Monthly Archives: December 2018

RandomSkin

So here’s the frustrating thing about skin cases.

Random Guesses After All Else Has Been Tried – Just Do Them ALL?   .pdf download or read it below.

All my refractory / resistant skin cases eventually go through some sort of ’empirical’ treatment and diagnostic process.
And figuring out skin problems has been mysterious sometimes and sometimes, people are frustrated by how long it takes to hit the Golden Note on the case.

So, here are some cases and their outcomes. This is to illustrate how screwed up some skin cases are.

Case 1: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Nothing was really making any difference, then the dog was switched to a diet based on Millet and Duck and was cured.

Case 2: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

We could make some progress but the dog was never “right” but when we started adding *raw Honey* to the diet and the dog’s ears cleared up and all it had was some mild itchiness which responded to antihistamines.

Case 3: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

The dog responded just about every time we intervened with antibiotics and the like, and we realized the dog was PERFECT *only* when it was getting JUST antibiotics and spent the next 11 years with ZERO itching, nor skin lesions, with no medicines of any kind for skin conditions, but ate ten million Cephalexin capsules over it’s lifetime.

Case 4: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Medications worked most of the time but was constantly relapsing, then we treated with antibiotics for 6 preposterous weeks and THAT long terms course of antibiotics finally fixed the skin, indelibly.

Case 5: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Nothing was really making any difference, in desperation we put the dog on Ivermectin and the case grew its hair back and cleared up. It never had mange but the treatment for mange exerted complete control.

Case 6: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Nothing was really making any difference, so I took a wild, desperate guess and put the dog on Diflucan (antifungal) despite the fact that it had no lesions consistent with ringworm, and it was “cured” and grew it’s hair back and was free of skin disease for years.

Case 7: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

We didn’t like steroid side effects like constant drinking and peeing plus weight gain, and We gave a cytopoint injection and absolutely NOTHING happened and they owner had spent a bundle on it, and the shot might as well have been tap water.

Case 8: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

We didn’t like steroid side effects like constant drinking and peeing plus weight gain, and we gave a cytopoint injection and the dog was ‘cured’ for weeks and has been getting Cytopoint monthly ever since.

Case 9: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Medications worked most of the time but was constantly relapsing, finally, after a couple YEARS of skin scrapes to “confirm” that “beyond a shadow of a doubt that it’s not mange, running scrapes for free I was so sure that mange wasn’t involved, and YEARS into the case we found mange that had sprung up from all the cortisone use and fixing that, fixed the case. So when, along in there, did we fix the skin only to have a different problem sneak in?

Case 11: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Medications worked most of the time but was constantly relapsing. After almost a year of management in a very old dog, the dermatologist was suspicious that the dog might have “Cushing’s Disease” as a possible disorder the dog had, based on clinical signs and sent him back to me for diagnosis. I ran the obligatory tests and in fact the dog DID have Cushing’s. Fixing the Cushing’s also fixed the skin. A Cushing’s work up is about a thousand dollars the first month, diagnostically and may or may not even impact the skin. In this dog’s case, it WAS the whole case.

Case 12: Dog, itchy, chronic ear infections, sores on the body, foot licking
We gave oral antibiotics for the skin infections and tried to manage the skin itching situation with anti-inflammatories and anti-histamines.
We managed prevailing skin health conditions with soothing, emollient shampoos and some disinfectant foot treatments and wipes.

Nothing was really making any difference, and honestly, the dog was better off dead than struggling with its skin all wrecked and bald. So we took our chances with this dog, (and four others which were similarly miserable and nonresponsive) to put them on Apoquel, known to cause cancer in some dogs. Within a few months we buried Bella with Lymphoma. The other four dogs remain well-managed with Apoquel and we have our fingers crossed.

How much pumpkin should I give my dog?

Pumpkin

Pumpkin for Pets

If you wanted to give the same amounts of fiber to your pet that is found in one high-fiber therapeutic diet, you’d need to feed more than 2 ½ cups of pumpkin per day to a cat and nearly 12 cups per day to a medium-sized dog.

I hear from owners—and vets—all the time that they’ve added pumpkin to a dog or cat’s diet to increase the fiber. Dog and cats don’t require any fiber in their diets. But it can help with issues such as diarrhea, constipation, diabetes, and high fat levels in the blood, as well as to help overweight pets feel full while on a weight-loss diet.

Typically, I see people giving anywhere from ¼ teaspoon to 2 tablespoons of pumpkin at meals to increase a pet’s fiber intake. Unfortunately, this may not help and, in some cases, may cause problems. That’s because if you wanted to give the same amounts of fiber to your pet that is found in one high-fiber therapeutic diet, you’d need to feed more than 2 ½ cups of pumpkin per day to a cat and nearly 12 cups per day to a medium-sized dog!

The minuscule amount and type of fiber in pumpkin usually limit its effectiveness as a fiber source. But pumpkin also can contain ingredients that undermine a pet’s health. While canned pumpkin is only 83 calories per cup, canned pumpkin-pie mix is up to 281 calories per cup due to added sugar, which can pack on the pounds. Too many calories from pumpkin (anything more than 10 percent of total calorie intake) can unbalance your pet’s diet. And canned pumpkin without salt contains only 12 milligrams of sodium per cup, but some canned pumpkin brands with salt contain nearly 600 milligrams of sodium per cup—way too much sodium for a dog or cat with heart or kidney disease.

Finally, by adding a lot of fiber from pumpkin you may accidentally decrease how much protein and other nutrients your pet can absorb from their food, putting them at risk for deficiencies.

So, what’s a better way to add fiber to your dog or cat’s diet? Talk to your veterinarian, who can recommend an appropriate fiber supplement or prescribe a therapeutic diet that contains increased amounts of the specific types of types of fiber—which each have different effects in the gastrointestinal tract and throughout the body—needed to address your pet’s individual needs.

Full credit: Lisa Freeman, J86, V91, N96, head of the veterinary nutrition service at Cummings Veterinary Medical Center
https://now.tufts.edu/articles/people-giving-pets-pumpkin-it-good-them

Caption: If you wanted to give the same amounts of fiber to your pet that is found in one high-fiber therapeutic diet, you’d need to feed more than 2 ½ cups of pumpkin per day to a cat and nearly 12 cups per day to a medium-sized dog.

Coaltar

Coal Tar Soap 

I recommend this as a mild keratolytic with the following properties

  • Economy over liquid soap
  • Dissolves small dandruff particles
  • Anti fungal properties
  • Anti bacterial properties
  • Soothes broken / infected / oily skin

How to use it: 

  • Use it frequently (every third day?) until skin is better
  • Apply to wet dog and lather into the coat
  • Let your fingers rub the flakiest areas to try and dislodge the flakes / crusts
  • Let stay on coat for a few (5-7) minutes after lathered.
  • Rinse well. Blot dry.

Dentex

Dental Exercise in Dogs

So, I tried everything I preach at the office. Ajax (my main man) 3/5 black Lab and 1/4 Pit – gets a “treat” every time he comes in from his morning and evening “constitutional”

He’s always loved his Knucklebone.

You need to know that dental exercise has components of tooth scraping, gums toughening, germ killing, slime-stopping, and more. And sadly, NO SINGLE DENTAL EXERCISE MEETS ALL REQUIREMENTS., And some suck worse than others.

But I tried all that other jazz out there – for a month I did Oravet Chews. And another month I did CET chews. I used Greenies in Trudy for MANY years and I have had my dogs on Oxyfresh for a very long time as well.

So I did a chart of what works the BEST. (For my various dogs.)

Dental Exercise In One Page

Pantene

Pantene Conditioner Spray is a Home Made Moisturizing Spray for short coated dogs.

So, you can mix some Pantene Conditioner into a bottle of warm water, and shake it REALLY, REALLY well.. The Pantene doesn’t “mix” with the water, it almost “dissolves” and it takes a minute. Once mixed, it’s easy to “re-mix” and should be, before you spray it on the dog.

There’s a “strength” and a way to use it.

Download the one pager on this, here.

Pantene conditioner spray home made moisturizing spray for short coated dogs.

Post Nasal Drip Hack and Gag Canine

Post Nasal Drip Hack and Gack

A colloquialism for those dogs with a cough that ALSO isn’t anything else. What does THAT mean?

PND Hack n Gack is an allergy to airborne pollutants including pollen, smoke, smog, and moulds. It’s got certain characteristics and can be a ‘thing’ for a dog’s whole life.

Post Nasal Drip Hack and Gack – What an Owner Should Know About This Diagnosis.

Kidney Disease in Dogs and Cats

Cat and Dog Kidney Impairment

So you’ve been told that your cat or dog suffers from kidney impairment. Doc’s going to look at several things and run a couple tests to make sure that it isn’t caused by anything except old age.

If the kidney issues are age-related, this document details what you should know about kidney disease, how it’s assessed and what the prognosis is. Treatments are listed, but the details of those should be provided in separate documents.

Kidney Disease from Old Age in Cats and Dogs: What it means and what are the pet’s chances?