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The writer is making a number of great pointers about Pets as a whole in the article underneath.  

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. If you enjoyed this short article and you would certainly like to get even more info concerning why is my dog standing Over me kindly see the website. 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.   
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/

  
  
  
Excellent Article About Dogs That Is Simple To Follow Along  
  
  
Bringing a dog into the home is a decision that should not be taken lightly. If you are considering, or have already extended your family to include a dog, there are things that you should know. Below, you will find a list of quality tips to use to help the transition easier for you and your dog.  
  
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.  
  
If your dog has fleas, and they fall off his coat onto your floor, vacuum them up. However, remember that fleas are pretty good escape artists, so you need to throw out the bag immediately after you are finished. To be on the safe side, tape the bag completely shut before you take it out to your trash can.  
  
If you are planning to take your dog on an extended car-ride, talk to your vet about motion sickness medication first. Avoid feeding him before setting out to prevent queasiness and vomiting and make sure you buy him bottled water if you are traveling to any destination that is known to have issues with water quality.  
  
Do you have a "wrinkly" dog, like a bulldog? If so, you have to be conscientious about the grooming process in order to help keep your pet clean. After you brush, take a baby wipe and use it to get in between the folds on their body. Make sure, though, to get them fully dry after doing so.  
  
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.  
  
Feed your dog dry, premium-quality dog food. This kind of dog food helps to make sure your dog gets all of their vital nutrients. Making sure that they get proper nutrition helps them live a longer life and reduces their chances of obesity, malnutrition, skeletal problems, muscular problems, and many more conditions.  
  
Don't assume your toy-sized dog's bite isn't dangerous, just because he's little. A lot of owners brush-off training, thinking that the smaller breed dog can get away with a little bad behavior and this isn't true. As a responsible canine master, you've got to make certain your dog does not pose a threat to anyone by having him well trained.  
  
A dog should not be left outside all day. Dogs need to interact with people or with other animals. Only having one dog can cause him to get lonely. You need to bring your dog inside the house when it is inclement weather outside.  
  
If you are having trouble training your dog, see a professional. A lot of people wait until their problems are enormous, but if you would see a dog trainer as soon as you start having difficulty, you will find training goes more easily. Not only that, but you will save yourself a major headache.  
  
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  
  
Always be the boss with your dog. A dog is not only much more apt to be obedient when you are in command, he'll also be much happier. Dogs need to know what's expected of them and that they are being led. This gives them a sense of security and you a more peaceful household.  
  
When taking your senior dog to the vet for an annual visit, make sure to request senior blood work. A blood panel can help your vet to identify any kidney, heart or vascular concerns. If caught early, treatment is often minimally invasive and less costly. This is a great way to keep your pet healthy for years to come.  
  
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.  
  
Even if your dog does not spend the majority of his time outside, it is still important that you bring him or her to the vet for their yearly shots. Your dog could come in contact with other dogs at the dog park or at your home. If the other dog is sick, it could pass on to your dog. This is why it is important that they are vaccinated every year.  
  
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.  
  
It is important that you choose the best veterinarian for your dog. Randomly picking out a name from the phone book may not be such a good idea. Instead, ask friends or family members if they know of a good vet or look online for reviews on vets in your area.  
  
Never allow a puppy to climb up or down steps in order to prevent joint problems in the future. This is extremely important, especially with breeds that are at high risk for hip dysplasia. Any sort of high impact shock such as jumping or stair climbing should be avoided due to the fact that their growth plates are still developing.  
  
After reading this article, hopefully you now have some ideas in mind to ensure that your dog gets the care he deserves. He certainly deserves it, as he gives you plenty of attention and love. Make sure you put these tips into action, so that your dog can get the benefits.  
  
I recently found that entry on Dogs while doing a search on the web. Sharing is nice. Who knows, you might be doing someone a favor. Thanks so much for going through it.