My cat's ears twitch, itch, and bleed. What's causing this problem?
Fleas or mites would still be at the top of my list. Unless there are a very large number of mites, you may not always see them by just looking. Collecting a sample of ear wax and looking under a microscope can help you find a few, but often ear mite treatment is still used even when there is only suspicion and no actual evidence of ear mites. Fleas don't live on a pet, they only jump on at meal times, so it is easy for a cat owner to miss them - especially since cats are very good at grooming them off before you can see!
I would talk to your vet about a prescription topical flea and mite treatment called Revolution. Since Frida Katio (wonderful name, btw!) is indoor/outdoor that lives in Texas (parasites love this state, too!), she should be on a good preventative year round.
Other potential causes for the scratching and twitching include bacterial or yeast ear infection (would need diagnosis by looking under a microscope), nasopharyngeal polyp (may need an exam under anesthesia or using and endoscope), or other allergies, like environmental or food.
Updated on September 23rd, 2025