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 this handy article 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.
Great Advice And Ideas About Dogs That Anyone Can Grasp
Dogs are truly the greatest creatures on Earth. Whether or not you agree with my assessment, you must love them as you have arrived at this article which gives you many tips and tricks regarding caring for a dog. Pet ownership is not easy, so continue reading this article to find out as much as you can.
Be sure to have your pet spayed or neutered. Research shows that taking this simple action can help your pet live a longer life, as it can reduce the risk of cancer. Spayed and neutered dogs wander less often as well, so this reduces likelihood of your dog getting hit on the road or lost.
If your dog is very rowdy or easily excitable, experts recommend that you don't bring them along on vacation. Many times the thrill and confusion of a new area filled with strangers is too much for the hyper dog and unpleasant incidents may occur. Find a great kennel to care for your pooch instead.
It is important to use your lifestyle as a guide to what breed of furry friend you should get. For instance, if you like to go running, you're not going to want a little dog that can't keep up with you. Likewise if you spend quite a lot of time at home you may want to get a dog that likes to be pampered a lot. Getting a dog that matches your lifestyle will make you both more happy.
If your dog spends a lot of time outdoors, he or she may eventually come in contact with a skunk. If he gets sprayed, mix together one teaspoon of dish-washing detergent, a fourth a cup of baking soda and a quart of hydrogen peroxide solution (but make sure it is no more than three percent). Apply the mixture to your dog's coat and allow it to sit for five minutes. Wash your dog off well afterward.
Let your dog know who is boss! Unless shown otherwise, a dog will naturally assume that he is the leader of the pack - once this has been established it is quite difficult to persuade him otherwise! When disciplining your dog, be firm in tone, but calm. Never punish a dog in a physical manner, as this will lead to lifelong mistrust. Also, when he behaves, remember to praise him!
If you want a dog that behaves well you must take the time to properly train it. If Pets Roof mom cats eat their kittens do not do this then you will almost surely be dealing with behavioral problems for the length of the dog's life. Training is the only way that you can prevent this from happening.
If you are struggling to get your pet to behave during a grooming session, apply positive reinforcement. With your words and your tone, praise your dog for anything little thing that he or she does well during the time you are working with him. Give him a treat when you are finished, so he begins to associate grooming with something good. You should turn your dog's behavior around in no time!
If you live with other people, make sure they are aware of your training "rules." It is important that everyone redirects the dog off of the furniture, for example, and that they use the same language when doing so. If everyone's rules are different, your dog is just going to get confused, which will make the training process much longer and more difficult.
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.
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.
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.
To ensure that your dog is safe, you should try to make your home as dog-proof as possibly. This includes making sure that only safe play toys are within your dogs reach. If you have a problem with your dog getting into your kitchen trash or the things on your counter, you could consider getting a baby gate to prevent your pup from entering the kitchen.
Know that an animal doesn't need too many people telling it what to do when it's being trained. Many people do it differently than just having a few commands to give your dog. Only allow one person to teach the dog things and then everyone else should learn what that person has taught the dog and stick with that.
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.
Just like people, dogs need their exercise too. Playing a game of fetch or Frisbee is a great way to get your dog to burn some calories, while having fun at the same time. Dogs should also be walked everyday. Some dogs require more exercise than others, which is why it is so important to understand your dogs needs.
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.
When you make the decision to get a dog, it is important that you have the proper type of fence in your yard. Of course, the size of the fence you need depends on the kind of dog you will be getting. The bigger the breed, the higher the fence should be.
You don't have to worry about your pet's care anymore. There are many more options concerning dog food than what you find in the grocery store. Just keep everything you've read here in your mind and you shouldn't have a problem finding a good diet for your dog.
Tips To Better Understand Man's Best Friend
Owing an animal is a major responsibility. In a way, it's almost as if you have a child, but your dog barks vs crying. While this is a serious responsibility, you can care for them with knowledge and patience. Continue reading to find out some great tips for caring for your dog.
If you're taking your pup on a vacation, make sure that you take a picture of him for on your phone. This way, if you find out that your dog went missing along the way, you will have a recent picture that you can show to people when you go out to look for you pet.
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.
Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.
Take your grown dog to the vet at least once a year. The vet will check to see if the dog's vaccines up to date. In addition, the vet will check the dog's teeth and vital signs. If any major health or behavioral issues come up between annual checkups, you should see the vet earlier.
Always follow any instructions from the vet carefully, especially if your dog requires medication or other special attention. There's a reason dogs have to endure uncomfortable situations like a cone-collar! Your vet will recommend things that are good for the health of your dog, so make sure that you follow his advice.
If you're trying to break one of your dog's unwanted habits, make sure that you understand that it will not happen overnight. Breaking a habit takes time and patience. Don't get discouraged and give up if it seems like your pup isn't making progress. Keep at it and maybe try changing your approach to the training. Sometimes this can be the boost that your dog needs.
Know your dog's behavior and body rhythms well, to keep him at his healthiest. Medical issues often present themselves in slight nuances early on and if you know your dog, you'll see them. Pay attention to input and output, sleep duration, energy levels and so forth to keep on top of important issues that affect his health.
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.
Attention exercises must be practiced daily. These exercises will help you gain your dog's attention when they are barking or being disruptive or destructive. Once you can gain your dog's attention, you will have less to worry about when you have him out of the house or when there is company over.
Your dog has to be leash trained. Your dog should walk beside you, not lag behind or run ahead, and should obey the command "heel." Doing this will not only be easier on you, but it will also keep your dog safe. Understanding that command is great, even if you choose to still walk with a loose leash periodically.
Do you have a hard time keeping your dog from barking? You might be encouraging this behavior without even realizing it. Your dog will keep barking if you acknowledge this behavior. It is best to ignore your dog until it stops barking, even if your dog wants to come inside.
In order to potty train a puppy, it is of utmost importance to take the dog outside frequently. Doing this will familiarize your puppy with the association between outside and going to the bathroom. Failure to do this will result in a harder time breaking your new family member of his/ her bad habits.
The kind of leash you use when walking your dog is very important. A small leash that would fit a small dog, like a chihuahua, is not going to fit a Rottweiler or pit bull. Get a leash that will fit your dog comfortably but also provided them with safety.
Try to use positive reinforcement on your dog. Rewards and praise work better and faster than violence and dominance. Treating your dog well is good for your pet's emotional health, but it's also the most effective training method. Be nice and enjoy the results.
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.
Take special care during the summer. Dogs have a coat of fur and can get hot very quick. Provide a shady, cooler place for them to relax. Clean water will also be extra important during these months. Dogs can be affected by the sun just like people can, so talk to a veterinarian about canine sunscreens.
No matter what kind or length of fur your dog has, it is important that they are brushed regularly. Without regular brushing, your dog's fur may become matted. Matted fur can cause inflammation on your dog's skin and is very difficult to remove. Also, brushing their fur regularly gets rid of dead hair and helps distribute oils.
After reading the tips, you should have a good understanding of the kinds of tasks you can undertake to care for your dog. You can always make improvements, so make sure you put the tips into practice. When you start seeing results, you'll be glad that you did, and your dog will be happy too.
Good Morning from the Golden Retriever Channel. This pupper is taking-in rain. Who turned on the sprinkler in the sky? Another good day in his life, so far.
— Golden Retriever Channel (@GoldretrieverUS) August 20, 2021
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