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The symptoms of a dog's first heat are the same as any other heat and include swelling of the vulva and bloody vaginal discharge. Female dogs may urinate more frequently when in heat or develop other behavioral changes. Continue Reading.
The next year, when the weather warms up, the patient is back again- same symptoms but more severe this time. This time the dog has very itchy skin. Again, the treatment is symptomatic - antibiotics, topical spray, (hopefully no steroids), until the symptoms resolve with the season change.