Dog Ears: Problems and Care

Key takeaways

  • Healthy ears are pale pink inside, with little wax and no strong smell.
  • Head shaking, scratching, odor and discharge are the main signs of an ear problem.
  • Allergy is the most common underlying cause of ear infections in dogs.
  • Dark, crumbly debris can mean ear mites, especially in puppies; brown waxy debris often means yeast.
  • Don't put anything in a painful ear until a vet has checked the ear drum.

Ear problems are among the most common reasons dogs see a vet. In UK practices, about 1 in 14 dogs has an outer ear infection each year.1,2 Allergy is the most common root cause, behind about 4 in 10 ear infections. It inflames the ear canal and lets yeast and bacteria take hold.3,4,5 Watch for head shaking, scratching, a bad smell, discharge, redness or pain.6,7 This guide covers how healthy ears look, the common problems, what different kinds of ear gunk can mean, and when to see a vet.

See your vet the same day if your dog:

  • Has a head tilt, loses their balance, walks in circles, or has eyes flicking from side to side8,5
  • Has a drooping lip or eyelid on one side, or can't blink8
  • Starts shaking their head violently and suddenly, often after a walk in long grass. This can mean a grass seed in the ear.9,5
  • Cries when you touch their ear, or has yellow-green pus or blood coming from the ear10,6
  • Has an ear flap that has suddenly swollen like a balloon11,12

What the Research Says

  • Allergy is the leading root cause. In a study of 100 dogs with ear infections, allergic skin disease was the underlying cause in 43, grass seeds in 12, and ear mites in 7.4 Atopic dermatitis is the most frequent cause of ear infections that keep coming back.3
  • Up to half of allergic dogs have ear trouble, and for some it's the only sign of their allergy.13
  • Some breeds are at much higher risk. Basset Hounds had nearly 6 times the odds of ear infections of crossbreeds. Shar-Peis, Labradoodles, Beagles and Golden Retrievers also had higher odds. Dogs with floppy ears had higher odds than dogs with upright ears.1
  • Ear infections are a top insurance claim. They ranked third among one US insurer's dog claims in 2023.14

What Healthy Dog Ears Look Like

  • Pale pink inside, not red or swollen15,16
  • No strong smell15,10
  • Only a small amount of wax that's pale yellow to light brown10,15
  • Both ears look the same16

A dog's ear canal is much longer than a person's, and it bends in an L shape on the way to the ear drum.17,18 The canal cleans itself by slowly moving skin and wax outward.19,20 See dog ear anatomy for how the ear works.

Common Ear Problems in Dogs

ProblemTypical signs
Ear infection (otitis externa)Head shaking, scratching, redness, odor, dark or yellow discharge.6,7
Yeast infectionBrown, greasy, waxy discharge with a musty smell, often in allergic dogs.6,21,16
Ear mitesIntense itching and dry, dark debris like coffee grounds. Most common in puppies, and contagious to other pets.22,5
AllergiesRed, itchy ear flaps and canals in both ears, often with itchy paws or face.11,23 See seasonal allergies.
Grass seeds and other objectsSudden, violent head shaking or pawing at one ear.9,5,4
Ear hematomaA soft, swollen ear flap filled with blood, usually from shaking or scratching.11,12
Middle and inner ear infectionHead tilt, poor balance, flicking eyes, facial droop, hearing loss.8,24
Ear canal growthsDischarge, often bloody, and odor in one ear that doesn't clear with treatment. Most are benign.25
DeafnessNot responding to sounds or being called, startling easily.26

For a swollen or puffy ear, see swollen ears. For head shaking, see why dogs shake their heads.

Dog Ear Wax and Discharge: What the Color Means

Ear wax is normal and helps trap debris.16,18 A change in color, amount or smell is worth a vet check. Only a look under the microscope can say for sure what's causing it.22,27

  • Pale yellow to light brown, small amount, no smell: usually normal wax.10,15
  • Dry, dark brown or black, like coffee grounds: often ear mites, especially in puppies.5,22
  • Dark brown, greasy or waxy, with a musty or sweet smell: often yeast, sometimes bacteria.6,16,10
  • Yellow or green pus: often a bacterial infection, which needs a vet promptly.10,28,7
  • Red or bloody: can mean an injury, deep infection, or a growth in the canal.10,25

Dark discharge doesn't always mean mites. It's common with yeast and bacterial infections too.6 Over-the-counter ear products may not work and can make inflammation worse, so get a diagnosis before treating.5,7

Signs of Ear Problems

  • Head shaking, or scratching or rubbing at the ears6,7
  • A bad smell from one or both ears6
  • Redness, swelling, scaly skin or crusts6,7
  • Pain when the ear or head is touched6
  • Thickened ear skin and a narrowed canal in long-standing cases7,3
  • Not hearing as well26

Don't put drops or home remedies into a sore ear before a vet has checked it. Some ear products can damage hearing if the ear drum is torn.27,29,7

Hearing loss and deafness

Hearing loss in older dogs usually comes on gradually from about 8 to 10 years of age.30 Sudden hearing loss can be caused by wax build-up, infection or a torn ear drum, and hearing often returns once these are treated.26 Some puppies are born deaf. It's linked to white and merle coat patterns, and breeds such as Dalmatians, about 3 in 10 of which are deaf in at least one ear.26,31,32 A painless hearing test (BAER) can check puppies from about 6 weeks of age.31,33

Caring for Your Dog's Ears

  • Look and sniff weekly. Catching a change early makes treatment easier.15,16
  • Clean only when needed. Healthy ears rarely need routine cleaning, and over-cleaning can cause irritation.15,16,34 See how to clean your dog's ears.
  • Dry ears after swimming with a cotton ball, especially in floppy-eared dogs.5,6
  • Never use cotton swabs inside the canal. They push debris deeper.34,6
  • Treat the cause. In allergic dogs, controlling the allergy is the key to stopping repeat infections.3,35 Year-round flea control also helps.36
  • Check after walks in fields for grass seeds.9

Frequently Asked Questions

Why does my dog's ear smell?

A bad smell usually means a yeast or bacterial infection. It needs a vet check.

What is the brown stuff in my dog's ear?

A little light brown wax is normal. Lots of dark, greasy or smelly discharge often means yeast, and dry dark crumbs can mean ear mites.

Why is my dog's ear red inside?

Redness usually means inflammation from allergy or infection.

Which dogs get the most ear problems?

Floppy-eared and allergy-prone breeds, such as Basset Hounds, Shar-Peis, Labradoodles, Beagles, Golden Retrievers and Cocker Spaniels.

When is a dog ear problem an emergency?

Head tilt, loss of balance, flicking eyes, facial droop, severe pain, or sudden violent head shaking.

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Sources and further reading

This article was rewritten and fact-checked on October 28, 2026 against current veterinary references and specialist guidelines:

  1. O'Neill DG, Volk AV, Soares T, Church DB, Brodbelt DC, Pegram C. Frequency and predisposing factors for canine otitis externa in the UK: a primary veterinary care epidemiological view. Canine Medicine and Genetics, 2021 (VetCompass study).
  2. O'Neill DG, James H, Brodbelt DC, et al. Prevalence of commonly diagnosed disorders in UK dogs under primary veterinary care. BMC Veterinary Research, 2021 (VetCompass study).
  3. Nuttall T. Managing recurrent otitis externa in dogs: what have we learned and what can we do better? Journal of the American Veterinary Medical Association, 2023.
  4. Saridomichelakis MN, Farmaki R, Leontides LS, Koutinas AF. Aetiology of canine otitis externa: a retrospective study of 100 cases. Veterinary Dermatology, 2007.
  5. Cornell Richard P. Riney Canine Health Center. Itchy ear problems.
  6. Roman N. Ear Infections and Otitis Externa in Dogs. Merck Veterinary Manual (pet owner version), reviewed April 2026.
  7. Weir M, Panning A, Ward E. Ear infections in dogs (otitis externa). VCA Animal Hospitals, April 2026.
  8. Roman N. Otitis Media and Interna in Dogs. Merck Veterinary Manual (pet owner version), reviewed April 2026.
  9. Bailey P. Foxtails pose autumn threat to dogs. UC Davis News, September 1998.
  10. Wedgewood Pharmacy, with Ward E. What it means if your dog has brown ear discharge. Wedgewood Pharmacy blog (veterinary pharmacy), May 2024.
  11. Roman N. Disorders of the Outer Ear in Dogs. Merck Veterinary Manual (pet owner version), reviewed April 2026.
  12. O'Neill DG, et al. Reporting the epidemiology of aural haematoma in dogs and proposing a novel aetiopathogenetic pathway. Scientific Reports, 2021.
  13. American Board of Veterinary Practitioners. Allergic skin disease (summary of the 2023 AAHA guidelines). ABVP, September 2024.
  14. Nationwide. Skin allergies, gastrointestinal disease among most common conditions that prompt veterinary visits. Nationwide news release, April 24, 2024.
  15. Burke A. How to clean your dog's ears. American Kennel Club, 2026.
  16. Wooten S. What is normal earwax for pets? PetMD, January 2018.
  17. Roman N. Ear structure and function in dogs. Merck Veterinary Manual (pet owner version), April 2026.
  18. Noxon JO, Roudebush P. Every practitioner should know 10 things about canine ears. Hosted by a pet food maker, about 2012.
  19. Paterson S. Ear cleaning: what to use and how to use it. SEVC Annual Conference, 2015. Conference proceedings hosted by IVIS.
  20. Patel A. Otitis externa in dogs. Veterinary Ireland Journal (Focus), July 2020.
  21. Doerr K. Malassezia dermatitis and otitis in dogs. Veterinary Focus, 2015. Hosted by IVIS (full text for veterinary professionals).
  22. Barnes C, Weir M, Ward E. Ear Mites in Cats and Dogs. VCA Animal Hospitals, updated March 28, 2025.
  23. Hoff S. Atopic dermatitis in dogs. Merck Veterinary Manual, May 2026.
  24. Otitis media. LAVC Annual Conference, 2009. Conference proceedings hosted by IVIS.
  25. Pieper JB (reviewed by Carnevale J). Overview of Tumors of the Ear in Small Animals. Merck Veterinary Manual (professional version), reviewed July 2025, updated April 2026.
  26. Roman N. Deafness in dogs. Merck Veterinary Manual (pet owner version), April 2026.
  27. Hoff S. Otitis externa in animals. Merck Veterinary Manual, April 2026.
  28. Paterson S. A rational approach to otitis externa in the dog. SEVC Annual Conference, 2015. Conference proceedings hosted by IVIS.
  29. ter Haar G. The importance of ototoxicity. WSAVA World Congress Proceedings, 2003 (hosted by VIN).
  30. ter Haar G. Age-related hearing loss in dogs: diagnosis with brainstem-evoked response audiometry. WSAVA World Congress Proceedings, 2011 (hosted by VIN).
  31. The Kennel Club. Deafness: BAER testing. The Kennel Club (UK).
  32. Dalmatian Club of America. Position statement on unilaterally hearing Dalmatians (hosted by LSU School of Veterinary Medicine).
  33. Strain GM. What is the BAER test? Louisiana State University School of Veterinary Medicine.
  34. Weir M, Panning A. Instructions for ear cleaning in dogs. VCA Animal Hospitals, August 2025.
  35. Miller J, Simpson A, Bloom P, Diesel A, Friedeck A, Paterson T, Wisecup M, Yu C-M. 2023 AAHA management of allergic skin diseases in dogs and cats guidelines. Journal of the American Animal Hospital Association, 2023.
  36. Olivry T, DeBoer DJ, Favrot C, et al. Treatment of canine atopic dermatitis: 2015 updated guidelines from the International Committee on Allergic Diseases of Animals (ICADA). BMC Veterinary Research, 2015.

About this article

Last updated : fully rewritten using the Merck Veterinary Manual, VetCompass studies, the 2023 AAHA guidelines, VCA, Cornell University, Louisiana State University, the Kennel Club and IVIS proceedings; added the research summary, normal ears, common problems, discharge guide, warning signs, ear care, key takeaways and FAQ.

This page is for general information and is not a substitute for an exam by your veterinarian.