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Patricia A

Isabella which protein/flavor Primal Nuggets do you feed. Some are higher in fat which might cause the looser stool. Try the rabbit or Turkey/Salmon which are I believe lower in fat. Also You may need to have a veterinarian shave or clip your dog if her hot spot is especially painful.) Clean the affected area with warm water, and gently pat dry with a clean cloth or paper towel. Apply a small amount of an over-the-counter hydrocortisone ointment to stop itching and aid healing.
Try to keep her from scratching and which causes the viscous cycle of hot spots. Maybe a bully stick to chew.
Hope this might help .