Poor Ears!!

[pitbullbaby]

Both of my dogs have water or something in their ears. Every time i rub them u can actually hear the squishy inside--lol. Its really gross! Anybody have any suggestions on treatment?

[Icarus]

Try rubbing thier ears and tilting their heads or using a cotton ball to sop up the excess water if that's what it is. But then again it could be an ear infection. Heres some info in treatment.



TREATMENT

STEP ONE

Most ear infections are cleared up simply with professional cleaning followed by medication at home. If only mild debris is present in the ear canals, simple disinfection and washing of the ear is adequate; however, in most cases, a full ear flush is needed to even examine the ear drum. For patient comfort, we recommend sedation for this procedure as the ears are sore and the instruments can be damaging if the pet jumps at the wrong time.

STEP TWO

Some dogs have chronic ear problems (the infection is not controlled by general medication or returns when general medication is discontinued). In these cases, the ear discharge should be cultured so that the precise organism can be pinpointed and treated specifically. Regular treatment at home with disinfecting ear washes should become part of the pet's grooming routine.

Further testing may be in order to determine why the infection continues to recur. Allergy is the most common reason for recurrent ear problems.

STEP THREE

Depending on the severity of the problem, the vertical canal may need to be opened surgically. This enables debris to be removed more effectively. This is done to prevent severe scarring after prolonged specific medical therapy has been ineffective.

If the canal becomes so scarred that it is practically closed, "ablation" may be the final option. In this surgical procedure the entire ear canal is removed and healthy tissue is allowed to grow in. These procedures are "last resorts" after severe infection has made effective medical treatment impossible. A specialist is called in for these cases and, although surgery is expensive, dogs with chronic severe otitis usually require no further ear treatment for the rest of their lives.

SOME SPECIAL INFORMATION ON PSEUDOMONAS INFECTION:

Pseudomonas aeruginosa is a very special species of bacteria; it is resistant to almost every possible antibiotic. It is common for ear infections to be recurrent and in time, many antibiotics have been used. The unfortunate tendency is for most bacteria to be killed off, leaving infection with the very resistant and practically immortal (not to mention especially smelly) Pseudomonas.

If one if lucky, a culture of the ear discharge will reveal that the Pseudomonas is still sensitive to oral quinolone antibiotics such as enrofloxacin or orbifloxacin. It should be noted that especially high doses of this type of antibiotic are needed to treat Pseudomonas in the ear and that inadequate dosing will just make Pseudomonas even more resistant. In other words, Pseudomonas must be treated definitively from the moment it is diagnosed; once it becomes resistant to oral therapy, treatment becomes vastly more difficult.

Oral therapy is generally combined with some kind of topical treatment of the ear. Fortunately there are several concoctions that should be useful though some your vet must mix him/herself.

Silvadene/silver sulfadiazine

This product is manufactured as a wound creme and is especially helpful in hastening the healing of damaged external tissues. It also has activity against several bacteria including Pseudomonas. The creme can be prepared in water for an easier ear administration.

Tris-EDTA

EDTA is a binder of metals which are important to the bacterial cell wall. Tris is used to buffer the EDTA to a pH that is not irritating to the ear and to maximize the anti-bacterial effect.

Injectable Medications

It would be unusual for a Pseudomonas species to be resistant to absolutely everything. While there may not be an oral treatment available, sometimes an owner may be taught to give injectable treatments. These are often expensive, however. These same medications can also be mixed up for topical use; many are already available as commercially prepared solutions.

Chronic ear infections, as mentioned, typically have an underlying cause
(usually allergy). It is important to address this problem
in addition to the infection itself so as to minimize on-going ear inflammation.

[pitbullbaby]

thanks for the info--some days they have good days and some days they have bad days! lots of scratching though!