Experienced and professional animal trainer provide their insights in answering this question :
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.

How to Identify Common Pet Problems ?

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Chronic ear infections in dogs can be caused by a variety of reasons, the most common being allergies. However, they can also be caused by foreign material such as grass or dirt, parasitic causes such as ear mites, ear canal masses and polyps.
In the meantime, there are some home remedies you can try to ease your pet`s discomfort, such as a warm compress, vinegar or hydrogen peroxide ear flush, and the use of natural anti-inflammatory agents like coconut oil or aloe vera gel.
Your vet will evaluate both ears, and the exam may include: Visual assessment to look for signs such as redness, swelling, and discharge. Examination with an otoscope, which allows evaluation of the ear canal and eardrum.
Treating ear infections in dogs usually consists of your vet cleaning your dog`s ear with a medicated cleanser and prescribing any antibiotics or anti-inflammatory medications required. Your veterinarian may also prescribe a topical medication and instruct you on how and when to apply it to your dog`s ear at home.
Possible Complications

A chronic ear infection may cause permanent changes to the ear and nearby bones, including: Infection of the mastoid bone behind the ear (mastoiditis) Ongoing drainage from a hole in the eardrum that does not heal, or after ear tubes are inserted. Cyst in the middle ear (cholesteatoma)

Ear infections that do not clear up after trying many antibiotics may need tubes. Prevention should be tried before turning to surgery. Talk to your child`s doctor about when ear tubes are needed.
In most cases, a dog`s ear infection will not go away on its own. What`s worse, if you wait too long to treat the ear infection, it can become much more difficult to get under control. An untreated ear infection can lead to chronic issues, hearing loss, and sometimes the need for expensive surgery.
Natural remedies for ear infections are olive oil, hydrogen peroxide, apple cider vinegar, and essential oils. But we do not recommend ever using these products in your dog`s ear! While they are natural this doesn`t mean they are safe.
Ear infections can be painful for your pup, so getting them to the vet is essential to get them treated right away. The longer the ear infection goes untreated, the worse it can become. Dogs are more predisposed to ear infections than humans due to the shape of their ear canals.
Redness and swelling of the ear

The longer your dog`s ear infection goes on untreated, the more likely you will be to see swelling and redness of the ear. This is a sign that the infection is worsening and needs to be treated right away, so go to the vet immediately if you notice this symptom crop up.

Massage the ear canal between your finger and thumb. Then allow your pet to shake his head to help loosen debris that lies deeper in the canal. Do not use cotton swabs – they may puncture your pet`s eardrum. To clean, use small pieces of cotton or tissue to wipe out the ear.
Squeeze a veterinarian-approved ear-cleaning solution to fill your dog`s ear canal and massage gently at the base of the ear for about 30 seconds. You will hear a squishing sound as the product dislodges debris and buildup. Don`t let the tip of the applicator touch your dog`s ear, as this can introduce bacteria.
There are three main types of ear infections: acute otitis media (AOM), otitis media with effusion (OME), and otitis externa, also known as swimmer`s ear. The symptoms of these ear infections are very similar and can include: Earache.
DURATION: Inner ear infections tend to be longer lasting. The most severe symptoms generally subside within 1 week but complete recovery could take up to 2 to 3 months.
Ear infections occur when fluid becomes trapped behind the eardrum, causing pain and inflammation. When this fluid becomes infected with bacteria, the best course of treatment is typically antibiotics. However, it`s worth noting that antibiotics aren`t the appropriate treatment for every type of ear infection.
Dogs that have long-standing ear infections may develop an irreversible disease of the ear canal. Due to chronic inflammation, the ear canal becomes very thickened and can turn into bone. As a result, the infection will not resolve with medications.
Dark brown or black—This type of earwax is commonly associated with yeast and/or bacterial ear infections. It`s a good idea to consult with a veterinarian if earwax is this color. Brown—Light brown earwax is normal and expected. If the wax is accompanied by odor or inflammation, it can be a sign of infection.
Various remedies that can be applied to improve your dog`s ear health and get rid of infections are: Coconut Oil: It acts as a great anti-bacterial and anti-fungal component that can be administered to the pooches in their infected ears.
If left unattended ear infections become extremely painful, smelly, and irritating for your dog. It can cause them to become withdrawn from the family, cry or bite when you touch their painful ear, and can cause them to become snappy towards other pets in the home.
When some dogs eat ingredients such as chicken, wheat, corn or other individual items, ingestion will trigger an allergic reaction that can alter the natural flora and allow an unnatural growth of yeast. If your pet suffers from yeasty ears, attempt altering their diet to eliminate common triggers.
A waxy, yellow, or reddish-brown ear discharge can also be a sign your dog has an ear infection, which can be a result of allergies, mites, polyps, overproduction of ear wax, excessive bathing or swimming (which can leave too much moisture in the ears), or other problems.
Use a clean cotton ball or pad (but not a cotton swab, which could damage your pup`s ears) to wipe out the excess solution and any loosened earwax. Wondering how often your dog`s ears need to be cleaned? In general, once per month is a good rule of thumb.
Dog Ear Yeast Infection vs Ear Mites

Dog ear mites and yeast infections have similar symptoms such as itching, discharge, and redness. However, a distinctive characteristic of ear mites is the presence of dark granules resembling coffee grounds in your dog`s ears, which are not present in yeast infections.

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. 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. How do I determine how much my overweight pet should weigh?
ANSWER : A. There are many tools to determine overweight and obesity levels in pets. A new tool, morphometric measurements and body fat index, are available to accurately determine a pet’s ideal weight; this will allow an accurate determination of the amount of food a pet should receive to achieve weight loss. Feeding the correct amount will lead to greater weight loss success.

There are many weight loss food options to help pets reach their ideal weight. Your veterinarian can help make a ideal weight recommendation. Here are some tips to help your dog lose weight in a healthy and safe way:

1. Diet: Providing a healthy and well balanced diet is essential to your pet’s overall health. Finding the right food for your dog can be a challenging process. For those overweight animals many commercial dog companies offer weight loss diets, but it is important to evaluate food labels for adequate nutritional content.

You want to ensure you are not missing other essential vitamin or mineral content. Volume of food is also important and the amount of food that works for one breed of dog may not be the same for another breed of dog. Portion control as opposed to free-choice feeding can help your dog to drop a few unnecessary pounds.

There are also prescription weight loss foods designed by veterinary nutritionists, such as Hill’s r/d (http://bit.ly/1AoENSd). Some pet owners find that home cooking is the best option for helping to provide a well-balanced and realistic diet plan. There are websites such as balanceit.com that offers recipes to fit your dog’s specific needs. Consulting with your veterinarian or a veterinary nutritionist to find the appropriate diet is a great way to help your dog be as healthy as possible.

2. Exercise: Another great tactic for weight loss for your dog is exercise. Whether this is through running, walking or playing with a favorite toy all of these are wonderful types of exercise to help keep your dog at a lean and healthy weight.

For those pet owners with busy schedules utilizing professional dog walking services or playtime through dog daycare services is another option. It has been shown that those pet owners that exercise regularly with their pets generally live a healthier lifestyle.

3. Physical therapy: As animals age pet owners offer encounter their favorite canine having more difficulty walking and have a dwindling desire to play with toys. Physical therapy, specifically hydrotherapy is a wonderful way to help older and arthritic animals gain more mobility and lose weight. Hydrotherapy has been proven to have several therapeutic effects on the body including, muscle strengthening, relief of swelling, decreased joint pain, less stiffness in limbs, improved circulation, weight loss, and increased tissue healing to name a few. For more information on the benefits of hydrotherapy:
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4. Veterinary visit and blood work: Weight gain can also be related to underlying health concerns such as hypothyroidism or other endocrine disorders. Scheduling a veterinary evaluation and routine blood work can be another important component in increasing the longevity of your dog’s life. Conditions such as hypothyroidism that predispose dogs to gain weight can be treated with a daily medication to improve hormonal balance. If feel that your dog is unnecessarily overweight there can be an underlying health condition that needs to be addressed.

5. Healthy treats: Pet owners love the chance to reward their favorite canine companion with treats and most dogs jump at the chance to consume these delicious products. The problem is many treats, which can include commercial dog treats or table scrapes can add many unnecessary calories to your dog’s daily intake. Reading labels and making note of the calories in these treats is an important component of understanding your dog’s overall health. Treats should not exceed more than 10 percent of your pet’s daily calories. There are healthier treats that can be offered to your pet to keep calories lower yet provide a fuller sensation. A pet owner can add steamed or pureed vegetables, such as carrots, green beans or sweet potato to add more fiber and thus a fuller feeling for your dog.

Q. My cat is excessively scrstching herself., to the point she has sores. She is strictly an indoor cat. Did have flees been treated for 2 months
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Skin problems can have a variety of causes, sometimes more than one. It is important to have the problem checked by your vet to determine if there is a medical cause for your pet’s skin issues and treat accordingly.

In pets of all ages, fleas, food allergies and exposure to chemical irritants such as cleaners and soaps can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin.

Check for fleas with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle.

If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic.

Food allergies are often caused by sensitivity to a protein in the food. Hill’s Science Diet offers some non-prescription options for sensitive skin as well as prescription hypoallergenic foods for more severe cases. Royal Canin carries limited protein diets that may also offer some relief. Your vet can recommend a specific diet that will help.

If there is no relief or not enough, consider getting your pet checked by a veterinary dermatologist and having allergy testing done.

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. My dog has no fleas, but is scratching and licking continually. He has been through a round of prednisone and it hasn’t helped. What can I do?
ANSWER : A. Itching can be caused by more than just external parasites, and if your dog is already on a flea medication, then it is possibly not the case. Itching can indicate anything from allergies to even minor skin infections causing problems. If your dog has been treated with prednisone (a steroid that inhibits the immune system) and it did not help, then looking at other options may help.

Food allergies are very common in dogs and can present with itching and licking all over the body rather than on just one spot. Common food allergens include ingredients such as wheat, corn and soy products, however dogs can be allergic to almost anything! Starting a food trial of an allergen-friendly diet from your vet or pet store that avoids these common ingredients may help. The food should be switched over a period of 7-9 days and then given about a month to decide if it is helping.

Small skin infections or yeast in the skin can also cause itching, however this itching is often more specific to a certain area of the body (such as the toes, or base of the tail). Your vet can perform a skin scraping of the area to be cultured at a lab to look for any yeast or bacteria. If they are present, a medication given either orally or placed on the affected area can clear up the infection.

In some cases, licking and chewing can actually be due to a boredom or anxiety behavior. Dogs may lick one spot obsessively to the point of creating sores or wounds in the area. Stopping your dog from licking and chewing either through the use of dog booties, no lick strips, T-shirts or even Elizabethan collars can break the habit and give the area time to heal. Licking and chewing can also cause the spread of bacterial infections so should be deterred even if not behaviorally caused.

Q. My dog licks his feet and legs and they are turning brown. He is a white dog. Can you help?
ANSWER : A. Licking the feet and legs can be caused by a number of things in dogs including allergies, illness or even stress behaviors. Allergies are the most common in dogs, with yeast infections coming in second. Allergies can cause the area to become red and itching, making your dog want to lick and chew on them. Over time, the area may become stained from saliva, especially in lighter or white-coated dogs. Yeast infections are also common between the toes, and may cause a smelly “corn chip” smell to appear near your dog’s feet. Again, dogs will attempt to lick and chew to relieve the itch. Keeping the feet clean and dry can help relieve both allergies and infections and pet wipes or a baby wipe of all paws when your dog comes in from outdoors may also help. Keeping your dog from licking the space with either dog booties or an Elizabethan collar is also good as it will prevent secondary infection and staining of the paws and legs. If your dog is determined to keep licking and keeping the feet clean and dry do not help, then your vet can help by providing a medication to treat any infection or provide relief of allergies.

Q. Which common foods are poisonous to pets?
ANSWER : A. That’s a great question. As responsible pet owners we need to be aware of food items that can be harmful to our canine or feline companions. Here are some of the most common foods proven to cause illness in our animals at home:

Chocolate: A favorite and irresistible treat amongst most humans, chocolate is considered toxic to dogs. In very small amounts it is usually not a huge issue, but with larger volumes and with darker chocolates pet owners should be concerned. Chocolate contains methylxanthine theobromine, which is similar to caffeine. Chocolate ingestion can cause vomiting, diarrhea, hyperactivity, issues with normal heartbeats, seizures, and in some severe cases, death. It is best to keep your favorite chocolate treats in a good hiding spot and out of reach of your dog or cat.

Grapes and raisins: Dogs should not consume grapes and raisins because of the risk of acute kidney failure. Most dogs experiencing grape or raisin toxicity will begin to have vomiting and/or diarrhea within 6-12 hours of ingestion. Other abnormal clinical signs include lethargy, abdominal pain, dehydration, and tremors. Kidney failure develops within 24-72 hours of the initial ingestion. There are some dogs that do not experience these devastating side effects. It is best to contact your veterinarian or veterinary emergency facility if you believe your pet has ingested grapes or raisins.

Garlic and onions: We often forget that our meals contain these two popular ingredients and will allow our furry companions a few bites or licks. Onion and garlic both can cause a type of poisoning that results in damage to red blood cells, making them more likely to rupture. They can also cause stomach upset and mouth irritation. Look for pale gums, increased breathing or drooling or any vomiting or diarrhea.

Bread dough: Unbaked bread dough is considered poisonous to our pets. The bread dough, when ingested, expands in the stomach because of the warm and moist environment. This can lead to a bloated or even twisted stomach. In addition yeast is often added to our baking products to help get bread to rise, and when this yeast is fermented it produces both carbon dioxide and alcohol. The alcohol produced can be absorbed into the bloodstream and causes dangerous drops in blood sugar, blood pressure and body temperature. Common clinical signs include vomiting or retching, distension of the stomach, weakness and collapse.

Macadamia nuts: Ingestion of these nuts are not proven to be fatal in dogs but can cause them to experience uncomfortable clinical sings, including fever, joint stiffness, vomiting, tremors and difficulty walking, especially in their hind legs. Often your pet will start to feel better after about 48 hours, but supportive veterinary care (such as pain medication) may help ease their discomfort.

Xylitol: The most common ingredient used in sugar-free gum is xylitol, which is a non-caloric sweetener. It is also found in some oral rinses, toothpastes and vitamins. Xylitol and dogs do not mix – it can cause a dangerous drop in blood sugars levels. Dogs will often display signs of disorientation, black tarry stool, tremors and seizures. If severe enough some dogs have developed liver failure. Keep your gum away from your canine companion.

Avocados: Avocados are not actually poisonous to dogs or cats but as many veterinarians can tell you the avocado pits can cause a foreign body obstruction. Avocados contain persin, which is actually toxic to the majority of pet birds. The abnormal clinical signs associated with avocado ingestion in birds include, respiratory distress, inability to perch, liver and kidney failure and sudden death.

Go forth and enjoy your favorite foods, but keep in mind which foods you should avoid sharing with your furry family members. Whenever in doubt, contact your veterinarian for healthy and safe food suggestions.