[{"data":1,"prerenderedAt":1074},["ShallowReactive",2],{"item:\u002Fpet-health\u002Frecurrent-otitis-externa-in-dogs":3,"platform:site":502},{"id":4,"title":5,"authors":6,"body":11,"canonical":432,"category":433,"categorySlugs":441,"cid":442,"cover":443,"description":447,"extension":448,"featured":449,"language":450,"meta":451,"navigation":452,"noindex":449,"ogImage":453,"path":454,"publishedAt":455,"recipe":432,"related":456,"revisedAt":432,"seo":484,"seoDescription":447,"seoTitle":5,"sortKey":432,"sources":485,"stem":489,"tagSlugs":490,"tags":493,"translations":498,"type":499,"url":500,"__hash__":501},"platformItems\u002Fplatform\u002Fitems\u002F2764.md","Chronic Canine Otitis: Causes, Care, and Why It Reappears",[7],{"name":8,"slug":9,"role":10},"Charlie Ross","charlie-ross","author",{"type":12,"value":13,"toc":416},"minimark",[14,19,23,26,30,52,61,67,70,74,108,115,120,123,127,130,134,151,154,157,160,164,167,174,179,186,191,195,198,201,204,207,211,217,222,228,233,239,244,250,255,259,262,276,279,282,285,291,296,300,303,306,309,313,316,319,322,325,328,332,347,360,373,378,382,388,394,397,400,403,408,413],[15,16,18],"h2",{"id":17},"understanding-recurrent-ear-infections-in-dogs","Understanding Recurrent Ear Infections in Dogs",[20,21,22],"p",{},"Ear infections are a frequent issue in veterinary practice, with roughly 16% of dogs examined affected. A common scenario: a dog is diagnosed, treated, and improves, only to have the infection return shortly after. This cycle raises questions about underlying causes and effective prevention strategies.",[20,24,25],{},"Most dog owners will encounter ear infections at some point. While painful, they often respond to treatment within days. Recognizing the signs is straightforward, particularly for dogs with a history of recurrent otitis externa.",[15,27,29],{"id":28},"signs-of-an-ear-infection","Signs of an Ear Infection",[31,32,33,37,40,43,46,49],"ul",{},[34,35,36],"li",{},"Unpleasant smell from the ears",[34,38,39],{},"Frequent head shaking",[34,41,42],{},"Rubbing the head against surfaces",[34,44,45],{},"Scratching at the ears",[34,47,48],{},"Head tilting",[34,50,51],{},"Discharge from the ears",[20,53,54],{},[55,56],"img",{"alt":57,"height":58,"src":59,"width":60},"",545,"\u002Fpics\u002F706fd62405837b617860.webp",650,[20,62,63],{},[64,65,66],"em",{},"Read on to learn how to help heal your dog’s ear infection.",[20,68,69],{},"kyle smith",[15,71,73],{"id":72},"why-infections-return","Why Infections Return",[75,76,77,84,90,96,102],"ol",{},[34,78,79,83],{},[80,81,82],"strong",{},"Breed predisposition."," Certain breeds such as Cocker Spaniels, Springer Spaniels, Labradors, Shar Peis, and Basset Hounds are more prone. Their ear anatomy—whether heavy, long ears that trap moisture, narrow canals (stenotic, as in Shar Peis and English Bulldogs), or hair-filled canals (like Poodles)—creates an environment conducive to infection.",[34,85,86,89],{},[80,87,88],{},"Allergies."," If a dog is not anatomically predisposed but still suffers recurrent infections, food or inhalant allergies may be the culprit. In some dogs with food allergies, an ear infection is the only visible sign.",[34,91,92,95],{},[80,93,94],{},"Moisture."," Dogs that swim often, especially those with floppy ears that restrict airflow, are more likely to develop a new infection soon after one clears.",[34,97,98,101],{},[80,99,100],{},"Foreign bodies."," A foreign object, such as a foxtail, that remains in the ear can cause persistent infections despite treatment.",[34,103,104,107],{},[80,105,106],{},"Incomplete treatment."," If the infection (bacterial, yeast, or mites) is not fully resolved, it may seem to improve only to flare up again.",[20,109,110],{},[55,111],{"alt":57,"height":112,"src":113,"width":114},321,"\u002Fpics\u002Fa466720a2a81b408b91e.webp",640,[20,116,117],{},[64,118,119],{},"Heavy and floppy ears can lead to chronic ear infections.",[20,121,122],{},"cc-by flickr hmcfabulous 3120108102",[15,124,126],{"id":125},"cleaning-and-treating-the-infection","Cleaning and Treating the Infection",[20,128,129],{},"For a first-time infection, treatment is typically straightforward. When symptoms appear, have a veterinarian examine the ears to ensure the eardrum is intact.",[15,131,133],{"id":132},"how-to-clean-your-dogs-ears","How to Clean Your Dog's Ears",[31,135,136,139,142,145,148],{},[34,137,138],{},"Fill the ear canal with a cleaning solution. A homemade mix of 1 part white vinegar to 2 parts water is recommended.",[34,140,141],{},"Use enough solution to overflow the ear, varying by dog size.",[34,143,144],{},"Massage the ear, especially the base of the canal down to the head, until you hear the liquid moving.",[34,146,147],{},"Step back—your dog will shake its head, expelling loosened wax and debris.",[34,149,150],{},"If the ear remains dirty, repeat the process, ensuring a deep massage.",[20,152,153],{},"Vinegar acidifies the ear, which may resolve mild infections. For faster resolution, use the antibiotics or antifungal medication prescribed by your vet.",[20,155,156],{},"If the ears are scratched from scratching, avoid vinegar until healed. Aloe vera gel can reduce swelling and promote healing.",[20,158,159],{},"Follow your vet's directions for medication dosage. Treatments may include antibiotics, antifungals, or steroids to reduce itching and swelling.",[15,161,163],{"id":162},"featured-gallery","Featured Gallery",[20,165,166],{},"1 \u002F 1",[20,168,169],{},[55,170],{"alt":57,"height":171,"src":172,"width":173},750,"\u002Fpics\u002F251c5cf2ba3602d352d6.webp",1000,[20,175,176],{},[64,177,178],{},"If your dog likes to swim the ears will look clean but water may be trapped deep in the canal.",[20,180,181],{},[55,182],{"alt":57,"height":183,"src":184,"width":185},612,"\u002Fpics\u002F5e64a70fe2d0d8e1970a.webp",816,[20,187,188],{},[64,189,190],{},"If your dog has scratches or abrasions, do not clean the ear with vinegar.",[15,192,194],{"id":193},"preventing-recurrence","Preventing Recurrence",[20,196,197],{},"Opinions vary on the best prevention due to the lack of simple answers.",[20,199,200],{},"For healthy dogs, routine ear cleaning is unnecessary, but for those prone to infections, weekly cleaning is advisable. After swimming, apply an ear cleaner before the dog comes home.",[20,202,203],{},"Some vets advise against cleaning, as it may provoke infection. Frequent plucking of hair (e.g., in Poodles) can also trigger recurrent infections.",[20,205,206],{},"No single medication works for every chronic case. Using a prescribed antibiotic\u002Fantifungal\u002Fsteroid combination may lead to resistant infections and calcified ear canals.",[15,208,210],{"id":209},"step-by-step-ear-cleaning-directions","Step-by-Step Ear Cleaning Directions",[20,212,213],{},[55,214],{"alt":57,"height":215,"src":216,"width":173},1488,"\u002Fpics\u002F63c5d2c12e4a6f9bf6b5.webp",[20,218,219],{},[64,220,221],{},"Cleaning the ears can be easy with vinegar, water, and a paper towel.",[20,223,224],{},[55,225],{"alt":57,"height":226,"src":227,"width":173},741,"\u002Fpics\u002F81ed07722f3ec9525250.webp",[20,229,230],{},[64,231,232],{},"Massage your dogs ear canals to loosen up the wax and debris.",[20,234,235],{},[55,236],{"alt":57,"height":237,"src":238,"width":173},1345,"\u002Fpics\u002F7ccc13408bd4b8b6c006.webp",[20,240,241],{},[64,242,243],{},"Fill the ear canal with the vinegar-water solution.",[20,245,246],{},[55,247],{"alt":57,"height":248,"src":249,"width":173},700,"\u002Fpics\u002Fa51fc81bd883f1ec9462.webp",[20,251,252],{},[64,253,254],{},"Dry out the inner ear with a paper towel.",[15,256,258],{"id":257},"when-infections-persist","When Infections Persist",[20,260,261],{},"If the infection returns weeks after treatment, especially in a breed not typically prone, consider these possibilities:",[31,263,264,267,270,273],{},[34,265,266],{},"Food allergy",[34,268,269],{},"Inhalant allergy",[34,271,272],{},"Parasite or foreign body not addressed initially",[34,274,275],{},"Excessive grooming",[20,277,278],{},"Schedule another exam to rule out foreign bodies and test for mites.",[20,280,281],{},"For simple infections, an elimination diet can help identify allergies. Start with a single novel protein for a month; if symptoms improve, introduce another protein. If symptoms return, discontinue the new protein.",[20,283,284],{},"If infections are seasonal (spring\u002Fsummer), they may clear with diet changes but recur annually. Atopy injections or holistic therapies may be options when symptoms like paw licking and scratching precede an ear infection.",[20,286,287],{},[55,288],{"alt":57,"height":289,"src":290,"width":173},607,"\u002Fpics\u002F3eec11bd175f279e1e07.webp",[20,292,293],{},[64,294,295],{},"Dogs with cropped and open ears rarely have problems.",[15,297,299],{"id":298},"surgical-option-a-last-resort","Surgical Option: A Last Resort",[20,301,302],{},"When infections persist despite all efforts, surgery may be the only alternative. Some holistic vets oppose this, but for dogs with polyps or chronically swollen ears, it may be necessary.",[20,304,305],{},"The procedure involves removing the ear canals, leaving the eardrum exposed.",[20,307,308],{},"This is a last-resort measure.",[15,310,312],{"id":311},"is-there-a-universal-solution","Is There a Universal Solution?",[20,314,315],{},"For all dogs, keeping ears clean and dry is the best preventive measure.",[20,317,318],{},"A grain-free diet is also worth trying. Carbohydrates in grains may exacerbate the condition, so switching to a commercial grain-free or homemade raw diet immediately could help. Results vary based on the underlying cause.",[20,320,321],{},"No single medication works in every case. Traditional vets may prescribe antibiotics like gentamicin or antifungals, along with steroids for inflammation. Holistic vets might suggest garlic, witch hazel, or probiotic yogurt.",[20,323,324],{},"The variety of treatments exists because none is universally effective.",[20,326,327],{},"Managing recurrent ear infections is often a process of trial and error. Follow the guidance of an experienced veterinarian and maintain clean, dry ears as described.",[15,329,331],{"id":330},"references","References",[20,333,334,335,338,339,342,343,346],{},"Bajwa J. (2019). ",[80,336,337],{},"Canine otitis externa – Treatment and complications",". ",[64,340,341],{},"The Canadian veterinary journal = La revue veterinaire canadienne",", ",[64,344,345],{},"60","(1), 97–99. i.nlm.nih.gov\u002Fpmc\u002Farticles\u002FPMC6294027\u002F",[20,348,349,350,338,353,342,356,359],{},"Di Cerbo, A., Centenaro, S., Beribè, F., Laus, F., Cerquetella, M., Spaterna, A., Guidetti, G., Canello, S., & Terrazzano, G. (2016). ",[80,351,352],{},"Clinical evaluation of an antiinflammatory and antioxidant diet effect in 30 dogs affected by chronic otitis externa: preliminary results",[64,354,355],{},"Veterinary research communications",[64,357,358],{},"40","(1), 29–38. i.nlm.nih.gov\u002Fpmc\u002Farticles\u002FPMC4754334\u002F",[20,361,362,363,338,366,342,369,372],{},"McDonald, S. E., Sweeney, J., Niestat, L., & Doherty, C. (2022). ",[80,364,365],{},"Grooming-Related Concerns Among Companion Animals: Preliminary Data on an Overlooked Topic and Considerations for Animals’ Access to Health-Related Services",[64,367,368],{},"Frontiers in veterinary science",[64,370,371],{},"9",", 827348. i.nlm.nih.gov\u002Fpmc\u002Farticles\u002FPMC8907591\u002F",[20,374,375],{},[64,376,377],{},"This article is accurate and true to the best of the author’s knowledge. It is not meant to substitute for diagnosis, prognosis, treatment, prescription, or formal and individualized advice from a veterinary medical professional. Animals exhibiting signs and symptoms of distress should be seen by a veterinarian immediately.",[15,379,381],{"id":380},"questions-answers","Questions & Answers",[20,383,384,387],{},[80,385,386],{},"Question:"," We have a Great Pyrenees who has constant ear infections the only time he doesn’t is when he is on antibiotics. We have have taken chicken and chick bi-products from his diet which help for a month or two. His ears are so sensitive that even when he scratches or shakes his head he cries. Any suggestions?",[20,389,390,393],{},[80,391,392],{},"Answer:"," I wish I could tell you that there was a simple answer for your dog. There is not, as I am sure you have already figured out. There are a lot of things to try though.",[20,395,396],{},"The first thing I would do if this dog were my own would be a strict elimination diet. I am not referring to one of the diets that are sold that way by your vet or local pet superstore. Those diets are made up in factories that make up other dog foods, and accidents do happen. If you want a pure elimination diet, you have to make it up at home and everyone in the house needs to be sure that your dog is not getting any other food source. No slipping him a bite of ice cream, no food under the table, etc.",[20,398,399],{},"Pick one food source. You can use lamb if available. It is going to be expensive with such a big dog, and it is not going to be a balanced diet, but you can keep him on pure lamb for about 6 weeks and monitor his response. You might have to go on for 12 weeks, since you cannot really give up until then. (If you cannot afford this you can also feed brown rice with his lamb. Rice is a much better choice than some of the other grains.)",[20,401,402],{},"If his ears are getting better on the diet, you can start cleaning them with the dilute vinegar as described in the article. The acidic environment will make it easier for the ears to clear up.",[20,404,405,407],{},[80,406,386],{}," My ten year old, male Blue Heeler has chronic ear infections and has already had surgery. He is on a daily dose of Prednisone which is taking a toll on him. His ears and hardened and he can no longer hold them up. Could you please suggest something that doesn’t have such terrible side effects as Prednisone?",[20,409,410,412],{},[80,411,392],{}," It is possible that your Blue Heelers ears are hardened because of the chronic infection, not because of the Prednisone. Have you looked into what is causing this recurrent infection? Does the dog have signs of inhalant allergies or food allergies?",[20,414,415],{},"There is not a good medical substitute for prednisone, and, as you are noticing, the drug has a lot of side effects. The best chance for your dog is to determine what is causing the infection to come back and fix that. Consider trying to change his diet first.",{"title":57,"searchDepth":417,"depth":417,"links":418},2,[419,420,421,422,423,424,425,426,427,428,429,430,431],{"id":17,"depth":417,"text":18},{"id":28,"depth":417,"text":29},{"id":72,"depth":417,"text":73},{"id":125,"depth":417,"text":126},{"id":132,"depth":417,"text":133},{"id":162,"depth":417,"text":163},{"id":193,"depth":417,"text":194},{"id":209,"depth":417,"text":210},{"id":257,"depth":417,"text":258},{"id":298,"depth":417,"text":299},{"id":311,"depth":417,"text":312},{"id":330,"depth":417,"text":331},{"id":380,"depth":417,"text":381},null,{"slug":434,"name":435,"path":436},"pet-health","Health",[437,440],{"slug":438,"name":439},"animals","Animals",{"slug":434,"name":435},[438,434],2764,{"src":444,"srcset":445,"width":446,"height":446,"alt":5},"\u002Fpics\u002Fe1966f78f3bebd6daa72.webp","\u002Fpics\u002Ffd5176af305b1e84b92b.webp 400w, \u002Fpics\u002F53df0d35d777cbf4a4bc.webp 800w, \u002Fpics\u002Fe1966f78f3bebd6daa72.webp 1200w",1200,"Canine ear infections often recur. This article explores the reasons behind repeated infections, from breed predisposition to allergies, and offers practical cleaning and prevention methods. 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