going to the bathroom. Failure to do this will result in a harder time breaking your new family member of his/ her bad habits.
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.
There are few greater joys in life than the love you can share with your loyal companion. It won't always be a walk in the park but the rewards are more than worth it. Enjoy your pup and continue to learn more to help keep your lives happy and healthy.
Your One Stop For All Your Dogs Questions
When you are doubting your dog ownership skills, you may feel very alone. There are many other dog owners out there who feel exactly the same! Mistakes are made, and we can learn from each other through those situations. Here are some simple tips on being a better owner for your dog.
Make sure that your dog gets neutered. Research shows that doing this can make your animal live longer and reduce their cancer risks. Additionally, dogs who undergo this procedure are much less likely to wander off and maybe get into to an accident.
Much like people in the United States, many dogs are overweight. Having a few extra pounds on their frame can lead to a number of health problems, like cancer or diabetes. Many owners simply overfeed their pets. Talk to your veterinarian about how many calories your dog needs each day so you can adjust their meals accordingly.
Not everyone is good at training dogs, so quit trying if you see things are not going as well as planned. Instead of beating yourself up about it, get in touch with a trainer in your area. Since they have more experience with dogs, it may be much easier for them to train yours.
When you take your dog with you on vacation, take a picture and save it to your phone. By doing this, in case your dog gets lost, you can provide others with a picture and easily put up flyers, which will assist in finding your dog.
If you're training your dog, don't just use verbal commands. Try hand signals as well. These signals will help you keep your dog under control in a noisy environment. Try each way to see what works well with your dog.
Dogs need a great deal of attention on a daily basis. If you have a hard time making time for your dog you will soon notice that there are behavioral problems that were not there before. In the least, you should try to set aside an hour each day just to love your dog.
Try to always be aware of how your dog is feeling. If your dog seems to be nervous, fearful, or scared of certain things, you should take note of this and try to avoid putting your dog in a stressful situation. When a dog is stressed or afraid, you could traumatize your dog if you insist that it stays in the stressful situation.
When clipping a puppy's toenails, start slow. Introduce your little dog to them before you begin cutting. You may only be able to get a single nail done during a sitting. It could take some time for puppy to become comfortable with the idea of nail clipping, but soon, you will be able to get through it all at once.
Designate a family member or close friend to be responsible for your dog, should something happen to you. If you are in an accident and unable to get home, your dog will need someone to feed him and address other needs. Perhaps you trust a neighbor with your house keys and they could act for you in a time of need.
Remember the saying "The more people that work on something, the less likely they are to succeed" while you train your dog. Not everyone will do things the same way, which can cause confusion. You should have one person take charge of the training procedure, and then ask everyone else to follow their lead once the dog has learned a few simple commands. This allows for consistency that is least likely to confuse your pet.
If you are training your dog, make sure the treat you are giving him really is desirable. Pets have preferences too, and if your dog does not like the treat you are providing, there is not going to be much motivation to do the right thing. Try out a few different brands, and remember that soft, chewy treats are generally the most well-received.
If you have younger children in the home, make sure that you try to teach them what behavior is appropriate with your dog. Let them know the rules and what they are allowed to do. Some dogs are more tolerant of being jumped on, pulled on, and played with than other dogs.
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.
If your dog is always drinking out of the toilet, try changing how you provide him with water. Most prefer it cold and fresh, hence the attraction to the bathroom, so buy a fountain or thermally insulated dish to keep his water at a more appealing temperature. Also, add ice-cubes when it's hot out and he's panting
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.
Do not give in to the temptation to get a puppy without knowing how to take care of it properly. Educate yourself about the needs of the breed you are considering before actually visiting a breeder or a pet store. Some breeds are happy to live in a limited space, but others need room to run.
If you won't be the only person tending for your dog, make sure that everyone who will be taking care of the dog is on the same page. If you have one way of doing things and your significant other has another way, you should sit down and explain the ways and figure out which one will be applied constantly by both people.
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.
Your new family member, or the dog you've loved for many years, will be so thankful once you start changing your habits to better suit them. As you use the tips in this article, both his and your life will become better. Giving your dog what he deserves is the best feeling ever!
I'm very fascinated with Dogs and I hope you appreciated my piece. Sharing is caring. Helping people is fun. Thanks a lot for taking the time to read it.