Ear infections occur when harmful organisms invade the ear canal. Shih Tzus’ ears trap moisture and debris, making it easy for these bugs to grow.
Proper ear care reduces risk. Check their ears regularly, clean them with a recommended solution, and make sure they’re dry after water activities. Trim the hair around their ears, manage allergies, and don’t skip vet visits to keep infections at bay.
Simple daily actions can prevent ear issues. Avoid smoke and strong smells, keep up with flea control, and provide a healthy diet for a strong immune system. At any sign of ear trouble like redness, smell, or scratching, consult your vet for the right treatment plan.
Why Shih Tzus Are Prone to Ear Infections
Shih Tzus have trouble with ear infections due to their unique ears. Their ears are long and cover a deep canal, which doesn’t allow much air in. This makes it easy for germs to grow, so it’s important to check their ears often.
Anatomy of the ear and its role in infections
The dog’s ear canal is shaped like an “L,” trapping stuff next to the eardrum. For Shih Tzus, this makes it easy for infections to get worse. When ears get inflamed, the canal gets tighter and won’t drain well, turning small issues into big ones.
How floppy ears and narrow canals trap moisture and debris
Floppy ears keep moisture inside after a dog swims or bathes. With not much air getting in, the ear stays wet, inviting germs. Also, hair and wax can block the ear, which makes it tough to clean out dirt.
Breed-related skin issues and wax production that increase risk
Shih Tzus are more at risk for ear problems due to extra hair, skin issues, and some health problems. They might also make more earwax than other dogs. Too much wax and poor grooming can lead to infections.
- Deep L-shaped ear canal allows fluid to pool.
- Hanging ears reduce airflow and trap humidity.
- Skin conditions and heavy wax production change the ear’s balance.
Common Causes of Ear Infections in Shih Tzus
Shih Tzu owners often encounter problems with their pets’ ears. Different factors can disturb the ear canal’s normal state. Knowing the main causes is key to fast detection and focused treatment.
Bacterial and yeast overgrowth explained
Ear infections can start when bacteria or yeast grow too much. Fungal growth thrives in warm, damp spots and too much wax. Bacteria might come from the outside or multiply from inside when the dog’s immune system is down.
It’s important to diagnose correctly because bacterial and yeast infections need different treatments. Tests can pinpoint the cause, leading to the right treatment and less chance of issues coming back.
Allergies: food and environmental triggers leading to inflammation
Allergies can cause irritation that spreads to the ears. Both food and the environment can trigger allergies. This irritation often leads to the ears getting infected more easily.
Tackling both ear problems and allergies can help prevent them from returning. Your vet can help find the cause, change the diet, or suggest allergy medication.
Ear mites, foreign bodies, and trauma as infection sources
Ear mites make puppies scratch a lot, which can cause infections. They spread easily but a vet can treat them quickly.
Small items like seeds stuck in the ear can cause infections too. They hurt the ear, allowing bacteria to get in. Even simple actions like scratching can cause problems, leading to more infections.
- Water from bathing or swimming can also cause issues.
- Too much cleaning might harm the ear’s defenses, increasing risk.
- Health problems like hormone imbalances can make the skin more prone to infections.
Quick tests and the right treatment can stop the infection from getting worse. Going to the vet right away and regular check-ups keep your Shih Tzu happy and healthy.
Recognizing Early Symptoms of Ear Problems
Spotting ear problems early can keep your Shih Tzu happy and prevent serious harm. Watch for small changes in behavior and look for visible signs. Knowing the history of these signs helps your vet diagnose quickly.
Behavioral signs to watch for
If your dog scratches a lot, shakes its head, or rubs its head on furniture, it could be an ear infection. Some Shih Tzus might get cranky if their ear is touched. Puppies might avoid playing or hide if their ear is hurting.
Visual and sensory clues
- Redness and warmth in the ear canal suggest inflammation.
- If you see swelling or cuts, the problem could be getting worse.
- Brown, yellow, or black discharge usually means there is an infection.
- A bad smell from the ear means it’s time to see the vet.
When inflammation vs infection ears matters
Inflammation may appear as red, itchy, or warm ears with little discharge. Infections have these symptoms plus a bad-smelling discharge. Tell your vet about the symptoms’ pattern and how long they’ve lasted to know if it’s irritation or infection.
Some dogs might just have minor changes in wax without other symptoms. Regular checks can spot these early. If your dog is in persistent pain, suddenly tilts its head, or has trouble balancing, it could mean the infection has spread and needs quick action.
How to Prevent Ear Infections in Shih Tzus
Preventing ear problems starts with routine care. Doing this regularly decreases the risk of infections. It keeps your Shih Tzu feeling good. Make sure to check their ears, clean them as needed, and follow the vet’s advice to avoid frequent vet visits.
Establishing an ear-check routine
It’s important to check your dog’s ears often to catch any issues early. If you have a breed that’s prone to ear problems, checking their ears daily or every other day is key. This helps you notice any redness, bad smells, or swelling early on.
- Look for discharge, strong smell, or constant head shaking.
- Gently lift the flap and inspect the canal entrance without probing deeply.
- Keep a simple log of findings to share with your veterinarian.
How often to clean based on wax and breed risk
Cleaning your dog’s ears depends on how much wax they produce and their breed. Some Shih Tzus might need their ears cleaned weekly, while others might need it every few days. Use visible buildup and comfort as your guide.
- Low wax: clean once every 2–4 weeks.
- Moderate wax: clean weekly.
- High wax or recurrent irritation: clean more frequently under vet advice.
Always use vet-approved solutions and soft gauze for cleaning. Fill the ear canal gently, massage the base, and then wipe the debris away. Don’t use cotton swabs deep inside the ear.
When to consult a veterinarian before home care
If you notice severe pain, bleeding, sudden hearing loss, or ongoing discharge, get professional help. Knowing when to see a vet helps prevent serious issues. It ensures correct diagnosing.
- Do not start cleaning at home if the ear looks sore or the dog is in a lot of pain.
- If ear infections keep coming back despite home care, have the vet do further tests.
- Follow your vet’s instructions for using medicated drops and the right cleaning schedule.
Regular ear checks, cleaning as needed, and seeing the vet when necessary prevent ear infections. Small daily efforts lead to less frequent infections and joyous pets.
Safe Ear-Cleaning Techniques and Recommended Products
Keeping a Shih Tzu’s ears clean is key to avoiding infections. It makes your dog feel better. Use mild, vet-approved products and follow the right steps to keep irritation away. Here are safe ways to clean the ears, recommended products, and what to use or avoid for gentle care.
Vet-approved cleaning solutions and natural options
- Pick an ear cleaner like Zymox, Vet’s Best, or Virbac Otic, if your vet agrees. These brands are often recommended by clinics.
- For regular care, diluted organic apple cider vinegar, cooled green tea or calendula infusion work well. You can also use witch hazel. Only use colloidal silver or a little tea tree oil in coconut oil if your vet says it’s okay.
- Never use rubbing alcohol, pure essential oils, or hydrogen peroxide inside the ear canal.
Step-by-step cleaning method to avoid damaging the ear
- First, get your vet-approved cleaner, gauze or cotton balls, treats, and a towel ready. This matches what many recommend for dog ear cleaning.
- Make your Shih Tzu sit quietly. Lift its ear flap gently and check for redness, smell, or discharge.
- Put a cotton ball or gauze with cleaner at the ear canal’s entrance. Don’t push anything deep into the canal.
- If using a liquid cleaner, squirt a small amount into the ear. Then massage the vertical canal gently for 20–30 seconds to loosen the dirt.
- Let your dog shake its head. Use fresh gauze or a cotton round to wipe away wax and cleaner. Repeat until you see little dirt on the cloth.
- After baths or swimming, dry the outer ear to prevent moist conditions that cause infections.
Tools to use and tools to avoid (cotton balls vs. cotton swabs)
- Use gauze, cotton balls, or lint-free cloths for wiping and drying. These clean well and don’t leave fibers behind.
- Dog ear cleaning wipes are great for the outer ear, but they’re not for deep cleaning.
- Stay away from cotton swabs in the ear canal. They can push wax further in and might hurt the eardrum. Remember, you shouldn’t use these in your dog’s ears.
- Avoid paper towels or anything that leaves fibers in the ear. These can trap moisture and dirt.
Stick to a cleaning schedule that your vet suggests, based on your dog’s wax production and infection risk. Always ask your vet about products or how to clean properly to make sure you’ve got the best advice for your Shih Tzu.
Drying Ears After Baths, Swimming, and Rain
It’s important to keep a Shih Tzu’s ears dry after they get wet. This helps prevent ear problems. Wet ears can attract bacteria and yeast. Doing a few easy things after your pet gets wet will help a lot.

Why moisture causes infections and how to reduce risk
Water in the ear canal increases humidity and softens the skin. This can lead to swimmer’s ear in dogs. Checking your dog’s ears daily after swims or rains is essential.
Safe drying practices that avoid pushing debris deeper
- Gently dab the visible part of the ear with a soft towel. Steer clear of the ear canal.
- Hold the ear flap up to let air in as you dry the outer part.
- Cutting long hair around the ears helps air flow and drying.
- If your Shih Tzu doesn’t like ear cleaning, keep sessions short and give treats for cooperation.
Drying aids and powders that help keep canals dry
After you blot the surface, consider using vet-recommended products. There are ear powders and sprays made to keep ears dry and reduce infection risks. Always ask your vet for product suggestions first.
If your dog swims a lot, make drying their ears after swimming a habit. Dogs that get swimmer’s ear easily might need daily care when it’s wet outside. Useful tips for Shih Tzu owners include gentle drying, increasing airflow, and careful use of ear drying powders.
Grooming Tips to Reduce Ear Infection Risk
Good grooming is key to avoid ear problems in Shih Tzus. Their long, dense coats can trap moisture and dirt close to their ears. By taking care of the hair around their ears and their coat, you help keep their ears dry. This reduces the risk of infections.
It’s important to trim carefully and calmly. Using blunt-nosed scissors or thinning shears helps air flow. It won’t hurt the skin. If there are mats near the ear, they need gentle removal to avoid irritation.
- Trim hair around ears: It’s best to trim little amounts often. This keeps hair near the ear opening short and helps keep it dry.
- Prevent mats Shih Tzu: Brush daily with a slicker brush. Use detangling spray when necessary. Mats can trap dirt that moves into the ear.
- Shih Tzu grooming ears: Make ear checks part of your brushing routine. Look for redness, bad smells, or excess wax early. Only clean with products your vet recommends.
Choosing between professional grooming and doing it yourself depends on what you’re comfortable with and how your dog reacts. At places like PetSmart or local salons, professional groomers can do trims and clips safely. They know how to avoid pulling hair or making cuts that could cause infections.
If you understand basic grooming and can stay calm, trimming at home is doable. Start slowly, praise your pet, and avoid putting anything deep into the ear. If your Shih Tzu doesn’t like it, their skin looks red, or you’re not confident, it’s better to stop. Then, book an appointment with a groomer or talk to your vet.
- Brush coat daily to stop mats and dirt from building up.
- Keep hair around the ears trimmed regularly.
- Have a professional groomer do sanitary clips and handle difficult mats.
- Examine ears with each grooming session and clean them only if your vet says to.
Managing Allergies to Lower Ear Infection Recurrence
Allergic reactions can often lead to ear problems in Shih Tzus. Working closely with a vet helps spot what causes these issues. This then reduces swelling and lowers the chance of it happening again. Telling the vet about the dog’s diet, living space, and health issues is crucial. It lets them make a care plan that works best.
Identifying food and environmental allergens with your vet
- Keep track of what your dog eats and what it’s around. This makes it easier to spot what’s causing problems during check-ups.
- Try elimination diets with your vet’s help to find out which foods might be making things worse.
- Think about getting tests done for allergies to things like pollen or dust mites.
Diet changes, supplements, and medications to control inflammation
- Trying a different protein or special diet can help lessen ear swelling that leads to infections.
- Talk about medicines that might help, like antihistamines, steroids, or treatments specific to allergies.
- Ask about adding omega-3 supplements and specially made diets to support the immune system and keep your dog healthy.
Environmental control measures to reduce exposure to triggers
- Keep your home clean of pollen and dust by vacuuming often, using air filters, and washing sheets in hot water.
- When pollen is high, try to keep your dog inside. Always clean their paws and ears after they’ve been outside.
- Look into treating any skin or hormone problems that might make ear problems worse.
For Shih Tzu owners, dealing with allergies takes time and careful steps. Always listen to your vet’s advice. Watch how your dog reacts to changes and tweak their diet or surroundings if needed. This helps prevent ear infections linked to allergies from coming back.
Preventing and Treating Parasites That Affect the Ears
Ear parasites cause big discomfort in Shih Tzus and can lead to worse infections if not treated. Working together, owners and vets can speed up recovery and avoid repeat issues.

Recognizing ear mites and early signs in puppies and adults
Watch for extreme scratching, a lot of head shaking, and dark, crumbly stuff in the ears. This looks like coffee grounds. Puppies usually show signs before adults. A vet will examine ear gunk under a microscope to check for mites.
Effective parasite control products and veterinarian guidance
- Use mite-killing medicines and creams just as your vet tells you.
- Talk to your vet about treatments like Frontline, Advantage, or NexGard that might prevent mites.
- Visit the vet again to make sure the mites are gone and no other infections are left.
Cleaning and home environment steps to prevent reinfestation
Wash your pet’s bedding and toys in hot water. Vacuum places your pet hangs out. Follow your vet’s advice to keep mites from coming back.
- Clean ears with approved products before you put on any mite medicine, if your vet says to.
- Do treatments as often as the label says. You might need to do it a few times.
- Keep up with mite prevention all year to lower the chances of them coming back.
When treating for ear mites, closely work with your vet. Together, pick the best treatments and plan to make your Shih Tzu feel better and stay safe.
When to See the Veterinarian and What to Expect
If your Shih Tzu scratches a lot, shakes its head, has a bad smell, or shows thick discharge, see a vet quickly. Getting help early keeps the ear infection from getting worse. Regular check-ups can also spot problems early on.
-
Otoscopy, cytology, culture: A vet visit usually starts with looking inside the ear with an otoscope. They might take samples to check for yeast or bacteria and decide on the best treatment.
-
Microscopic exam: This test shows if yeast or bacteria are present. Getting an ear culture helps with tough infections, so your vet picks the right medicine.
-
Further diagnostics: In tough cases, your pet might need X-rays, sedation, or a biopsy to check for deep infections or other problems.
Treatment varies based on the infection cause. Topical or systemic antifungals are usually good for yeast infections. For bacteria, vets wait for culture tests to choose the right antibiotics. This method is more effective than guessing and helps avoid treatment failures.
It’s important to use all the antibiotic ear drops your vet prescribes. Stopping too soon can lead to drug-resistant bacteria and a return of the infection. Keeping the ear clean during treatment ensures the medicine works well.
-
Always follow your vet’s advice on how much and how long to treat.
-
Make follow-up appointments to make sure the infection is gone.
-
If the problem comes back, a new ear culture can help adjust the treatment.
For severe or ongoing problems, your pet might need oral medications, anti-inflammatory treatments, or surgery, like removing the ear canal. Regular vet visits and good care at home can lower the risk of more issues and help your pet heal quicker.
Home Remedies and Complementary Treatments Supported by Evidence
Many pet owners look for safe, proven ways to help dogs with ear problems. Natural methods can lessen swelling and aid healing under a vet’s watch. They should be part of a bigger care plan, not a substitute for professional diagnosis.
Medical-grade manuka honey is supported by studies for ear use. A study in 2016 applying 1 mL daily for three weeks showed most dogs got better by day 21. Many started to improve in the first two weeks. This study shows manuka honey works against common and resistant bacteria. However, some infections may persist despite symptoms improving, so continue with vet tests and advice.
Medical-grade manuka honey and studies showing antimicrobial effects
- Only use vet-approved, medical-grade types for wounds or ears.
- Follow directions and stop if there’s irritation or things get worse.
- Combine with standard treatments for moderate or chronic infections.
Green clay and other adjunctive topical options for resistant infections
Green clay has properties that fight microbes and absorb materials, useful in hard cases. Doctors include it in ear infection treatments to catch toxins and cut down germs. Studies show it works against bacteria like Pseudomonas and MRSA, good when regular treatments fail.
- Pick vet-made green clay products for safety in pH and quality.
- Use as your vet says, especially for deep or torn eardrums.
- Watch for cleanliness and signs of irritation while using.
When natural options can help and when veterinary therapy is required
Natural ear treatments can help dogs recover faster in mild cases or ease lasting swelling with targeted care. Use them with other treatments, not by themselves, for clear infection signs like lots of discharge, bad smell, big pain, or fever.
- Start with a vet check: otoscopy, cytology, and culture if needed.
- Add to ear infection treatments to boost prescribed medicines.
- Move to specific drugs or more steps if problems stay or come back.
Talk closely with your vet to mix manuka honey ear treatments, green clay, and other natural options into a safe, strong care strategy. Close monitoring keeps ears healthy and lowers the chance of ongoing issues.
Conclusion
Ear infections can be a problem for Shih Tzus, but you can often prevent them. Regularly check their ears, clean them based on how much wax they have, dry them well after getting wet, and keep the hair around their ears short. This strategy helps avoid infections and keeps your dog happy.
Keeping allergies in check, managing parasites, and feeding a balanced diet can also help. If your dog shows signs of an ear infection, take them to the vet quickly. Getting the right tests and treatment early is key. Make sure to finish all medications and keep the ears clean, even after your dog seems better, to stop the infection from coming back.
Using natural remedies like manuka honey or green clay can be helpful but shouldn’t replace seeing a vet, especially for serious cases. Sometimes, more advanced help or seeing a specialist might be needed. Taking good care of your Shih Tzu’s ears, as this guide suggests, can keep them healthy and avoid bigger problems.
FAQ
What makes Shih Tzus especially prone to ear infections?
How do bacterial and yeast infections start in a Shih Tzu’s ear?
What are the early signs of an ear problem I should watch for?
How often should I check and clean my Shih Tzu’s ears?
What is the safest way to clean my Shih Tzu’s ears at home?
Which ear-cleaning products are recommended or safe to use?
How should I dry my Shih Tzu’s ears after baths or swimming?
Does grooming affect ear infection risk, and how should I groom around the ears?
How do allergies contribute to recurring ear infections?
Could ear mites or parasites be the cause, and how are they treated?
When should I take my Shih Tzu to the veterinarian for ear issues?
What diagnostics and treatments will the vet likely recommend?
Are there evidence-backed home remedies I can safely use as adjuncts?
How can I prevent reinfestation or recurrence after treatment?
What grooming or professional services should I use to reduce risk?
Can diet or supplements help prevent ear infections?
Are there any cleaning methods or products I should never use?
Content created with the help of Artificial Intelligence.
