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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. (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). If you treasured this article and you would like to get more info concerning can cats Become pregnant while Nursing please visit our web site. 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/

  
  
  
Confused About Your Canine? Read This For Clarity  
  
  
Dogs may be man's best friend, but that doesn't mean they're always easy to live with. From fleas to barking, from bedtime issues to toilet troubles, there are a number of problems that dogs can cause. Thankfully, the tips in this article will help you to take top notch care of your dog.  
  
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.  
  
Although the sound may be cute, your dog's nails shouldn't click along the floor when it walks. That's a sign that the nails are too long. The nails should actually just barely touch the ground. Seek the advice of a professional on what tools are the best for giving your dog a pedicure.  
  
If you have medication is your home, even if it is just over-the-counter medication, place it where your dog cannot access it. Getting into those pills could seriously impact your dog's health and even cause death. If you notice that your dog has consumed any of your medication, you need to immediately contact your vet.  
  
Keep your dog warm during winter with the latest in canine fashion and accessories. You may think it's just for show, but dogs need protection from the elements too! Keeping your dog's paw-pads dry is essential to their health in sub-freezing weather, so invest in suede or leather footwear and pick him up a coat while you're at it. Make them instead if you are creative!  
  
If you are thinking about adopting a dog, try taking a couple of weeks off work so you can spend some time with your puppy and teach it a few good habits. Training your puppy and helping it get used to its new environment will be much easier if you are home.  
  
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.  
  
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.  
  
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.  
  
Unless you're okay with your dog playing with your shoes and other things around your home, buy him some toys. He will enjoy having things of his own, particularly if they are interactive like pull-toys you can use together. Also buy him things he can use to occupy himself and stay out of trouble!  
  
Let your dog feel the love that you have for him. It is easy to overlook the good behavior your dog shows while you concentrate on eliminating the bad. If that persists, your dog may begin to act inappropriately to get your attention. You should ensure you give your dog positive reinforcement. Your dog's behavior will improve because of your new technique.  
  
Brush your dog's teeth every week. Use a child's toothbrush that is soft, some nylon pantyhose over your finger, or a gauze pad. Don't use regular toothpaste. Instead, try using a baking soda and water paste or toothpaste made for dogs. Clean their teeth one to two times a week.  
  
You should talk to your veterinarian about microchip IDs. Your contact information can easily be stored inside a microchip and most veterinarians or shelters own a scanner they can use to scan the microchip. This will greatly increase your chances of getting your dog back in case it gets lost.  
  
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.  
  
Your dog needs healthy teeth and you should brush them regularly. This helps to prevent dental problems and gum disease, but also prevents other illnesses. Infections in the mouth can spread to other areas of the dog's body, like the kidneys and the heart. Pet stores sell special toothpaste for dogs.  
  
If you are thinking about getting a dog, it is crucial that you choose a bread wisely. For instance, if you have children, large vicious dogs may not be a good idea. Or, if you live in an apartment, smaller breeds may be better. Pick a dog that works well with your lifestyle.  
  
Yelling at your dog or displaying any other violent behaviors are not good options. Your dog will fear you and establishing a bond with your pet will be very hard. The best way to train your dog is to use positive reinforcement and simply say no in a firm voice when you catch your dog misbehaving.  
  
Do your homework before getting a new dog. Take your time to research the different breeds and what their needs are. You might find that a dog you like the looks of, would be a terrible fit for your family. Too many dogs end up in shelters because people didn't take the time to learn about their newest family member before getting them.  
  
Time, energy and knowledge will make the living arrangement with a dog more enjoyable for everyone. Use what you have just learned to help the household adapt to the addition. Dogs can be great friends and companions if you take the time to train, love and care for them properly.  
  
We had been guided to that report about Dogs through a friend on our other site. So long as you liked our blog post plz consider to pass it around. Thank you for your time invested reading it.

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