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How does a dog get a hot spot?

A dog gets a hot spot from self-inflicted trauma due to scratching, licking, or chewing irritated skin, which disrupts the skin barrier and leads to bacterial overgrowth and inflammation.

Understanding Hot Spots in Dogs: Causes, Symptoms, and Prevention

Hot spots, also known as acute moist dermatitis, are a common skin issue in dogs that can appear quickly and escalate rapidly. These localized lesions are typically red, swollen, moist, and often painful areas on a dog’s skin. Although they're usually not life-threatening, hot spots cause significant discomfort and require appropriate care.

What Causes Hot Spots in Dogs?

The primary trigger of a hot spot is self-inflicted trauma. When a dog persistently licks, scratches, or bites a specific part of the body due to irritation, it breaks the skin barrier and allows bacteria that normally live on the surface to proliferate in the deeper layers. The result? A painful, inflamed, oozing lesion.

Here are common underlying causes of this behavior:

  • Allergies — Flea allergy, food sensitivity, or environmental allergens can all cause itching.
  • Parasite infestations — Fleas, mites, or lice can lead to intense scratching.
  • Ear infections — Especially in dogs with drop ears, leading them to scratch around the head and neck.
  • Moisture retention — After swimming or bathing, if the coat remains damp, it can irritate the skin.
  • Skin infections — Bacteria or yeast overgrowth may initiate the itch-scratch cycle.
  • Anal gland issues — These can lead to licking around the base of the tail.
  • Behavioral concerns — Stress, boredom, or anxiety may cause obsessive licking or chewing.
  • Orthopedic pain — Dogs may lick joints or pressure points that hurt due to arthritis.
  • Exposure to irritants — Chemicals or foreign bodies can provoke scratching.
  • Poor grooming — Matted fur and dirty coats can trap moisture and debris against the skin.

Which Dogs Are at Higher Risk?

Certain breeds are more susceptible to hot spots due to their skin and coat type. These include:

  • Golden Retrievers
  • Labrador Retrievers
  • German Shepherd Dogs
  • St. Bernards
  • Rottweilers
  • Newfoundlands

Warm, humid climates and increased moisture from swimming or rain further increase risk. Dogs with chronic skin allergies also tend to experience recurrent hot spots.

Symptoms to Look For

Hot spots are usually easy to identify. Key signs include:

  • Red, moist, inflamed skin
  • Loss of fur over the area
  • Pus, fluid discharge, or crusting
  • A foul odor if infected
  • Intense itching or pain
  • Lesions on the head, ears, neck, hips, or limbs

Treatment Options

The first step in treatment is identifying the underlying cause. From there, veterinary or at-home care may include:

  1. Clipping or shaving fur around the area to allow air exposure.
  2. Cleaning the lesion with a mild antiseptic like chlorhexidine.
  3. Applying prescription topical medications as directed by a vet.
  4. Administering antibiotics or anti-inflammatories if prescribed.
  5. Using an Elizabethan collar (E-collar) to stop further licking or chewing.
  6. Monitoring for signs of healing or worsening infection regularly.

It is crucial to avoid using human creams unless approved by a vet, as they often lead to more licking and irritation.

When to See a Vet

Seek veterinary attention if:

  • The lesion is rapidly spreading.
  • The dog is in severe pain.
  • You notice signs of systemic illness (fever, lethargy).
  • The area is near sensitive structures like the eyes or throat.

Preventing Future Hot Spots

Preventative care is the key to reducing recurrence:

  • Bathe and dry your dog properly after water exposure.
  • Groom regularly to prevent matting.
  • Use consistent flea and tick prevention.
  • Manage known allergies with veterinary guidance.
  • Keep bedding clean and dry.
  • Provide mental stimulation and physical activity.
  • Address behavioral issues with training or enrichment.

Are Hot Spots Contagious?

Hot spots themselves are not contagious, but underlying parasitic causes like fleas or mites can easily transmit between pets. Rarely, fungal infections may play a role, necessitating extra caution in multi-pet households.

Recovery and Prognosis

Most hot spots resolve within 3–7 days with proper care. Regrowth of fur takes longer, and recurrence is possible if root causes aren’t addressed. Early intervention ensures less discomfort and less extensive treatment.

Final Thoughts

Hot spots are uncomfortable but manageable skin conditions. Understand your dog’s triggers, treat promptly, and work with a veterinarian to reduce the chances of recurrence. Diligence in grooming, activity, and health maintenance can help your dog stay hot spot-free and happy.

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