Hot Spots

This article is paraphrased and parts taken directly from the following web site: http://vetmedicine.about.com/library/weekly/aa071300a.htm
(Other portions copyright © Linda K. Lawrie. All rights reserved.)


What is a "hot spot"? A hot spot is a localized area of skin inflammation and infection. The infection can be superficial or deep. Other common names for this condition include: moist dermatitis, acute moist dermatitis and pyotraumatic dermatitis.

What are the signs of a hot spot? Redness, oozing, pain, and itchiness are hallmark signs. Sometimes hair can mat over the lesion, obscuring the size and degree of the problem. These lesions can appear suddenly, and grow rapidly (within hours!)  They also can be prone to parasitic attack (e.g. biting flies, gnats, maggots).

What causes a hot spot? There is usually an inciting factor to initiate the extreme licking and scratching behavior. Look for fleas, mites, or other external parasites, an insect sting or bite, allergies (food, inhalant, contact), or injury (skin wound, scrape, etc.). Some animals may "start" a hot spot out of boredom or stress-related psychological problems.

What can I do to treat a hot spot? The first thing to do is speak with your veterinarian. Due to the rapidity of spread and possibility of deeper skin infection, it is wise to start treatment with your vet. Also, these hot spots can be very painful to the animal -- caution is advised, use a muzzle if need be for your protection.

Shave the area. The first treatment for hot spots is to dry them out and get air to the area. Cleanse the area with cool water and a gentle skin cleanser.  (Betadine solution, e.g.)
Cool compress the area 2-4 times a day with a cool wet washcloth.
Medications - Your veterinarian may prescribe oral antibiotics, topical drying sprays or medications, and/or special shampoos.  Aspirin, on the advice of your vet, may sometimes be used to reduce the inflammation.
Prevention of licking, biting, scratching -i.e. Elizabethan collar
Additional home remedies that can be used until you can see your vet:
  tea bag compresses (black or green tea) to help dry the area out -- used as a wash or as a compress.  (One of the GRRRR volunteers uses this!)
  Domeboro's (Burow's) solution (aluminum acetate) - available over-the-counter at pharmacies to help dry the skin out -- used as a compress or as a spray.
  Hydrocortisone creams - See the web site for cautions on this.
  Other things - Aloe cream or pure Aloe gel, Gold Bond Cream, or Cool Spot.  Possibly (don't know if people have tried) Sun Burn products containing Lidocaine.  Alcohol based solutions, though drying, would probably NOT be good due to the pain potential.

Some other web sites (for reference):
http://www.canismajor.com/dog/hotspots.html
http://www.vetinfo.com/dencyclopedia/dehotspot.html
http://www.adoptagolden.com/k9stuff/vetcorner/hotspot.htm