Moderate severity
Ear Infection (Otitis)
Inflammation and infection of the ear canal, usually caused by yeast or bacteria. Less common in cats than dogs, but very uncomfortable — and often a sign of an underlying problem such as ear mites or allergies.
⚠️ Common symptoms
Otitis simply means inflammation of the ear, and in cats it most often affects the outer ear canal (otitis externa). While dogs are the classic ear-infection patients, cats get them too — and when they do, there is almost always an underlying reason that must be found and fixed, or the infection will keep returning.
The feline ear canal is long and L-shaped, with a vertical section that drops down before turning horizontally toward the eardrum. This shape helps protect the delicate inner structures but also means that wax, debris and moisture can accumulate deep inside where you cannot see. A healthy ear keeps a natural balance of yeast and bacteria in check; anything that upsets that balance — mites, allergies, a polyp, trapped water or a foreign seed — lets those organisms multiply and trigger infection.
In young cats, ear mites are the overwhelming favourite culprit, producing a characteristic dry, dark, coffee-ground-like discharge and intense itching. In older cats, allergies and inflammatory polyps rise in importance. Because the signs overlap, it is a mistake to simply buy an over-the-counter drop and hope: using the wrong product, or cleaning aggressively with cotton buds, can drive material against the eardrum and make matters far worse.
The right approach is always to have a vet examine the ear and, ideally, look at a swab under the microscope to see exactly what is present. Treatment then combines a proper cleaning, the correct medicated drops, and — most importantly — management of whatever underlying condition allowed the infection to take hold. Caught early, most ear infections clear up quickly and completely; left alone, they can become chronic, thicken and narrow the canal, and in the worst cases spread inward to affect balance and hearing.
🔍 Causes
Unlike dogs, cats rarely get "primary" ear infections out of nowhere — there is nearly always an underlying trigger. In kittens and young cats, ear mites are by far the most common cause. In adults, allergies (to food or environment), ear polyps, foreign material, or excessive wax that traps moisture allow yeast and bacteria that normally live harmlessly in the ear to overgrow. The warm, enclosed canal is the perfect environment for infection once its balance is disturbed.
🛡 Prevention
Check your cat's ears weekly for redness, wax or odour, especially if it is prone to allergies or has had mites before. Only ever clean the visible part of the ear with a vet-approved cleaner — never push cotton buds into the canal, which packs debris deeper and can damage the eardrum. Treat ear mites promptly, keep on top of any diagnosed allergies, and address recurring infections at the root rather than repeatedly treating flare-ups.
💊 Treatment
Treatment starts with your vet identifying what is growing in the ear — yeast, bacteria, or both — usually by examining a swab under the microscope. The canal is then thoroughly cleaned, and medicated ear drops (often combining an antibiotic or antifungal with an anti-inflammatory) are prescribed. Crucially, the vet also looks for and treats the underlying cause: ear mites, allergies, a polyp, or a foreign body. Deep or inner-ear infections may need oral medication and longer courses.
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⚕️ Medical disclaimer
- This information is educational only and is not a substitute for veterinary advice.
- Symptoms overlap between conditions — only a vet can diagnose accurately.
- Never withhold treatment or self-medicate based on information found online.
- When in doubt, call your vet. Early intervention almost always leads to better outcomes.