Dog Ear Hematoma

A dog ear hematoma or aural hematoma is a broken blood vessel. Since I self treated 3 of my dogs I will share both  homeopathic and herbal remedies and how to keep them from reoccurring.

First let me say I know how you're feeling right now. Worried and hurting for your dog. Maybe you're questioning the surgery or maybe you're trying to find an alternative. I'll do my best to help because I understand that feeling of helplessness and it stinks.

I originally wrote this page in 2010. Since I'm a constant student for anything to do with dog health, I have added a bit more information on dog ear hematoma since then. And while I mentioned in the video above that fleas seem to be the main culprit,  it can happen easily with no apparent reason at all.

In a two year period, four of my five dogs went through it and I believed the scratching and head shaking from fleas was the culprit, since none of them had an ear infection.

Note: A wonderful reader dropped me a line to let me know her dog did not have fleas when she went through this but she did suffer from chronic dog ear yeast infections. I love my readers because I hadn't even thought of that. Click on the link to deal with yeasty ears naturally.

Helen and the First Aural Hematoma

Helen's right ear disfigurement after aural hematoma

This girl had one sneaky dog ear hematoma. Helen always held her ears back so I didn't notice hers until a third of her ear flap looked like a mini-balloon.

I tried to drain it myself.  Don't do it.

 Next step. Plan B.

Homeopathy. I tried a few remedies with no visible effect. In the meantime, Helen's entire ear flap filled with blood and looked as if it would explode any minute. After three weeks, I hit the jackpot.

Within a few hours of giving her Sulphur 30X her ear went down very quickly, but much damage had been done. (Total time from beginning to healing approximately 5 weeks.) That's when I noticed...

Bonz's Ear Swelled
Dog Ear Hematoma #2

After giving Bonz Sulphur 30X his aural hematoma was gone in 7 days

I gave Bonz the same remedy I'd given Helen. (3 pellets twice a day.) I caught his almost immediately and it was gone in a few days. (Total time from beginning to healing 1 week.) I thought I was on to something. Notice just the tip of the right ear was affected permanently. I think it's kind of cute and goes with his soulful eyes.

 Daddy's Boy Gets an Dog Ear Hematoma

My husband's dog Moo long after aural hematoma was treated surgically. Too bad it left scar tissue

The ear on my ex's dog Moo swelled up but I was out of the homeopathic remedy. Not that it mattered. The man  rushed his boy to the vet and had surgery done.

Looking back on it I'm glad he did because I had something to compare. First he had to be sedated. (I mean Moo but we all would have been better off if my ex had been sedated right along with his dog.) Not only does this disorient a dog but the drugs have to be cleansed out of the system making the organs work harder to purge them. The vet also put him on antibiotics to avoid infection and those mess up the good bacteria in the gut which affect digestion and overall health. It was easy to tell by his flatulence.

As you can see Moo's ears looked nearly perfect after the surgery but it took nearly two months to heal; he had as much pain and discomfort as the others and I know it affected his long term health as well.

Oh No! Not Another Dog Ear Hematoma!

Notice the before and after and how the affected ear ended up with a permanent crease.

Dog ear hematoma healed by itself with Lily but her left ear has a crease in it

Nearly two years later, my Lily had a rather large left ear. The swelling was over 2" long. (Sorry her ear picture is blurry.) The day before a holiday, I couldn't get to the healthy food store for Sulphur 30X.

It was a week before I could get the Sulphur. As it turned out, the remedy did not work for her. At the time I thought it was because I didn't catch it soon enough or another remedy was needed. I am not trained in homeopathy, but I keep 24 remedy kit on hand (minus the sulphur I'd used up.) To learn the basics of homeopathy for your dog here's a course by a vet.

For me, it was two out of three so I decided to share. Since then, with the feedback I've gotten from this page through email and facebook commenting it seems the sooner the remedy is given, the better the chances of it helping.

If you keep homeopathic remedies on hand or live near a place to buy them it's certainly worth trying.

It seems what may be most important is treating the original cause so let's go over that now.

Causes of Dog Ear Hematoma

We know a blood vessel breaks inside the ear. The more it bleeds, the bigger the ear gets. But why does it break in the first place?

  • Shaking the head repeatedly due to yeast, parasites or infection
  • Scratching overzealously due to yeast, parasites or infection
  • Blunt trauma to the ear (usually by hitting object while shaking the head vigorously)

Options for Dog Ear Hematoma Treatment

  • Aspirate and drain (by veterinarian)
  • Surgically cut, drain and stitch (by veterinarian)
  • Try Sulphur 30X if you can treat soon
  • Use herbal or homeopathic remedies for pain and healing. Both Arnica tablets and salve will help with  pain and may shorten healing time.
  • Leave alone. It will eventually self heal but disfigure the ear somewhat.


If you choose to forego surgery, consider these two steps:


Step One: Treat for yeast, parasites and infection all at once naturally so there are no side effects. Especially since sometimes it is the antibiotic side effects that get them into this pickle in the first place.

Step Two: Reduce the pain and promote healing

Options for my NSP Members are:

  • Silver Shield Gel or liquid will kill bacterial in a canine ear infection AND dog ear yeast infection. (If like me, you only have the liquid on hand you can spray it in the ear)
  • Natures Fresh Enzyme Spray for pain reduction. I found out about this from a master herbalist I take classes from. It's great for a plethora of problems. (My big word for the day.) To see a bit about what it does and why it works, read the PDF on it at Enzyme Spray. Even if it didn't have healing powers I'd use it for pain reduction.

Not one of my Members? Try these:

  • Use homemade raw apple cider vinegar ear wash for yeast ears or garlic/olive oil recipe for minor infection and to kill ear mites. Free recipes are on my dog ear cleaning pages.
  • Get homeopathic arnica and arnica cream 

P.S. I think Lulu was jealous she didn't have a picture on this page and she'd like to show off now that she's 8-years-old and has never had an aural hematoma. By the way, I did NOT dress her up. That was my daughter's  handiwork.

2016 note:  I understand your frustration.  I truly do. In fact, last year I practically bragged that Lulu never got an aural hematoma but now I'm back. Yup, at 9-years-old my girl got one. No fleas, no infections of any type. I never even saw her shake her head.

Always willing to try something new,  I limited the movement of her ear. She didn't mind at all and it made me much more comfortable knowing that ear wouldn't be flapping around. Here she is.

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