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If the underlying cause is tangled or matted hair or trapped dead hair, put the dog on a regular grooming schedule either at home or at a grooming salon. Collies, Old English Sheepdogs, Shih-Tzus, and other breeds with long hair that tangles easily should be groomed at least twice a week so that snarls and mats do not form. Never bathe a dog with matted or tangled hair — comb the snarls out first. Clip mats if you cannot easily comb them out, and make an appointment for professional grooming every four-to-six weeks if you cannot keep the dog mat-free on your own.
If the underlying cause is allergies,— begin an aggressive campaign to rid your home and yard of fleas and work with your veterinarian on a plan to reduce allergy triggers for your pet. Household dust, plant pollen, lawn chemicals, and diet can all cause allergies or can build to a crescendo of allergies if the dog’s sensitivities cross a thresh-hold. Frequent vacuuming, supplements to keep the skin and coat healthy, air purifiers, and baths in skin-soothing herbal or medicated shampoos with aloe, oatmeal, jojoba, or eucalyptus can help. Next step is over-the-counter antihistamines such as Benadryl or Atarax — with a veterinarian’s approval. If these don’t work, then steroids to reduce the inflammation and the immune system reaction to the allergen and perhaps antibiotics to cure the infected hot spot are the next course of treatment.
If the underlying cause seems to be behavioral — if your pet doesn’t have allergies or fleas or a more serious skin condition, but is so bored, stressed, or lonely that he maims himself with constant licking or scratching, he may need more exercise, playtime, and attention. This can be the easiest or the hardest treatment to implement because there’s no pill or ointment for long-term success; the requirements are time, consistency, and perhaps an investment in training books, an obedience school, a dog sitter, or an animal behaviorist.
http://www.canismajor.com/dog/hotspots.html
