Canine Aural Haematoma

Treating ‘Chowki’ for Aural Haematoma
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Treating ‘Chowki’ for Aural Haematoma

This brown coloured male dog stays at a Police Check Post in Pitampura area of Delhi and thus we named him “Chowki”. We had even got him sterilized and now we were alerted to him having Aural Haematoma in his left ear.

[An aural (ear) haematoma is a collection of blood or serum, and sometimes a blood clot within the pinna or ear flap. This blood collects under the skin and causes the ear flap to become thickened. The swelling may involve the entire ear flap or it may involve only a small area. Aural haematomas usually occur as a result of local irritation to some part of the ear. When something irritates the ear canal, a dog is likely to respond by scratching or shaking the head. Excessive shaking causes blood vessels to break, resulting in bleeding. – Information Source www.vetwest.com.au]

He was constantly shaking his head and walking with a head tilt. Since it was early days yet as we were alerted in time, we chose to drain the pus off through a needle prick, first on the 19th November 2015 (a big burst of pus came out this day) and then on 21st November 2015 (pus was less in comparison to the first day) and injected the antibiotics directly into the ear flap, while putting him on a 5 day antibiotic course. We are glad to report that he is doing fine now :) with no more swelling in his ear and no more head shakes!

Those who wish to avail of JAAGRUTI’s On-site First Aid, Treatment and Vaccination Service for Street Dogs / Animals are requested to read the link https://jaagruti.org/first-aid-and-vaccination-service-for-street-dogs-animals/ and write to us on firstaid@jaagruti.org. Support of local caretakers is essential to restrain and treat the animal during the entire course of On-site Treatment.

Contributions towards our medicine and transport costs are essential to support to keep up our efforts to sweat it out and treat animals on the street day in day out. Do consider supporting us by clicking on www.jaagruti.org/contribute-to-jaagruti. If you would like to contribute medicines in kind, please connect with us on contact@jaagruti.org and we will get back to you with our requirements.

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Treating an old dog with Aural haematoma- Part 2

Dateline: October 2012

Two years back, we had penned a story on how we got an old black dog’s aural haematoma treated.

We had a smilar challenge to face with another old dog, a brown coloured male dog with a very peculiar personality disorder, which is that he wants you to love him, but he is cared of being touched. How does one take a dog with such a feeble heart in one’s car to the doctor’s clinic? We were in a dilemma, confused.

We tried to catch him many a times to take him to the vet’s place, just seeing us approaching him with a leash, he would start screaming on the top of his voice as if the leash was to strangle him.

We were sure we didn’t want him operated (i.e surgically treat him) for this aural haematoma, neither that dog or we had the hearts to brave it.

We discussed this with our trusted vet and requested him to send across his paravet with us to the street where this brown dog lives, the vet agreed and we decided that the best way forward was to aspirate the accumulated fluid out of the dog’s right swollen ear flap and insert antibiotics in the ear flap, that would help dry the fluid and heal the haematoma.

Moral of the story thus far: Have full faith in yourself and conviction in the choices you make. Then march ahead. More often than not, things will fall in place

This is what happened thereafter after the paravet arrived on the spot to execute the plan of medical-action.

Attempt 1: We tried to lure the dog to me with dog food, he came, ate and tried to run away and we couldn’t entice him to come near the paravet for he, i.e. the dog, smelt danger!

Attempt 2: We tried to lure the dog to me with dog food and distracted him, and the paravet from behind threw the leash around  the dog’s neck and using all our force, we managed to hold that dog in that steady position.

The paravet took position and a syringe (plunger with needle) was inserted into the swollen portion of the ear flap by the paravet and the fluid that had accumulated in the dog’s ear flap was sucked out (aspirated) and thrown away. The process was repeated (while keeping the needle fixed on the flap and just removing the syringe’s plunger portion) till the fluid was sucked out (as much as it could be).

Then a mixture of antibiotic Gentamycin and injectable medicine Prednisone (an anti-inflammatory drug that also promotes healing) was injected into the ear flap through that same needle which was left on the ear flap.

Apparently, as explained to us by the paravet, Prednisone as a medicine helps dry the fluid and heal such wounds.

And it worked, it has been a month since this exercise was undertaken and the flap though is now bent, it doesn’t have any fluid accumulated inside it.

This is how it all looks.

The Old Brown Dog’s right ear: Post non-surgical aspiration of aural haematoma fluid [Image (c) Jaagruti]

In the end, something to share…We at ‘Jaagruti’ often get questioned on our helpline number by many a rowdy people as to what we actually do, we tell them to read it on these pages on this blog (About Jaagruti, Contact Us and Animal Helplines in Delhi and NCR), we have clearly written on these pages what we are and what we are not, we have nothing to hide.

We don’t run an ambulance or a veterinary hospital, we don’t run a shelter, Jaagruti is a little effort wherein we try to share information and empower you, we try to listen to you when you call, we may not always have an answer, we are young and still learning, but we will always try to guide you with the best possible solution based on our understanding of the subject or issue and help you do what we aim to do, inspiring you to do a good deed a day. For we believe that if everyone were to do that, it will be a good day for many in need.

“Try to make at least one person happy every day. If you cannot do a kind deed, speak a kind word.

If you cannot speak a kind word, think a kind thought.”- Lawrence G. Lovasik 

And remember to smile, despite all the hardships that exist and you face, you’re beautiful and so is this world.

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Treating an old dog for Aural Haematoma (Haematoma of the Ear)

Dateline: July 2010

The patient is an Indian Street Dog aged around 12 years or so.

His colour is Black so as per a general thumb rule, most Indian dogs who are black in colour and adopted by their communities get just one name: ‘Kaalu’. If one was to translate that into English, ‘Kaalu’ would read as Blackie.

On 2nd July, 2010, we noticed Kaalu walking on the street with his head tilted towards the left. We went closer, he was in visible discomfort. We went even further and tried to check his ears, fearing he had a maggot infestation in his left ear. But what we saw was something different- his pinna (ear flap) was swollen which was causing it to be heavy and thus Kaalu was walking with his head titled/hanging at one end.

This condition is referred to as ‘Haematoma of the ear’ or ‘Aural Haematoma‘. An Aural Haematoma is a blood clot in the ear; aural refers to the ear, and a haematoma is a localized collection of blood or serum. It is the swelling of ear because of fluid accumulation between the ear membrane because of rupture of a blood vessel. Why exactly this happens is not really known, it could be due to vigorous shaking of the head, the scratching of ear next to an infected metal object, like a car or even on the walls, it could also be due to an infection by the mites.

A close up shot of an Aural/Ear Haematoma in a Dog (file photo from the Internet)

Kaalu is an old dog, we at Jaagruti thus took a mutual decision of not putting him through a surgery for this haematoma as subjecting him to sedatives at this age would just be a tad too risky.

We consulted on of our vets for this case, and he advised us to put Kaalu on Medicines for the first 5 days and note whether the haematoma increases or reduces in size.

This was the doctor’s prescription for the first 5 days:

1. Two capsules of Ampilclox 500 mg, once in the morning and once at night

(Open the capsule and put the medicine powder in something sweet and edible to help the dog eat it, else it is very bitter)

2. Remember to supplement this with one capsule of Vitamin B-12/B-complex daily as Ampiclox is a strong antibiotic that can otherwise also harm the dog’s kidneys and liver

3. Clean the infected ear daily and apply a liberal dose of Betadiene ointment on the infected ear to prevent any further re-infestation of any other insets or mites on it

The haematoma neither reduced nor increased in size.

On 7th July, 2010: we decided to non-surgically treat Kaalu’s haematoma and took him to the vet and requested him to aspirate the fluid out, i.e drain the fluid out of Kaalu’s ear.

We covered Kaalu’s eyes with a dark cloth and tied a light muzzle around his mouth. The vet inserted a hypodermic needle to drain the fluid that had accumulated in the ear by pricking through that spot after cleansing the ear with spirit and then compressing the pinna to prevent accumulation of haematoma fluid.

The vet then repeatedly flushed the ear with saline and Gentamycin and some other antibiotics to help cleanse the internal tissue where the blood had accumulated.

The vet reassured us that these antibiotics will help heal the wound and the fluid won’t accumulate again if Kaalu allows himself to bandaged across his ears. We did that but that was to no avail as Kaalu was feeling discomforted after being bandaged around and he removed it by trying to scratch himself around on the walls. We them removed the bandage on our own and hoped that the fluid won’t accumulate again

Another visit to Kaalu a week later and we noticed that his ear had swollen again, so on 17th July, 2010, we took Kaalu to the vet again and this was followed by another round of non-surgical aspiration/draining out of haematoma fluid- but this time there was no fluid, but rather just the antibiotics that had been put into his ear the last time to help the blood vessels clot.

Then again a few days later we noticed the swelling again on Kaalu’s ear and honestly, we didn’t want to put the old dog through the trouble of travelling to the vet again.

So, on 27th July 2010 we consulted with another senior vet and explained him the situation, he suggested that we give him a doze of an antibiotic medicine, a tablet named Bidanzen Forte, twice daily for 5 days. Bidanzen Forte is an anti-inflammatory drug i.e it helps reduce inflammation and swelling due to blood accumulation and also helps heal a wound.

This just did the trick for us as the swelling in his ear completely subsided though the ear has got a bit deformed following this.

It has been two months now and there has been no relapse of the haematoma, although Kaalu’s ears differ in their appearance now–while the pinna of the right ear is straight, upright and also notched (because he is a sterilized dog) while the left ear which had haematoma is now bent over or curved and floppy.

Kaalu's ear as it looks today-post non-surgical drainage of haematoma

This is what Kaalu’s  left ear look likes now internally (post-recovery from haematoma), though it is slightly mis-shapen and is termed as ‘cauliflower’ ear because a lot of boxers suffer from this too.

Physical beauty doesn’t really matter or does it? not for Kaalu, he is fine with the weight of his ear now and we at Jaagruti are happy that we didn’t have to put Kaalu through a painful surgery at this age and so is he we think!

P.S: Though we at Jaagruti have shared exactly what transpired when we got this case treated and shared it here for all of yours information, we would still suggest that you consult your veterinarian for treating haematoma, while understanding that there are various options available to treat the same, depending upon the severity of the infection and age of the patient.