Dog Hot Spots: Identifying & Treating Hot Spots on Dogs

It’s never easy watching your dog scratch incessantly, especially when it turns into a red, irritated patch of skin. If this sounds all too familiar, your pup might be dealing with a hot spot. These painful, itchy areas can show up suddenly and quickly spiral into a much bigger problem, causing real discomfort for your furry friend. Hot spots, or acute moist dermatitis, are more than just a seasonal issue—they signal that something deeper is going on with your dog’s skin. But don’t worry, knowing what to look for and how to treat them can make all the difference. In this guide, we’ll break down everything you need to know to help your dog heal fast and prevent these frustrating flare-ups from coming back.  

What Is a Hot Spot on a Dog? 

Hot spots, also known as acute moist dermatitis or pyotraumatic dermatitis, are a common skin issue for dogs, especially in warmer weather. These inflamed, irritated patches of skin are not only itchy but can also appear red, weepy, and hairless—sometimes seemingly out of nowhere.  A hot spot usually starts as a small, red area that can be mistaken for an insect bite but quickly worsens. If left untreated, it can spread, becoming a painful, oozing lesion. These spots are the result of skin inflammation and bacterial infection, making them both uncomfortable and challenging to heal if not addressed promptly. 

What Causes Hot Spots in Dogs? 

Let's break down what causes hot spots in dogs in simple terms. Think of your dog's skin like a protective suit. Now, imagine something makes your pup start scratching – it could be a variety of reasons. Some dogs have allergic skin disease, which is like hay fever but for the skin. Others might have anal sac problems (yep, those little glands near their tail can cause big issues!), or even tiny mites causing a condition called demodicosis. There are lots of other itchy skin conditions too. 

Whatever the cause, all this scratching can create a tiny tear in that protective skin suit.  

This tear allows bacteria that already live on your dog's skin to enter the body. Usually, they're harmless, but when they get through that protective skin, they multiply quickly, causing an infection. These infections usually have fancy names, like pyoderma, which basically means ('pus in the skin') or folliculitis, which is an infection of the hair follicles. 

This can result in a hot spot, which is a red, itchy, often wet or oozy patch that can grow quickly. It's a bacterial breeding ground on your dog's skin. 

Unfortunately, the more your dog scratches, the worse it gets. It's a vicious cycle of scratching, infection, more itch, more scratching. Before you know it, that tiny spot can grow into a large, painful area. 

Also, hot spots love warm, moist environments. That's why they're more common in summer or humid weather. If your dog has a thick, heavy coat, they are especially prone to hot spots because of their dense fur that can trap heat and moisture against the skin. 

Common Causes of Hot Spots on Dogs Include: 

  • Allergies (to food, pollen, or other environmental factors)  

  • Flea bites or flea allergy dermatitis 

  • Ear infections 

  • Poor grooming or matted fur  

  • Underlying skin conditions 

  • Boredom or stress-induced excessive licking 

  • Moisture trapped in the coat after swimming or bathing 

  • Orthopedic problems causing prolonged lying down 

  • Anal gland inflammation 

 While hot spots can appear suddenly and look alarming, there's no need to panic. These conditions are treatable, and with the right approach, you can help your furry friend find relief. The key is addressing both the immediate issue and its underlying cause. If you notice a hot spot on your dog, it's best to consult your veterinarian promptly. They can help treat the infection and figure out what's causing your dog to scratch in the first place, putting an end to the itch-scratch cycle. 

What to Look for and How to Identify Hot Spots in Dogs? 

As a pet parent, finding a hot spot on your furry friend can be concerning. But don't worry, because knowing what to look for can help you catch these pesky skin problems early. 

Pictures of Hot Spots on Dogs 

So, what exactly should you be looking for? A hot spot is usually a red, angry patch on your dog's skin. It might look: 

  • Moist and shiny, sometimes oozing (gross, we know, but important to spot!) 

  • Reddish, or even greenish in severe cases 

  • Swollen and raised 

  • Hairless, as the fur often falls out or gets matted around the area 

Common Areas Where Hot Spots Tend to Appear 

Hot spots can show up anywhere on your dog's body, but they're particularly fond of certain places where allergic reactions usually kick in first. So, keep an extra close watch on these areas: 

  • Around the ears 

  • On the neck 

  • The face (especially those adorable cheeks!) 

  • At the base of the tail 

  • Along the flanks (the sides of your dog's body) 

Behavioral Changes to Watch for with Hot Spots 

Beyond the visual cues, you might notice some behavioral changes in your dog. They might be: 

  • Excessively licking, chewing, or scratching at a particular area  

  • Showing signs of discomfort or pain, like whining or being more irritable  

  • Shaking their head frequently (especially if the hot spot is near their ears)  

  • Becoming restless or having trouble settling down 

Diagnosing A Hot Spot 

Now, you might be wondering, "How can I be sure it's a hot spot?" While a visual inspection is usually enough for a preliminary diagnosis, your vet might want to do some detective work to figure out what's causing the hot spot. They might: 

  • Take a close look for any uninvited guests, aka external parasites 

  • Do an impression smear (basically, pressing a microscope slide on the area to check for bacteria or yeast) for cytological evaluation 

  • Perform a skin scraping to check if mites are present (tiny critters that can cause big problems) 

  • Take a skin culture (growing a sample to see what bacteria are partying on your dog's skin) 

  • Run some allergy tests if they suspect allergies are the culprit 

  • In rare cases, they might even do a skin biopsy (taking a small sample of skin to examine under a microscope) 

Remember, while it's great to be able to spot a hot spot, always consult with your vet for proper diagnosis and treatment. They're the experts who can help your furry friend feel better fast and prevent those pesky hot spots from coming back. 

Breeds that are At Higher Risk for Hot Spots 

While all breeds of dogs are susceptible, those who suffer allergic skin disease at higher rates are affected more frequently. These include dogs predisposed to allergic otitis externa, flea allergies and other forms of allergic skin disease. Breeds such as Golden Retrievers, Labrador Retrievers, German Shepherds, and Saint Bernards are more prone to developing hot spots due to their thick coats. 

How to Treat Hot Spots on Dogs  

Hot spots are considered highly treatable, but frustrating to deal with. Because they're often intractable via topical medication alone (including sprays, powders and shampoos), injectable and/or oral medications are often required to resolve the condition. 

The Treatment Process for Hot Spots Typically Involves: 

  1. Clipping and cleaning the affected area to remove hair and debris. This allows air to reach the skin and promotes healing. 

  2. Applying a topical antiseptic or antibiotic to the hot spot to combat surface-level infection. 

  3. Administering an initial injection of a short-acting corticosteroid. This can help reduce inflammation quickly and may prevent the need for longer-term corticosteroid therapy. 

  4. Prescribing oral antibiotics if a secondary infection is present or if the affected area is large. 

  5. Administering anti-inflammatory medications or longer-term corticosteroids to reduce itching and inflammation if necessary. 

  6. Using an Elizabethan collar (cone) or pet cone alternative to prevent further scratching or licking, which is important for breaking the itch-scratch cycle. 

  7. Implementing a regimen of medicated shampoos and sprays to aid in healing and prevent recurrence. 

  8. Identifying and addressing the underlying cause to prevent future hot spots. 

It's important to note that while home remedies like aloe vera gel can provide temporary relief, professional veterinary care is a must for properly treating hot spots and addressing the underlying cause. Your vet will tailor the treatment plan based on the severity and extent of the hot spot, ensuring the most effective approach for your dog's specific situation. 

The Road to Recovery of Hot Spot Dog Treatment 

Once treatment has begun, most dogs show rapid improvement. In many cases, the hot spot resolves in as little as three to seven days after the start of treatment. However, it's crucial to continue the full course of any prescribed medications and follow your veterinarian's instructions carefully to prevent recurrence. 

Preventing Hot Spots on Dogs 

Preventing hot spots usually requires an all-inclusive treatment of the underlying skin disease, so you’ll want to focus on preventing those when possible. There are several steps pet owners can take to reduce the risk of hot spots: 

  • Maintain a regular grooming schedule, especially for dogs with thick coats 

  • Keep your dog's coat clean and dry, particularly after swimming or bathing 

  • Use effective flea control products year-round 

  • Address any underlying skin conditions or allergies with your veterinarian 

  • Provide mental stimulation and exercise to prevent boredom-induced licking 

  • Consider using hypoallergenic shampoos for dogs with sensitive skin 

  • Ensure your dog's diet is balanced and appropriate for their needs 

  • Regularly check your dog's skin for any signs of irritation or infection 

  • Keep pets indoors to prevent the onset of these lesions, as hot, humid weather conditions are known to exacerbate this condition.  

  • Use avoidance measures such as the Elizabethan collar when you notice your dog scratching a lot. 

The Role of Pet Insurance in Managing Hot Spots 

Hot spot treatment costs can vary widely, from $100 to $200 for simple cases to upwards of $2,000 for more complex situations requiring extensive diagnostics like allergy testing. These unexpected expenses can quickly add up, especially if your furry friend is prone to recurring hot spots. 

This is where pet insurance becomes invaluable. A comprehensive pet insurance policy can help cover the costs of diagnosing and treating hot spots, including veterinary visits, medications, and specialist consultations if needed. 

Additionally, Embrace offers an optional, non-insurance wellness coverage plan for preventative expenses such as regular check-ups, vaccinations, and even grooming – all of which play a vital role in preventing hot spots and maintaining your dog's overall health.  

By investing in pet insurance, you're not just protecting your wallet; you're ensuring that your furry friend can receive prompt, comprehensive care whenever hot spots or other health issues arise.  

Keeping Your Pup Hot-Spot Free 

Hot spots might be a hassle, but they're definitely manageable with the right approach. By getting familiar with these annoying skin issues, you’re already ahead of the game in keeping your dog comfortable. The key is to catch those early signs as soon as they pop up—acting quickly means you can relieve your dog's discomfort and stop things from getting worse. 

But don’t just treat the hot spots; consider them a red flag that something else might be going on with your dog's health. Regular grooming and staying on top of any underlying issues can really help keep those hot spots from coming back. 

And if you’re dealing with a hot spot, don’t wait too long to see the vet. Professional care can make a huge difference in your dog’s recovery. 

In the end, you’ve got the tools to keep your dog happy and itch-free. With the right care and a little vigilance, you and your furry friend can look forward to many more happy, healthy days together. Here’s to a smooth and spot-free future for your beloved companion! 

References 

Moriello KA. Treatment of dermatophytosis in dogs and cats: review of published studies.Veterinary Dermatology. 2004; 15. Olivry T, DeBoer DJ, Favrot C, et al. Treatment of canine atopic dermatitis: 2010 clinical practice guidelines from the International Task Force on Canine Atopic Dermatitis. Veterinary Dermatology. 2010; 21: 233-248. Scott DW, Miller WH Jr, Griffin CE. Canine demodicosis. Muller and Kirk's Small Animal Dermatology. Philadelphia, W.B. Saunders, 2001: 457-474. Srivastava Mukesh, Ahuja Anil, Kachhawaha Subhash, Ankita. Management of Acute Moist Dermatitis in a Dog. Intas Polivet. 2013, 14:2.