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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. what dog breeds get along with pit bulls 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/

Have Questions Related To Dogs? We'll Answer Them

Your dog is always there for you. No matter what, a dog will do what it takes to make sure you are alright. He always looks out for you, always wants your attention, and is always happy with you. Shouldn't you see what you can do for him? Here are some tips to help you be a great owner for your dog.

If the cost of your dog's high-quality food is a burden for your family, team up with another one and buy in bulk. The big-name pet store chains offer top rated names in pet cuisine at a significant discount when bought in the larger quantities. You can minimize the cost for you and some friends while still providing your dogs with fresh and wholesome meals.

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.

As soon as you notice your dog engaging in bad behaviors, immediately try to correct them. If you ignore it, it will be hard to contain it later. This could lead to huge problems down the road.

If your dog has separation anxiety or you wish to be really nice to them, keep music on while you are going to work. The noise make them feel more secure and keeps them company. This is a good way to keep your dog from feeling lonely.

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.

Teach your dog to be trained, even if you don't plan on devoting a lot of time to special tricks. A dog needs to understand the basic hierarchy of the home and should be prepared to listen and learn throughout his life. Practice the basics like "sit" and "down" in the beginning and introduce something new every once in a while.

If you are planning on getting a new puppy, plan on investing in some training classes. These classes offer a great opportunity for your puppy to socialize with other dogs and learn basic commands. These classes will provide your new puppy with a great foundation for future training and will help them get a great start in life.

Your dog should not be left alone outside all day. While this happens quite often, a dog needs interaction during the day. When your dog is the only one you have, leaving him alone will make him sad. a strong dog breeds start with r on bringing your dog inside when the weather is rainy, snowy, very hot, or very cold.


If your dog isn't happy or is lonely, consider buying a second dog. Because dogs typically run in packs, they typically love being around other canines. Match them on energy and temperament for the best selection.

Playing music in your home when you leave for your job may help your dog with separation anxiety. That helps the dog feel like someone is around. This could be the perfect fix to keep him calm until you return.

Keep your dog in comfortable housing. They should be able to rest off the floor and away from drafts. A training crate is a good choice or any covered shelter outside. Try placing a dog bed inside that has a warm blanket or a pillow inside. Wash the dog's bedding frequently.

Never leave your dog inside your vehicle. Remember that your dog needs supervision and that it could become dehydrated very quickly, especially during the hot summer months. It is best to leave your dog at home for a few hours if you have to go somewhere and cannot take your dog inside.

Control your voice to control your dog. When he is a good boy, speak in a high-pitched voice and shower him with praise. When he misbehaves, use a very low and gruff voice to indicate your displeasure. Being consistent with this will help him learn faster, making training him much easier on you and him.

If you pick up a dog from a shelter, make sure that he has been seen by a medical professional. You don't want to bring home a sick dog unless you are aware of it, particularly if you have other dogs at home. Make sure to ask if the dog you have chosen has been around sick dogs in the past few weeks as well.

Curb your expectations when it comes to your dog. When you train your dog, remember his attention span isn't like yours. Try training your pet little by little. Don't try to teach it too many things all at once, and be patient. This will help you to be sure that your dog doesn't associate training with being punished.

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.


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.

There are few greater joys in life than the love you can share with your loyal companion. It won't always be a walk in the park but the rewards are more than worth it. Enjoy your pup and continue to learn more to help keep your lives happy and healthy.

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