Advice for Hot Spots which won't permanently go away!

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Advice for Hot Spots which won't permanently go away!

This is a discussion on Advice for Hot Spots which won't permanently go away! within the Dog Health forums, part of the Keeping and Caring for Dogs category; Our 10-year old Lab mix has encountered Hot Spots for the first time in his life about 6 weeks ago. Here's what happened. - Vet ...

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Old 04-18-2018, 11:06 AM
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Exclamation Advice for Hot Spots which won't permanently go away!

Our 10-year old Lab mix has encountered Hot Spots for the first time in his life about 6 weeks ago. Here's what happened.

- Vet administered a shot of Diphenhydramine (anti-allergen) and gave him Cephalexin (antibiotic) for 2 weeks.
- Hot Spots eventually disappeared.
- They returned a week or so afterwards.
- Brought him to a different vet and was given Cefpodoxime (antibiotic) and an anti-allergen called Oclacitinib.
- Hot Spots disappeared.
- Now, they're back for a 3rd time.
- The sores are wet and emit a bad odor.
- For the past 2 days, we've cleaned and dried the Hot Spots and used a few doses of 1% Cortisone.
- We are also using the E collar in case he was licking while we weren't looking.
- The sores are looking very slightly less rough and are scabbing but no real positive progression.

Additional info which might be useful.

- Never ever is he ever given table scraps.
- His food is Acana Adult Large Breed which is Chicken-based. (https://acana.com/our-foods/dog-food...t-large-breed/)
- He is not given any treats.
- Reading about food allergies and how chicken is the most common one, we switched foods to Acana Lamb & Apple (https://acana.com/usa/our-foods/dog-...es/lamb-apple/)
- My wife read about the small possibility of allergy to the fluoride in tap water so we've been giving him filtered water.
- He was given a Cesar Millan bone twice before this started. No more since.
- Before this started, he did not lick more than is normal for cleaning purposes.


We can obviously go back to the vet but we will likely be given more antibiotics and I do not believe pumping my dog full of drugs is necessarily the way to go, especially since we haven't been able to make any progress on the root cause.

What concerns me is the fact that the environment and food cannot be more controlled and restricted than they are and he has been perfectly healthy for the 7 years we've had him and out of nowhere now has these Hot Spots at the tail-end of winter for seemingly no reason whatsoever. No bugs are present, no pollen, etc.

We're at our wits end and do not know how to proceed to permanently get rid of these Hot Spots. Aside from not enjoy the collar, our boy is in great spirits but we want him to be perfectly comfortable and healthy. He is not overweight either.

*** ANY advice given will be very much appreciated! ***



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Old 04-18-2018, 01:30 PM
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What's a hot spot?
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Old 04-18-2018, 02:07 PM
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Originally Posted by Georgieboy View Post
What's a hot spot?
Google it. You'll see pics. It's quite common.
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Old 04-18-2018, 03:15 PM
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You might try a Vet that specializes in dermatology.
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Old 04-19-2018, 04:18 AM
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Quote:
Originally Posted by Strat View Post
Google it. You'll see pics. It's quite common.
Ok..... a bit rude but fair enough.
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Old 04-19-2018, 10:02 AM
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Originally Posted by Georgieboy View Post
Ok..... a bit rude but fair enough.
Sorry. My post wasn't meant to be taken this way.

Googling for it would have taken less time than posting the question and there would be the benefit of seeing pictures if you're inclined to see what it looks like.

I was a bit surprised you were unfamiliar with hot spots as it's a rather common ailment with dogs but hope your dog(s) won't ever experience them. It's unpleasant for them and stressful for the owner to deal with when they won't go away by traditional means.

Apologies once more if I sounded short.
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Old 04-19-2018, 10:09 AM
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Something we've been doing for the past 24h is cleaning his hot spots and then applying Polysporin on them.

He seems quite relieved and thankful as he spends a few minutes each time wagging his tail and licking us right after applying it. Sure hope we'll be able to get to the bottom of this. My poor boy is obviously in some discomfort.
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Old 04-22-2018, 11:22 PM
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Where are his hotspots located? And did anyone send you home with a topical medication for him or was it just sistemic oral antibiotics? Has anyone suggested a skin culture? And what flea prevenative is he on?
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Old 04-23-2018, 06:25 AM
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If the infection is deep then it can take 3-4 weeks worth of antibiotics to properly clear the infection. After a week or two the skin might look visually cured but the infection may still be deeper. Topical cleaning with something chlorhexidine based is a good addition to any systemic antibiotics and given he's already been on a couple of things culture would definitely be a good idea to check for any resistance. Hope you get on top of it soon!
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Old 04-23-2018, 09:49 AM
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Originally Posted by animalcraker View Post
Where are his hotspots located? And did anyone send you home with a topical medication for him or was it just sistemic oral antibiotics? Has anyone suggested a skin culture? And what flea prevenative is he on?
On his crotch, all the way to the side of his hind legs.

No topical medication was ever given to us nor suggested. The only antibiotics we were ever prescribed were oral antibiotics.

No skin cultures were suggested but a blood analysis to determine whether he has a thyroid condition was. However, we've had him for 7 years and I can definitely assure you he does not have a thyroid condition.

He does not have fleas. It only very recently became warm but 6 weeks ago, temperatures were still about -12 degrees Celcius. No fleas can survive those temperatures.

Quote:
Originally Posted by Our Pets Health View Post
If the infection is deep then it can take 3-4 weeks worth of antibiotics to properly clear the infection. After a week or two the skin might look visually cured but the infection may still be deeper. Topical cleaning with something chlorhexidine based is a good addition to any systemic antibiotics and given he's already been on a couple of things culture would definitely be a good idea to check for any resistance. Hope you get on top of it soon!
He thankfully has shown *massive* improvement after a week or using Polysporin on his affected skin. The hot spots have gone from smelly almost blood red-looking sores with pus to mere small red dots, akin to what a mosquito bite would look like. We have made him wear the E collar for the past week as well. Those 2 elements have generated amazing results so far.

We're glad he's on the mend and will monitor him further. We hope this will be the end of the hot spots!

Last edited by Strat; 04-23-2018 at 09:52 AM.
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