Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

This answer was rated:

I have a goldendoodle who has frequent ear infections both…

I have a goldendoodle...

I have a goldendoodle who has frequent ear infections both bacterial and yeast from allergy. Drops do not seem to be working. What oral antiboitic can I use.

Veterinarian's Assistant: I'm sorry to hear that. There are all sorts of infections the dog can pick up. I'll have you talk to the Veterinarian who'll sort out what is wrong and help you decide what to do about it. What is the dog's name and age?

Remington six years

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Remington?

He has food allergies, seems to be grains

Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 8 minutes by:
9/16/2017
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,842
Experience: Over 20 years of experience as a veterinarian.
Verified

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Ask Your Own Dog Veterinary Question
Customer reply replied 10 months ago
do you give scripts if needed, or do I need to see my own vet anyway?
Customer reply replied 10 months ago
I am beginning to feel like I am in Mexico dealing with a street vendor, who keeps upping the ante.

I understand that Remington is uncomfortable due to an ear infection and ear drops don't seem to be working for him.

Of course the ideal situation is to see his veterinarian and have his ear debris tested to see what sort of infection he has to get him on the right medication, but I understand that may not be possible right away.

In general systemic oral antibiotics will not successfully treat an ear infection in a dog. Unlike people that get inner ear infections dog ear infections are in the outer ear canal, and systemic antibiotics don't penetrate the skin lining the ear canal or the thick, waxy debris in the ear well at all, so they don't work very well unless the infection spreads to the inner ear. If the infection spreads to the inner ear we can add systemic antibiotics, but we would still need to use topical medication.

There are some other systemic medications that can help prevent some of the predisposing factors for developing infections, and thus are useful for prevention, but it is extremely rare to be able to give an oral medication, especially an antibiotic, and cure an ear infection.

In some less common types of ear infection with very aggressive bacteria (pseudomonas for example) that cause erosions of the ear canal skin we may need to combine oral systemic antibiotics with topical medications too. That isn't the usual though.

While he does need to see his veterinarian in the meantime there are some things that we can do to help him feel more comfortable.

Since most ear infections are secondary to allergies and the inflammation they cause you can use a combination of antihistamines and high doses of omega-3 fatty acids to help with those. In combination fatty acids and antihistamines work synergistically, much better than either one alone.

You can try:

1)Benadryl (diphenhydramine only don't use the combination products with decongestants or acetaminophen as they can be toxic) at a dose of 1mg to 2mg per pound or one 25mg capsule per 15 to 25 pounds of body weight orally every 8 hours.

OR 2)Claritin (loratidine) at 5mg per 25 pounds of body weight once or twice daily.

OR 3)Hydroxyzine at 1mg per pound of body weight orally every 8 hours.

OR 4) Chlorpheniramine at 4mg to 8mg per dog once or twice daily.

OR 5) Zyrtec (Cetirizine hydrochloride) at 1/2 mg per pound of body weight orally every 24 hours. That would be one 10mg tablet per 20 pounds of body weight. Make sure it is NOT the formulation with a decongestant (such as Zyrtec-D) because dogs cannot tolerate decongestants.

Some dogs do better on one antihistamine rather than another. Give the one you pick a 3-5 day trial and if it isn't working to relieve his itching try another. Be aware that antihistamines can cause sleepiness or hyperactivity in some dogs. These side effects do wear off with repeated use.

Omega-3 fatty acids are fish oil products. 3V by DVM or Derm Caps ES are good brand name products. Use the high end of the dosing schedule for your pup's weight. I recommend an omega 3 fatty acid dose based upon the EPA portion (eicosapentanoic acid) of the supplement as if we do that the rest of the supplement will be properly balanced. Give him 20mgs of EPA per pound of body weight per day. For example an 85 pound dog could take 1700mg of EPA per day.

I also recommend using a gentle ear cleaner like Oticlens daily now to remove as much of the waxy debris as possible. This removes excess wax and keeps the ear pH at levels that discourage infections. When the ear is sore many dogs won't let you squirt things in their ear but if you soak a cotton ball with the cleaner, then place it at the top of the ear canal and massage the ear from the outside, putting pressure on the soaked cotton ball, the cleaner will be instilled easily. Wipe out excess cleaner and waxy debris with dry cotton balls.

Once you have his infection treated and cleared use the cleaner twice a week as that helps prevent infections and also allows you to know what a normal ear looks like and catch ear infections very early.

Sometimes with an early infection simply cleaning the ear daily is enough to stop it in its tracks.

If his ear canal skin surface is very red after cleaning you can apply a light coat of cortisone cream (like cortaid) to the ear skin with a cotton ball.

Then I recommend that he see his veterinarian as soon as possible.

Do not clean his ear the day of his veterinary appointment so they can gather a sample of the wax for testing.

I also want to add that since Remington has had repeated ear infections there is likely some sort of predisposing factor. In most cases it is allergic inflammation, particularly food allergies, so you might want to discuss feeding him a prescription true hypoallergenic diet with his veterinarian. I recommend Hills z/d, Purina Pro Plan Veterinary diets HA or Royal Canin restricted protein diets. It looks like you have tried some grain free foods, but these may not have been restrictive enough. Dogs are more likely to be allergic to a protein than a grain, although in some cases they have multiple allergies.

Over the counter foods may be labeled hypoallergenic but they are unlikely to truly be so.
The trouble with "limited ingredient", "hypoallergenic" or "low allergy" pet store brands is that the same machinery is used on multiple lots of food without sterilization cleaning in between. So for example even if a food says it has salmon and rice if the previous batch had beef and corn then you will get traces of those ingredients in your bag of food. Not a big deal if your dog isn't allergic to those ingredients but a waste of money thinking that the food was hypoallergenic, and not good for your dog if those happen to be allergens for your dog.
The veterinary brand true hypoallergenic foods are more expensive because it isn't cheap to thoroughly remove all traces of a previous food mixture from the machines used to process food or to hydrolyze the proteins in the food. And the only ingredients in that food, even at a trace level, are what is listed on the bag.
Even though some pet food companies may try to convince you otherwise there are no magic hypoallergenic food ingredients. A food allergy reaction is based upon the dog's body recognizing an allergen, so they must have been exposed to it before. Prescription foods are hydrolyzed, or broken down so the body cannot recognize the allergen, or use very unusual ingredients that the dog cannot have been exposed to in the past. They cannot develop an allergy to something they have never been exposed to.

Best of luck with your fellow, please let me know if you have any further questions.

Ask Your Own Dog Veterinary Question

No need to accept the phone call offer, my apologies as the site automatically offers that.

I cannot help with writing a prescription. All states/provinces that license veterinarians do not allow us to write a prescription, unless we have previously physically examined a pet. Veterinarians, like human MD's & DO's, could lose their license for doing so. It would be poor medicine anyway without knowing for certain that your dog has an infection that would be helped by an oral antibiotic.

Ask Your Own Dog Veterinary Question
Customer reply replied 10 months ago
I have been treating his infection with Trizultra+keto, made by Dechra. This does not seem to be helping and he hates having the ears cleaned as they are sore. This is what I got from the vet last time. She did verify that he likely has food allergies and he was having all kinds of skin reactions. he is not currently having the skin reaction to I assume the issue is bacterial. He is not having much discharge either and i suspect the infection is more than an outer ear problem
Customer reply replied 10 months ago
What are your thoughts about this treatment?
Customer reply replied 10 months ago
He is not itching, just shaking his head and whining when I touch his ear.
Customer reply replied 10 months ago
Am I waiting for a response, or have I been disconnected?

If his ears are very sore it would make sense that he is objecting to them being cleaned.

You cannot assume that because the rest of his skin looks fine that this is bacterial, although in general there are particular bacterial infections that are more likely to cause ulcerated skin (like pseudomonas OR MRSA). However both of those are also more likely to cause copious ear discharge, which he doesn't have.

Your fellow probably needs to he sedated and a sample collected for culture and sensitivity. He may indeed need an oral/systemic antibiotic, but it is key that we pick the right one, and use it for a long enough period of time.

Trizultra+keto, made by Dechra is used for both bacterial and yeast infections. It makes the ear inhospitable for growth by changing the pH and removing the food source (waxy debris).

Depending upon the infective agent (perhaps this is an early pseudomonas) we may add an antibiotic (enrofloxacin) to the solution and in some cases a systemic antibiotic too.

I think if he's shaking his head the ear hurts and is itchy, but so sore he isn't actively itching.

Ask Your Own Dog Veterinary Question
Customer reply replied 10 months ago
I have also used some of left over ear drops from previous infection - these were antibiotic, but did not seem to help. This has been going on for at least three, probably four weeks now. Would agree that this likely will respond to an oral antibiotic? Likely, so there is no commitment on your part.. I understand the licensing laws and how you would be reluctant to tarnish that. I am also a licensed professional and would not treat a suicide patient on a first time phone call.
Customer reply replied 10 months ago
What class of oral antibiotics are typically given for a canine ear infection?

Many of the common antibiotic ear drops won't work for pseudomonas or MRSA, and that's why I suspect either one as a possible cause.

Any ear infection (even the very resistant bacterial types) need an appropriate topical along with an oral/systemic antibiotic.

A culture is essential for the type of infection he has given how long he has been affected, because we are most likely dealing with an infection that will only respond to one or two antibiotics. We definitely don't want to breed a superbug.

As far as antibiotics Chloramphenicol, Enrofloxacin, Marbofloxacin, or in some cases injectable/intravenous antibiotics like Vancomycin are needed depending upon culture results. This type of infection is not one we want to "try" antibiotics on. That is a dangerous idea.

With a very swollen ear canal (and his may well be given the chronicity) systemic steroids to open the canal and allow the right topical drops to get all the way down his ear canal may be needed.

Ask Your Own Dog Veterinary Question

My other caution is that some of these pups have underlying hormonal/endocrine disease, such as hypothyroidism or hyperadrenocorticism, so that should be considered too.

Ask Your Own Dog Veterinary Question
Customer reply replied 10 months ago
Thank you. sh

You are very welcome, my best to your pup.

Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,842
Experience: Over 20 years of experience as a veterinarian.
Verified
Dr. Kara and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
Ask Your Own Dog Veterinary Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dog veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,842
18,842 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

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 & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

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!!!!

AlexLos Angeles, CA

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.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

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.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,499 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,818 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,089 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Bruce

Dr. Bruce

Veterinarian

9,808 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Rebecca

Rebecca

Dog Veterinarian

8,947 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
Have an older dog with constant ear infections with a
Have an older dog with constant ear infections with a terrible smell. She is a mix of cocker and dockson. we have used dr. ordered meds but still persist. What can I use to really clean her ears? … read more
Jane Lefler
Jane Lefler
Dog Behaviorist/Trainer/Breeder/Health
3.75 GPA 36cr. Multiple Tech traini
My dog refuses to have anyone go anywhere near his ears to
My dog refuses to have anyone go anywhere near his ears to the point he had to be knocked out to have them cleaned last year. He has been shaking his head a lot and when i was fussing him this morning… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
8,947 satisfied customers
Chronic yeast in her ears. She is 17 years old and I can't
Chronic yeast in her ears. She is 17 years old and I can't seem to get it under control. The vet keeps giving me miconazole ear drops, only slight improvement. I may have to take her somewhere else fo… read more
Carole Cocagne
Carole Cocagne
Doctor of Veterinary Medicine
318 satisfied customers
I own a lhasa apso that is around 6 years old. He has had an
I own a lhasa apso that is around 6 years old. He has had an infection in both of his ears and it has gotten out of control. Whenever I try to treat the ears, he yelps and runs away. They have built u… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
8,947 satisfied customers
My parent's standard poodle has chronic ear infections
My parent's standard poodle has chronic ear infections and chronic brown crusty eyes. We treat these infections and they go away for a bit, then come roaring back. Are they related? Could the dog have… read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
my dog has a yeast infection. started in his ears and has since
my dog has a yeast infection. started in his ears and has since spread throughout his body (appearing as a rash and bleeding sores in his armpits, chaffing of the feet, residue in the coat and he smel… read more
Melinda Smith
Melinda Smith
Associate Veterinarian
Doctor of Veterinary Medicine
32 satisfied customers
My bishon has an ear infection and I am trying to get some
My bishon has an ear infection and I am trying to get some antibiotic ear drops. He's had one before and I think it's due to him getting one ear wet repeatedly getting his toy or ball out of the pool.… read more
Dr. Deb
Dr. Deb
Associate Veterinarian
Doctoral Degree
569 satisfied customers
My 6 year old yellow lab has been getting scabs in random/different
My 6 year old yellow lab has been getting scabs in random/different parts of his body and he has also been getting blood blisters on either of his elbows and his one rear leg (where I would call his h… read more
Dr. Gene
Dr. Gene
Veterinarian, Chief of Staff
Doctor of Veterinary Medicine
1,975 satisfied customers
Hello I moved about 8 months ago and now my dog seems to be
Hello I moved about 8 months ago and now my dog seems to be having ear problems. He is a 7 year old Schnauzer that is not around any other animals and our home is new construction. He has always chewe… read more
Dr. Kara
Dr. Kara
Veterinarian
Doctoral Degree
18,842 satisfied customers
I have 2 goldendoodles. One sheds. One does not. A week
I have 2 goldendoodles. One sheds. One does not. A week after bathing, they smell like a dog who has not had a recent bath. You can smell it when you walk in my house. It is not coming from their mout… read more
Dr. G.
Dr. G.
Veterinarian
Doctor of Veterinary Medicine
1,734 satisfied customers
I have a cocker spaniel who has been battling an ear infection
I have a cocker spaniel who has been battling an ear infection for 3 months now, the vet said it was a fungal infections and prescribed antiboitics, prednisone and an antifulgal pill also a special so… read more
Dr. Scott
Dr. Scott
Veterinarian
Doctoral Degree
9,615 satisfied customers
german shepherd: ear infection..vet prescribed..jab of antibiotics
I have a german shepherd who has recently suffered an ear infection. The vet prescribed ear drops and gave him a jab of antibiotics. The ear drops seemed to have worked after two subscriptions, but he… read more
Dr. Scott
Dr. Scott
Veterinarian
Doctoral Degree
9,615 satisfied customers
pit bull: signs of ear mites or some type..treating it with peroxide
I have a pit bull with ears clipped, about 3 years old. He has shown signs of ear mites or some type of similar problem and we have been treating it with peroxide and keeping the ears swabbed clean. W… read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
16,499 satisfied customers
puppy: is 6 months old..She scratched a lot..sleeping..ear infection
Hi, people: My puppy is 6 months old now, and she has several bumps in her left ear, but not very deep down. She scratched a lot while I was sleeping, and the left ear is bleeding now. I took her to t… read more
DocDave
DocDave
Doctoral Degree
154 satisfied customers
MY FOUR YEAR OLD MALTISE HAS A CRONIC YEAST INFECTION. THIS
MY FOUR YEAR OLD MALTISE HAS A CRONIC YEAST INFECTION. THIS CONDICTION EXISTED WHEN WE ADOPTED HIM. HIS EAR CANAL HAS BEEN CLOSED SINCE WE HAD HIM. NOTHING APPEARS TO CORRECT THE PROBLEM. FULL EAR CLE… read more
Dr. Jamie
Dr. Jamie
Veterinarian
Doctoral Degree
721 satisfied customers
My yorkies ears hurt and have a yellowy discharge. Three
My yorkie's ears hurt and have a yellowy discharge. Three vets have told me that there is nothing wrong, She has allergies and to give her benedryl twice a day. They have given her steroid shots and d… read more
Dr. Louis Gotthelf
Dr. Louis Gotthelf
Chief Staff Veterinarian
Doctor of Veterinary Medicine
772 satisfied customers
I am the proud owner of a 4 year old Blue Male Weimaraner,
I am the proud owner of a 4 year old Blue Male Weimaraner, his name is Remington. For the past year or so he has had a discolration of his skin that extends from his chest, all over his under-belly an… read more
Doctor GF
Doctor GF
Medical Director
Doctoral Degree
804 satisfied customers
wire fox terrier: lbs..that has allergies..ear infections..pollen
I have a wire fox terrier - 26 lbs. that has allergies and gets bacteriaal ear infections and also yeast infections in his ears. He always seem to have this problem at pollen time. I give him a bendry… read more
Dr Pete
Dr Pete
Bachelor's Degree
1,334 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x