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How to Stop Dog Hot Spots from Spreading: Vet-Approved Solutions

icon Last Updated July 16, 2025

Hot spots, or acute moist dermatitis, are painful skin inflammations that develop quickly and worsen without proper care. These red, moist, and often oozing sores are typically caused by excessive licking, allergies, parasites, or poor grooming. While they are common and usually treatable, hot spots can spread rapidly if ignored. This guide focuses on why hot spots spread, how to treat them effectively based on severity, what happens if left untreated to help and prevent progressed hot spots.

hot spots on dogs

Why Are My Dog's Hot Spots Spreading?

Understanding why hot spots spread is critical to preventing a mild condition from becoming a serious issue.

1. Self-Trauma

The dog’s persistent licking and chewing can spread the bacteria to surrounding areas.

2. Underlying Infections

Secondary bacterial infections, like Staphylococcus, can exacerbate the lesion and cause it to enlarge.

3. Moist Environment

A hot and humid environment allows bacteria to thrive.

Also Read: The Link between Humidity and Hot Spots on Dogs

4. Poor Treatment or Delayed Intervention

Ineffective or delayed treatment can allow the hot spot to deepen and widen.

5. Multiple Trigger Factors

Fleas, allergens, or poor grooming can act synergistically, worsening the condition.

spreading hot spots on dogs

How to Stop Dog Hot Spots from Spreading: Vet-Approved Solutions Based on Severity

To stop hot spots from spreading, targeted treatment is required to bring them under control and start the healing process. Here are some treatment options for hot spots at different severity levels.

Mild Hot Spots

These are small lesions that are caught early before significant infection or spreading.

Treatment:

  • Clip the Hair: Carefully trim the hair around the lesion to allow airflow and visibility.

  • Clean the Area: Use a vet-approved antiseptic solution like chlorhexidine or iodine.

  • Topical Treatments: Apply over-the-counter sprays or ointments containing hydrocortisone or antibiotic properties.

    Puainta® Quantum Silver Anti-itch Skin Spray can help soothe, dry out, and heal damp “Hot Spots”. It deodorizes and helps relieve fungal and bacterial skin infections, relieves itchy skin in cats and dogs, and helps control the spread of lesions.

    Puainta® Quantum Silver Anti-itch Skin Spray

  • Prevent Licking: Use an Elizabethan collar (e-collar) or a recovery suit.

  • Address the Root Cause: Check for fleas, allergens, or grooming issues.

  • Monitor Progress: Keep a close eye on the area to ensure it doesn't worsen.

Moderate Hot Spots

These involve larger areas or show signs of infection like pus or foul odor.

Treatment:

  • Veterinary Visit Recommended: Moderate hot spots require professional assessment.

  • Prescribed Medications:

    • Topical antibiotics (like mupirocin)

    • Steroidal creams for inflammation

    • Oral antibiotics for bacterial infections

    • Oral corticosteroids to reduce inflammation and itching

  • Diagnostic Tests: Skin scrapings, allergy tests, or culture tests may be done.

  • Preventive Gear: Continued use of e-collar or inflatable collars.

  • Home Care: Daily cleaning and medication application as prescribed.

Severe Hot Spots

These may cover large areas or be associated with systemic symptoms like fever, lethargy, or loss of appetite.

Treatment:

  • Immediate Veterinary Intervention: Hospitalization might be necessary in severe cases.

  • Advanced Medications:

    • Stronger oral antibiotics (cephalexin, clindamycin)

    • Anti-inflammatory drugs

    • Pain management medications

  • Fluids and Supportive Care: For systemic symptoms, intravenous fluids and additional support may be needed.

  • Aggressive Wound Management: Debridement or shaving of large areas may be required.

  • Follow-Up Care: Several rechecks to monitor healing and prevent recurrence.

What Happens If You Don’t Treat Spreading Hot Spots?

1. Chronic Skin Infections

Untreated hot spots can develop into chronic pyoderma or deep skin infections.

2. Systemic Illness

Infections may spread internally, especially in immune-compromised dogs.

3. Severe Discomfort and Pain

The dog will experience significant distress, leading to behavioral problems such as restlessness, excessive whining, irritability, aggression when touched, refusal to eat, or withdrawal from social interaction.

excessive whining dogs caused by hot spots

4. Tissue Necrosis

Extreme cases can lead to tissue death, requiring surgical removal.

5. Higher Medical Costs

Early treatment is always cheaper and less invasive than treating severe conditions.

6. Spread to Other Pets

If the underlying cause is parasitic or fungal, other pets may also be at risk.

Prevention: How to Keep Hot Spots from Coming Back

Regular Grooming

Brush your dog regularly to remove mats, dead fur, and dirt.

Flea and Tick Control

Use vet-recommended flea and tick preventatives consistently.

Puainta® Pest Control Collar for Dogs/Cats effectively repels ticks and fleas with a pet-safe formula that reduces anxiety, promotes emotional balance, and alleviates stress-related behaviors. Choose it to give your dog a pest-free environment!

pest control collar

Address Allergies

  • Switch to hypoallergenic foods if necessary.

  • Keep an allergen-free home.

  • Use HEPA filters.

Keep Skin Dry

After swimming or bathing, dry your dog thoroughly.

Read more: Grooming Mistakes That Can Lead to Hot Spots on Dogs

Behavioral Management

  • Provide mental stimulation.

  • Use anxiety-reducing techniques or consult a trainer.

Routine Vet Checkups

Early detection of skin issues can prevent hot spot development.

You May Also Be Interested in 7 Surprising Things That Will Make Hot Spots on Dogs Worse

FAQ

Q1: Can hot spots heal on their own?

A: In very mild cases, a hot spot might resolve if the irritant is removed and the dog stops licking. However, most cases require intervention to prevent spreading.

Q2: Are hot spots contagious to humans or other pets?

A: Hot spots themselves are not contagious, but the underlying causes (like fleas or mange) can be.

Q3: How long does it take for a hot spot to heal?

A: Healing can take 5 to 10 days for mild cases and up to several weeks for severe ones.

Q4: Should I bathe my dog if they have hot spots?

A: Only bathe your dog if advised by your vet. Moisture can sometimes worsen hot spots.

Q5: My dog gets recurring hot spots. What should I do?

A: Recurrent hot spots often indicate an underlying issue, such as allergies or behavioral problems. A full vet evaluation is recommended.

Q6: Can diet affect hot spots?

A: Absolutely. Poor nutrition or food allergies can contribute to skin issues.

Conclusion

Hot spots in dogs are more than just a minor skin issue; they can escalate quickly without proper care. Understanding the causes, recognizing the severity, and applying vet-approved treatment strategies are key to stopping their spread and preventing recurrence. Whether you’re dealing with a mild spot or a severe infection, timely action makes all the difference. Don’t hesitate to consult your veterinarian and implement a comprehensive plan for your dog’s skin health.

By staying proactive, you can keep your furry friend comfortable, healthy, and free from painful hot spots.

Dr.Emily Carter,DVM
Dr. Emily Carter is a dedicated veterinarian with over 15 years of experience in small animal medicine. She graduated from the University of California, Davis, one of the top veterinary schools in the country, where she earned her Doctor of Veterinary Medicine (DVM) degree.
View all posts by Dr.Emily Carter,DVM

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