Will my guinea pig's ear hematoma heal on its own or need a vet?

Surgery is the "gold standard" for addressing aural hematomas. Draining it with a needle and syringe may provide a quick fix, but more often than not the ear refills with blood. Allowing it to resolve without treatment may take weeks and could lead to a deformed ear flap. Surgery can be done to clean out the clotted blood and stop the bleeding. A specific suture pattern is used to keep the ear flap from refilling and in shape. The underlying cause, usually ear infection, should be addressed as well to prevent excessive head shaking.

Thanks for using Petco Pet Education Center, formerly Petcoach! There are a variety of ways to treat an ear hematoma in dogs (oral medications, draining it and instilling a medication, or a surgical "tacking", as well as determining what the underlying cause for the hematoma is). They do need to be treated by a veterinarian, as they do not typically resolve on their own, and can become very painful/infected. After treatment, the ear may be the same, or it may have a "crinkled" appearance. I would recommend your dog be evaluated by a veterinarian to determine what treatment plan would be best. Good luck!

I'm sorry to hear that Baby Kitty's ear has been such a problem for her! Surgery is generally the treatment of choice for aural hematomas, but these issues can also develop scar tissue over a period of at least 6-8 weeks. If Baby Kitty has an ongoing ear infection, this could also exacerbate any head shaking, preventing scar tissue from forming appropriately. No surgery ever offers a definitive guarantee, but it seems that surgically addressing the hematoma would be less invasive, less painful and likely less expensive than removing the entire pinna (ear flap). The only pinna amputations that I have seen have been due to cancerous masses on the ear because the surgery can be very painful and cause a significant amount of bleeding. Consider discussing this with your vet and have her ears checked to assure that an infection is not present and causing irritation. I'm glad to see that she has an e-collar on - keep it up! Avoid using the transdermal medication on her right ear for the time being and be sure to clean her left ear prior to each application. I hope that all goes well!

Poor Cinders! Ear hematomas will eventually resolve on their own without treatment, so watching and waiting is an option - the downside is that this can take quite a while in some cases, and the swelling may continue to be sore and uncomfortable for her in the meantime. It's also important to realize that in many cases, an ear hematoma is the result of an ear infection or other underlying problem which may need to be treated to allow the hematoma to heal. For this reason, it would be best to have her seen by a vet when you are able to. He/she can discuss pros and cons of surgery to drain the swelling vs. watchful waiting and help you decide what would be best.

I'm so sorry that Julia has this problem (and she is adorable BTW). Aural hematomas typically never resolve completely on their own. If left untreated (i.e. undrained) eventually the blood that's trapped between the skin and the cartilage of the ear will be reabsorbed, assuming the ear infection (which is causing the head shaking and thus the hematoma) is properly treated. However, typically this leaves a scarred ear, something called a cauliflower ear, and this can be avoided with proper treatment. First, make sure that the medication that has been prescribed is going to appropriately treat the ear infection. That means a vet needs to do a cytology (microscopic evaluation) of the debris inside the ear. Most ear infections are fungal in nature, and need antifungal treatments to completely resolve. Then talk to the vet about draining the blood inside the ear. This may resolve the problem completely, but be prepared that Julia may need surgery to reattach the cartilage to the skin and resolve the hematoma for good.

The hematoma needs to be drained by your vet first. Then you will need pain/anti-inflammatory medication to help reduce further filling of the ear pinna so that the ear can return to normal size. And lastly treat for any underlying ear infections, which is the -# 1 cause for ear hematomas. Schedule an appt with your vet and they should be able to help take care of all of this for you and your pet Millie.

Have it examined by your veterinarian. A swab of the ear can be examined in the clinic to confirm infection as well as the type (bacterial, fungal or mites). Once this is done, the appropriate medication or treatment can be administered or dispensed.