Otitis Media

                         ------------

                    (middle ear infection)



                      General Information



Otitis media (infection of the middle ear) usually results from

infection of the external ear canal spreading into the middle

ear.  Foreign bodies, debris, ulceration or improper cleaning

may rupture the ear drum, allowing bacteria to reach the middle

ear.  Signs of middle ear infection include odor, discharge,

ear scratching, head shaking and head tilt.  The dog may appear

to be sick.



                 Important Points in Treatment



1.  In some cases, prolonged (4-6 weeks) treatment may be

    necessary.  tests, x-ray pictures and surgery may be needed

    to correct the problem.



2.  Diet:  Follow the instructions checked.



    ____Feed the normal diet.



    ____Feed a special diet:





3.  Activity:  Your pet may limit its own activity due to

    discomort; if not, forced inactivity is necessary until your

    pet's ears heal. Do not allow water to get into the ears from

    swimming or bathing until the condition is corrected.



4.  Ear cleaning:  Clean the outer ear canal(s) as follows:





5.  Give all medication as directed.  Call the doctor if you

    cannot perform any treatments.



6.  Special instructions:





       Notify the Doctor if Any of the Following Occur:



    * Your pet shows increasing pain or worsening of signs.



    * Your pet vomits.