If you’ve ever noticed a sudden red, irritated patch of skin on your dog that seems to grow larger by the hour, you may be dealing with a hot spot.
Hot spots on dogs, also known as acute moist dermatitis or pyotraumatic dermatitis, are painful, fast-spreading skin infections. They can grow from a tiny red patch to an oozing sore in just hours, especially if your dog keeps licking or scratching. Left untreated, they can develop into deeper bacterial skin lesions and recurring issues.
Let’s talk more about it so we can protect our dogs from these painful sores.
What Causes Hot Spots on Dogs?
Hot spots don’t just pop up for no reason. There’s always a trigger, a cause, that should be looked into. But here’s the good news: most of these causes are easy to spot once you know what to look for.
Let’s break it down into medically relevant categories. Here are the common causes of hot spots on dogs:
Allergies
Allergies are a common enemy, and it’s not different with hot spots. These can include:
Environmental allergies. Pollen, grass, mold, and dust can cause itching and irritation.
Food allergies. Certain ingredients, like chicken, beef, or dairy, may trigger allergic reactions in some dogs.
Flea allergies. Even one single flea bite can cause itching for dogs with flea allergy dermatitis.
Parasites
Fleas, ticks, and mites are a common source of itching for dogs. When these parasites bite or burrow into the skin, they can cause irritation that causes excessive scratching or licking. This behavior damages the skin and creates the perfect conditions for bacteria to take hold and form a hot spot.
Poor Grooming
When a dog’s coat is neglected, mats and tangles can form, trapping dirt, bacteria, and moisture close to the skin. This creates irritation and inflammation, increasing the likelihood of hot spots in your dog. Because of this, regular grooming is very important, especially for dogs with thick fur.
Additionally, dogs with thick or long fur are particularly vulnerable to hot spots caused by trapped moisture. After swimming, bathing, or even getting caught in the rain, moisture can linger under their coat if they aren’t dried thoroughly.
This means that it’s important to dry your dog up after a swim or bath.
The damp environment encourages bacteria growth, which can quickly lead to a hot spot. Yes, even leaving your dog wet can be a problem. It’s all in the little things.
Skin Trauma
Matted fur, post-surgery licking, and even small wounds can create localized irritation. Add bacteria into the mix and the result can be a hot, oozing sore.
Behavioral Causes
Stress, anxiety, or boredom can cause repetitive licking or chewing. Dogs may focus on one area obsessively, leading to a moist, raw patch of skin, what vets sometimes refer to as moist eczema.
Infections
Sometimes, hot spots are secondary to another issue, such as a skin or ear infection. For example, a dog with an ear infection might scratch or rub the area excessively, creating the conditions for a hot spot to form. Hot spots can start small and, if not addressed, can worsen and lead to more infections.
Infections in other parts of the body can also cause localized irritation that leads to these lesions.
Stress or Boredom
Stress and boredom can lead to repetitive behaviors in dogs, such as licking, chewing, or biting their skin. Over time, this can damage the skin’s surface and result in a hot spot. Stress may be caused by changes in routine, new environments, or separation anxiety, while boredom often occurs when dogs don’t get enough mental stimulation or exercise.
So be sure to keep your dogs happy and healthy.
Orthopedic Pain or Underlying Disease
Dogs with joint pain (such as arthritis) may lick the affected area excessively, especially on elbows or hips. Hormonal issues like hypothyroidism can also predispose dogs to skin infections.
Insect Bites
Stings or bites from mosquitoes or ants may cause a localized irritation that develops into a hot spot after self-trauma.
What Do Hot Spots Look Like on Dogs?

Hot spots can appear suddenly and worsen quickly, making it important to recognize the signs early. These inflamed, irritated areas of skin are not only uncomfortable but can also cause some serious infections in your dog.
One of the first signs that your dog might have a hot spot is their behavior. Dogs with hot spots will be visibly disturbed and uncomfortable. They tend to lick it nonstop in an attempt to relieve the irritation. Unfortunately, this only makes the problem worse.
Constant licking, chewing, or scratching creates more problems and worsens the condition of your dog’s skin.
Hot spots are often easy to spot because of their distinct appearance. They appear as areas of red, irritated skin that stand out from the surrounding healthy skin. The affected area may feel warm or even hot to the touch.
As the hot spot progresses, you might see swelling or thickened skin around the area. In severe cases, scabs or crusty patches can develop as the skin tries to repair itself.
These spots may also have areas of hair loss.
Because dogs with hot spots often bite or chew their skin, hair loss may develop as well. Hot spots often develop in areas where the dog has been scratching, chewing, or licking excessively. This repetitive activity can cause the fur to fall out, creating bald spots and areas of thinning fur.
One feature you can also notice in some cases is the moist, oozing sores of your dog’s hot spot.
The skin can produce a clear or yellowish discharge, and you may notice a scab forming around the edges as the body tries to heal itself. When this happens, you may notice a strong, unpleasant smell coming from the area.
How Vets Diagnose Hot Spots
Diagnosing hot spots involves a physical exam and may include tests like:
Skin scraping or cytology to rule out mites, bacterial overgrowth, or yeast infections
Checking for underlying issues like fleas, ear infections, or allergies
In chronic cases, blood tests to check for hormonal imbalances like hypothyroidism
This helps determine not just what the hot spot is, but why it formed.
Treating Hot Spots on Dogs
If you’ve identified a hot spot on your dog, don’t worry. While they can look alarming, hot spots are treatable with the right approach. The goal is to act quickly and stop our dogs from causing further damage and irritation to their skin.
Here’s a step-by-step guide to treat your dog’s hot spots:
1. Visit the Vet
Our vets will identify the underlying cause and provide a treatment plan. Depending on severity, we may use:
Topical sprays (e.g., chlorhexidine, betadine)
Systemic antibiotics for infected lesions
Steroid injections or oral prednisolone to reduce inflammation
Antihistamines if allergies are a factor
In some cases, sedation or professional grooming may be needed if your dog is in pain or uncooperative.
2. Clip the Hair Around the Hot Spot
Clearing the area promotes airflow and healing while reducing moisture buildup.
3. Clean the Affected Area
Use a veterinary-approved antiseptic solution. Avoid alcohol or hydrogen peroxide, which can damage tissue.
4. Apply Topical Medication
We may recommend creams with hydrocortisone or antimicrobial ingredients, depending on the cause.
5. Prevent Licking and Scratching
Use an Elizabethan collar, recovery suit, or protective bandage.
Recovery Timeline & Recurrence
Most hot spots heal within 3 to 7 days with prompt treatment. If infection is present, antibiotics may be needed for 10–14 days.
Hair usually regrows after the skin has fully healed. But recurring hot spots are common in dogs with underlying allergies, parasites, or behavioral triggers. Identifying and addressing the cause is essential to long-term success.
Preventing Hot Spots on Dogs

While hot spots can be treated effectively, prevention is always the better option. Here are some practical steps to help keep your dog from hot spots.
Dry your dog thoroughly after swimming or bathing
Regular grooming, especially for long-haired or thick-coated breeds
Monthly flea and tick prevention
Switch to hypoallergenic food if food sensitivities are suspected
Supplement with omega-3 fatty acids to support skin health
Provide toys, exercise, and mental stimulation to reduce boredom
Treat underlying health issues like hypothyroidism if diagnosed
Your dog’s skin might be sensitive to its usual product, which means a change is due. Bring your dog in, and we’ll help you select the best products from our vet pharmacy.
“Hot spots may seem minor at first glance, but they can escalate fast, especially in Dubai’s heat. Early treatment is key. We always remind pet parents: if your dog keeps licking the same spot, don’t wait. The sooner we intervene, the easier it is to stop the infection and avoid complications.”
- Dr. Soheyl Simaei
Final Thoughts
Hot spots on dogs can be painful and uncomfortable. However, they are manageable and preventable with the right knowledge and care. The key is to act quickly when you notice a hot spot. Treat it immediately, and your dog will thank you.
Frequently Asked Questions
Share