2025 Guide to Treating Dog Hot Spots Healing Stages

How can you tell if your pet is suffering from hot spots? What health risks do these pose, and how can you treat them effectively?

In this article, we'll walk dog parents through the following key points：

• What Does a Hot Spot Look Like on a Dog?

• Common Symptoms of Hot Spots in Dogs

• What Causes Hot Spots in Dogs?

• What Is the First Stage of Hot Spot Healing in Dogs?

• How to Treat Hot Spots on Dogs?

• How Can I Treat My Dog's Hot Spot at Home?

• Dog Hot Spot vs. Ringworm 

What Does a Hot Spot Look Like On a Dogs?

A hot spot on a dog appears as a red, inflamed patch of skin that is often moist and may emit a distinct odor. These areas are typically very itchy, leading dogs to scratch, lick, or chew at them excessively in an attempt to find relief. Additional symptoms may include hair loss, scabbing, and persistent licking or biting of the affected spot.

What Is the First Stage of a Dog Hot Spot?

The initial stage of a hot spot typically presents as a red, irritated, and inflamed area of skin, often caused by repeated scratching, licking, or biting. The skin may feel warm to the touch and appear swollen. As the condition worsens, you might notice the formation of dried pus, a crusty surface, and progressive hair loss around the affected area.

Pictures of Hot Spots on Dogs

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Symptoms of Hot Spot in Dogs

Hot spots in dogs, also known as acute moist dermatitis, are skin lesions that can cause significant irritation and discomfort. Common symptoms include: 

• Redness and swelling: The affected area will appear red, swollen, and inflamed.

• Itching: Your dog may frequently scratch, lick, or bite the area due to intense itchiness.

• Moisture: The skin may be wet or oozing, which can delay healing and encourage bacterial growth.

• Hair loss: Excessive licking or biting often causes the fur around the hot spot to fall out.

• Foul odor: An unpleasant smell may develop as bacteria accumulate in the infected area.

• Pain: The spot may be sensitive or painful to the touch, and your dog might react when you try to examine it.

What Causes Dogs to Get Hot Spots?

Hot spots, also known as acute moist dermatitis, can develop for several reasons. These inflamed, irritated areas of skin are often triggered by:

1. Bacterial or fungal infections
2. Allergies to food, environmental factors, or grooming products
3. Skin irritations or chronic conditions like ear infections
4. Hormonal imbalances that affect skin health
5. Behavioral issues such as excessive licking, biting, or chewing due to anxiety or boredom
6. Insect bites
7. Flea infestations
8. Poor grooming habits or matted fur
9. Skin trauma from scratching or injury
10. Moisture trapped on the skin after bathing, swimming, or rainy walks.

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All of these issues can lead to skin irritation, prompting your dog to scratch, bite, or lick the affected area—further worsening the irritation and leading to the development of hot spots.

Hot Spot Treatment for Dogs

1.Visit a Veterinarian First

The first and most important step is to take your dog to a veterinarian for an accurate diagnosis and treatment. Hot spots can stem from a variety of causes such as insect bites, allergies, or underlying skin conditions, each requiring different treatment approaches. Your vet will determine the cause and recommend the most effective course of action.

2. Avoid Known Allergens and Irritants

Keep your dog away from anything you suspect may be causing the reaction. This might include grass, pollen, fleas, or certain foods. Removing the irritant from your pet’s environment can help prevent future flare-ups.

3. Keep the Skin Clean and Dry

Bathe your dog regularly with a gentle, hypoallergenic shampoo to remove allergens and debris.

Be sure to thoroughly dry your pet’s skin and coat after any bath, swim, or exposure to moisture, as dampness can worsen the condition.

4. Use Topical Products to Soothe and Heal the Skin

Apply a soothing cream, spray, or ointment to reduce inflammation and support healing. For bacterial or fungal infections, you can use puainta Anti-fungal spray or Zinc Oxide Ointment. If your dog is experiencing itchiness, chlorpheniramine maleate may help relieve symptoms.

If you're interested in learning more about these medications,you can click here.

5. Consider Oral Antibiotics if Prescribed

In more severe cases, your vet may prescribe oral antibiotics alongside topical treatments. Commonly prescribed antibiotics include:

• Cephalosporins (e.g., Keflex)
•  Fluoroquinolones (e.g., Baytril, Cipro)
• Penicillins (e.g., Amoxicillin, Clavamox)

These are effective against a wide range of bacterial infections. Always follow your vet’s instructions carefully and complete the full course of antibiotics to prevent the infection from returning.

Hot Spot Medications for Dogs

Your veterinarian may prescribe a combination of oral antibiotics to eliminate the infection, along with a topical cream or powder to reduce inflammation and relieve itching. Commonly prescribed medications include:

• Amoxicillin (Amoxil, Polymox, Trimox):Amoxicillin is a widely used broad-spectrum penicillin antibiotic that treats various bacterial infections, including those affecting the skin. It is typically administered in tablet form.

• Clavamox (Amoxicillin&Clavulanate Potassium; also known as Synulox or Clavaseptin): Clavamox is a more potent version of amoxicillin, formulated to resist bacterial resistance. It’s especially effective for treating skin and soft tissue infections and is available in tablet form.

• Enrofloxacin(Baytril): Baytril is a broad-spectrum fluoroquinolone antibiotic that targets bacterial infections by preventing bacterial replication. It is available as an injectable or in flavored chewable tablets that most dogs find palatable.

• Cephalexin: Cephalexin is a broad-spectrum, bactericidal antibiotic effective against a wide range of bacterial infections, including those affecting the skin, bones, bladder, and respiratory tract. It is available in tablet form or as an oral suspension.

• Neo-Predef: Neo-Predef is a triple-action powder that combines an antibiotic, topical anesthetic, and antiinflammatory. It helps relieve itching, swelling, and inflammation while actively treating the infection.

• Tresaderm: Tresaderm is a topical solution used to treat bacterial and fungal infections of the skin and ears. It works by eliminating the infection and reducing inflammation.

• TriTop: TriTop is a topical ointment with anesthetic, anti-inflammatory, and antibiotic properties. It provides relief from itching and irritation while treating infections, and it can be used either short-term or long-term based on your vet's recommendation.

6. Provide a healthy diet for your pet, as it can help lower the risk of skin allergies and other health issues. Be sure to also offer plenty of fresh, clean water to keep your pet well-hydrated.

How Can I Treat  a Hot Spot On Dog at Home?

Topical Ointment

To treat a hot spot on your dog at home, start by gently trimming the fur around the affected area to allow it to breathe and heal properly. Next, clean the area using a 50/50 solution of hydrogen peroxide and water, then wash it with an antibacterial shampoo. After cleaning, apply an antibiotic ointment or a dog-safe hot spot spray to the area twice a day. To protect the wound and keep it clean and dry, cover it with a clean bandage or even a sock if appropriate.

Natural Therapy

Begin by thoroughly cleaning the affected area. Carefully trim the hair around the hot spot to reduce moisture buildup and improve air circulation.

Next, apply a soothing method by placing a cool, damp compress directly on the hot spot for 5–10 minutes. Repeat this process several times a day to help reduce inflammation and provide relief for your pet.

As a natural remedy, you can brew herbal tea using calming ingredients like chamomile or calendula. Once the tea has cooled, gently apply it to the hot spot with a clean cloth or cotton ball. 

These herbs have anti-inflammatory properties and can help soothe the irritated skin.

You can also apply pure aloe vera gel—make sure it contains no additives such as alcohol. Aloe vera is well-known for its soothing and healing effects, making it excellent for treating skin irritation.

Another natural option is to use coconut oil on the affected area. Coconut oil has antimicrobial properties and can help calm and nourish your dog’s irritated skin. 

Can a Dog's Hot Spot Heal on Its Own?  

In some cases, a hot spot may heal on its own if the underlying cause is resolved. However, it’s strongly recommended to consult a veterinarian to ensure the hot spot is properly treated and to prevent it from worsening or becoming infected.

How Long Does It Take for a Dog’s Hot Spot to Heal?

Just as hot spots can appear quickly, they also tend to heal quickly with proper treatment. The healing time depends on several factors, including your dog’s overall health, the treatment method used, and their individual response to care. Typically, signs of healing begin within 2 to 3 days after treatment starts, and most hot spots fully resolve within 7 to 10 days.

Dog Hot Spot Healing Stage

1. The First Stage of a Dog Hot Spot’s Healing Process

2. The Second Stage of a Dog Hot Spot’s Healing

3. The Third Stage of a Dog Hot Spot’s Healing Process

4. The Fourth Stage of a Dog Hot Spot’s Healing Process

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How to Prevent Hot Spots in Dogs？

Preventing hot spots in dogs requires a combination of good hygiene, regular grooming, proper nutrition, and a stress-free environment. Here are some practical steps you can take:

Regular Grooming

Brush your dog's coat regularly to remove loose hair and prevent matting.
Bathe your dog with a gentle, vet-approved shampoo. Avoid over-bathing, which can strip natural oils and lead to dryness or irritation.

Keep Your Dog's Skin Dry

Thoroughly dry your dog’s coat after bathing or swimming.
If your dog gets wet from rain or play, be sure to dry them off promptly to prevent moisture buildup that can irritate the skin.

Maintain a Healthy Diet

Feed a balanced, nutrient-rich diet to support skin health and a strong immune system.
Ensure your dog is getting proper hydration by providing clean, fresh water at all times.

Reduce Stress and Anxiety

Stress and anxiety can lead to excessive licking or scratching. Create a calm, secure environment and use positive reinforcement training to minimize stress triggers.

Trim Nails

Keep your dog's nails trimmed to prevent them from scratching and injuring their skin.

Provide Comfortable Resting Areas

Ensure your dog has a clean, soft, and comfortable space to rest. Use proper bedding to help prevent pressure sores, skin irritation, and to support overall skin health.

Flea and Tick Control

Fleas and ticks are common causes of itching and skin problems in dogs. Use veterinarian-recommended flea and tick preventatives regularly to help avoid infestations and protect your dog’s skin.

General Deworming Guidelines for Dogs:

• Puppies: Puppies should begin a deworming routine at two weeks of age. The treatment should be repeated every two weeks until they are around eight weeks old. After that, monthly deworming is recommended until the puppy reaches six months of age to ensure thorough protection during their early development

• Adult dogs: Adult dogs typically require deworming every three to six months. The exact frequency depends on factors such as their lifestyle, environment, exposure to other animals, and guidance from a veterinarian.

• Pregnant and nursing dogs: Pregnant dogs should be dewormed before giving birth to help prevent passing parasites to their puppies. Nursing dogs should be dewormed as well, as some types of worms can be transmitted through their milk.

The specific deworming medication used for dogs can vary depending on the type of worms or parasites being treated. Common deworming medications for dogs include:

• Pyrantel pamoate: It is commonly prescribed to treat roundworms and hookworms. It is often used in young puppies and is known for being safe and effective.

• Fipronil: Fipronil is primarily used to control external parasites. It is effective against scabies mites, adult fleas, flea eggs and larvae, ticks, and lice.

• Albendazole: A broad-spectrum antiparasitic medication that treats roundworms, hookworms, whipworms, and certain protozoa. It is typically used under veterinary supervision due to its potency.

• Milbemycin oxime: A versatile medication that protects against heartworms and also treats roundworms, hookworms, and whipworms. It is commonly found in monthly heartworm prevention products.

• Abamectin B1: Used to treat a range of internal parasites such as heartworms and intestinal worms, and is also effective against some external parasites.

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Dog Hot spot vs. Ringworm

Ringworm on a dog usually appears as a circular, red, scaly patch of skin with a bald center. It’s typically itchy and may feel raised or appear flat and flaky.

In contrast, a hotspot is a moist, inflamed, and hairless area on the skin, often caused by allergies, insect bites, poor grooming, or bacterial infections. Hotspots are usually red, irritated, and can worsen quickly if the dog continues to lick or scratch the area.

What Does Ringworm Look Like on a Dog?

Ringworm typically presents as a round, bald patch of skin that is red, scaly, and possibly itchy. It may also show up as raised bumps. In more serious cases, the area can develop a secondary bacterial infection, which may cause discharge, odor, and increased discomfort.

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FAQ

How Can I Stop My Dog From Licking Its Paws at Home?

First, use a recovery cone to prevent your dog from licking the area. This allows you to clean the paws properly and apply an anti-itch or healing spray. The cone also ensures the spray stays on the skin 

without being licked off.

Excessive paw licking can be caused by allergies—to shampoo, grass, pollen, or even certain food ingredients. If the irritation doesn’t improve after a few days of home care, consult your veterinarian to rule out underlying issues.

What Can I Spray on My Dog to Stop Itching?

There are several natural sprays that can help relieve itching:

Apple cider vinegar spray: Mix equal parts apple cider vinegar and water in a spray bottle. Spray it directly on itchy areas. The vinegar's natural acidity can soothe irritation and has mild antibacterial properties. Always avoid spraying on open wounds, raw skin, or broken areas without consulting a vet.

Aloe vera spray: Aloe vera has natural soothing and anti-inflammatory properties that can help relieve itching and irritation. To make a simple spray, mix a small amount of pure aloe vera gel with water in a spray bottle and apply it directly to your dog’s itchy areas.

Oatmeal spray: Oatmeal is a gentle, natural remedy known for calming inflamed skin. (To create an oatmeal spray, cook plain, unflavored oatmeal and allow it to cool. Strain out the solids, and pour the liquid into a spray bottle. Spray the affected areas on your dog’s skin for itch relief.)

Note: Always consult your veterinarian before using new products on your dog’s skin, especially if your pet has preexisting health conditions or is taking medication. 

How Long Do Dog Hot Spots Take to Heal?

The healing time for a hot spot can vary depending on its severity and how quickly it’s treated. In general, hot spots can begin to improve within a day or two if caught early and treated promptly. Full healing may take anywhere from several days to a few weeks.

If the hot spot becomes infected or is left untreated, the recovery process will take longer. Keeping the area clean and dry is essential, and preventing your dog from licking or scratching the wound is critical to avoid complications. In some cases, your veterinarian may prescribe medications such as antibiotics or corticosteroids to reduce inflammation and speed up healing. 

Early veterinary care can prevent the issue from worsening and help your dog feel better faster.

Do Hot Spots Scab When Healing?

Yes, hot spots often form a scab as part of the natural healing process. 

The scab acts as a protective barrier, helping to shield the damaged skin and prevent further irritation or infection. Underneath the scab, new skin cells regenerate. As healing progresses, the scab will naturally fall off, revealing healthy skin. 

It’s important not to pick or scratch the scab, as this can delay healing and increase the risk of infection. Instead, focus on keeping the area clean, dry, and protected, following your veterinarian’s instructions for the best recovery outcome.

How Can I Stop My Dog from Licking Its Paws?

To reduce paw licking, keep your dog’s paws clean and dry at all times. After walks or outdoor play, wipe their paws with a mild, pet-safe cleanser, and be sure to dry them thoroughly. Moisture, dirt, and allergens can irritate the skin and trigger excessive licking.

If licking persists, consider using a protective cone collar to prevent further irritation and allow time for healing. Apply an anti-itch spray if recommended by your vet, and monitor your dog for signs of allergies, infections, or other underlying issues.