Everybody will have their personal rationale involving Dogs.
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 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.
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. Stix's skin 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.
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.
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.
Know These Things If You're A Dog Owner!
Dogs love to jump, run and play. They like to eat, even when it is an item they shouldn't chew on. They also love to give you all the kisses in the world. Your responsibility is to take the best care you can of your dog, and this article will show you how it's done.
Whenever you travel with your pet, don't skimp on the packing. Of course you need to be well supplied with his food, water and any medications he may be on, but experts advise that you also bring his grooming supplies, vaccination paperwork, tags and an extra leash. Also, bring a flat sheet for when your dog will be on hotel furniture.
You may know that chocolate is dangerous for dogs, but you may not know the specifics. Chocolate is dangerous because of the stimulants caffeine and theobromine. Baking chocolate is the most dangerous, with a high amount of stimulants. White chocolate contains the least amount of stimulants. Take you dog to vet if he ingests chocolate.
Your dog has teeth just like you, so it makes sense that he needs proper dental care. Invest in a dog toothbrush and brush his teeth often. Simply allowing the vet to do it at his regular checkups is not enough. You can also purchase treats that are specifically meant to help with your pet's teeth.
Correct bad behavior the first time you see it from your dog. If you ignore an unwanted behavior, it is as good as reinforcing it. It will become very difficult to correct the more time passes. Your dog could hurt somebody, including you, so keep him under control.
It can be really helpful to incorporate hand signals with verbal commands when first training your dog. Using hand gestures can help your dog to recognize commands quicker. Find out the way that your dog prefers and use it.
Rawhide bones are the best options for your dog. Real animal bones can chip and pose a danger to your dog's digestive tract and mouth. Rawhide is healthy for their teeth and gums, so don't share your bones, even if the dog wants it!
Make your own dog biscuits to provide your beloved canine with the healthiest treats. Most commercial products are over-loaded with chemicals that aren't good for dogs, despite adding flavor and aroma. Use quality ingredients and tell your dog what you're doing in the kitchen! Get him all excited and let him taste-test as soon as they're cool.
Dog training requires you to be consistent. Once you decide you want to establish a rule for your dog, do not make any exceptions. Make sure everyone at home helps you enforce the rule and encourage your guests not to let your dog jump on them or to not acknowledge your dog when it barks.
Use positive reinforcement to teach your dog the habits that you would like to see from them. For example, if you notice that your dog barks anytime someone enters your home you could reward him for not barking with a treat. The dog will then associate being quite with the reward that he will receive.
Brush your dog often, even if he's got short hair. It's good for his coat and skin and can alert you of possible issues like fleas, tics and eczema. The dog will also enjoy the attention and brushing him regularly will keep more of his fur from flying around the house and landing on your furniture and carpets.
Consider the placement of your dog house carefully. Think about the way that the winds typically blow and face the door on the opposite side. If you tend to get winds from all directions, consider a house with a door flap. There are some states that require a door flap, so check with your local animal shelter to learn more.
Try to provide your dog with plenty of opportunities to socialize. Take him on walks to the park or beach where he will be around people and other dogs. Encourage his interactions with others and praise him for good manners. He'll be much more comfortable in any setting and generally happier too.
You need to trim your dog's nails regularly. Avoid cutting too much or you could cause bleeding. If you can see a black line inside the dog's nails, stay away from it. It is best to take your dog to the vet or to a professional groomer if you are not sure how you should cut your dog's nails.
If you are trying to teach your dog some basic commands, one of your first ones should be a recall. Everyone wants their dog to return to them when called for. If you have a solid recall for your dog, you will not have to worry about chasing your dog down it manages to get outside. It should come back to you when you use your recall word.
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.
Now that you have some simple tips to use with your dog, you should feel more confident in being a pet owner. That will result in a happier life for both you and your puppy pal. Don't stop learning here, instead keep reading all you can to ensure you're always up on the latest when it comes to dog ownership.
We had been shown that article about Pets from an associate on a different web page. So long as you appreciated our blog posting please remember to pass it around. I recognize the value of reading our article about Dogs.