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SYMPTOM → WHAT DO I DO?

Head shaking or ear scratching

Look for odor, redness, discharge, head tilt, balance changes and pain around the ears.

CALL YOUR VETERINARIAN PROMPTLY
Illustration of a dog and cat with a magnified skin parasite
OWNER VISUAL GUIDESkin and ear signs can have several causes; appearance alone cannot identify the problem. This educational illustration is not a diagnostic image.

READ THIS FIRST

Observations can help your veterinarian. They cannot rule out an emergency.

Contact an emergency veterinary facility immediately for difficult breathing, collapse, ongoing seizures, inability to urinate, major bleeding, abnormal gum color, sudden severe abdominal swelling or rapidly worsening weakness.

01 · POSSIBLE CAUSES

What could be behind this symptom?

These are possibilities, not a diagnosis. The right explanation depends on the examination, species and medical history.

  • External-ear inflammation, infection or allergic skin disease.
  • Ear mites, foreign material, a ruptured eardrum or deeper ear disease.
  • Moisture, trauma or an ear-flap hematoma.
02 · WHAT YOU CAN OBSERVE

What can you safely check at home?

Write down what you see and bring photographs or video only when doing so does not delay care.

  • Which ear is affected and whether odor, discharge or swelling is present.
  • Head tilt, stumbling, facial asymmetry, itching elsewhere and pain.
  • Recent swimming, grooming, ear cleaning or new medications.
03 · WHAT NOT TO DO

Avoid actions that can make things worse.

  • Do not insert cotton swabs or pour peroxide, alcohol or essential oils into the ear.
  • Do not reuse another animal’s ear medication or old prescription drops.
  • Do not clean an extremely painful ear before veterinary guidance.
04 · WHEN TO CALL

When should you contact your veterinarian?

  • Arrange an examination for persistent head shaking, discharge, odor or repeated infections.
  • Mention balance changes, previous allergies and medications already used.
05 · WHEN IT IS AN EMERGENCY

Get emergency help immediately if you see:

  • Sudden head tilt with inability to stand, severe neurologic changes or collapse.
  • Rapid ear-flap swelling, significant bleeding or severe pain after trauma.
Open the emergency action guide →
06 · SPECIES-SPECIFIC CONCERNS

The same symptom can mean different things in different animals.

Dogs

Recurrent ear inflammation can be connected to underlying allergic skin disease.

Cats

Ear mites and other causes require examination; medication depends on the eardrum and diagnosis.

Rabbits & small mammals

Head tilt or loss of balance can reflect serious ear or neurologic disease.

Related Resources

Otitis externaAllergic skin diseaseCytologyDiagnostic testing libraryWhen it is an emergency
TRUSTED SOURCES

Sources behind this guidance

American Veterinary Medical AssociationFirst aid tips for pet owners and limits of home careMerck Veterinary ManualVeterinary professional and pet-owner disease referencesMerck Veterinary Manual: urinary obstructionWhy urinary blockage in cats requires immediate veterinary attention

These educational resources support a conversation with your veterinary team. They do not replace examination, diagnosis or species-specific emergency care.