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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 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. If you treasured this article and you simply would like to collect more info about australian shepherd show dog nicely visit the web-page. (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.   
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/

  
  
  
Solid Dog Tips And Advice Just For You  
  
  
Are you looking for tips for being a responsible dog owner? If so, you have come to the right place. There are quite a few tips that can help you when it comes to owning a dog. Continue reading to learn more about being the pet owner your dog deserves.  
  
It's very important to make sure that your home is safe for a dog. Make sure any area your dog will be in is safe. Put all medication and cleaning supplies away, and keep your indoor trash can inside a cabinet. Some plants in your house may be toxic to your dog, so they should be kept where your dog cannot reach them.  
  
When you take your dog with you on vacation, take a picture and save it to your phone. In the event that he gets separated from you, you have easy access to a current photo to put on flyers that will help identify him.  
  
If your puppy or dog is constantly chewing up your furniture, invest in some chew-toys. Scatter them around the floor, especially around the legs of the sofa and end-tables. Be enthusiastic about your offers to play with the chewies with your dog to encourage frequent use. This should eventually deter him from chomping your furniture.  
  
If your puppy or dog is constantly chewing up your furniture, invest in some chew-toys. Scatter them around the floor, especially around the legs of the sofa and end-tables. Be enthusiastic about your offers to play with the chewies with your dog to encourage frequent use. This should eventually deter him from chomping your furniture.  
  
Know the basics of pet first-aid if you have a dog in your family. Being able to react quickly in an emergency, such as your pooch being bitten by a snake, can mean the difference between life and death. Read a good book on the subject or ask your vet to brief you on the basics.  
  
Daily brushing for your dog does more than simply prevent shedding. Daily brushing helps the coat to stay beautiful and shiny. When you brush a dog, you are moving the skin's oils evenly throughout its fur, so it really makes the fur shine and feel great.  
  
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.  
  
Pay attention to your dog's breath. Dogs will always have "dog breath,"u009d however, really bad breath is a sign that they need a dental check up. Plaque buildup caused by bacteria could be the culprit and that will need to be treated by a professional. After their treatments, you will need to brush their gums and teeth and feed them food that helps maintain good dental health.  
  
If you leave your dog with a boarder, there are certain things you need to tell them. First, make sure the boarder has a number to reach you in case of an emergency. Also, tell them of any behavioral issues you dog has. If the dog needs special foods or medication, let the boarder know this as well.  
  
If you are not allowed to place a fence in your yard but want your dog to run freely there, consider an electric fence. Electric fences are easy and inexpensive to install, and they can help to keep your free roaming pet safely contained. Using them will require a little training, but they are quite effective if you put the work in.  
  
If you breed your dog, do so responsibly. The AKC advises all owners of pure-bred dogs to make an effort to advance the breed and discard all other motivations, such as money or experimentation. Consider the repercussions of your actions before allowing your dog to mate and create a litter of puppies.  
  
When it comes to feeding your dog, make sure that you are using a reputable brand that contains enough nutrition. This is important because there are dog foods that contain an undesirable amount of filler in the food. You want to be sure that your dog is getting the amount of nutrients that it needs in order for it to be healthy.  
  
If you leave your dog with a boarder, there are certain things you need to tell them. First, make sure the boarder has a number to reach you in case of an emergency. Also, tell them of any behavioral issues you dog has. If the dog needs special foods or medication, let the boarder know this as well.  
  
Before getting a dog make sure you have thought about your daily routing, as well as special events like vacations. Wanting a dog is easy, but it is not always easy to deal with responsibilities of dog ownership.  
  
Take your dog on a walk every day, no matter how busy your schedule is. A dog needs constant exercise, and walking provides it with a chance to interact with new animals and people. Walks are a crucial part of a dog's life.  
  
If you've just brought home a new puppy, you need to designate a sleeping area for him. If you want to use a crate for it's bed, don't let your pup in your bed. If you let your dog sleep in your bedroom or on your bed, keep in mind that you will not easily get rid of this habit.  
  
Your dog requires cleaning just as a human would. Though dogs don't need bathing every day, they ought to have one each week. Also, this will help prevent skin issues from forming on your dog.  
  
Caring for a dog can be extremely hard, but that doesn't mean it's not worthwhile. Thanks to the advice in this article, you can appreciate the best parts of being a dog owner without getting hung up on the bad. Take advantage of what you've learned here, and forge a better relationship with your pet.  
  
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