Dog allergies DO attack their ears easily -- and when we adopted Billy 6 years ago (6 years ago tomorrow as a matter of fact) he had THE WORST allergy ears I've ever seen (and I've seen BAD ones). In fact a prior cocker had to have bi-lateral ear abltaions done on both ears (that's a total removal of the inner/middle/outear ear canal -- you lift up the ear flap and there's no opening!!).
Billy's ears were already swelled shut when we took him. But with some aggressive treatment I was able to reverse all of that.
1. FIRST thing is you must determine exactl WHAT is the problem -- often a vet will just hand you tresaderm, otomax or whatever yeast cream they have ... over and over and OVER again.
BAD -- you **must** determine absolutely, positive, FOR CERTAIN that ther is ***only*** a yeast infection.
Bacterial infections can linger on and on and on -- for months and even years. If your dog has ear infections that recur -- you MUST have a "culture and sensitivity" done. That's rock bottom absolutely FIRST.
They take a swab and go DEEP into the ear canal (close to the ear drum as they can get) and they seal that swab in a tube and send it to a lab to be cultured. That means they dab a bit in a bunch of petri dishes and grow whatever bacteria they can grow. THEN they identify that so they KNOW what they are treating.
If it's yeast. FINE. But if there is bacteria then no yeast ear med is gonna kill that. And that deep bacterial infection can go on and on without being detected. You don't see head shaking, ear flapping, or red sore outside ears with a bacterial infection. Maybe you'll see soreness.
But it's that bacterial infection that can keep the ears riled up no matter what you do and that constant inflammation can actually make the ear canals turn to bone. That ossifictaion can make it ultimately impossible to treat the ears. Because as the ear canals harden and ossify it shuts off blood floor and the inside of the ear will literally putrefy as the ear canals close up.
THEN those cultured petri dishes -- they will treat each of those with a different antibiotic -- and in 4-5 days you will get a 'sensitivity' report that will tell you which antibiotic is needed to treat whatever is wrong. If it's just yeast they'll tell you that. But this way you can choose the right drug for the situaiton. YOu don't go to the biggest guns out there first -- BUT neither do you give the dog something it might be resistant to that way (that shows up in the tests).
2. If you are already treating allergies -- the the next step HONESTLY is to go to a **good** very specific type of thyroid panel.
DO NOT let the vet just send a little blood to the local lab. It's a total waste of money usually. Instead -- have the thyroid panel sent either to Dr. Jean Dodds in California or to Michigan State University.
When Dr. Dodds was at Michigan (she was the head of Michigan's endocrine lab for many years) she invested breed-specific thyroid testing.
Most labs simply look at the various blood levels -- they simply measure the levels against a chart -- so they are assuming the thryoid of a chihuahua and a basset hound are the same. That a rottie and an akita will have the same metabolism? That a cocker is just like a jack russell???
EAch breed has it's own metabolic rate -- and that has a HUGE bearing on getting an accurate reading.
See, if a dog has low thryoid -- you can treat skin, ear, allergy, and several other things endlessly and never get it resolved. But if you have a dog that is low thyroid? If you supplement and get that level up where it should? All of a suddent the things that you're doing you will find will HELP.
When we first got Billy I had FOUR thyroid panels done over the course of a year. EAch came back a little low but "fine".
FINALLY I said "Can't we send these to Michgian or something??" My vet agreed, we did and WOW -- his levels were LOW.... in fact, they were very low and it took adjusting the supplement for several weeks to actually get it to the right level.
SUDDENLY I had a dog who was responding to allergy treatment and the ear problems disappeared.
Dr. Dodds herself is my choice of where to send the tests. Michigan still usses her protocols faithfully -- but at this point Dr. Dodds has added several other tests to her thyroid panel which really give your vet FAR more information to work with.
http://www.hemopet.org -- she requires more blood than most labs and I generally have my vet package it with "blue ice" and then I have them Fed Ex it to California so it gets there literally overnight. It's more money but you get a FAR more accurate reading that way.
3. My favoite two daily treatments for allergy ears are
A -- Zymox (I use the non-steroid one for general maintenance and the steroid one if they get inflamed).
B - The old Blue Power Ear Cleaner from the olf AOL Cocker Board. -- I will cut into another post just below this the "recipe" and the instructions. You MUST follow it to the T -- twice a day massaged each ear for one FULL minute.
This WILL take care of yeast. But honestly -- if these infections have been recurring do the culture and sensitivity FIRST. THEN go to the Blue Power. I don't use regular cleaner -- chlorhexiderm can actually cause a bacterial infection to cross the ear drum into the inner ear. I never use it at all. The Blue power is messy -- I'll grant you that. But it is super effective. I have actually used it ON MYSELF (cos I have a history of water-in-the-ear myself). It doesn't hurt at all -- even in infected ears (been there done that with *me*) -- but man it soothes and helps.
Feel free to email me if I can help further.