1. Any individual has their own piece of advice with regards to Pets.
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3.  Best Advice for Dogs with Skin Issues
4.  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.
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6.  Before I tell the ongoing saga with Mr. Stix's skin. Here is my best advice for dogs with skin problems.
7.  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.
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10.  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.
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13.  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).
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17.  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.
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20.  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.
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23.  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.)
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25.  Mr. Stix's Story as a Dog with Skin Problems
26.  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.
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28.  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.
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30.  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.
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32.  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.
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34.  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.
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37.  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.
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39.  Post-Biopsy Diagnosis
40.  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.
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43.  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.
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46.  I was so hopeful it would work at the once-daily application, but the skin still didn't heal completely.
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49.  So, in early 2021, we started applying it twice daily on the advice of our veterinary dermatologist.
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52.  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.
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54.  Enter the Big Immune-Suppressing Drug
55.  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.
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58.  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).
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62.  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.
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65.  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.
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68.  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).
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71.  We made it to day 4, then the barfing started.
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73.  Anxiety
74.  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.
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77.  I supposed to check in with our veterinary dermatology team next week to confirm that Mr. Stix's weirdness and apparent suffering has improved.
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80.  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.
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83.  He is only 3 years old. I don't want to make anything worse. It honestly felt like I'd poisoned him.
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86.  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.
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89.  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.
90.  https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/
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92.  Look Here For Great Ideas About Dogs That Anyone Can Simply Follow
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95. Raising a dog is a big undertaking and long term commitment. The responsibilities that come along with owning a pet are numerous, however so are the rewards. This article aims to provide you with a few useful tips to help you with the different aspects of owning and caring for a dog.
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97. Your daily lifestyle should help guide your choice of dog breed. Joggers should get a high energy dog, for example. If you like to stay at home, perhaps you would like a small dog. By selecting the right dog breed, both you and your dog will be more content.
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99. If your young dog is teething and gnawing at everything, buy him a fun chew toy and keep it in the fridge. Not only does this provide him with a good alternative to your furniture, but the cold will help to make his gums feel better. Most younger dogs gnaw out of necessity, not poor manners.
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101. When choosing a dog for your home, don't forget to estimate the size it will be as a full grown adult. This is especially true if you have small children at home. Although a small puppy will be cute, it may grow into a large, one hundred pound dog. Do some research on the average adult size of the breeds you are considering.
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103. 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.
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105. Research a particular breed of dog you may be interested in before bringing him home. Lots of people make the mistake of falling in love with a type of dog, then find out later that the animal isn't really for them. Chihuahuas, for example, are a trendy type, but very difficult to fully potty train, especially in colder climates!
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107. Avoid issues of jealously if you have more than one animal. Particularly if you bring a young dog into the home of an older dog, problems can arise. Be considerate of the patience and energy levels of your senior dog and make sure his feelings aren't hurt by giving the new guy all the attention.
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109. Don't be upset if your dog does not want to get dressed up. It's becoming more popular to dress your dog in dog clothes, but some dogs just don't like the feeling of having clothes on. If your dog does not relax after the clothing is on, you should remove the clothing to avoid your dog trying to remove it by itself.
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111. If your vet has given you medication or special instructions for your dog, make sure that you follow them. He might not want to wear that cone on his neck and head, but it's there for a real reason! Your vet makes recommendations that will help your dog be happy and healthy, so you should follow your vet's advice.
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113. Don't be upset if your dog does not want to get dressed up. It's becoming more popular to dress your dog in dog clothes, but some dogs just don't like the feeling of having clothes on. If your dog does not relax after the clothing is on, you should remove the clothing to avoid your dog trying to remove it by itself.
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115. Remember that dogs are creatures of habit and anything you start with him will be expected in the future. If you're not keen on him sleeping with you, don't let him do it only on occasion. Likewise, if you don't want him begging at the table, never offer him a bite of people food. He will learn and accept things if you are consistent.
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117. 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.
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119. The pads of your dog's feet can become dry and cracked, so make sure that you moisturize them regularly. Ask your veterinarian for advice on which product to use. Avoid using moisturizers that are intended for humans, because they can make the pads too soft and your dog may get hurt.
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121. Be sure to keep your dog's nails clipped in order to prevent injury. This can occur both from the dog scratching itself or also from having its nails get caught in things such as carpet. In order to be sure you are cutting the nails correctly, be sure to check with the veterinarian or groomer.
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123. Don't bathe your dog after you have applied a flea or tick medication. Some medications tout that they are waterproo, but they only mean against rain or swimming. They will largely wash away with a dog shampoo, rendering the treatment ineffective. If you must bathe the dog after a treatment, use a soap free shampoo.
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126. Be sure to keep your dog's nails clipped in order to prevent injury. This can occur both from the dog scratching itself or also from having its nails get caught in things such as carpet. In order to be sure you are cutting the nails correctly, be sure to check with the veterinarian or groomer.
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128. Every dog needs to have a good amount of exercise in order to stay healthy and fit. It is a good idea for you to take your dog out for a walk at least once a day if you do not have a yard he can use to run around freely.
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130. Make sure that you carry small bags and gloves with you while you are out walking your dog. If he uses the bathroom outside, it is your responsibility to clean up the mess. It is unsanitary for you to leave it there, and it some places you may receive heavy fines for that.
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132. Knowing the background of different dog breeds can help you in selecting the type of dog that will fit your lifestyle. Whether you are looking for a lapdog or a hunting partner, this article provides some valuable information. Remember the tips you have learned here when you visit breeders and pick out a puppy.
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134.  Have Any Dog-related Questions? We'll Answer Them
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137. 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.
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139. If you are looking for a great family pet, but are on a budget, consider rescuing an animal.You can get one at a local shelter for minimal costs and the dog will come with a clean bill of health and all his shots. If you are interested in a specific breed, contact a rescue group specializing in only those pooches.
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141. 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.
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143. Avoid impersonating a medical professional when it comes to your dog's health. In an attempt to save money, many people try to diagnose their pet's conditions or use human treatments on various elements and that can be very dangerous to the animal. If you can't afford full vet care, tell that to the doctor and ask their advice anyway or if they could arrange a payment plan for you.
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145. Your pet needs vaccinations, much in the same way that your baby does. Some common vaccinations that dogs require include rabies, hepatitis and distemper. Each pet is different, and each will have a different immunization schedule. Your veterinarian is a great resource when it comes to which vaccinations are right for the age and breed of your pet.
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147. Pet boarding and day-care services are a billion dollar business, so make sure you get your money's worth if you have to leave home without your dog. Although kennels offer interesting opportunities to socialize, your dog will be happier with familiar surroundings. Thoroughly check references for a sitter-service and keep him in his own home if at all possible. Otherwise, put PetsRoof.com dog breeds that begin with r in a reputable kennel and check up on him oft
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149. 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!
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151. If your vet gives you medication to take home and administer to your dog, be sure and ask for ideas on getting him to swallow it. Dogs differ in their tolerance of pills and badly-flavored liquids, so have a few tricks up your sleeve in case he resists. Getting a dog to take medicine is important, but often challenging.
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153. 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.
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155. Be consistent when giving your dog commands. This is an area where a lot of dog owners have a problem, especially when you won't feed your dog from the table but your spouse will. Make sure that everyone in your home understands what's acceptable so that the dog will receive a clear message. That will make him more likely to obey.
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157. Be certain a lost dog can be returned to you by giving him some identification. To make it more likely that your dog finds its way home to you should it become lost, outfit it with a collar that has identification tags attached. Make sure that a current telephone number and the dog's name are included on the tag. Another good thing to do would be to have a micro-chip put in your dog.
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159. If your dog suffers from constipation or diarrhea, you can try feeding the pet canned pumpkin. This is not same as pumpkin pie filling. Pumpkin contains fiber which helps with constipation. In addition, it also absorbs water which helps with diarrhea. Don't give the dog much, just a teaspoon or two with the dog's regular meal.
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161. Just like people, dogs need plenty of exercise for optimum health. Dogs are naturally hunters and love to run by instinct. Take your dog to the park, play Frisbee with him and give him a daily walk. This will help keep him physically healthy but will also make him mentally healthier.
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163. It is very important that you put a lot of thought into whether or not you're ready to add a dog to your family. There is a lot involved and it's too simple to fall for a cute puppy's face. Take the time to consider everything first so that you can be confident that you are capable of managing it all.
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165. 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.
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167. As a responsible dog owner, you'll want to pay careful attention to your dog's food and eating habits. Foods that are high in calories are great for growing puppies. However, eating that food when they're an adult can cause major weight gain that can harm their health.
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169. When training your dog, always make sure that you enter a room before allowing the dog to. This is important because it is an obvious form of dominance that your dog will understand. Establishing dominance will help with your ability to train your dog and with its overall behavior patterns.
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171. Just as you would with a baby who has just begun to walk, you should take certain measures to protect your dog from harm in your home. For instance, if you decide to get a dog, get rid of any poisonous plants you have in your home. So many dog injuries and deaths can be prevented by taking a few simple steps.
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173. Puppies may be cute when biting on a slipper, but the cuteness fades when it turns into a dog who is ripping them apart. Stop these problems early. If this article tells you all you need to know doing something wrong, say "no" firmly. It is best to address this issue early.
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175. Hold on, take some deep breathes and tomorrow will be better than today. Use the advice you have read here and allow it to give you ideas of your own. There is nothing like loving a dog, and while the job of caring for them is hard, it is worth every second.
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177. We had been made aware of that write-up about Pets through a buddy on our other web blog. Are you aware of somebody else who is excited by the subject? Be sure share it. I am grateful for being here. Please come visit our blog back soon.
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181. Website: https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/