Species: Dog Breed: Australian Labradood Age: 6-12 months
Hi Dr. Marie,
I have an 8 month old Australian Labradoodle who has had a yeast ear infection (confirmed by swab) for a little over two months. He has been on antibiotics all of that time. For the first week it was Surolan and then switched to Otomax (active ingredient gentimycin). After one week he developed reddened areas that progressed to ulcerated areas in both ears.These areas were biopsied and the results indicated an allergic process. For "ear wash" we've been using a Burrows solution with 2% Hydrocortisone once/day and using the Otomax twice per day. The ear wash we used at first had Boric acid and witch hazel. We switched to saline and he also reacted to that (?carrier solution).Healing of the ulcerated areas has been slow or non-existant. The biopsy was done June 29th. He has been on Hills hypoallergenic food since June 26th. Unsure if the infection is gone but the vet said that she was unable to get all the debris out of ears at the time of the biopsy. What should the next step be? Thanks for your time!
Sheila Farnell
Dr. Marie replied:
Oh, poor Satchmo! I have had a few frustrating cases like this. Ear problems can sometimes be really difficult to deal with. It sounds like you are doing all of the right things.
While ultimately the decision on what to do next lies with your vet, I can give you some ideas as to what I might do if it was my case.
Sometimes when I suspect allergies and a dog is not doing well with ear medication I will take a dog off of all medicine in the ear for a period of time and put him on oral prednisone. Prednisone is a steroid which will reduce the inflammation and help with any allergy that is there.
Then, after a week or so on prednisone I would look at the ear again. Do you know if a culture was done? This is where a swab is sent to the lab to grow what type of bacteria is present. It's possible that he has a resistant type of infection and may need a combo of antibiotics. This test will tell us which treatment is best.
You can also ask your vet for a referral to a veterinary dermatologist. These specialists are used to seeing the frustrating cases and sometimes have more experience in what to do.
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Dr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.
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