8 Steps for Treating Cat Ear Infections – Michael Kearley, DVM | Veterinarian Guide
Helping Your Cat with an Ear Infection
When your cat has been diagnosed with an ear infection, your veterinarian will usually prescribe medications such as ear ointments, cleaning solutions, and sometimes oral antibiotics. While the treatment plan may seem straightforward, the real challenge often comes when your cat resists the process. Many cats will scratch, bite, or run away to avoid having their ears treated. With patience and the right approach, however, you can make the experience easier for both you and your pet.
Creating a Comfortable Treatment Space
Ear infections can be painful, much like a constant migraine, so even the most gentle cat may react defensively. The key is to use positive reinforcement rather than force. Choose a quiet area where your cat feels safe, and associate that space with comfort by giving treats. For cats with severe infections, wrapping them gently in a towel or blanket can provide security and reduce resistance. Start by softly touching their face and ears while rewarding them with treats, gradually introducing the idea of ear handling before moving on to actual cleaning and medication.
Preparing the Right Supplies
Before beginning treatment, have everything ready in your chosen space. You will need the prescribed ear cleaner, ear medication, cotton balls, gloves, and soft cloths or towels. Make sure liquid medications are at room temperature, as cold drops can cause discomfort. Keeping your supplies within reach ensures the process goes smoothly without unnecessary stress for your cat.
Treating the Correct Ear
One of the most common mistakes pet owners make is mixing up which ear needs treatment. Remember that when your veterinarian says “left” or “right,” they are referring to the cat’s perspective, not yours. Double-check the instructions before you begin, or contact your vet if you are unsure. This avoids unnecessary treatment to the wrong ear.
Starting with the Healthy Ear
If only one ear is infected, always begin by cleaning the healthy ear first. This prevents spreading infection from the diseased ear. After working on one ear, wash your hands thoroughly or switch to fresh gloves and supplies before moving to the other. This rule applies even when both ears are infected, as cross-contamination can make the condition worse.
Cleaning the Ears Properly
Cleaning your cat’s ears helps medications work more effectively. Unless instructed otherwise, remove debris and wax gently before applying treatment. Use only vet-approved cleaners, as home remedies like hydrogen peroxide or vinegar often cause irritation. Cats are more sensitive than dogs to excess liquid in their ears, so avoid overfilling. A simple method involves moistening a cotton ball with the cleaner, folding the ear flap over it, and massaging the base until you hear a light squishing sound. Your cat will usually shake its head afterward, which helps remove loosened debris.
Applying Ear Medications
Wait about 10 to 15 minutes after cleaning before applying medication. Hold the ear gently upright and allow the prescribed drops or ointment to flow into the ear canal without letting the applicator touch the ear. Massage the base to help the medicine spread evenly. Wipe away any excess with a cotton ball, but never use cotton swabs, which can push debris deeper and risk damaging the eardrum. If your veterinarian prescribed oral medication, continue the full course as directed, even if symptoms appear to improve early.
Monitoring Your Cat’s Progress
As treatment continues, observe your cat’s behavior and ear condition closely. Signs of improvement include less scratching, reduced head shaking, and a decrease in redness, odor, and discharge. However, if your cat shows signs such as worsening pain, red discharge, blisters, or swelling, stop treatment and contact your veterinarian immediately. These may indicate an allergic reaction or a complication that requires medical attention.
Scheduling a Recheck Examination
Follow-up visits are essential to confirm that the infection has fully resolved. Most cat ear infections require at least two to three weeks of treatment, but chronic or allergy-related cases may take longer. During the recheck, your veterinarian may collect another sample from the ear canal for microscopic examination. For the most accurate results, avoid cleaning or medicating the ears for at least 24 hours before the appointment. Even if your cat seems better, infections can linger deep in the L-shaped ear canal, hidden from view.
Preventing Future Ear Infections
Once your cat has recovered, talk to your veterinarian about ongoing ear care and prevention strategies. Regular checkups, routine ear cleaning when recommended, and monitoring for early signs of infection can help keep your cat comfortable and healthy. Prevention not only reduces the risk of recurring infections but also ensures your pet enjoys a better quality of life.