Hot spots (acute moist dermatitis) are painful, inflamed skin lesions that can appear suddenly and spread rapidly. While hot spots require immediate treatment, the right diet can help prevent recurrence by supporting skin health and reducing inflammation.
Understanding Hot Spots in Dogs
Hot spots are localized areas of skin inflammation and bacterial infection. They're intensely itchy and painful, causing dogs to lick, chew, and scratch—which makes them worse.
What Hot Spots Look Like
- Red, moist, oozing lesions
- Hair loss in affected area
- Swollen, inflamed skin
- Pus or discharge
- Foul odor
- Well-defined borders
- Can spread rapidly (hours to days)
Common Locations
- Under ears
- On hips and rump
- Along the neck
- Near base of tail
- On legs
Common Causes
- Allergies: Food or environmental
- Flea bites: Flea allergy dermatitis
- Moisture: Trapped moisture from swimming, rain
- Matted fur: Traps moisture and bacteria
- Underlying skin conditions: Seborrhea, yeast
- Ear infections: Lead to scratching
- Boredom/stress: Excessive licking
- Poor grooming: Dirty, matted coat
The Diet-Hot Spot Connection
Diet plays a role in hot spot prevention through:
Reducing Inflammation
- Omega-3 fatty acids reduce inflammatory response
- Anti-inflammatory diet may reduce flare-ups
- Balanced omega-6/omega-3 ratio important
Supporting Skin Barrier
- Quality nutrition supports healthy skin
- Essential fatty acids maintain skin integrity
- Proper nutrients help skin resist infection
Addressing Food Allergies
- Food allergies cause itching
- Itching leads to scratching
- Scratching can trigger hot spots
- Eliminating allergens breaks the cycle
What to Look for in Food to Prevent Hot Spots
Must-Have Features
- High omega-3 fatty acid content
- Quality protein sources
- No common allergens (if food allergy suspected)
- Limited, identifiable ingredients
- No artificial additives
Key Anti-Inflammatory Nutrients
- Omega-3s (EPA/DHA): Primary anti-inflammatory
- Vitamin E: Antioxidant, skin health
- Zinc: Wound healing, skin integrity
- Biotin: Skin and coat health
Ideal Food Characteristics
- Fish as primary protein (natural omega-3s)
- Added fish oil
- Limited ingredient list
- High-quality, digestible ingredients
Top Recommended Products
For General Hot Spot Prevention
Purina Pro Plan Sensitive Skin & Stomach (Salmon)
- Rating: 4.71/5
- Salmon first ingredient
- High omega-3 content
- Supports skin barrier
- No corn, wheat, or soy
Hill's Science Diet Sensitive Stomach & Skin
- Omega-6 fatty acids
- Vitamin E for skin health
- Easy-to-digest ingredients
- Made in the USA
For Suspected Food Allergies
Natural Balance Limited Ingredient Diet (Fish)
- Limited ingredients reduce triggers
- Fish-based for omega-3s
- Single protein source
- Good for elimination diets
Royal Canin Veterinary Diet Hydrolyzed Protein
- Hydrolyzed protein reduces allergic response
- For dogs with multiple allergies
- Supports skin health
- Veterinary recommended
Omega-Rich Options
Wellness CORE Ocean
- Whitefish and herring based
- High omega-3 content
- Grain-free formula
- Quality ingredients
Feeding Strategies for Hot Spot Prevention
Increase Omega-3 Fatty Acids
- Choose fish-based foods
- Add fish oil supplement
- Look for EPA/DHA in guaranteed analysis
- Balance with omega-6s
Consider Elimination Diet
If food allergies suspected:
- Feed novel protein for 8-12 weeks
- No treats or extras
- Monitor for improvement
- Reintroduce foods one at a time
Maintain Consistent Diet
- Sudden changes can trigger issues
- Stick with food that works
- Transition slowly if changes needed
Beyond Diet: Hot Spot Prevention
Grooming
- Regular brushing prevents matting
- Keep coat clean and dry
- Dry thoroughly after swimming/bathing
- Trim long coats in humid weather
Flea Prevention
- Year-round flea control essential
- Flea allergy is major hot spot cause
- Treat all pets in household
- Treat environment too
Environmental Management
- Identify and reduce allergens
- Regular cleaning
- Air filtration
- Manage humidity
Address Underlying Issues
- Treat ear infections promptly
- Manage allergies proactively
- Address anxiety/boredom
- Regular vet check-ups
Treating Existing Hot Spots
Immediate Care
- Clip hair around the lesion
- Clean gently with antiseptic
- Keep area dry
- Prevent licking (cone/e-collar)
- See vet if severe
Veterinary Treatment May Include
- Antibiotics (topical or oral)
- Anti-inflammatory medications
- Medicated shampoos
- Pain relief
- Addressing underlying cause
When to See a Vet Immediately
- Large or multiple hot spots
- Spreading rapidly
- Deep or severe lesions
- Dog is in significant pain
- Signs of systemic illness
- Not improving with home care
Frequently Asked Questions
Can diet alone prevent hot spots?
Diet supports skin health and reduces inflammation, which helps prevent hot spots. However, diet alone may not prevent them if the underlying cause is environmental allergies, flea bites, or moisture. A multi-faceted approach is best.
How do omega-3 fatty acids help with hot spots?
Omega-3s (EPA/DHA) have anti-inflammatory properties that support skin health and reduce the inflammatory response that contributes to hot spots. They also strengthen the skin barrier, making it more resistant to infection.
My dog gets hot spots every summer. What should I do?
Summer hot spots often relate to allergies, humidity, or swimming. Strategies: increase omega-3s before summer, keep coat shorter, dry thoroughly after water exposure, maintain flea prevention, and consider allergy testing if severe.
Should I use a grain-free diet for hot spots?
Not necessarily. Grain allergies are rare in dogs. If food allergy is contributing to hot spots, the protein source (chicken, beef) is more likely the issue than grains. Focus on omega-3 content and limited ingredients rather than grain-free specifically.
How long until diet changes help prevent hot spots?
Skin health improvements from diet typically take 4-8 weeks to become apparent. For food allergy elimination diets, 8-12 weeks is needed to fully assess results. Be patient and consistent with dietary changes.
Related Resources
- Dog Food for Skin Allergies - Allergy-friendly options
- Dog Food for Itchy Skin - Anti-itch formulas
- Dog Food for Dry Skin - Skin health support
- Fish Dog Food - High omega-3 options
- Compare Dog Foods - Side-by-side comparison











