How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. John Your Own Question

Dr. John
Dr. John, Texas Veterinarian
Category: Dog
Satisfied Customers: 10213
Experience:  Over 14 years of clinical veterinary experience
11664588
Type Your Dog Question Here...
Dr. John is online now

My westie has an on going itching ear problem how can we fix

Customer Question

My westie has an on going itching ear problem how can we fix as ear drops not working
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. John replied 1 year ago.
Hello. Thanks for writing in. My name is***** and I would be happy to help you. I do have a few questions for you to better assess your situation.What ear drops are you using?Are you cleaning the ear as well?When was the last time your vet did an ear swab and look under the microscope?What does the debris coming out of the ear look like?Is she on any other medication?
Customer: replied 1 year ago.
Drops are called otomax we clean ear out all the time .vet never done a swab. Debris out of ear is brown colour. No other meds
Expert:  Dr. John replied 1 year ago.
Thanks for the information. In most cases, ear infections in dogs are allergy related. With her age, though, make sure your vet has ruled out a polyp or tumor in the ear. That can continue to cause problems despite treatment. I will start off by saying that if the ear infection has been chronic enough to cause severe swelling and calcification (would need an x-ray to see) of the ear canal, then you will not be able to clear the infection at that point. The changes are irreversible, and surgery to remove the ear canal is the only option. Hopefully, it has not gotten that far. If it hasn't, then I would highly recommend your vet run an ear cytology to see if this is a yeast, bacteria or mixed infection. If it is bacterial, and there are a lot of rod shaped bacteria, then it needs to be cultured and tested against different antibiotics, because it could be a resistant pseudomonas infection. If that is the case, then x-rays to evaluate the middle ear cavity is necessary because infection can reside there. If just simple yeast and/or bacterial infection (cocci shaped), and the ear canal doesn't have irreversible swelling, then aggressive treatment is usually necessary. First and foremost, medication to control allergies is needed. Most of these dogs need to be on prednisone for inflammation and swelling initially and maintenance doses of medication after. The maintenance can be very lose dose prednisone or medications like Atopica or Apoquel. Make sure you are cleaning the ears twice daily and using the medication as prescribed (just clean once daily if the medication is prescribed for once a day) for minimum of two weeks. Recheck visits with the vet after 2 weeks are of upmost importance to determine progression and if the infection is really cleared up at that point. When cleaning, fill the ear canal, massage the base of the canal for 30-60 seconds, let her shake her head and clean with a dry cotton ball. If you are diligent with treating and getting in for rechecks, then the infection can be cleared. They HAVE to be on medication to control allergies, though, or you may be just spinning in circles. Once the infection is cleared, I would be cleaning the ears minimum of twice weekly for maintenance. Please let me know if you have any other questions or concerns before rating. Hope this helps. DISCLAIMER: My goal is to make sure that you get all your question answered and all the information you need. If you are satisfied with my answer, please rate it. If you feel like it is not helpful to you, or if there is more information you need, please respond back to me before rating. Realize that our conversation is not intended to diagnose or treat a condition. There has to be a valid veterinary-client-patient relationship established with an exam, according to law. You should always follow up with your vet.
Expert:  Dr. John replied 1 year ago.
Hello June,


I'm was just following up to see how Holly is doing and to see if you have any further questions?


Thanks,
Dr John

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Rebecca

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    293
    Veterinarian for more than 30 years
< Last | Next >
  • http://ww2.justanswer.com/uploads/TO/tomasicvet/2011-3-15_20483_RTI.64x64.jpg Rebecca's Avatar

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    293
    Veterinarian for more than 30 years
  • http://ww2.justanswer.com/uploads/MS/msb13sm/2011-3-7_52612_Dr.B.64x64.JPG Dr. Matt's Avatar

    Dr. Matt

    Veterinarian

    Satisfied Customers:

    2354
    DVM - 13 years experience in canine medicine and surgery.
  • http://ww2.justanswer.com/uploads/DR/Dr. Gene/2012-6-29_2247_20120223174645649.64x64.jpg Dr. Gene's Avatar

    Dr. Gene

    Veterinarian

    Satisfied Customers:

    1048
    DVM degree from Ontario Veterinary College
  • http://ww2.justanswer.com/uploads/VE/Vet help/2012-11-3_20182_Avatar2.64x64.png Vet help's Avatar

    Vet help

    Veterinarian

    Satisfied Customers:

    963
    12 yrs experience as a small animal veterinarian; 21 yrs exp. in the animal care field
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/KR/kritrdr/2014-3-26_152042_Dr.Gray1.64x64.jpg Dr. Dan's Avatar

    Dr. Dan

    Dog Veterinarian

    Satisfied Customers:

    2143
    12 years of experience with domestic and exotic dogs, PLEASE rate my service when satisfied.
  • http://ww2.justanswer.com/uploads/DJ/djan2000/djan2000_avatar.64x64.jpg Dr. Dave's Avatar

    Dr. Dave

    Veterinarian

    Satisfied Customers:

    2053
    21 years small animal general and emergency practice
 
 
 

Related Dog Questions