Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.
I am so sorry no one has assisted you and Sophie yet today.
You have definitely started out doing everything great! Unfortunately dogs can get lick granulomas
and we sometimes don't have an answer for the cause. It can be an issue with tingling, a foreign body, boredom to name a few possibilities. More information on lick granulomas:
I can definitely give you recommendations to minimize infection and reduce healing time but if there is any discharge or it is not healing then please have your vet evaluate the lesion to ensure additional medication is not warranted.
1.) No licking! If this area is reachable then please purchase that bootie or a cone to prevent her from reaching the area. Licking introduces oral bacteria to the area and can increase risk of inflammation and infection
2.) Trim the hair around the wound if there is any matting or debris
3.) Use ivory soap and water or dog oatmeal shampoo to the area twice daily with ten minute contact time before rinsing and tap dry
4.) I prefer to not apply salves or ointments because it traps in moisture to the area and reduces healing or delays healing time. If needed you can put a very thin layer of a triple antibiotic on the area after cleaning
5.) Remove any scabbing that occurs with healing. Again it also traps in moisture and then can actually abscess
6.) Limit activity. The more activity the more likely this wound will take longer to heal because the skin cannot heal in an active setting, particularly on the side.
If this is the beginnings of a lick granuloma then sometimes we do require antibiotics, anti inflammatories, prescription shampoo and my favorite laser therapy to stimulate healing and reduce the itchiness that feeds the cycle of the inflammatory response. Not all vet clinics have laser therapy but it really can minimize the need for medications and help soothe the discomfort.
Please let me know if this information makes sense and any additional questions i can assist with or clarify today.
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