Originally Posted by
Renee
Hi and welcome. I am so sorry that you are dealing with CC. My pug was first diagnosed with CC in Oct of 2013. Before it was all said and done, she had open lesions from the top of her head to the base of her tail. She is now what I would call in 'remission'.
First, I'll just put this right out there - there is NO cure for CC other than bring the cortisol into proper therapeutic range and keeping it there long term. The proper range is a post of below 5 ug/dl. And, when I say long-term, I mean staying in range for months or for life. My pug stopped her meds for about a month during a bout of pancreatitis. In just 3 weeks, I saw lesions recurring.
There are things you can and should do to help manage the CC, but none of these items will cure it. They can help, that is all.
CC lesions are very susceptible to secondary infection, so I do suggest you run a course of abx on occasion, especially if things are looking particularly bad. In combination with the abx, I also suggest you add a high quality probiotic.
I did use tramadol for pain, as needed. I think they are painful. Or, at least they were painful for my pug.
You may be told that DMSO is a treatment. My personal belief is that it does nothing and is an outdated treatment. But, that is only my opinion, and there are those that have reported good results using DMSO. It will not cure the CC though, so don't think it will. It smells horrific and you'll need to wear gloves when using it. I used it on my pug for about 2 weeks then stopped. I could see it was doing nothing but making her uncomfortable and making my other pugs treat her like she had leprosy.
What I did find helpful for topical treatment was using tea compresses. Not tea tree oil! Just tea bags, like lipton or chamomile tea. I did clip the hair around the areas as well, to keep them open and exposed to air, and I did peal away the scabs that were ready to come off, otherwise they just rotted over the skin. I never covered the lesions up, although I understand covering them may be necessary to prevent your dog from itching them.
Another CC mom, Dawn, had success using a spray she purchased on amazon. I cannot recall the name, something like cetochlor? I think this helped keep infection down.
Some people have used weekly medicated baths. I'm not opposed to this. My personal choice was not to bathe my pug until her lesions were in a significant stage of improvement. I didn't think the sores needed anymore moisture and I didn't want anything else topical on them to irritate the skin more.
I actually think some time in the ocean may not be a bad idea, especially if the sores are crusty right now. If they are open and oozing, then I would not recommend it.
The lesions will bleed, crack, ooze, peel away, look raw and angry, then eventually start to dry out. When they begin to flake and dry out, I believe they are on their way to getting better. Also, keep in mind, they will get worse before getting better, and even as you bring the cortisol down, the lesions that are below the surface will continue to bust through and break open. This went on for about 6 months for us. Hopefully they will not be as angry as the ones that you may be dealing with now though.
Sorry I've typed so much. I'm working a lot right now, so I am not on all the time, but I always watch the CC threads.