Dog Ear Hematoma

A dog ear hematoma or aural hematoma is a broken blood vessel in the ear. Four of my dogs had this awful swelling. Three I self treated. Now that I understand this dog ear problem I can prevent it.

Lily's dog ear hematoma

Dealing with this problem reduced me to tears.

I originally wrote this page in 2010. Since I'm a constant student for anything to do with dog health, I am now adding more causes,  how to avoid these darn things and how to make your dog feel better if he's got one now.

Why would I change the page? Having been through it, I know how bad you feel when your dog suffers from an aural hematoma and I noticed even though this page isn't high in Google search results, I've still had 6,751 visitors for dog ear hematoma the past 11 months.

So I'm back. Along with my original story I'll lend a helping hand with what I've learned...

In the past, four of my five dogs had an ear hematoma. The first three happened at the end of the flea infestation and within weeks of each other.

No doubt the scratching and head shaking from fleas were the culprit. By late November of 2010, Miss Lily looked pitiful. Her ear is the first picture on this page, albeit a bit blurry.

Helen's right ear disfigurement after aural hematoma

First There Was Helen

A dog ear hematoma can be sneaky. Maybe its the way my dogs hold their ears, but I didn't notice Helen's until 1/3 of her ear flap looked like a mini-balloon.

With no money for a vet, I wracked my brain for an at home cure. I tried to lance it with a new sterile razor blade to release blood and ease the pain from the pressure.

I got a very small opening which bled a little, then clotted. I'm a weenie. I left the room and cried. I had no idea how much pressure to apply with the blade. It hadn't been enough and I just couldn't do it again. I am not a vet. I am not a doctor, but I wanted to help. 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 Was My Second Patient

I gave Bonz the same remedy I'd given Helen. 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 permantly. I think it's kind of cute and goes with his soulful eyes.

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

The ear on my husband's dog Moo swelled up but I was out of the homeopathic remedy.

After it grew for several days, he rushed his beloved dog to a vet. A few hundred dollars later, Moo was stitched up after laser surgery. He looked better but the ear was still obviously painful and full of stitches.

It took nearly two months for everything to heal but as you can see, his ears are perfect. Yet all in all, he had no less pain than the others.

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

Nearly two years later, Lily had a rather large left ear. The swelling was over 2" long. (That's her ear at the top of the page.) The day before a holiday, I couldn't make the 60 mile drive 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. I don't know if it was because I didn't catch it soon enough or whether 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.)

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.

Here's Lily after the ear problem went away on it's own. (Notice her left ear tip sticks up from a now permanent crease from the dog ear hematoma.)

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

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

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 hitting object while shaking the head vigorously) usually due to yeast, parasites or infection

Treatments Options

  • Aspirate and drain
  • Surgically cut, drain and stitch
  • Try Sulphur 30X if you can treat soon
  • Leave alone. It will eventually self heal but disfigure the ear somewhat.

My Suggestions for Dog Ear Hematoma Treatment

Unless you prefer surgery, here are my answers after pondering the dog ear hematoma problem for nearly four years.

Treat for the underlying problem, reduce pain and help the healing process begin naturally. There are two steps to the process.

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.

Options are:

  • Silver Shield Gel will kill bacterial in a canine ear infection AND dog ear yeast infection. (If like me, you only have the liquid you can spray it in the ear)  ...or
  • Use homemade raw apple cider vinegar ear wash for yeast ears or garlic/olive oil recipe for minor infection and to kill ear mites. Recipes are on my dog ear cleaning pages.

Step Two: Reduce the pain and promote healing

  • Natures Fresh Enzme Spray. 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.
  • Try Sulphur 30X if you have it on hand or can get it the first 24 hours. Dose: Three pellets twice a day. Read about homeopathic remedies, so you understand exactly how to use them. Also they go in the mouth, not the ear!

Step Three: Strengthen the body, digestion and immune system.

  • Probiotics Eleven. Probiotics balance the bacteria in the gut for better absorption of nutrients, which in turn strengthens the immune system. I love this product. It's made for humans and works great for canines. I share it with Lulu. In fact if she could, she'd fight me for it and take the whole bottle. I empty a capsule or two for each of us in my hand for a treat at bedtime.

Note the Silver Shield, the enzyme spray and the probiotics are all used for multiple things so they're great to have around.

P.S. Lulu isn't pictured on this page so let me go find a silly picture of the girl. Ah, here we go. (And I didn't do it. This is my daughter's  handiwork.)

I hope my information helps. If you have any questions you can try me through the comments below. For a faster answer use my contact me form which sends me a direct email.

Hold on! I almost forgot to tell you! If you choose to buy all three products I recommended you can get a discount. It's free to sign up and I know the discount is good because I get it too.

If you are picky like I am you can see why I only use one company's products. Read: Why NSP?


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I almost forgot to tell you how I got rid of fleas for good and improved dog health at the same time.

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