09/06/2025
such an important topic to be educated about, thanks Dr Cathy!
You know what a hotspot looks like right? Itâs red, and probably wet because your dog has been chewing at it. And if you put your hand on it, itâs warm.
Thus, itâs called a hotspot.
But if you go to the regular Veterinarian, theyâre going to say âoh my gosh thereâs infection! Oh my goodness, we have to do antibiotics in the whole body, we have to do antibiotics on the spot, blah, blah blah!â
Note they hardly ever wonder, âWell, why is there a hotspot in the first place?â
These days they might give some of those medicines that stop itching, either an injection of c5t0p0in5 or a prescription of ap4q63l, or better both. (Can you say cha-ching?)
So, letâs first talk about what to do at the site of the hotspot. Then letâs figure out what could possibly have been causing it so you can get to the bottom of the scenario and hopefully avoid it in the future.
First, your vet is not 100% wrong when they say that thereâs infection. Itâs just that putting an antibiotic in the entire body when you have a little 3 in. area that is infected is excessive. Hot spots are typically a minimized, localized, and superficial infection.
And why is it infected? Because somebody has these tiny little nibbler teeth and gets a little itchy and goes nibble nibble nibble nibble nibble nibble, and they break open the skin. Think of a little kid with a really itchy mosquito bite. They canât leave it alone. They self mutilate because pain is less annoying than itchiness.
And in all of that nibbling and scratching, we have broken open the blood vessels in the outer part of the skin. And thereâs a tiny little bit of blood, with a big inflammatory reaction. This is how the body heals. It can heal itself, believe it or not.
So if your precious baby has a hotspot somewhere on the body, letâs clip the hair in the area. Wash it! Seriously, wash it with soap and water! âThe solution to pollution (infection) is the dilution (soap and lots of water).â
If thereâs a little local infection, wash it. Multiple times a day. Imagine if your two legged child fell down on the sidewalk and got a little bit of road rash. What would you do? You would wash it. Dry it. Then you might put a little bit of topical antibiotic ointment on it. Perfect.
Letâs put that on your dog.
Sure, you can use aloe, you can use coconut oil, you can use those antibiotic ointments that are made for humans that are totally safe for dogs as well. In most cases, itâs more a matter of keeping it clean and dry.
Sometimes you have to do something terrible like use a doughnut or a lampshade around your dogâs neck so he canât get at it and itch it.
And this really does tend to be a dog thing. Very rarely do cats get hotspots. This is a dog thing.
In some cases, if you need it to dry out faster, you can do apply a powder of bentonite clay after washing. Itâs actually sold as a face mask for women, but be sure the only ingredient is that: bentonite clay.
Like magic, most of these hot spots go away in a couple of days. Still, even with my approach, youâll see that all weâve done is treat the symptoms here. We havenât done anything to figure out the cause.
Thereâs a list of things that could contribute and this is where I help people get to the bottom of ANY condition. For hotspots:
It could be pollen. Which means we need to be giving frequent baths. And if youâre worried about bathing frequency, I wrote a post about that.
It could actually be arthritis. So look at where the hotspot is. Is it over a hip joint? Or knee?
Could it be a bug bite or a bee sting? Dogs get those. They step on bugs. They find fleas.
Sometimes itâs a food problem. Usually itâs a kibble allergy. I would expect ear issues in most cases to go along with that.
Some dogs are quite easy. Fixing the diet and frequent bathing can go a long way to help with this situation.
OK, so thereâs your overview of what a hotspot looks like, why your dog creates it and how to address it at home without spending literally hundreds of dollars at the veterinarian covering up symptoms. And a few things to think about that maybe underlying causes.
Still seeing patients in Tampa, Clearwater, and virtually.