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Moist dermatitis

What are hot spots on dogs?

A hot spot can go from a damp patch at bedtime to a raw circle the size of your palm by breakfast. This page explains why they spread so quickly, why swimmers and thick coats get them, what the vet does that you should not try at home, and what a groomer notices on the table.

A wet golden retriever wades through a river carrying a long stick in its mouth.

What they are

A hot spot is an itch the dog turns into a wound

Cornell's Riney Canine Health Center calls them moist dermatitis and says the name comes from the warmth the inflammation gives off. VCA describes red, inflamed, oozing sores that can contain pus, smell, hurt and itch, most often on the head, legs and hips. What sets them apart is that the dog does the damage: VCA explains that a hot spot usually results from self-trauma, a dog licking or scratching an itchy area until it becomes an open wound.

The itch underneath can come from many places. VCA lists allergies to food or the environment, bites from fleas and mites, ear infections, bacterial or yeast skin infections, matted fur that traps moisture, a coat left wet after swimming or rain, boredom, arthritis or back pain that makes a dog lick a joint, and impacted or infected anal glands. Cornell names allergies and external parasites such as fleas as the primary causes, and notes that wet ears from swimming can lead to a hot spot below the ear.

  • Fleas and other biting insects
  • Allergies to food or the environment
  • An ear infection, with the sore below the ear
  • Anal gland trouble, with the sore near the tail
  • A coat left damp after a swim, a bath or rain

Why they spread

Licking feeds the sore, so it can double in size while you sleep

VCA describes a lick-itch-lick cycle: licking soothes for a moment, keeps the skin wet and inflamed, and makes it itch more. Cornell adds that licking increases inflammation, spreads the sore area and delays healing, and VCA says hot spots can dramatically increase in size in a very short period. Thick hair makes things worse by hiding the early stage, and VCA notes that a hot spot can sit unseen under matted fur until the dog's fixation or the smell gives it away.

That is why thick-coated dogs and swimmers top the list. Cornell says hot spots are most common in dogs with long or thick coats, naming Newfoundlands, German shepherds and golden retrievers, and that warm weather brings more cases, although they can appear at any time of year. On Cape Ann that means two seasons of risk: the humid weeks of July and August, and the off-season swims from October to April, when the Gloucester beaches reopen to dogs and a long drive home follows in a coat wet to the skin.

First steps

Stop the licking, leave the scissors in the drawer, and call the vet the same day

VCA's treatment outline starts with the part you can do: stop the self-trauma with a cone or a barrier such as a sock or a light bandage. Then it moves to the vet's work, which includes finding and treating the cause, clipping the hair around the sore, a step VCA calls crucial and one that may need sedation, and cleaning the skin before any treatment goes on. VCA also warns against trimming the hair with scissors, because of the risk of cutting the skin.

Cornell gives a clock to act on: if a sore is more than 24 hours old, infection is likely and a trip to the vet is in order. In practice, call the same day you find one. Leave creams, oils and human products in the cabinet, since they will be licked off and can make the vet's job harder. Tell the vet about recent swims, fleas, ear scratching or scooting, because a hot spot that keeps returning usually has a cause nobody has dealt with yet.

  1. 01

    Part the hair and look for a red, wet, warm patch, often with a smell

  2. 02

    Stop the licking with a cone, or a loose sock or T-shirt over the spot

  3. 03

    Keep scissors and clippers away from the skin

  4. 04

    Put nothing on the sore until your vet says what it needs

  5. 05

    Call your vet the same day, and sooner if the patch is growing

  6. 06

    Tell the vet about swims, fleas, ear scratching and scooting

On the grooming table

What a groomer sees, and why the groom waits until the skin heals

Groomers part a coat all over, so they often find a hot spot before an owner does: under a mat behind the ear, beneath the collar, at the top of a back leg or near the tail, usually on a dog that flinches when the brush gets close. At Dogtown, anything red, wet or sore that turns up on the table is pointed out to you at pick-up with the advice to see your vet. A groom goes over healed skin, not an open sore; clipping around a raw patch is the vet's job.

Once the skin has healed, grooming becomes part of prevention. VCA says some dogs benefit from seasonal grooming, regular brushing and bathing, and a thick coat kept free of mats lets air reach the skin. A Dogtown bath is $55 to $95 by size; Shed Release at $10 clears loose undercoat from heavy coats, dematting is $15 per 20 minutes, and the $8 antiseptic or fungal shampoo is for skin your vet has asked to have washed that way. Cornell's most important preventive step is good flea and tick control.

  • Brush a thick coat right down to the skin, especially in summer
  • Dry to the skin after every swim, ears included
  • Keep fleas and ticks under control all season
  • Book a de-shed before the heaviest coat blow

At Dogtown

Grooming that keeps thick coats dry and clear

Brush-outs, de-shedding and a thorough dry help healed skin stay healthy; open sores go to the vet first.

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Asked and answered

Questions people ask about this

Short, complete answers you can act on today. More in the full FAQ.

Why do hot spots appear so fast?
Because the dog keeps making them worse. VCA describes a lick-itch-lick cycle, and both VCA and Cornell say licking spreads the sore and slows healing. A patch that began as an itch at bedtime can be a raw, oozing circle by morning, especially under a thick coat that hides it. Stop the licking and call your vet.
Can I treat a hot spot at home?
Only the first step. Keep your dog from licking it with a cone or a loose covering, then call your vet. VCA says clipping the surrounding hair and cleaning the sore properly are crucial, sometimes under sedation, and warns against using scissors. Cornell says a sore more than 24 hours old is likely infected. Do not apply creams or human products.
Which dogs get hot spots most?
Cornell says they are most common in dogs with long or thick coats, naming Newfoundlands, German shepherds and golden retrievers, and that warm weather brings more cases. Swimmers, dogs with allergies or fleas, and dogs with ear or anal gland problems are also prone, because each of those gives the dog something to lick or scratch.
Will a bath help my dog's hot spot?
Not until your vet has seen it. A bath wets the coat around an open sore, and the cause needs finding first. After it heals, regular brushing and bathing help some dogs, according to VCA. If your vet wants a medicated wash, our $8 antiseptic or fungal shampoo add-on can go on a bath, which starts at $55 by size.
How do I prevent hot spots after swimming?
Dry the coat right down to the skin, not just the surface, and dry the ears too, since Cornell links wet ears from swimming to hot spots below the ear. Once the coat is dry, brush out a thick coat so no damp mats stay against the skin. Our how-to on drying a dog after the beach covers the routine step by step.

More questions? Read the full FAQ

Sources

Rules and dates change. We re-check every beach, licensing and ordinance page each spring and fall; the source above is the current word.

Next step

Keep a thick coat dry to the skin

Book a bath or a de-shed online once your vet has cleared any sore; grooming needs no evaluation.

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