Liz Buchanan BVSc MRCVS
Keymaster
Ear disease is usually a recurring skin inflammation (allergy) and very rarely caused by infection at all. The ear gets inflamed, so the dog scratches the ear because the allergy / inflammation itches. The ear becomes even more badly inflamed. The skin of the ear is damaged (scratched) and sometimes can become infected, but this is usually a secondary issue. Treatment methods have therefore changed a lot since I was first a vet - we used to simply assume an infection and give antibiotics. Nowadays antibiotics are still given sometimes (the normal bacteria can go a bit crazy because there's so much yummy ear exudate ('wax') to eat in the ear). However most ear cases are caused by allergy and allergy, as you know, is lifelong: it WILL recurr. It is typical for these dogs to have other signs of skin allergy as well. Ears, as you know, are just skin down a hole.
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