My dog's spay incision is bleeding again. How can I help it heal?

The sutures take months to fully dissolve and it may be a reaction associated with the remaining suture. It could also be unrelated and be a bite wound. It seems very inflamed and possibly infected. I would have your vet check it to see if antibiotics are needed and what the cause is

The wound appears very superficial in the picture and I would leave it open to the air without dressing. Manuka honey and saline washes once daily may help if it becomes crusted. It is possibly due to a reaction to suture material which although rare can occur (surgical repair is a last resort as healing can be slow!)

I think it looks just fine actually. Probably a little local reaction to the underlying stitches. I suggest spraying it with this spray once a day for a week. It should be just fine! ( http://www.allivet.com/p-855-aluspray-aerosol-bandage.aspx ) Hope this helps. Best wishes.

The site itself looks good. No swelling, redness or bruising and it appears closed. The slight discharge does not appear to be frank blood. It looks like it may be fluid from a seroma. Seromas can occur after surgery. Continue to monitor the site, If the discharge increases or has a bad odor then see your veterinarian. Monitor Delilah for lethargy, fever, loss of appetite, vomiting or diarrhea. These are symptoms that should also be addressed by your vet. Keep an e-collar (cone) on her to prevent licking or chewing of the site. You can use a diluted betadine or Hibiclens solution around the site to keep the area clean.

While it can take a long time for sutures to dissolve, and may cause some swelling or irritation, if the area is still very inflamed, is bothering Mikasa, you're seeing sutures actually coming out of the incision site through the skin, or the area is hot to the touch or lumpy, I'd get a second opinion from another vet. It's possible there is an ongoing reaction under the skin that needs to be addressed, or the sutures removed and the area examined to check for other causes. Until you can get to the vet, making sure to keep the area clean and dry to prevent infection, and keeping Mikasa from licking at it is best.

If Marley has significant swelling with bloody discharge from her incision, she should be seen re-examined by her vet. This can indicate infection and poor healing of the incision. She will likely be started on a course of antibiotics and anti-inflammatory medications. Make sure she is wearing an e-collar (cone) at all times until her incision as fully healed to prevent further issues.

There can sometimes be some bleeding 7-14 days after being spayed as the sutures start to dissolve in the body. Most of the time this resolves with any treatment necessary. If you continue to see blood coming from the vulva for several days in a row (or if there are additional symptoms such as lethargy, vomiting, diarrhea, etc), it would warrant an examination and blood work. I have never heard of using Tranexamic in dogs, so I can't comment on that medication.