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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). 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  
  
  
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.  
  
Always give your dog plenty of attention and affection. When your dog behaves properly, make sure you let the dog know you are happy and give them some affection. This will help reinforce the good behavior and the dog will try to behave in this manner for the positive attention..  
  
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.  
  
Always have your dog on a leash when he's off your property. A wild animal may get his attention and cause him to run off, or he may have a bad situation with others and their dogs. As the owner, you will be held responsible for any damages your dog causes.  
  
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.  
  
Ease your dog into knowing a new baby that comes into your home. Dogs can be very jealous and you need to continue to show him plenty of love an affection, even though you've got a brand new bundle of joy in your life. Talk to the dog as you handle the baby and keep him in the loop.  
  
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.  
  
If you have tried everything to get your dog to stop digging your garden to no avail, head to your kitchen. Mix up a batch of cayenne pepper (five tablespoons), hot sauce (also five tablespoons) and a quart of water in a spray bottle and spray it where he digs. It should discourage him quickly.  
  
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.  
  
Be prepared for natural disasters that also impact your dog. Have an emergency supply of water and food for him and know in advance if your local shelter for people will allow pets inside. Too many pets are injured or lost following storms, floods and other situations that cause chaos in a community.  
  
Having too many people trying to train one dog can cause problems. Your dog might become confused by different methods, different vocal commands and different ways of offering praise or punishment. One person should be in charge, and everyone else needs to reinforce everything this person teaches the dog.  
  
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.  
  
Check you dog for parasites and take preventative measure. Flea and tick collars are important. Keep in mind certain collar work better in different seasons and geographic areas. In addition, check your dog's ears. Ear mites are common. Also, check the dog's stool to ensure he hasn't picked up worms in his digestive system.  
  
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.  
  
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.  
  
Outdoor doghouses are not enough to keep your furry friend comfortable in cold weather. You must also provide some sort of bedding for him. Choose from straw, hay, cedar bedding or even blankets. If you have any questions relating to where and the best ways to use Why is my cat trying to Bury her food, you could contact us at our website. Make sure that you change the bedding often no matter what you choose to ensure that there no bugs move in and mold doesn't grow.  
  
If you want your dog to learn to "sit", start by holding a cookie, or other treat, above his head. This will cause him to look up. When he looks up, gently push his hind end down, and give the command to sit. Give him the treat, and praise him. Soon, he will sit just by hearing the command and seeing your hand go up, and eventually will obey to the "sit" command alone.  
  
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.  
  
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