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What Causes Hot Spots on Dogs?

Most people assume a hot spot is a skin problem. It usually isn't; at least not at the root. The sore on your dog's skin is almost always a symptom of something else entirely, and treating only the spot is why so many of them come back.

However, hot spots are common, treatable, and something you can get to the bottom of. Understanding what's driving it is the key to helping your dog heal and keeping it from coming back.

What Is a Hot Spot, Exactly?

A hot spot is a patch of inflamed, irritated skin that develops when a dog licks, scratches, or chews at one area over and over. You may also hear your veterinarian call it acute moist dermatitis. The pattern is always the same: something makes the skin itchy or uncomfortable, your dog goes after it, and the constant attention breaks the skin down.

An itch leads to scratching, the scratching damages the skin, and the damaged skin itches even more. A raw, open patch like this can also develop into a if bacteria take hold, which is why it’s important to address it early. Breaking that loop is what brings your dog relief, and it usually starts with figuring out what triggered the itch in the first place.

What Do Hot Spots Look Like on Dogs?

Hot spots tend to be red, moist, and warm to the touch. They're often painful, and the fur around them may thin out or fall away as the area grows. They also spread fast; a small irritated patch in the morning can become a much larger sore by evening once the licking and scratching set in. Hot spots can turn up anywhere, but you'll most often find them on the head, neck, hips, and near the base of the tail.

What Causes Hot Spots on Dogs?

A hot spot is the result you can see, but the cause is almost always something underneath. Here are the triggers we come across most often.

Allergies

Allergies are one of the leading reasons dogs develop hot spots. Whether the trigger is something in the environment, an ingredient in their food, or a reaction to flea bites, the result is itchy skin. A dog dealing with that kind of persistent itch will scratch and lick for relief, and a hot spot can form quickly.

Fleas and Other Parasites

Fleas, mites, and other small pests are a frequent culprit. For some dogs, even a single flea bite is enough to set off intense itching. Year-round flea prevention is one of the simplest ways to head this off.

Ear Infections

When a dog's ears are itchy or sore, they'll often scratch at them or the surrounding area, creating a raw patch on the ear flap, behind the ear, or along the neck.

Trapped Moisture and Matted Fur

Moisture that stays against the skin is a common trigger, which is why hot spots often turn up after swimming or during humid weather. Thick or long coats that don't dry fully, along with mats that hold dampness close to the skin, are how irritation starts.

Anal Gland Problems

When a dog's anal glands are irritated or uncomfortable, they may lick and chew around the base of the tail. That repeated attention can lead to a hot spot in an area that's easy to miss under the fur.

Joint Pain, Boredom, or Stress

Sometimes the trigger isn't on the skin at all. Dogs with sore joints may lick a painful area the way we might rub an aching knee, and dogs who are bored or anxious can settle into repetitive licking that damages the skin over time.

Which Dogs Are More Prone to Hot Spots?

Some dogs are more likely to develop hot spots than others. Breeds with thick or long coats, such as Golden Retrievers, Labrador Retrievers, German Shepherds, and Newfoundlands, tend to be more prone, in part because their coats hold moisture. Dogs with floppy, drop ears are also more susceptible, as are dogs who love to swim and pets with ongoing allergies.

Hot spots can show up anywhere, but they most often appear on the head, neck, hips, and near the base of the tail.

How to Help Your Dog Find Relief

The first priority is to stop the licking and scratching that keep the sore going, since every bit of self-trauma makes it worse. Keeping the area clean and dry helps, and avoid applying human creams or ointments unless your veterinarian has recommended them, as some products can sting or make things worse.

Because hot spots are usually a symptom of an underlying issue, lasting relief comes from identifying and treating whatever started the itch. Your veterinary team can care for the sore itself and help you get ahead of the cause, so your dog isn't stuck in the same cycle a few weeks down the road.

When to See Your Vet About a Hot Spot

Have your dog seen if a hot spot is spreading quickly, oozing, giving off an odor, or simply not improving. Also pay attention to recurring hot spots, since they often point to a root cause that hasn't been fully addressed.

At , we offer same-day and weekend appointments, so your dog can be seen when they need care rather than days later.

Preventing Hot Spots

A few consistent habits go a long way toward keeping hot spots from starting. Stay on top of flea prevention, groom your dog regularly to avoid mats, and dry their coat thoroughly after baths and swims. Keeping ongoing issues like allergies and ear health well managed also removes the itch before it has a chance to become a sore.

Frequently Asked Questions

Can hot spots heal on their own?

Some mild spots may settle down once the itching stops, but many need care to heal fully, especially if a dog keeps licking the area. Because hot spots can spread fast and usually stem from an underlying issue, have your dog checked rather than wait and see.

Are hot spots contagious to other pets or people?

Hot spots themselves aren't contagious. That said, some of the root causes, such as certain parasites, can affect other pets, so it's worth pinning down the cause.

How quickly do hot spots develop?

Very quickly. A hot spot can go from a small irritated patch to a large, painful sore within hours once a dog starts licking and scratching in earnest.

Can I treat my dog's hot spot at home?

You can help by keeping the area clean and dry and stopping your dog from licking it, but home care alone often isn't enough. Reaching out to your veterinary team is the best way to treat the sore and address what caused it.

Here When Your Dog Needs Us

Hot spots are uncomfortable, but they're manageable once you understand what's behind them. If your dog is dealing with a sore that won't quit, our team is here to help them feel better and get to the root of the problem. With same-day and weekend appointments available, relief doesn't have to wait. or give us a call.

Schedule a visit or call today to get started.

Deborah Mitchell, DVM

Deborah Mitchell, DVM
Veterinarian

Dr. Deborah Mitchell sold Knollwood Hospital for Pets in August 2024 to Hometown Veterinary Partners and is now retired. Dr. Mitchell and her wife, Dr. Heather Hopkins, share their lives with a rescued terrier mix, 14-year-old Walter from Homeward Bound Animal Rescue. In her spare time, Dr. Mitchell enjoys gardening, reading, kayaking, and volunteering with the Greater Chicago Food Depository.
Dazjah Samuels, DVM

Dazjah Samuels, DVM
Veterinarian

Dr. Dazjah Samuels grew up in the south suburbs of Chicago, where her passion for animals was ignited. She has had an obsession with animals for as long as she can remember, gained from watching her grandmother feed and provide shelter for homeless animals in their neighborhood. After high school, Dr. Samuels traveled to New Orleans, LA to attend Dillard University where she earned a bachelor’s degree in Biology, minoring in Chemistry.

Dr. Samuels is a 2024 graduate from Ross University School of Veterinary Medicine, and attended the University of Minnesota College of Veterinary Medicine for her clinical year. While attending veterinary school, Dr. Samuels became a Morris Animal Foundation and Foundation for Food & Agriculture Research (FFAR) grant recipient for research on bat populations in St. Kitts. Dr. Samuels ’interests include dermatology and surgery, and she plans to incorporate integrative medicine into her everyday practice. She has one dog (Moon) and a guinea pig (Cocoa Butter). Her hobbies include painting, watching tv, and relaxing outside with Moon.

Cindy Makofski (Dr. Mak), DVM

Cindy Makofski (Dr. Mak), DVM
Partner Veterinarian

Dr. Mak, a proud graduate of the University of Illinois College of Veterinary Medicine, completed her internship at Colorado State University Veterinary Hospital. Afterward, she returned to central Illinois, where she cared for a wide range of animals before relocating to the Chicago suburbs to focus on cats and dogs. With years of experience managing multiple hospitals and mentoring new veterinarians, Dr. Mak brings exceptional expertise and leadership to our team.

“I knew from the age of five that I wanted to become a veterinarian, thanks to an encyclopedia about animals my mother gave me. It became my nightly bedtime story.”

Dr. Mak is a dedicated animal lover, having rescued several cats and adopted their beloved dog, Otis. When she’s not in the clinic, she’s an avid Chicago Bears fan, enjoys playing fantasy football with friends, and loves spending time Up North, boating and swimming on Chute Pond.

Valerie Eisenbart, DVM

Dr. Valerie Eisenbart, DVM
Partner Veterinarian

Dr. Valerie Eisenbart completed her veterinary education at the University of Illinois and was inspired to become a veterinarian because of the wide variety of opportunities the field offers. She holds a Master’s in Public Health (MPH) from the University of Illinois at Chicago, in addition to her DVM, and has been practicing veterinary medicine for 13 years.

Dr. Eisenbart has extensive experience with dogs and cats, primarily working in general practice, and has held roles that involved coaching other DVMs. Her approach to veterinary care focuses on providing the best possible care that aligns with her clients’ beliefs and priorities. She emphasizes prevention and monitoring, advocating for an appropriate diet, comprehensive parasite prevention, vaccinations, and dental care to keep pets healthy.

Building strong client relationships is a priority for Dr. Eisenbart, and she does so by listening to her clients’ concerns and understanding the human-animal bond. At home, she has a few fish and a corn snake. Outside of work, she enjoys traveling and spending quality time with her family.

Dr. Eisenbart is actively involved with professional organizations, including the ISVMA, the University of Illinois Veterinary Medical Alumni Association, the AVMA, and the Multicultural Veterinary Medical Association. She was honored as Chief of Staff of the Year in 2019 and received the ISVMA Dr. Erwin Small First Decade Award in 2021.

Her professional goals include creating an inclusive hospital environment and supporting the growth and development of her team and other veterinary professionals. A memorable highlight of her career includes successfully treating parvovirus in two young puppies through outpatient care, watching them grow into healthy young dogs.

Dr. Eisenbart advises pet owners to prioritize dental health, noting that brushing teeth or using dental wipes and scheduling regular cleanings can greatly impact a pet’s overall health. She stays up-to-date with advancements in veterinary medicine by attending conferences and participating in online veterinary communities. Dr. Eisenbart cherishes meeting clients, hearing their stories, and feels privileged to be part of their lives while caring for their beloved pets.

Katie Kuecker
Hospital Director

Katie is a certified veterinary technician who has dedicated the last 19 years of her career to various aspects of veterinary medicine. She has been a Practice manager for the last four years after having completed her business degree.

She has a genuine love for her work and her favorite part is being able to develop strong relationships with clients and their pets. One of her passions is supporting her team and providing them with the necessary resources to grow their careers. She is a compassionate leader who values the importance of building a positive and collaborative work environment.

In her free time, Katie enjoys spending time with her family, playing volleyball, traveling, photography, and taking care of her hobby farm. She shares her life with her beloved horse Turbo, mini donkey Zoey, cat Fergus, and Husky Luke, and is always looking forward to welcoming more animals into her family. Katie’s commitment to her profession, her team, and her family is an inspiration to those around her, and her passion for helping others and animals alike makes her a valuable member of our team and we are so lucky to have her.

Katie Cerulli, DVM

Katie Cerulli, DVM
Partner Veterinarian

Dr. Cerulli’s journey in veterinary medicine began in upstate New York before she embarked on an academic adventure. She obtained her Bachelor’s degree in Animal Science, with a minor in Dairy Science, from the University of New Hampshire. Driven by her passion for animals, she pursued her veterinary education at Ross University School of Veterinary Medicine, situated on the picturesque island of St. Kitts in the British West Indies. To complete her training, she conducted her clinical year at Oklahoma State University in Stillwater, OK.

With a solid educational foundation, Dr. Cerulli embarked on her professional career working as a small animal veterinarian in Glastonbury, CT. In November 2021, she relocated to Minnesota, bringing her expertise and warm-hearted approach to her new community.

As a proud pitbull mom to Amaretto and Drambuie, Dr. Cerulli understands the profound bond between pets and their owners. In her leisure time, she cherishes moments spent with loved ones, indulging in board games, unleashing her creativity through crafting, exploring new destinations, embarking on invigorating hikes with her four-legged companions, and capturing memories through her lens as a keen photographer.

Dr. Cerulli’s professional interests extend to behavior and preventative medicine, reflecting her commitment to the holistic well-being of her patients. With genuine enthusiasm, she eagerly looks forward to getting to know you and your beloved pets, delivering compassionate care and forging lasting connections. 💛

Kris
Practice Manager

Kris is the hospital manager and a certified veterinary technician. Kris has been working in the veterinary field since 1985. Kris is the pet parent to two dogs – Spirit, a Westie/Bichon mix and Alice, a beagle/terrier mix. Both Kris’ dogs are rescues.

Dr. Peggy Cerling
Veterinarian

Dr. Peggy Cerling graduated from the University of Illinois in 1990. Dr. Cerling has two daughters and is the pet parent to two cats, Scribbles, and Rosie both domestic shorthairs, a Golden Retriever named Buddy, and a Dutch Warmblood horse, Perry. Dr. Cerling’s cats and dog are rescues.
Dr. Jill Mlsna Veterinarian

Dr. Jill Mlsna
Veterinarian

Dr. Jill Mlsna graduated from Michigan State University in 1989. Dr. Mlsna has two daughters and one son and is the pet parent to two dogs, Jayce a labradoodle, Roxy a mix, and two domestic shorthair cats, Nellie and Mosses. All of Dr. Mlsna’s pets are rescues.
Dr. Delaney Rohan

Dr. Delaney Rohan
Associate Veterinarian

Dr. Delaney Rohan earned her Doctor of Veterinary Medicine from St. George’s University, completing her clinical year at the University of Minnesota. She also holds a Master’s in Public Health, which shapes her One Health approach to veterinary care — recognizing the deep connection between animal, human, and environmental health.

Her journey into veterinary medicine began at Farm Camp as a child, when an unforgettable hands-on moment with a cow sparked her lifelong passion to advocate for animals.

With over two years of experience working with dogs and cats, Dr. Rohan is passionate about preventative care and enjoys working collaboratively with pet owners to create treatment plans that suit their unique needs.

Outside the clinic, Dr. Rohan enjoys playing volleyball and pickleball, cross-country skiing, biking, and spending time with family and friends. She shares her home with a tabby cat named Jackson and is excited to meet you and your pets!

Dr. Raeyna Longtin, DVM, CVA, FFCP, AAFP-CFV, CAETA-CGEP Veterinarian

Dr. Raeyna Longtin, DVM, CVA, FFCP, AAFP-CFV, CAETA-CGEP
Veterinarian

Dr. Longtin has been caring for pets and their people for nearly three decades. A proud graduate of the University of Minnesota College of Veterinary Medicine, she’s built a career rooted in empathy, understanding, and a deep appreciation for the special bond between animals and their families.
With advanced training in veterinary acupuncture, Fear Free handling, feline-friendly care, and gentle euthanasia, Dr. Longtin brings both clinical skills and a calming presence to every visit. She believes great veterinary care starts with listening—understanding not just the pet’s needs, but the unique role that pet plays in the life of their family.

Dr. Longtin spent 12 years as a house call veterinarian, an experience that forever shaped her flexible, patient-focused approach. She understands that there’s no one-size-fits-all solution and works closely with each family to find the care plan that’s right for them.

Outside the clinic, you’ll likely find her working on crafts or fixing up her vintage Volkswagen Beetle. Her home is full of love—and pets! She shares it with a golden retriever named Bubbles, five cats, two snakes, and a tank full of colorful fish.

Whether it’s a routine checkup or a tough decision, Dr. Longtin is here to support you and your pet every step of the way.

Andrea Braha Partner Veterinarian

Dr. Andrea Braha
Partner Veterinarian

Dr. Andrea Braha is a compassionate and experienced veterinarian specializing in small animal medicine. She earned her Doctor of Veterinary Medicine degree from the Western College of Veterinary Medicine in 2011. Dr. Braha started her veterinary career in Canada before moving to the Tampa Bay area, where she had been proudly serving the community for over a decade.

While enjoying all aspects of veterinary medicine, Dr. Braha’s focus is on emergency and internal medicine. She brings a wealth of expertise to her role, with a background in general practice, urgent care, and 24/7 emergency facilities. Dr. Braha is dedicated to offering a concierge level of medical service, tailoring personalized care to meet the unique needs of each pet and their family. She constantly strives to hone her skills through hands-on courses and continuing education, staying at the forefront of veterinary advancements.

When she’s not in the clinic, Dr. Braha enjoys spending time outdoors with her Great Pyrenees, competing in local horse shows, traveling and experiencing new regions, and exploring the vibrant lifestyle of sunny Florida.

Dr. Rob Nicholson

Dr. Rob Nicholson
Partner Doctor

Dr. Rob Nicholson graduated from Tufts Veterinary School in 1995. He has practiced both large and small animal medicine in the area for the past 20 years. In addition to currently being a small animal Veterinarian, he is an Associate Clinical Professor at Tufts Veterinary School, teaching the Clinical Skills course to first and second-year Veterinary students.

Dr. Nicholson enjoys preventive medicine, surgery, and dentistry and is enjoying serving the greater Charlton area as the new owner of Post Road Veterinary Hospital.

Dr. Jennifer Fagerquist

Dr. Jennifer Fagerquist
Associate Veterinarian

Dr. Jennifer Fagerquist grew up in Charlton. She received her Bachelor of Science degree from the University of Massachusetts Amherst and her Veterinary Degree from Purdue University School of Veterinary Medicine.

Dr. Fagerquist completed 100 hours of coursework at CHI institute in 2013 for Veterinary Acupuncture.
She shares her home with her husband, 6 wonderful children and 2 dogs – Trixie and Tilly along with chickens, ducks, turkeys, geese and donkeys!

In her spare time, Dr. Fagerquist enjoys being outdoors, photography, cooking and decorating cakes. She loves gardening and Cross Fit.

Her love language is acts of service, and it brings her great joy to cook and craft for the team members!

Brandi Obman
Hospital Director

Brandi’s passion for creating a collaborative and healthy work environment where everyone feels welcome and supported aligns perfectly with our vision to create positive change in veterinary medicine. Brandi says, “I’m excited to make a hospital space that makes sense for the people working in it. I see this as an opportunity to show our teams that there is a way to get back to why we started in veterinary medicine in the first place.”

Fun facts about Brandi:

  • She is originally from Chicago and lives in South Carolina
  • Her favorite food is Alaskan Snow Crab (in large quantities, of course!)
  • She has two cats, Tuna Tataki and Wasabi Ginger and four chickens, Pad, Thai, Stepanie, and HeiHei
  • She is a graduate of Coastal Carolina University with a BS in Marine Science
  • She has 16 years of experience in veterinary medicine as a VA and Practice Manager
Kathleen Chiu (Hayes), DVM (aka “Q”)

Kathleen Chiu (Hayes), DVM (aka “Q”)
Partner Veterinarian

Originally from Massachusetts, Dr. Chiu’s journey started with a childhood obsession with any critter she could get her hands on. From her beloved family cat Pumpkin to the mischievous duo Toby and Rusty, she adored all things fluffy. No wonder she developed a passion for veterinary medicine! Her academic endeavors took her from the University of Vermont, where she majored in Animal Science and Biological Science (think herding cows and being a livestock management pro!), to The Royal (Dick) School of Veterinary Studies at The University of Edinburgh. Graduating with Distinction in 2011, she proved she was no ordinary vet—she was a force to be reckoned with. Q is always on a mission to expand her knowledge, so she’s currently enrolling at Chi University for Certification in Veterinary Acupuncture.

When it comes to her professional interests, Dr. Chiu’s passions lie in preventative health, internal medicine, endocrinology, chronic pain management, and alternative medicine. She has her own fantastic crew of pets, including two Pitbulls, Casey, and Asher, who were rescued from dog fighting. There’s Kiwi and Phoebe, their indoor kitties, and a gang of rescue barn cats named Strip, Fifty, and Ghost. And let’s not forget “The Fantastic Four,” their feathery friends that rule the backyard—the chickens!

Dr. Chiu enjoys quality time with her family, getting her hands dirty in the garden, whipping up some mouthwatering treats in the kitchen, and embracing the beach life. Moving to the Myrtle Beach area was the ultimate game-changer for her, offering the perfect blend of work and play. She’s all about saving the day for the Myrtle Beach community’s furry companions and supporting local pet and wildlife rescues. She’s here to be their champion and their dedicated vet!