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 FLY STRIKE This is only an occasional 
          problem in dogs, but if your pet has this problem, they'll be miserable 
          and painful.
 Fly Strike is simply where biting flies have targeted your pet's ear 
          flaps. Perhaps because of a minor cut, wound, sunburn damage, or the 
          attracting smell of an ear infection. Once the flies start biting the 
          problem becomes a vicious cycle with the irritation, ooze, and dried 
          blood from the fly bite wounds attracting more flies. The pet then scratches 
          the ear flap causing further irritation and bleeding.
 
 
 The Solution is also fairly simple:
 
      
          Clean and treat the ear flaps.  Your vet will prescribe a soothing and medicated ointment or cream or suggest using a "human" product that you may already have at home.
          Stop the irritation and itch cycle.  This usually means using antihistamines, short term prednisone (steroid), and maybe some pain medication (but not aspirin (prevents clotting) or
       Tylenol (toxic to cats and not all that safe in dogs either))
          Treat the underlying problem of ear mites, infection, etc if present.
          AND GET RID OF THE FLIES.  The best way is to move your pet inside or to a different area if possible.  If not, then clean up the yard, the garbage, and the stools that attract fly populations.  If that's not easily done, such as around barn yards, then use fly repellents twice daily on the ear flaps until they are well healed.  Avon Skin So Soft Lotion or Oil works fairly well as do most of the pyrethrin based fly repellents made for horses. 
       If you don't know about Avon Skin So Soft, it's a brand of women's skin moisturizer that just happens to be a fairly good insect repellent for humans and pets.  It seems to work well diluted about 1 part Avon SSS oil to 9 parts water or any brand of water based skin lotion.  Or you can apply it full
       strength, but then it's a little greasy.  Or you can simply buy the Avon SSS Lotion ready to go.
       At any rate, it's gentle, soothing, and effective on dog ears for repelling flies and other biting insects. 
 
 HOMEMADE
     EAR WAX REMOVER Try this home remedy to get the WAX out of your pet’s ears.
 Combine:
 
          
            1/8 teaspoon lavender essential
            oil
            ¾ cup witch hazel
            extract
            1 tablespoon powdered boric acid
            ¼ cup Aloe Vera juice. Wet the ear canal with the mixture and massage the ear at the base. Remove the excess liquid with a cotton ball.
 Stand back while your pet shakes.
 Clean both ears every other week or as needed when wax builds up.
 
 
 HOME MADE EAR POWDER 
     
     Caroline Hair has been using this formula since she got her first Standard Poodle in 1959. It was given to her by a breeder of Cocker Spaniels - and she can honestly say she has NEVER had an ear infection in one of
     her dogs. It is especially good at drying up the black gunk.
 The Formula
 
 Ingredients
 
      
        
     4 oz. zinc oxide powder 
        
     4 oz. boric acid powder 
        
     ½ oz. Iodoform powder   
     Mix well. Keep in a sealed jar in a cool dry place.
 Instructions on use
 Place a large pinch of powder in each ear, and use your finger to work it down. Wait five or ten minutes (I cut toenails) then pluck the hair out of the ears, being sure to get all the way down. Allow the dog to shake, but leave the excess powder in the ears. Repeat monthly.
 
 Treatment of an existing infection
 Use as described for maintenance, then apply a fresh pinch of powder to each ear. Wait twenty-four hours, then use a dry q-tip to remove all the powder and the balls of dried gunk. Put a fresh pinch of powder in each ear. Repeat daily until the ears are no longer runny. At this point, repeat every other day, until there is no more runniness, then three times a week, then twice, then weekly, then every other week, etc. When the ears remain dry for three weeks, go to the monthly maintenance routine.
 
 How it works
 The reason this works so well is that the iodoform powder kills anaerobic bacteria and fungi which flourish in warm, moist, airless  places, like the inside of a poodle's ear. The zinc oxide and boric acid keep the ear dry, which prevents further infections. In the days before  antibiotics, Iodoform was frequently used in human medicine to pack puncture wounds where anaerobic bacteria also grow. It may be hard to find because it isn't used much any more.
 
 AURAL HEMATOMAS(Swollen Ear Flaps)
 Introduction
 
 This is a fairly common problem, especially in Retrievers.  For reasons that aren't exactly clear (much like nose bleeds in humans), the blood vessels in the ear flaps rupture.  This causes the space between the skin and the cartilage to fill up with clotted blood or serum.
 
 Often, but not always, there are underlying ear infections, ear mites, excessive wax, foxtails, porcupine quills, or chronic allergies that help explain why there is more than normal vascular pressure and irritation.  Frequent head shaking (due to itchy or painful ears) seems to be an underlying cause.
 
 If left untreated, the ear will be painful and to different degrees is likely to scar up in what is referred to as a "cauliflower ear" or sometimes as a "boxer's ear"  This refers to human boxers (fighters), not the K-9 type of Boxer.
 
 Treatment Options
 
 Medical or Conservative Treatment
 
 Medical Treatment often fails but there's not much harm in trying before going to surgery.  Possible treatments your vet might try include:
 
      
          Topical solvents like diluted DMSO that help draw out the fluid from under the skin.  The DMSO is often mixed with antibiotics (gentocin) and steroids (dexamethasone).  We vets are used to using this unapproved treatment quite successfully for snake bite swellings, but it doesn't seem to work all that great for ear hematomas.
          Injecting cortisone directly into the ear flap works in a percentage of cases.  The injection is usually repeated weekly for 1- 3 times til better.  If not much improved
        within a few weeks, then surgery is recommended.  This treatment is often combined with oral prednisone for about 10 days.
          Underlying ear infections, mites, etc, if present are treated at the same time.  Also expect your vet to send home medications to ease the pain and irritation.  Your vet may also consider putting your pet on acepromazine (tranquillisers) for a short period for two reasons: to stop your pet from shaking his head so violently giving the ears a rest...and because one of the mild side effects of this particular tranquillizer is to lower the blood pressure to the extremities (in this case the ear flaps) which helps the problem to resolve.
          Exotic Treatments.  There are some off beat treatments for ear hematomas out there they just might be legitimate, but I'm dubious. These include high tech and low tech stuff such as laser therapy and message therapy which share in common the goal of improving circulation health to the region and thereby allowing the clot and problem to resolve. Surgical Treatment
 If medical treatment fails...or if the hematoma is too large to expect medical treatment to work well, your pet will need surgery.
 
 There are quite a few different, and sometimes creative, techniques for this surgery, but all involve getting the clot out through slits or perforations, devising some sort of drainage, and suturing or tacking the ear flap skin down to the underlying cartilage until healing takes place.  I usually leave the drains in place for 2-4 days and remove the sutures 10 days after that.  I also treat these patients medically post surgery with antihistamines, short term prednisone, and Rimadyl in addition to treating any underlying ear infections etc.
 
 Expect at least some scarring of the ear flap. but at least your pet will be comfortable again.
 
 Also, don't be surprised if the other ear flap gets a hematoma within a year or so.  This occurs about 5-10% of the time (I made this "statistic" up as an honest
     guess so don't quote this as scientific fact).
 
 
 By Roger Ross, DVM
 Web
     Page
 
   
        
        
          
            | LINKS TO OTHER ARTICLES |  
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EAR PROBLEMSTreating them in a natural way, rather than with chemicals.
   
STRUCTURE
OF THE CANINE EAR CANALThe ear has two main functions, that of hearing and of balance.....
   
THE DEAF DOGThis web page is intended to act as a resource for people living with deaf dogs.
   CANINE
   EAR INFECTIONSImportant
   reading.
   AN
   EAR FULL OF AUDITORY ADVICEExcellent
   reading by Dennis W. Thomas, DVM.
   DOG
   EAR PROBLEMSCanine peripheral vestibular syndrome.
   CANINE
   EAR DISEASEA new approach to ear disease in dogs!
   ARTICLES
   ABOUT EARSExcellent articles here from DermaPet!
   OTOTOXICITY
   IN DOGS & CATSAn extremely interesting article by Philip D. Mansfield.
   NEW TREATMENT OF MALASSEZIA OTITIS EXTERNA IN DOGSComplete with photos, by Louis N. Gotthelf, DVM and Steven E. Young, DVM
   GERIATRIC OTOLOGYWell written, by Steven A Melman, VMD
   OTITIS
   EXTERNAA lesson about ear problems in dogs.
   TREATING
   EAR PROBLEMS IN DOGSFrom the Animal Pet Doctor site. Full of
   resourceful information!
   NATURAL
   TREATMENT FOR EAR MITES (PDF)Fully explained, by William Pollak, DVM
   EAR
   INFECTIONSCauses, symptoms, diagnosis,
   treatment and prevention advice.
   EAR DISEASES IN DOGS & CATSIn two parts, this is excellent reading! By David Holt BVSc, Diplomate ACVS
   EXAMINING AND MEDICATING THE EARS OF A DOGExcellent
   article complete with photographs & references.
   EAR INFECTIONS & CONDITIONSList
   of Veterinary Questions & Answers.
   CARE OF THE
   DROP-EARED HAIRY DOG EARThis is written for the Poodle, but is
   excellent for all drop-eared breeds!
   EAR
   - SKIN ALLERGIESAllergies, Fleas & Ticks, Mites (Mange), Causes of Skin Lesions, Ears,
 Other External (outside the body), Parasites, Nails, Skin & Coat Disorders
       EAR
       DISEASES IN DOGS & CATSVery informative & well
       worth visiting.
       HOW
       TO TAKE YOUR DOG'S EAR TEMPERATUREThe ear drum is considered to be a good indicator of body temperature
 as it measures brain blood temperature
       OTITIS EXTERNACauses, treatments etc.
       LOUD AND CLEAR: HEARING AIDS FOR DOGSVeterinarians and audiologist put their heads together and came up with a design.
       EAR INFECTIONS: A COMMON PROBLEM WITH MANY CAUSESWhat’s causing your dog’s ears to itch and swell? Everything from a dip in the pool
 to flea infestation can lead to those pesky ear infections.
       EAR INFECTIONSDid you know the most common cause of recurrent ear infections is allergic skin disease?
 What do you do to keep the ear scratching and head shaking from becoming chronic?
       EAR
       DISCHARGEDon't fall into the trap of looking at all of the symptoms...
       DEAFNESSSome great
       links to view on our Diseases page.
       INDICATIONS OF EAR PROBLEMSFrom Wax, Hematoma, Otorrhea, Otitis Media & Mites
       EAR
       DISEASEGreat article from "Vet Talk"
       TOTAL EAR CANAL ABLATION AND BULLA OSTEOTOMYFor dogs that have had long-standing ear infections and develop
 irreversible damage to the ear canal.
       EAR
       INFECTIONS AND YOUR PETSBattle Bacteria and Other Germs Before They Cause Infection
       SURGICAL EAR DISEASES IN SMALL ANIMALSMost often the problem begins in the portion of the ear outside the ear drum
       THE AMAZING TRUTH ABOUT EARSEars infections cause great frustration for owners and pain or discomfort for animals.
       REFRACTORY EAR Experts describe approaches using two DermaPet products,
 TrizEDTA and the Ear/Skin cleanser
       CULTURE & SENSITIVITY FOR EAR INFECTIONSFor diagnosing the organism/yeast & the best medications to fight it
       THE CANINE EAR: A FOREIGN LANDUnfamiliar with the anatomy or normal environment inside the ear,
 dog owners often miss the signs of ear disease.
       EXTERNAL RADICAL EAR SURGERY IN A DOGEar problems in dogs rank as the most frequent of all the “routine”
 health problems seen by veterinarians on a daily basis
       DOG EAR PROBLEMS: CANINE PERIPHERAL VESTIBULAR SYNDROMEThe symptoms are dramatic and sudden and are often confused with stroke
 or poisoning, even by some vets who may have had little experience with the illness.
       NATURAL TREATMENT FOR EAR MITESHomemade, natural, Ear mite treatment suggestions
       OTITIS EXTERNAA lesson about ear problems in dogs and cats from Companion Animal Dermatology
       EAR'S TO YOU!Head shaking, ear rubbing, pain, and an unpleasant odor —
 your dog has all the symptoms of otitis externa
       TUMORS OF THE EAR CANALRelatively uncommon compared with cutaneous tumors elsewhere on the body
       EXAMINING AND MEDICATING THE EARS OF A DOGMaking it easy!
       STRUCTURE AND FUNCTION OF THE EAREach ear is divided anatomically and functionally into regions called the
 external (outside) ear, the middle ear and the inner ear.
       ANATOMY
       OF THE CANINE EAR
       EAR DERMATITISThere are a variety of causes of ear dermatitis, ranging from infections
 to parasites to trauma.
       EVALUATION CRITICAL IN CHOOSING OTITIS TREATMENTWhen initial treatment fails
       EAR DISEASE MYRIAD CAUSESWhat causes ear disease in dogs and cats, and what are the best
 approaches to diagnosis and treatment
       NEW CONCEPTS IN EAR CLEANING TRIZEDTA (EDTA
       TRIS)Unique amongst the ear cleaning products currently available to veterinary surgeons.
       DIAGNOSIS AND TREATMENT OF PRURITIC OTITISThe differential diagnosis for pruritus is extensive and is dealt within
 textbooks on dermatology.
       SEVEN STEPS TO EAR THERAPYThe 7 steps to treating ear disease is a practical, clinical method to plug
 into one of the most common clinical problems veterinarians face every day.
       THE
       ROLE OF PSEUDOMONAS IN CANINE EAR DISEASEPseudomonas bacteria are an important cause of chronic otitis
 externa and media in dogs.
       HOW TO CLEAN A DOG'S EARSEar infections can be serious, and can begin easily if an animal's ears are not kept clean.
       FOOD ALLERGIES: EAR PROBLEMSMost (approx.80%) ear infections are caused by allergies, even if only one ear is involved.
       HERBAL HELP FOR EAR INFECTIONSWritten by Randy Kidd, D.V.M.
       OTITIS EXTERNA AND MEDIADiagnosis and management in the age of antibiotic resistance
       AURAL HEMATOMAHematomas within the ear flaps (aural hematomas) occur when head shaking
 breaks a blood vessel.
       HEMATOMA OF THE EAR IN DOGS (AURAL HEMATOMA)Read and learn before you need the information
       HEARING PROBLEMS IN CATS AND DOGSWhy do cats and dogs ears so commonly encounter difficulties?
       DISEASES OF THE EARPictures to give you an up-close-and-personal look at the ear and diseases
DOGS EYE, EAR, AND THROATIdentifying the problem
EAR DISORDERS IN DOGS AND CATSFrom ear mites, hematoma, and middle & inner ear infections
EAR CARE & CLEANINGEar cleaning basics procedures, tools & supplies ear and steps to go through
YEAST/SKIN/EARS/ALLERGIES/BACTERIAL INFECTIONSA number one problem among pets
EAR PROBLEMS IN DOGSHow do you know if your dog has an ear infection? What can you do at home to treat it
 and when should you visit your vet?
HOW WELL DO DOGS AND OTHER ANIMALS HEAR?Frequency hearing ranges in dogs and other species
ANATOMY OF THE CANINE EARExcellent details of the erect or floppy ear
EAR DISEASE IN DOGS AND CATSWe now have a better understanding of the causes and factors involved with ear disease.
 Animals do not develop ear disease without an underlying cause.
HELPFUL TIPS FOR SKIN AND EARSAn article well worth reading for all drop-eared breeds
TREATING EAR PROBLEMS IN CATS, DOGS, AND OTHER PETSFrom a treatment and frustration view point, there are 3 types of ear problems ...
CANINE VESTIBULAR DISEASEOur on-line page of information
NATURAL TREATMENTS FOR EAR MITES
(PDF)Some good information
ON DEAF EARSDeaf pets can be difficult to manage. With the inability to hear their owners or to detect dangers
 such as approaching motor vehicles, deaf dogs and cats need dedicated and caring owners.
ABNORMAL EAR DISCHARGE IN CATS AND DOGS The ear canals are lined with glands that produce a greasy, waxy substance called ear wax or cerumen.
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| General
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     General Treatment | Ear
     Mites |    Fly
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     Ear Powder || Battling Problems
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 Aural Hematomas | Ear Taping
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