My dog has pimples and itchy skin. What shampoo should I use?

The bald spots and pimples may indicate minor infection or may be a symptom of a broader underlying condition. Skin problems can have a variety of causes, sometimes more than one. It is important to have the condition addressed by your veterinarian to determine if there is a medical cause for your pet’s skin issues and treat accordingly. Young dogs can get skin infections, commonly referred to as 'puppy pyoderma'. This usually occurs on the belly and inside the hind legs. This type of infection usually resolves without treatment as the puppy gets older. [*Staph* infections](https://www.petcoach.co/dog/condition/staphylococcal-pyoderma-1/) are common in dogs of all ages and may requires antibiotic therapy to treat. In pets of all ages, [fleas](https://www.petcoach.co/dog/condition/flea-allergy/), [food allergies](https://www.petcoach.co/dog/condition/food-allergies/) and [environmental allergies](https://www.petcoach.co/article/food-allergies-vs-environmental-allergies-whats-the-difference) (contact or inhaled) can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin or cause a [hot spot](https://www.petcoach.co/dog/condition/hot-spots/). Diagnosing the cause of allergies may require [allergy testing](https://www.petcoach.co/article/allergy-testing-immunotherapy-in-dogs) and [food elimination trials](https://www.petcoach.co/article/food-trials-for-allergies-in-pets-what-to-expect). [Check for fleas](https://www.petcoach.co/article/how-to-check-your-pet-for-fleas-and-ticks) with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle. If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic. Food allergies are often caused by sensitivity to a [protein in the food](https://www.petcoach.co/article/all-about-protein-in-pet-food). Hill's Science Diet offers some non-prescription options for sensitive skin as well as [prescription hypoallergenic foods](https://www.petco.com/shop/en/petcostore/category/dog/dog-food/prescription-dog-food-and-treats) for more severe cases. Royal Canin carries limited protein and [novel protein](https://www.petcoach.co/article/what-is-a-novel-protein-pet-food) diets that may also offer some relief. Your vet can recommend a specific diet that will help.

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. Judging from the pictures and your description, I would suspect that this could be due to a superficial bacterial skin infection. I would recommend using a shampoo such as Duoxo PS + chlorhexidine combination shampoo, fish oil such as Welactin and essential 6 spot on by Dermoscent. If there is no improvement with the skin / hair coat worsens, I would recommend having a veterinarian take a look at Ruby so that the most appropriate diagnostic and treatment recommendations can be made. I hope this helps! Please let me know if you have any other questions or concerns and I would be more than happy to help you further.

Hi and thanks for using Petco Pet Education Center, formerly Petcoach! From what I can tell via your photo, this looks a lot like puppy pyoderma-a very common condition among young dogs. Essentially, these are "pimples" for puppies and usually caused by staph bacteria. I will usually try to rule out any underlying flea problem resulting in pustules, etc when I see these patients. If I see nothing else of concern I will usually prescribe antibiotics for 10-14 days at which point the breakout has usually cleared up. I would recommend seeing your vet to do these things as well-Lala will be much more comfortable without pustules. I hope this helps!

Thanks for using Petco Pet Education Center, formerly Petcoach! This looks like a focal infection. You can try to use a medicated shampoo containing chlorhexidine twice weekly for 2 weeks. If there is no improvement or in the meantime this appears to be getting worse, have her evaluated by a veterinarian for further assessment and treatment. Good luck and have a good day!

In most cases these skin infections, called bacterial pyoderma, are allergy-related. The antibiotics will help, but as you've experienced the skin problems will come back if the primary allergic disease isn't controlled. The hydroxyzine Becher took was an antihistamine, and that may have helped control the itchiness, however it sounds to me that he needs something a bit stronger to control the allergies and thus the skin infections. Talk to your vet about using Apoquel or Atopica on him; these are great drugs with minimal side effects that really help allergic dogs.

Thank you for submitting your question regarding Tilly. She appears to have a superficial infection on her skin known as impetigo. It is common in puppies. Being so young and new to you, she will need to see a veterinarian to start her vaccines and deworming. However, you can start by bathing her with a moisturizing shampoo and conditioner such as an oatmeal or fatty acid based formula. You can bathe her twice per week. If this does not help, she will likely be prescribed a medicated shampoo. I hope this information helps!

Thanks for using Petco Pet Education Center, formerly Petcoach! This is possibly due to allergies. It really comes down to figuring out what is causing his allergies so that they can be treated or the specific allergen avoided. A secondary infection is likely and also needs to be addressed. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved in 1-3 months then it is time to move on and check for food allergies by switching to a novel diet (new protein and new carbohydrate). If that does not seem to be the issue then you are left out having to check for environmental allergies which require blood and/or skin tests. Allergies can be very frustrating to deal with at first but so rewarding at the end when we are able to treat them effectively!