Urgent — same day vet contact Within 1–3 days; same day for severe pain, head tilt, or balance loss

Dog scratching ears, head shaking, or ear discharge

Persistent scratching, head shaking, or smelly ear discharge points to ear infection or foreign body — book a vet appointment promptly to prevent ear-drum damage and chronic disease.

Dog

Recognise the signs

  • Scratching the ear or rubbing the head along furniture
  • Vigorous head shaking
  • Brown, yellow, or black discharge in the ear canal
  • Foul or yeasty smell from the ear
  • Redness or swelling of the ear flap or canal
  • Pain on touching the ear
  • Head tilt, loss of balance, eye flicking — middle/inner ear, more urgent
  • Sudden swelling of the ear flap (haematoma)

First aid steps

  1. Look gently into the ear canal with the dog still — do not insert anything.
  2. Note discharge, smell, and any visible foreign body or grass seed.
  3. Phone the vet within 1–3 days for routine ear concerns, sooner for pain, head tilt, balance loss, or sudden swelling.
  4. Do not put cotton buds into the canal.
  5. Avoid water in the ears (no swimming, careful bathing) until seen.

Do NOT

  • Do not use cotton buds inside the ear canal.
  • Do not pour olive oil, vinegar, or home remedies in.
  • Do not use ear drops left over from a previous infection without vet check — wrong type can rupture an already damaged ear drum.
  • Do not delay if there is head tilt, severe pain, or balance loss.

When to phone the vet immediately

  • Head tilt, loss of balance, eye flicking — middle/inner ear
  • Sudden swelling of the ear flap (ear haematoma)
  • Severe pain — yelping when ears touched, refusing to eat
  • Bleeding from the ear
  • Foreign body suspected (especially after walking through long grass)
  • Persistent infection despite treatment

Signs that can usually wait for a routine appointment

  • Mild occasional scratching with no discharge or smell, in a bright dog, can be monitored for a few days, but persistent scratching warrants a vet appointment.

Common causes

  • Bacterial or yeast ear infection (otitis externa)
  • Grass seed in the ear canal (very common in summer)
  • Ear mites (more common in puppies and outdoor cats)
  • Allergic skin disease
  • Foreign body — sand, hair, debris
  • Ear haematoma (blood blister in the ear flap from shaking)
  • Polyp or tumour
  • Middle or inner ear infection (head tilt, balance loss — more urgent)

What the vet will need to know

  • How long the signs have been present
  • Recent walks in long grass (grass seed)
  • Previous ear infections or skin allergies
  • Other signs — head tilt, balance, hearing changes
  • Recent swimming or bathing
  • Current medications

Aftercare

  • Treatment depends on cause — antibiotic/antifungal drops, anti-inflammatories, foreign body removal under sedation, ear haematoma surgery.
  • Recheck appointment to confirm resolution.
  • Address underlying cause — allergy management for recurrent cases.
  • Long-term ear care plan for floppy-eared and allergic breeds.

Prevention

  • Keep ears dry after swimming and bathing.
  • Routine ear cleaning with vet-approved products in dogs prone to issues — but only as advised, not routinely.
  • Trim hair around ear openings in heavily furred breeds.
  • Check ears after walks in long grass.
  • Address underlying allergies and skin conditions promptly.

Breed-specific notes

  • Floppy-eared, narrow-canal, hairy-canal breeds: Cocker Spaniel, Springer Spaniel, Basset Hound, Poodle, Cavalier King Charles Spaniel.
  • Breeds with allergic tendency: West Highland White Terrier, Bulldog, Labrador, French Bulldog.

Frequently asked questions

Can I clean my dog's ears at home?

If your vet has confirmed the ear is healthy and recommended cleaning, yes — using a vet-supplied cleaner. Do not clean a sore, painful, or discharging ear; this can push infection deeper or worsen damage. When in doubt, see the vet first.

What does a grass seed in the ear look like?

Grass seeds in the ear canal often cause sudden onset of dramatic head shaking, scratching, and one-sided distress, particularly after walks through long grass. The vet finds them with otoscopy — they typically need to be removed under sedation. Time matters: untreated seeds can perforate the ear drum.

Why is the ear flap suddenly swollen?

An ear haematoma is a blood blister between the layers of the ear flap, usually from violent head-shaking. The underlying cause (often infection) needs addressing, and the haematoma itself usually requires drainage or surgery. Same-day vet visit is sensible.

Animal PoisonLine 01202 509 000 Emergency
contacts