A dog’s ears are a powerful tool that helps them navigate through their surroundings and explore. When these ears experience issues, their everyday routines will be affected. One of the many problems is an ear infection.
Ear infections in dogs escalate quickly, with several causes and risk factors. If the infection is left untreated, it gets worse and can spread to other areas of the dog’s body. But first, let’s learn more about what these are.
In this guide, we’re going to go over everything you need to know about dog ear infections, from the main causes to how we can prevent them.
What Causes Ear Infections in Dogs?
There are plenty of factors when it comes to this issue. Below are the most common causes of dog ear infections:
Bacterial Infections
Bacteria are among the primary causes of ear infections in dogs. When the moisture accumulates in the ears, the space becomes an ideal environment for bacteria to grow and multiply.
It’s a common occurrence among outdoor and active dogs, especially those who love to swim but don't dry out properly.
Yeast Infections
Similar to bacteria, fungal infections can also take advantage of the moist environment within the dog’s ears. When left unchecked, fungi can overgrow and lead to long-term inflammation and infection of the ear.
Ear Mites
Ear mites are small parasites that stay in a dog’s ear canal, causing irritation and inflammation. These parasites can easily spread between animals, which makes them a risk to any dog’s health.
These parasites can easily spread between animals, especially in multi-pet households. Dogs with ear mites typically scratch their ears vigorously and may have a dark, crumbly discharge that resembles coffee grounds.
Allergies
Skin allergies in dogs, either from food, fleas, or environmental allergens, can trigger ear infections. From the inflammation they cause, bacteria and fungi can easily invade. Plus, dogs that frequently scratch their ears due to allergies can get wounds, which is a way infections come in.
Injuries and Foreign Bodies
Injuries and accidents involving foreign bodies can open the skin’s pores and create opportunities for infections to arise. These open wounds can also invite parasites, which then lead to ear infections.
Are Some Dogs More Prone to Ear Infections?
Yes, some dog breeds are more susceptible to ear infections than others, and it’s mostly because of their coat length and ear structure.
Cocker Spaniels. Cocker Spaniels have long and floppy ears that can easily trap moisture. Because of this, it's easier for bacteria and fungi to grow and thrive.
Basset Hounds. These dogs have large, floppy ears that can easily trap moisture and debris, creating a suitable environment for microbial growth.
Poodles. Poodles have floppy ears and excess hair in the ear canal, which can easily accumulate dirt, debris, and moisture.
Labrador Retriever. Labs love to play in water. When they aren't dried properly, the moisture can accumulate deep in the ear canals. Again, moisture helps microbial growth.
What Are the Types of Dog Ear Infections?
There are three types of ear infections in dogs, namely Otitis externa, Otitis media, and Otitis interna. Here’s what you need to know about their differences.
Otitis Externa
Otitis externa, or an infection in the outer ear, is the most common type of dog ear infection. This type affects the outer ear canal of dogs and is usually caused by bacteria and fungi. Otitis externa usually happens because of trapped moisture in this section of the ear.
Otitis Media
When otitis externa is left untreated, the problem can potentially worsen. Chronic ear infections in dogs can lead to otitis media, the infection of the middle ear. Aside from this, it can also be caused by foreign body damage or a ruptured eardrum.
Because of the nature of the infection and the area infected, otitis media can present severe symptoms and concerns.
Otitis Interna
The most serious type of canine ear infection is otitis interna, which affects the inner ear. Otitis interna often stems from an untreated inner ear infection. It presents the most severe symptoms, especially since the inflammation impacts the vestibulocochlear nerve.
Here, dogs can expect neurological symptoms that can affect their balance and behavior.

How Do I Know if a Dog Has an Ear Infection?
These symptoms usually indicate an ear infection in your dog. Common ones include:
Head Shaking. Frequent head shaking is a common sign of an ear infection. Dogs tend to shake their heads in the hopes of getting rid of the irritation and discomfort.
Scratching and Pawing. One of the clearest signs of a canine ear infection is when they constantly scratch their ears. Your dog might try to use their paws, nearby furniture, or the floor itself to scratch the area.
Redness and Swelling. Ear infections can cause inflammation and swelling, with cases getting more severe the more the dog scratches.
Color and Odor. Normally, a dog’s earwax can be clear, brown, or pale yellow. In ear infections, they can be dark green for bacterial infections and dark brown for yeast infections. Red earwax also indicates bleeding can be accompanied by a foul smell.
Pain and Sensitivity. Some dogs may avoid your touch and appear withdrawn because of the pain they feel.
Balance Issues or Hearing Loss. In advanced cases, the infection may affect the inner ear, leading to balance problems or hearing loss. Dogs might have trouble walking, while some can frequently stumble and fall.
How Do Vets Diagnose Dog Ear Infections?
Our team can perform an otoscopic exam, ear cytology, culture and sensitivity testing, and diagnostic imaging to diagnose your dog’s ear infections.
Otoscopic Exam
We'll start examining the surface of the ear, then proceed to the inner parts. For a deeper look, we'll use an otoscope, which is essentially a tool with a light and a magnifier.
With an otoscope, we can clearly see your dog's inner ear canal. This allows us to check for anything out of the ordinary, which can be inflammation, wax buildup, or some foreign material.
Plus, we can use video otoscopes, which are essentially otoscopes with a camera attached to them. Our vets can use this to show you your dog's ears and the reason for the infection.
Ear Cytology
After this, we'll collect a sample of the debris and discharge present. This sample will be smeared and stained on a slide so we can examine it under a microscope to look for bacteria, fungi, ear mites, and other potential causes.
If the infection recurs or is severe, we’ll perform a culture and sensitivity test. Our team sends a sample to our lab so we can identify the pathogen and determine the most effective medication for it.
Diagnostic Imaging
Imaging allows us to look deeper into the middle and inner ear. This is particularly useful for chronic cases or deep ear infections.

How Are Ear Infections in Dogs Treated?
The treatment plan we will use will depend on the cause and location of the ear infection. Here are the common options.
Ear Cleaning
Flushing out bacteria, yeast, ear mites, and debris is the initial step. We’ll use a medicated ear cleanser and a soft cloth for the process. This first step is the foundation for other treatments to work effectively, especially since a significant portion of the cause has been eliminated.
Canine Ear Drops
Topical medications and ointments are the most common types of dog ear infection treatment. These medications are easy to apply, which helps you keep your dog safe even in the comfort of your home.
A dog’s fungal ear infection treatment will consist of antifungals, while bacterial causes require antibiotics. For ear mites, canine ear drops specifically made for these parasites will be prescribed. Corticosteroids can be prescribed to relieve the symptoms.
Oral Medications
Oral medications can also help fight off ear infections systemically. Oral antibiotics, antifungals, and anti-inflammatories can be prescribed.
Surgery
For severe cases, surgery will be recommended. This is only an option for cases in which there is significant damage, a deeply lodged foreign material, or a bone infection.
How Can I Treat My Dog’s Ear Infection at Home?
At home, always follow our instructions for a smooth recovery. Use a vet-approved ear cleaning solution and massage the base of the ears. Next, wipe the ears with cotton balls, never cotton swabs. Plus, it’s also important to follow our vets’ prescription and treatment plan.
Home remedies, such as coconut oil and a vinegar solution, aren’t effective for treating ear infections in dogs. They may also worsen the issue.

Vet Tips: How to Prevent Ear Infections in Dogs?
To protect our dogs from this painful and stressful disease, follow these three key tips.
Clean Ears Regularly
Routine grooming and cleaning are recommended to keep your dog’s ears free of debris, bacteria, and fungi. However, this should only be done every 2 to 4 weeks, depending on your dog’s risk, breed, and lifestyle. Too much can be counterproductive and harmful.
Keep Ears Dry
If your dog loves to play outside and in the water, be sure to wipe their ears after they play. Moisture is a major trigger that should be avoided at all times. This also applies to baths, as thorough drying is highly advisable.
Check Ears Regularly
While you’re cleaning and wiping away, be sure to visually inspect your dog’s ears for any signs of infection or irritation. Staying ahead is always a good step when it comes to preventing any sort of problem. If you notice anything bad, bring your dog in for a wellness check.
“A healthy dog starts with the little things. Keep their ears clean to keep their smiles wide.”
- Dr. Lidija Krvavac
Final Thoughts
Dog ear infections are troublesome conditions our pets face. While they are more common in certain breeds, every dog can be affected. The best thing we can do is clean and monitor their ears regularly so we can prevent a lot of pain and discomfort.
Frequently Asked Questions
Can a dog's ear infection go away by itself?
No, leaving a dog ear infection untreated can cause significant pain and chronic problems. In severe cases, the infection can spread deeper into the ear, potentially affecting the dog’s vestibular and nervous system. This can result in neurological issues.
How serious is this condition?
A dog ear infection is highly serious, capable of starting as a mild discomfort and progressing to long-term damage. This includes ruptured eardrums, loss of hearing, facial paralysis, and neurological damage.
Can this spread to a dog's brain?
Yes, a dog ear infection can potentially spread to a dog’s brain if it’s left untreated over time. When this happens, dogs can experience head tilting, disorientation, circling, abnormal eye movements, and even seizures.
What can I feed my dog for ear infections?
To help manage or prevent dog ear infections, we recommend switching to a high-quality diet without unnecessary fillers and without common allergens, such as wheat and soy. You can also provide salmon or fish oil supplements and some probiotics.
How long do affected dogs take to heal?
Most dog ear infections can heal within 1 to 2 weeks when given proper and timely treatment. Severe infections can go beyond this timeframe, reaching about 2 to 4 weeks before fully resolving.
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