My dog keeps scratching a bloody scab on his head. What can I do?
It is good that you have Harry wearing an e-collar to prevent further damage. It looks like he may have a hot spot. They can come up very quickly. To try at-home treatment, the first step is to clip the hair away from the skin so it will dry out, is easier to clean, and so you can monitor the progression. You need to use electric clippers, not scissors or a razor, to safely remove the hair.
Second is to gently cleanse and disinfect the area. You can use a chlorhexidine wound scrub to gently scrub the wound, rinse thoroughly with water. It is important to keep this out of Harry's eyes as it is unsafe.
Third is the treat the skin. You can use an ointment like neosporin or a medicated wipe like Dechra MalAcetic HC Wipes which is anti-bacterial and anti-inflammatory.
If you do this at-home treatment for 48 hours and the skin appears worse, Harry seems painful, or there is excessive discharge, I recommend that Harry see a vet immediately. Other possible causes for his skin issue that are not a hot spot include fleas, mange, lice, infections (bacterial or yeast), ringworm, allergies, among others.
Here is a good article about hot spots, including information on when at-home treatment can be tried: http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2714
Updated on September 23rd, 2025