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Writer's picturestephanie pope

Understanding Hotspots in Dogs: A Holistic Approach

pitbull looking at camera laying on floor has hotspots on stomach

Hotspots, also known as acute moist dermatitis, are a common skin issue in dogs that can develop rapidly, often becoming painful and irritating for your pet. These inflamed, red, and moist areas on the skin can appear seemingly overnight, causing your dog to constantly lick, bite, or scratch at the affected spot. While hotspots may seem like a surface-level problem, they are often triggered by underlying factors such as allergies, insect bites, excessive licking due to stress or boredom, or other skin conditions.


Conventional treatments typically focus on addressing the visible irritation, but to truly prevent hotspots from recurring, it's important to look deeper. A holistic approach considers the root causes, such as imbalances in the dog's internal system. In Traditional Chinese Medicine (TCM), hotspots are often viewed as a result of excess heat in the body, which can lead to inflammation and discomfort. By incorporating holistic methods like acupressure to balance internal heat, combined with dietary adjustments and natural remedies, you can help your dog heal from the inside out while soothing the skin on the surface.


What Are Hotspots?

hotspot on the dogs stomach is an acute moist dermatitis
Photo credit: Animal Emergency & Referral Center of Minnesota

Hotspots, medically known as acute moist dermatitis, are inflamed, red, and often oozing areas on a dog's skin that develop due to irritation or infection. These localized skin lesions can appear suddenly and spread quickly, causing significant discomfort and pain for your dog. The affected area typically becomes moist, swollen, and warm to the touch, with hair loss surrounding the site. Because of the intense itchiness and irritation, dogs often obsessively lick, scratch, or bite at the hotspot, which can worsen the condition.


Hotspots can develop rapidly, often within hours, and are commonly triggered by several underlying factors. Common causes include flea bites, food or environmental allergies, excessive heat, and stress. Dogs may also develop hotspots as a result of skin irritation from moisture trapped under their fur, such as after swimming or bathing. Stress-induced behaviors, like compulsive licking or scratching, can also contribute to hotspot formation. Addressing these root causes is key to both treating and preventing future occurrences of hotspots.


Signs and Symptoms to Look For

hotspots on a dog

Hotspots can be distressing for both dogs and their owners due to how quickly they develop and how uncomfortable they can make your pet. Here are some key signs and symptoms to watch for:

  • Red, Moist Skin Areas with Hair Loss: The most noticeable sign of a hotspot is a red, inflamed area on your dog’s skin. The skin will often appear moist, with the fur around the area either missing or matted due to excessive licking or biting.

  • Constant Licking, Biting, or Scratching: Dogs with hotspots tend to obsessively lick, bite, or scratch at the affected area, trying to relieve the intense itch or irritation. This behavior can worsen the condition by spreading the infection and inflaming the skin further.

  • Swelling or Crusted Patches that May Ooze: As the hotspot progresses, you may notice swelling or crusted patches forming over the red area. In some cases, these spots may ooze clear fluid or pus, indicating infection.

  • Increased Irritation, Restlessness, or Discomfort: Hotspots are painful, and dogs will often become restless or irritable. You may notice them pacing, whining, or having trouble getting comfortable due to the discomfort caused by the irritation.


If you notice any of these signs, it's important to take action quickly, as hotspots can grow and worsen in a short period of time, leading to increased discomfort for your dog.


Causes of Hotspots

Understanding the causes of hotspots is essential to both treating and preventing them in the future. Hotspots are usually a response to irritation, but several underlying factors can trigger them.

dog rolling on ground itching allergies can get hotspots
  • Allergies: Allergies, whether caused by food, environmental factors like pollen, or fleas, are one of the most common triggers for hotspots. When a dog’s immune system reacts to allergens, it can lead to excessive itching and scratching, creating the perfect environment for a hotspot to form.

  • Poor Grooming Habits: Dogs with long or dense coats can develop hotspots if their fur traps moisture or dirt, leading to skin irritation. Regular grooming and proper coat maintenance can help reduce the risk of hotspots by keeping the skin clean and dry.

  • Moisture Trapped Under the Fur: Hotspots can develop when moisture becomes trapped under a dog’s fur, often after swimming or bathing. This moist environment promotes bacteria growth, leading to skin irritation and infection. Thorough drying after water activities is crucial for preventing this issue.

  • Insect Bites: Flea bites, mosquito bites, or other insect stings can irritate a dog’s skin, causing them to lick, scratch, or bite at the area, which can lead to the development of a hotspot. Flea prevention and insect control are important in reducing this risk.

  • Stress or Anxiety: Dogs may lick or chew their skin excessively as a response to stress or anxiety, which can eventually lead to hotspots. Addressing your dog’s mental well-being through exercise, enrichment, and calming techniques can help reduce these behaviors.

  • Underlying Skin Infections: Skin infections or other irritations like fungal infections or wounds can prompt a dog to lick or scratch the area excessively, which may result in a hotspot. If you suspect an infection, it’s important to seek veterinary care to address the root problem.


By identifying and addressing these common causes, you can reduce the risk of hotspots and help keep your dog’s skin healthy and irritation-free.


Conventional Treatments for Hotspots

Treating hotspots promptly is essential to prevent further irritation and infection. Conventional treatments typically focus on relieving the immediate symptoms while addressing any underlying causes.

  • Cleaning the Area with Antiseptic Solutions: The first step in treating a hotspot is to gently clean the affected area. This often involves trimming the surrounding fur to allow the skin to breathe and applying an antiseptic solution to reduce bacteria and soothe the skin. Keeping the area clean helps prevent the hotspot from worsening and aids the healing process.

  • Using Prescribed Topical Treatments or Antibiotics if Necessary: Depending on the severity of the hotspot, your veterinarian may prescribe topical treatments such as medicated sprays, creams, or ointments to soothe inflammation and promote healing. In cases where the hotspot has become infected, oral or topical antibiotics may be necessary to combat the infection and prevent further complications.

  • Importance of Stopping the Dog from Further Irritating the Spot: Preventing your dog from licking, biting, or scratching the hotspot is crucial for healing. This is often achieved by using an Elizabethan collar (commonly known as a "cone") or bandages to protect the area. These methods help break the cycle of irritation and allow the skin to heal without interference.


Addressing hotspots quickly and following these conventional treatments can bring relief to your dog while preventing the hotspot from worsening or recurring.


Holistic Approach to Hotspots

dog jumping in the yard gets holistic therapies to prevent hotspots

While conventional treatments focus on managing the immediate symptoms of hotspots, a holistic approach emphasizes addressing the underlying causes to prevent recurrence. Rather than simply treating the surface irritation, it’s important to consider why the hotspot developed in the first place. Factors such as chronic allergies, stress, or dietary imbalances can contribute to these flare-ups. Identifying and managing these triggers is key to long-term skin health and reducing future incidents.


In TCM, hotspots are often viewed as a manifestation of internal heat and inflammation within the body. This excess heat can result from a variety of factors, including emotional stress, improper diet, or environmental conditions. In TCM, the skin is closely related to the body's internal balance, so hotspots are seen as a way the body is expressing imbalance, specifically an accumulation of heat that needs to be released. Treating this internal heat through holistic methods can not only soothe the current hotspot but also prevent future flare-ups.


Dietary considerations play a critical role in reducing internal heat and promoting skin health. In TCM, certain foods are considered “hot,” meaning they contribute to heat in the body, while others are cooling and help to restore balance. For dogs prone to hotspots, it's important to avoid heat-inducing proteins like lamb, chicken, or venison, which can exacerbate inflammation. Instead, focus on cooling proteins like turkey, fish, or duck, which help balance the body’s internal temperature. Adding foods like cucumber or green leafy vegetables can also help dissipate heat and reduce inflammation.


By considering the body’s internal heat and adjusting diet and stress management techniques, a holistic approach can provide a comprehensive solution for preventing and treating hotspots.


Acupressure to Help Balance Heat

acupressure point for hotspots on a dog

Acupressure is an effective holistic method to help calm internal heat and reduce inflammation, especially when addressing conditions like hotspots in dogs. In TCM, certain acupressure points on the body can release excess heat, restore balance, and promote overall skin health. By applying gentle pressure to these key points, you can help your dog’s body naturally cool down, reduce irritation, and support the healing process.


Here are two important acupressure points that can be used to balance heat and support skin health:

  • LI 11 (Large Intestine 11): This point is located on the outside of the elbow and is known for its powerful heat-clearing properties. Stimulating LI 11 can help reduce internal heat and inflammation, directly supporting healthy skin and preventing further irritation from hotspots. This point is particularly useful for calming flare-ups related to heat conditions in the body.

  • GV 14 (Governing Vessel 14): Found at the base of the neck, just in front of the shoulders, GV 14 is another essential point for cooling down excess heat in the body. Stimulating this point helps release internal heat and brings relief to inflammatory conditions such as hotspots. It can also promote overall immune health, ensuring your dog’s body is better equipped to fight off infections and recover from skin irritations.


Regular acupressure sessions using these points can help maintain your dog’s skin health by keeping internal heat in check. Combined with other holistic treatments like diet adjustments, acupressure offers a gentle yet powerful way to support your dog’s healing from the inside out.


Additional Holistic Complementary Options

In addition to acupressure, there are several other holistic treatments that can support the healing of hotspots and promote long-term skin health in dogs. These therapies work together to address the root causes of skin inflammation and provide relief from discomfort.


Hydrotherapy

dog getting oatmeal bath for hotspots

Cool water can be an effective way to soothe inflamed skin and provide relief from itching and discomfort. Hydrotherapy involves using water to treat hotspots by gently cleansing the area and cooling the skin, which helps reduce inflammation and prevent infection. Regular baths with cool water, especially after outdoor activities or in hot weather, can help keep your dog’s skin healthy and reduce the risk of hotspots forming.


For additional relief, you can incorporate oatmeal or Epsom salt baths into your dog's routine. Oatmeal baths are well-known for their soothing and anti-inflammatory properties, making them ideal for calming irritated skin. Simply mix colloidal oatmeal into cool or lukewarm water and let your dog soak for 10-15 minutes to help relieve itchiness and promote healing.


Epsom salt baths can also help reduce swelling and fight infection, as the magnesium in Epsom salt aids in reducing inflammation. Add a small amount of Epsom salt to your dog’s bathwater and let them soak for a few minutes to help calm irritated skin and promote faster healing of hotspots.

By using these gentle hydrotherapy techniques, you can help your dog recover from hotspots while keeping their skin soothed and protected from further irritation.


Red Light Therapy

happy dog getting red light therapy for hotspots

Red light therapy is a non-invasive option that uses specific wavelengths of red and infrared light to promote healing at the cellular level. This therapy works by penetrating the skin's layers to stimulate the production of energy within cells, boosting their natural repair processes. For dogs suffering from hotspots, red light therapy can be incredibly beneficial in speeding up tissue repair, reducing inflammation, and alleviating pain.


The application of red light therapy for hotspots focuses on reducing inflammation and irritation, two key contributors to the discomfort your dog experiences. As the light penetrates the skin, it increases blood circulation to the affected area, which helps deliver oxygen and essential nutrients needed for healing. This enhanced circulation can also help flush out toxins and reduce swelling, further aiding in the recovery process.


In addition to promoting skin regeneration, red light therapy has a soothing effect on inflamed skin, providing relief from the itchiness and pain associated with hotspots. Regular sessions can help prevent the formation of scar tissue and ensure a faster recovery with minimal discomfort. Because red light therapy is gentle and non-invasive, it can be used in conjunction with other treatments like acupressure, herbal remedies, or hydrotherapy to provide a comprehensive approach to healing and prevent further flare-ups.


Proper Nutrition

Diet plays a crucial role in both preventing and treating hotspots in dogs. In TCM, certain foods are believed to influence the body's internal balance, particularly in terms of heat and inflammation. Since hotspots are often linked to excess internal heat, adjusting your dog’s diet to include cooling foods can help restore balance and reduce the likelihood of flare-ups.

feeding cooling proteins will help prevent hotspots

Cooling proteins such as turkey, duck, and fish are ideal alternatives to heat-inducing proteins like lamb, chicken, and venison, which can exacerbate inflammation. These cooling proteins help calm internal heat, promoting a more balanced system that supports healthy skin. Additionally, incorporating foods like cucumbers, leafy greens, and sweet potatoes can further enhance your dog’s diet by naturally cooling the body from the inside out, reducing inflammation and irritation.


Beyond balancing heat, it’s essential to eliminate potential allergens from your dog’s diet. Allergic reactions to certain ingredients, such as grains or specific proteins, can trigger or worsen hotspots. A careful evaluation of your dog’s diet, possibly in consultation with a holistic veterinarian, can help identify and remove common allergens that may be contributing to skin issues. By focusing on cooling foods and avoiding allergens, you can significantly reduce the risk of hotspots and support overall skin health.


Proper nutrition is not only key for treating active hotspots but also a preventive measure to keep your dog’s skin healthy and balanced in the long run.


By integrating these additional holistic treatments into your dog’s care routine, you can address the underlying causes of hotspots and promote overall skin and immune health, reducing the likelihood of future flare-ups.


Prevention Tips

Preventing hotspots before they develop is key to keeping your dog comfortable and healthy. Here are some practical tips to help minimize the risk of hotspots and maintain your dog’s overall skin health:

  • Regular Grooming and Skin Checks: Consistently grooming your dog helps keep their coat and skin in optimal condition. Regularly brushing your dog’s fur can prevent matting, which can trap moisture and irritate the skin, leading to hotspots. Additionally, make a habit of checking your dog’s skin for any early signs of redness, inflammation, or irritation. Catching these issues early can help prevent them from escalating into more serious conditions.

  • Using Natural Flea and Tick Preventatives: Flea and tick bites are a common trigger for hotspots, so it’s essential to protect your dog from these pests. Opt for natural bug repellants, such as sprays or collars made from essential oils like cedarwood or lemongrass, which can repel pests without harsh chemicals. Maintaining a pest-free environment for your dog will help reduce the risk of itchy skin and subsequent hotspots.

  • Balancing Heat Internally through Diet and Regular Acupressure Sessions: Managing internal heat is a crucial aspect of preventing hotspots. A diet rich in cooling foods, as well as regular acupressure sessions, can help keep your dog’s internal temperature in balance, reducing the likelihood of skin flare-ups. Avoid feeding heat-inducing proteins like lamb or chicken, and consider incorporating cooling alternatives such as fish or turkey to maintain internal harmony.

  • Ensuring Your Dog Stays Calm and Cool in Hot Weather: Hot weather can exacerbate skin irritation and trigger hotspots, so it’s important to keep your dog calm and cool during warmer months. Provide plenty of shade, water, and cool resting areas for your dog, and limit strenuous outdoor activities during peak heat hours. Using cooling mats or offering cool water baths can also help regulate your dog’s body temperature and prevent skin problems.


By following these prevention tips, you can greatly reduce the chances of your dog developing hotspots, ensuring their skin stays healthy and irritation-free.


Holistic Healing for Long-Term Skin Health

When managing hotspots in dogs, it’s crucial to address both the immediate symptoms and the root causes for long-lasting relief. While conventional treatments like cleaning the area and applying topical medications can alleviate discomfort quickly, they may not prevent future occurrences. By incorporating holistic approaches such as acupressure, diet adjustments, and addressing internal heat imbalances, you can help tackle the underlying factors that contribute to the development of hotspots.


Combining conventional care with holistic therapies—like cooling foods, acupressure to reduce heat, red light therapy, and natural herbal remedies—creates a more comprehensive treatment plan. This integrated approach not only speeds up healing but also improves your dog’s overall skin health and helps prevent future flare-ups. By focusing on both the symptoms and the underlying imbalances, you can keep your dog happy, healthy, and free from recurring skin issues.

dog high fives the air after taking care of the hotspots


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