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Ear Problems in Cats: Causes and Treatment

The inside lining of the ear is normally smooth with a small amount of wax buildup. Many problems can cause the ears to be irritated, inflamed and/or infected. Any of these causes left untreated can lead to more complicated problems, including middle and inner ear damage and hearing loss. Most cats let you know that their ears are uncomfortable by scratching, shaking and/or tilting their heads.

CAUSES

Ear mites are most common in ear problems adult cats and puppies. These microscopic mites have hairs on their body that irritate the ears. They are also responsible for the itching and the dark brown, coffee-like residue. Mites live primarily within the ear canal. They can also live outside of the ear and on other parts of the cats body, they do not infest your home.

* Trauma to the ear from foreign materials like plant seeds or over-aggressive cleaning can also cause pain and inflammation of the ears.

* Flea allergies can occasionally involve the ears.

* Allergic reactions to pollen, mold, and dust are not common in ears. Ear infections associated with allergies often recur until the underlying cause of the allergy is determined and treated.

SYMPTOMS

* Scratch ears often.

* Shake or tilt head.

* Odor and/or discharge from ears.

WHAT YOUR VET CAN DO

* Diagnosis involves examining a sample of the ear discharge under the microscope. This is called a Cytology and will identify the problem. The most effective treatment will be determined according to whether mites, yeast or bacteria are present.

* Ear mites can also live outside of the ear, on other parts of your cat's body. Flea control products can help to manage this problem.

* Instead of using eardrops to treat mite infections, you can now purchase a new topical treatment called Revolution (selamectin), applied onto the skin at 30 day intervals, which controls fleas, ticks, heartworms, intestinal worms and ear mites for cats and dogs.

* To prevent ear problems, check your cat's ears regularly. Only use products recommended by your vet to clean your cat's ears, and never clean any deeper than you can see.

* Long-term and/or recurrent ear infections may require a culture to pinpoint the exact agent responsible and the medication best suited to eliminate the infection.

NOTE: An otoscope is designed and illuminated to allow complete visualization of the ear canal

HEMATOMA (BLOODCLOT) OF THE EAR

* Hematomas usually occur as a result of self-inflicted trauma to the ear. Many cats vigorously Itch their ears because of a persistent underlying ear mite problem. A blood vessel in the earflap ruptures which causes bleeding into the earflap tissue. Treatment usually requires surgical

removal of blood clots and drainage of blood under anesthesia. Hematomas tend to recur until the underlying problem is eliminated because the cats continue to traumatize their ears by itching. Many ears scar down into an abnormal appearance.

TREATMENT

Milbemycin, is the active ingredient in Sentinel, a tablet given monthly to prevent heartworms, fleas, intestinal worms, and ear mites in cats. Selamectin is the active ingredient in Revolution, approved in cats, a monthly product that kills ear mites and walking dandruff mites, and prevents heartworms and fleas. New monthly flea preventative products have replaced ear drops to treat ear mites.

COMPLEMENTARY EAR TREATMENTS

Yeast Infections: Mixing equal parts of white vinegar and water (50:50) makes a good ear cleaning solution for yeast.

Bacterial Ear Infections: Garlic can be added to the diet only occasionally, continual high doses can cause anemia:

* Garlic has antibacterial and antifungal effects.

HERBALEAR REMEDIES

* Mullein (Verbascom thapsus)

* Mucilage or Sapenins have a demilucent effect.

* Use topically for bacterial ear infections.

* Calendula makes an effective ear cleaning solution: Mix one teaspoon of Calendula with a teaspoon sea salt and one cup of water.

* Calendula Oil is soothing to red inflamed ears. Apply two drops into ears once daily.

* To eliminate ear mites, Yellow Duck (Rumex crispus) two drops every 3rd day for three to six weeks.

HOMEOPATHIC EAR REMEDIES

For red, irritated ears try Pulsatilla (6c Windflower) one pellet every third day for two weeks. Withhold food ten minutes before and after treatment. Sepia officinalis (30C) two whole or three crushed pellets by mouth twice a day for three days then once a week, until the ears are healed. Helpful with itching and head shaking.

VESTIBULAR (MIDDLE EAR) DISEASE

Long-term and/or recurrent ear infections can spread to involve the middle ear. The middle ear houses nerves, called Vestibular nerves, which are responsible for balance and equilibrium. If these nerves are irritated, cats can lose their balance, tilt their heads, stagger and often fall over. This is called Vestibular Disease. Some cases are associated with ear infections and rarely brain tumors are responsible but the cause in most cases is unknown or idiopathic. The term Idiopathic Vestibular Disease is used in these cases.

DIAGNOSIS

X-rays are initially used to evaluate the middle ear. The bone housing the middle ear is called the Tympanic bulla and is located within the brain. The series of x-rays taken in this case, is respectively called a "Bulla Series". A CAT scan or MRI are more sensitive imaging techniques that may be necessary to allow visualization of this area of the brain if the x-rays are inconclusive.

Typically, most cases of Idiopathic Vestibular Syndrome occur for some as of yet unknown reason in the spring and fall. Cats suddenly tilt their heads and begin staggering, for no apparent reason. Cats generally improve within 72 hours and symptoms usually resolve in a couple weeks. Occasionally the head tilt persists.



By: Carol Osborne

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Middle Ear Infection – Symptoms, Causes and Treatment

ion of the middle ear is an infection caused by a germ (bacterium). It is very common among children. The middle ear is an air-filled hollow between the eardrum and the inner ear. The Eustachian tube - an air channel between the middle ear and the nose - usually ensures that the middle ear is ventilated and that fluids can run out through the nose.

Middle ear infection most commonly occurs following a cold. It also frequently occurs as a result of contact with other children. Middle ear infection (called otitis media) is an infection behind the eardrum. Ear infections are very common and are usually painful. By the age of six, most children have grown out of middle ear infections and are not likely to suffer long-term problems.

Symptoms

In otitis media, inflammation occurs on that portion of the ear, which is directly behind the eardrum. This pain in the ear is usually of a piercing type and is not attended with fever. Pus is discharged into the outer ear. As the condition progresses, the inner ear becomes seriously affected, and hearing is considerably impaired.

Acute middle ear infection is most common in children. It is caused by a bacterial or viral infection of the fluid of the middle ear. When infection occurs in the middle ear, pus or excess fluid is produced. Ear infections are often associated with respiratory infections or with blocked sinuses caused by allergies or enlarged adenoids.

Causes

A cold or other infection of the upper airways causes the tubes which drain the ears in to the back of the throat to become swollen and filled with mucus or catarrh. These tubes are called eustachian tubes, and are the tubes we open, by yawning or swallowing, to stop our ears popping as we go up a hill or in a plane. This swelling may block the eustachian tubes, and stop the normal drainage of fluid from the middle ear down to the back of the throat. As water which is stagnant becomes foul, so there is more chance of germs building up in this stagnant situation in the middle ear, and a middle ear infection (acute otitis media) is the result.

Ear infections also can be associated with dysfunction or swelling within the eustachian tubes — the narrow passageways that connect the middle ear to the nose. Normally these tubes equalize pressure inside and outside the ear. But a child's eustachian tubes are narrower and shorter than those of an adult. This makes it easier for fluid to get trapped in the middle ear when the eustachian tubes dysfunction or become blocked during a cold.

Treatment

Many physicians recommend the use of an antibiotic (a drug that kills bacteria) when there is an active middle ear infection. If a patient is experiencing pain, the physician may also recommend a pain reliever. Following the physician's ear infection treatment instructions is very important. Once started, the antibiotic should be taken until it is finished. Most physicians will have the patient return for a follow-up examination to see if the infection has cleared.

Most ear infections clear on their own in just a few days — and antibiotics won't help an infection caused by a virus. In fact, about 80 percent of children with acute otitis media recover without antibiotics, according to the AAP and AAFP. If your child is uncomfortable, the doctor may recommend an over-the-counter pain reliever such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). If your child doesn't have drainage from the ear or ear tubes, prescription eardrops containing a local anesthetic may be an option, too. The drops won't cure the infection, but they may relieve pain.



By: peterhutch

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What is Middle Ear Infection?

r infection is an infection that occurs behind the eardrum, in the middle part of the ear. While it can happen in people of all ages, it mainly affects children. The medical term for middle ear infection is otitis media. Middle ear infection is the most common childhood illness treated by pediatricians. It usually develops a few days after a child has a cold or the flu. Half of all children will have at least one middle ear infection while they're growing up, most often before age 3.

Ear infections are among the most common illnesses of early childhood. Three out of four children have had at least one ear infection by age 3, according to the National Institute on Deafness and Other Communication Disorders. The medical term for middle ear infections is otitis media. Otitis refers to inflammation of the ear, and media means middle. Although ear infections worry parents and make children uncomfortable, take heart. Most ear infections clear up on their own within a few days, and most children stop having ear infections once they reach school age.

The ear is responsible for hearing and balance and is made up of three parts — the outer ear, middle ear, and inner ear. Hearing begins when sound waves that travel through the air reach the outer ear, or pinna, which is the part of the ear that's visible. The sound waves then travel from the pinna through the ear canal to the middle ear, which includes the eardrum (a thin layer of tissue) and three tiny bones called ossicles. When the eardrum vibrates, the ossicles amplify these vibrations and carry them to the inner ear.

The severity of the symptoms and the age of the patient determines the likelihood of success of antibiotic treatment. Acute otitis media in children below the age of 2 have a poorer prognosis and are associated with an increased number of recurrences of acute otitis media as well as the development of otitis media with effusion in 35% after 6 months. Acute otitis media in older age groups usually resolves on its own without antibiotic treatment.

Bacteria reach the middle ear through the lining or the passageway of the eustachian tube and can then produce infection, which causes swelling of the lining of the middle ear, blocking of the eustachian tube, and migration of white cells from the bloodstream to help fight the infection. In this process the white cells accumulate, often killing bacteria and dying themselves, leading to the formation of pus, a thick yellowish-white fluid in the middle ear. As the fluid increases, the child may have trouble hearing because the eardrum and middle ear bones are unable to move as freely as they should. As the infection worsens, many children also experience severe ear pain.

The main symptom is an earache. It can be mild, or it can hurt a lot. Babies and young children may be fussy. They may pull at their ears and cry. They may have trouble sleeping. They may also have a fever.When fluid builds up but does not get infected, children often say that their ears just feel plugged. They may have trouble hearing, but their hearing usually returns to normal after the fluid is gone. It may take weeks for the fluid to drain away.



By: peterhutch

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