Managing Chronic Ear Infections in Your Shih Tzu: A Comprehensive Guide

Chronic ear infections in dogs, especially in breeds like Shih Tzus that are prone to them, can be a challenging condition to manage. If your beloved Shih Tzu, Pepper, has been dealing with this issue for years, you are certainly not alone. With the right approach, many dogs can find relief from their ear infections. This guide outlines several steps to help alleviate your dog's condition and provide him with the best possible care.

Understanding the Underlying Causes

One of the common underlying causes of chronic ear infections is food allergies. These allergies can contribute significantly to the recurring issue. Switching to a limited protein diet can sometimes solve the problem. Research and experience suggest that some dogs do well on foods that are primarily based on fish and rice.

Avoiding Harmful Diets

However, there is a common misconception that grain-free diets are always beneficial. Whole grain-free diets are often a marketing ploy without scientific backing. Additionally, feeding your dog grains like peas, white potatoes, and sweet potatoes is detrimental to their health. Instead, consider diets like Purina Pro Plan Salmon and Rice, which is known to be effective for dogs with mild allergies.

Feed your dog a limited protein diet for several months to see if it helps clear up the ear symptoms. Do not introduce any other topicals, supplements, or treats, except for baby carrots or fresh green beans. Adding proteins like chicken, beef liver, or eggs can exacerbate the problem and delay recovery.

Seeking Professional Guidance

If the limited protein diet does not work, you may need to consider a prescription diet. Your veterinarian can prescribe a formulation that is specifically designed to combat allergies. If that is also ineffective, consult with a specialist about a surgical procedure called a total ear ablation and bulla osteotomy (TEABO), which can be a last resort for severe chronic cases.

Steps to Manage Chronic Ear Infections

1. Consult a Veterinary Dermatologist: If you've already visited multiple vets and a specialist, it might be worth returning to a veterinary dermatologist for more specialized tests to identify underlying causes.

2. Identify and Manage Allergies: Consider allergy testing to pinpoint specific allergens and tailor a management plan accordingly. A hypoallergenic diet may help. Reduce your dog's exposure to environmental allergens such as pollen, dust mites, and mold by keeping your home clean and using air purifiers.

3. Ear Cleaning Routine: Regular ear cleaning can help prevent infections. Use a vet-recommended ear cleaner and follow their instructions. Be gentle and avoid deep cleaning which can irritate.

4. Medications: Topical treatments such as antifungal or antibacterial medications may be prescribed. Oral medications like antihistamines or corticosteroids might help manage allergic reactions and inflammation. Long-term use of medications may be necessary to control symptoms.

5. Avoid Moisture: Keep your dog's ears dry, especially after baths or swimming. A vet-recommended drying agent can help prevent infections.

6. Consider Alternative Therapies: Some owners find success with alternative therapies like acupuncture or herbal treatments, but these should be discussed with your vet.

7. Monitor and Adjust: Keep a diary of your dog's symptoms, treatments, and any changes in his environment or diet. This can help identify patterns and triggers.

8. Surgery: In severe chronic cases, surgery such as ear canal ablation may be considered. This is a last resort but can be effective in preventing future infections.

Conclusion

Managing chronic ear infections often requires a multifaceted approach and ongoing communication with your vet. Continue to advocate for your dog and seek out specialists who can provide new insights or treatment options. With the right care, Pepper can find relief from his chronic ear infections and enjoy a healthier, more comfortable life.