Experienced and professional animal trainer provide their insights in answering this question :
A. Hematoma repair greatly depends on the location and severity of the hematoma. In more minor cases, the spot can just be drained and the head kept still and ears bound to prevent shaking of the head and reopening of the wound. In more serious cases or cases where the hematoma chronically reappears, surgery may be needed to remove the tissue surrounding and allow the ear to heal completely. It is best to have a vet take a look at the hematoma to determine its severity and location and to decide what is the best treatment for it. Until you can get to the vet try to prevent your pet from shaking their head as this can cause the hematoma to worsen or re-rupture.

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If left untreated, the hematoma may be slowly reabsorbed but the associated inflammation will cause damage to the surrounding ear tissues resulting in a distorted, cauliflower-shaped ear that could obstruct the ear canal. Aural hematomas are very painful and, for an affected dog`s welfare, should be treated promptly.
Without treatment, a hematoma will eventually decrease in size and form scar tissue. However, for the reasons mentioned below, it`s not recommended to leave a hematoma untreated: This can be very painful for your pet. Until the hematoma heals, the swelling, pressure, and weight of the hematoma may cause discomfort.
There aren`t any home treatment options for ear hematomas in dogs because they`re usually due to an ear infection, which requires a vet visit, Dr. McCullough says. You should never take matters into your own hands — ever. “Pet parents should not try to release the trapped fluid themselves,” she says.
If a haematoma is left untreated the blood in the ear flap will separate into serum and a clot and will gradually be absorbed over a period of 10 days to 6 weeks. This is an uncomfortable time for your dog and unfortunately some scarring will take place during this process.
If a haematoma is left untreated and the pressure within the haematoma exceeds the blood pressure in the dermal and subdermal capillaries, it may result in a large area of necrosis of the overlying skin. Therefore, an urgent evacuation of the haematoma must be performed to release the tension over the skin.
If left untreated, a hematoma will heal on its own, but that can mean weeks of discomfort.
Draining a hematoma at home isn`t recommended.

It may temporarily relieve your dog`s discomfort but it could also lead to infection.

An untreated hematoma can sometimes cause complications. For instance, a hematoma in the brain may be difficult to discover if a person does not receive specific tests. They may experience symptoms such as a lasting headache, dizziness, or slurred speech.
Symptoms of Ear Hematomas in Dogs & Cats

An ear hematoma will cause part of the ear to appear puffy and swollen and may feel warm to the touch. It`s likely to get bigger quickly because the ear is filled with blood, and is probably most visible from the inner side of the ear.

It is important to recognize and drain auricular hematomas since persistent hematomas can induce cartilage destruction with subsequent deformity of the ear. Treatment involves drainage and evacuation of the hematoma.
Any bruise or other hematoma of the skin that increases in size over time could also present a danger. If a clot from a hematoma reenters the bloodstream, it can block an artery, cutting off blood flow to part of the body. Without prompt treatment, this can result in permanent tissue damage.
Mild hematomas and contusions will usually heal in about five days. A large hematoma may last weeks to months and as it heals it will change color and slowly shrink.
Ice: Apply an ice pack to the injured area for 20 minutes at a time, 4-8 times a day. Compress: Wrap the area (if possible) in gauze or elastic bandage. Elevate: Elevate the affected area above the heart whenever possible.
Most hematomas resolve spontaneously over time as the blood debris is removed and the blood vessel wall is repaired by the body`s repair mechanisms. Other times, surgically removing or evacuating the blood in a hematoma becomes necessary based on its symptoms or location.
If you let a hematoma heal on its own, the blood will eventually reabsorb. This can happen in as short as 10 days for minor hematomas. Larger hematomas may take weeks or months to disappear. There`s also the possibility that scar tissue will cause lifelong deformity, leading to cauliflower ear.
Massage of a hematoma should only be done if your veterinarian recommends it. It is most helpful after your dog has already had surgical treatment. Your vet might ask you to massage your dog`s ear periodically to keep the hematoma from filling back up with blood. However, only do this with clean hands.
A hematoma may require surgical drainage. Surgery may be more likely if the blood is putting pressure on the spinal cord, brain, or other organs. In other cases, doctors may want to drain a hematoma that is at risk of infection. The type of hematoma depends on where it appears in the body.
Sometimes hematomas cause few or no symptoms and are small enough that they don`t require surgical treatment. Bed rest, medications and observation may be all that is needed. The body can absorb the small amount of blood over time, usually a few months.
The cost of ear hematoma surgery for dogs can range between $300 and $2,500 due to the various factors that are taken into consideration with the procedure, including the location and size of the hematoma. It`s important to check with your dog`s vet on what you`ll be charged for before agreeing to the surgery.
Bruises and Superficial Hematomas

For the first day or two after the injury/trauma, apply a bag of frozen peas or an ice pack wrapped in a towel to the affected area for 10 to 15 minutes several times a day. Gently compress the injured area with an elastic bandage if swelling is present.

A hematoma is not a bruise. It is a pooling of blood outside of the blood vessels deeper in the skin than a bruise occurs. Trauma is the most common cause of a hematoma. Depending on the cause, it can take anywhere from 1 to 4 weeks for a hematoma to go away.
Similar to a bruise, they often heal on their own with at-home care such as rest, icing, and time. Although most hematomas aren`t overly painful or severe, some may be too filled, leading to serious symptoms or external bleeding.
Normally the haematoma gets completely absorbed but if it is large, the blood may not be completely resorbed in which case it becomes encapsulated by a fibrous wall forming a chronic swelling. Rarely, these swellings slowly expand3,6 and can be mistaken for a soft tissue malignancy.
Your dog may have an infection in its ears. Infections cause inflammation, which includes swelling. Ear infections are pretty common in dogs and are typically caused by bacteria or yeast. Infections can occur inside or outside of your dog`s ears.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. One of my pet’s ears seems very irritated. What I can use to clean it with?
ANSWER : A. Ear Irritation can be caused by a number of things ranging from allergies, ear infections or even mites. Dirty ears can also cause irritation and problems. Knowing the type of problem is best for figuring out how to treat it.

For plain dirty ears that do not have any odor, redness or leakage of discharge/debris, a simple over the counter canine ear cleaner can be used. Gently soak some cotton balls or a washcloth with the cleaner, and then use these to wipe out the flap of the ear and opening to the ear. Do NOT use Q-tips as these can become stuck or lodged in the curve of the ear canal and may cause injury to the ear drum.

If the ear is bright red or itchy without any dirt or debris in it, it may indicate an allergy. Sometimes an allergy medication can help provide relief in this situation. Your vet can give you the correct dosages of an over the counter allergy medication to use, or may recommend one specifically for dogs.

For infections and mites, changes to the ear such as bad smell or lots of debris and discharge, flecks of black or brown debris, or scabs and sores in the ear may be present. In these cases, it is best to have your vet take a sample of the ear debris to test for mites or infection. Your vet can then give you an ointment that is placed and left in the ear between ear cleanings. Most vets will then recommend cleaning the ears twice daily and then leaving in the ointment after for a period of ten days.

Ear mites ARE contagious to other pets, so if your dog does have them, it is best to treat any other pets in the house at the same time to prevent the mites from spreading around continuously.

Q. What’s the best way to train a dog to use a lead again?
ANSWER : A. It depends on how serious your issue is. If you need to start from scratch: Bring out the leash, place it on the ground. Click and treat your dog. Say his name, work on attention, click and treat for attention. Work with the cheese sticks, or with some chicken.. something stinky, soft, and high value. Allow him to sniff the leash, praise him, click, treat, click, treat. Pick up the leash, click treat him. Hook the leash to his collar and allow the leash to drag, click treat him. Have him just follow you around, click and treat him to hold his attention.

Then, pick up the leash, click and treat him. Then drop the leash again, click and treat. Take baby steps. Then, hold the leash while you take a step, click and treat him for following. Open the front door, click and treat him. Then, take off the leash, click and treat him, and end training.

Pick training back up in an hour, and do the same exact thing from start to finish, only this time, “finish” will be you two going outside, you clicking and treating him a bunch, and then you bringing him back inside. Work your way up slowly. You can’t expect to just bring him outside and bring him on a walk right away.

When outdoors, use a front hooking harness like the Sensible/Sensation harnesses: http://www.softouchconcepts.com/index.php/product-53/sense-ible-harness / http://www.softouchconcepts.com/index.php/product-53/sense-ation-harness. These harnesses will eliminate the pulling power of your pup in a positive way. This will put you in control without the use of force. Carry high value treats with you everywhere, and offer them for good walking behavior – treats like white meat chicken, cooked fish, turkey pepperoni, turkey bacon, diced ham, mozzarella cheese sticks, hotdogs, all cut into tiny little pieces. The more you work on walking on-leash/attention indoors, the better it will be outdoors, remember that.

Q. My dog is having ear problems. I have had her at two vets and they can not seem to find the cause. Can you help?
ANSWER : A. For a pet with chronic ear issues I would recommend checking her thyroid levels. Hypothyroidism can be a cause of chronic ear infections.

Then I would recommend having a bacterial culture of the ear debris to ensure the appropriate antibiotic is chosen to completely rid the bacteria in there. If there is resistant bacteria, the ear will appear to get better at first but then once ear meds are stopped they will thrive again and cause a re-emergency of the ear infection. Also longer treatment may be needed, for example instead of 7-10 days, perhaps 14 days continuously.

If all else fails, I would recommend a skull radiographs to look for signs of a narrow ear canal and/or an inner ear infection which will require not only topical antibiotic ointments put into the ear, but also oral antibiotics.
Most ear infections are caused by moisture in the ears, narrow ear canals, hypothyroidism or skin allergies. Each one has to be gone through systematically.

Q. I have two problems with my 16 yrs old dog: he’s constipated and has a ear ache. What can I use to relieve these?
ANSWER : A. Constipation is a common problem in dogs that can be due to a number of things. However it is a good idea to make sure the constipation is not actually diarrhea, as some dogs can strain after a bowel movement, making it look like such. If constipation is present, adding a little pumpkin puree or plain yogurt to the diet can help make digestion easier and make stools easier to pass. However if symptoms do not resolve after a few days, it is best to speak with your vet.

For ear aches, it is best to have your vet examine the ear as many things including allergies, ear infections, mites and more can cause ear problems. If the ear is just dirty, then cleaning the ear gently with cotton balls or a clean washcloth and a dog ear cleaning solution can help. Do not use Q-tips as a dog’s ear has a 90-degree turn in it and placing Q-tips in the ear can cause damage to the canal or inner ear. However if the problem persists or cleaning does not help, it is best to seek care.

Q. Ear hematoma that wasn’t treated. Can it be fixed so the canal is open
ANSWER : A. Hematoma repair greatly depends on the location and severity of the hematoma. In more minor cases, the spot can just be drained and the head kept still and ears bound to prevent shaking of the head and reopening of the wound. In more serious cases or cases where the hematoma chronically reappears, surgery may be needed to remove the tissue surrounding and allow the ear to heal completely. It is best to have a vet take a look at the hematoma to determine its severity and location and to decide what is the best treatment for it. Until you can get to the vet try to prevent your pet from shaking their head as this can cause the hematoma to worsen or re-rupture.

Q. My mini rat terrier has an ear hematoma and I have opted to let it heal naturally so is there anything I can give him for the itching??
ANSWER : A. I am sorry to say but there is a good chance your pet has an ear infection which caused the ear hematoma in the first place. Therefore I recommend at least treating the ear infection with topical antibiotics +/- antifungala prescribed by your vet.
Your pet is itching because the blood-filled ear is causing pain and discomfort. The best course of action, which is still considered conservative treatment, is to have the ear drained by your vet and then they can prescribe steroids and potentially oral antibiotics. This is a lot less invasive than the mattress suture pattern technique that is done to fix these, and I have seen lots of patients ear hematomas resolved this way as well.

Q. My puppy refuses to walk outside on the leash. This only happens when we’re outside… Is it stubbornness or fear?
ANSWER : A. It is never stubbornness. Dogs are not stubborn, they can’t be. Dogs do not generalize well, and dogs display fearful behavior that appears to be stubbornness. Absolutely NEVER force this dog to walk outside when he is uncomfortable with doing so.. the more you force him to do it, opposition reflex – the more he will resist. The more he resists and is forced into it, the less he learns about being comfortable, and the more he becomes fearful of you and of the situation.

What you can do is carry extremely high value treats outside with you. Things like cooked white meat chicken, cooked fish, turkey pepperoni, turkey bacon, diced ham, mozzarella cheese sticks – all cut up into tiny little pea-sized pieces. You can also use peanut butter in a squeeze tube. First, put on the leash indoors and begin feeding him the treats. Help him make positive associations with having the leash put on. Then, take the leash off, and start over in 10min. Put the leash on, feed treats, walk to the door, open the door, feed treats, close door, take off leash. Start over in 10min. Put on leash, feed treats, go to door, feed treats, open door, feed treats, go outside, feed tons of treats and praise. Keep Titus in his comfort zone. If he doesn’t want to go far, just feed him tons of treats where he IS comfortable going. Make sure everything is calm/happy/positive. I bet in a week of doing this, he will be happy with walk further and further all of the time. If ever he is uncomfortable, feed him lots of treats for being a brave boy, and then turn around and go back home. It’s all about keeping him in his comfort zone.. it’s all about remaining within his threshold and never forcing him to feed uncomfortable.

This is very common for puppies. The world is scary! It’s brand new to them, and it’s up to you to make their interactions and discoveries positive, happy, calm, and to never force them into anything.

Q. My dog keeps shaking his head at night and is very anxious acting? We’ve cleaned his ears and putting ear drops in hasn’t helped?
ANSWER : A. It sounds like ear canal infection. I am not sure if you used ear drops to clean ears (they do not contain antibiotics) or ear drops from your vets to treat ear infection. In case you used ear cleaner only you should take your dog to your vets to get antibiotics. If you are using antibiotics drops and there is no improvement your vet may recommend taking a swab from the ear to check what bacteria, fungus or parasite is responsible for the infection and then pick the most effective medication.