A haematoma, abscess or
malignant tumour in an old dog?
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
23 April, 2011
Be Kind To Pets
EMAIL TO DR SING
DATED APR 21, 2011
I've never been to your clinic. However, I would like to
enquire if you all do dispense oral medication for ear
infection/hematomas-related illness. My cross-breed dog
(quite similar to the Miniature Pinscher) is 13 years
old and she is quite aggressive towards strangers. She
had been having her ear infection for some time, and
recently there's been a lump growth just at the bottom
of the infected ear, which I suspected is hematomas.
I was wondering if it would be possible to obtain oral
medication for this illness without having to bring my
dog in, as she is quite averse to travelling and towards
Please advise. Thanks!
E-MAIL REPLY FROM DR SING DATED APR 21, 2011
I am Dr Sing from Toa Payoh Vets. It is best to check
what the problem is. An ear haematoma is a swelling with
blood inside the ear flap. Send two images by email as
soon as possible.
E-MAIL TO DR SING DATED APR 23, 2011
Dear Dr Sing
Thank you for your prompt response!
I will try to describe her condition as best as I can.
Thus far, her ear has been giving out smelly discharge,
which are slightly brownish/reddish in colour. The
discharge is usually in liquid form. She tends to whine
as she try to scratch her affected ear. Recently I've
noticed that the discharge is not as much as before, in
fact, I do believe that there hasn't been any discharge
these two days and that her ears are relatively dry.
Though however, the smell still persist. Admittedly, it
is not as strong a smell as before.
Only quite recently did I notice the lump just
below/behind her ear. It was quite "hard" when I touched
it and it does not seem to cause her any kind of pain
when I touched it. She does not have floppy ears.
have also attached some photos of my dog for your
preliminary viewing. The lump is on her right side, just
below/behind her ear. I've also taken close up pictures
of her affected ear. Pictures taken from behind makes
the "lump" appear slightly bigger than it really is as
her hair was sort of sticking out in the area.
(Name of Owner)
E-MAIL REPLY FROM DR SING DATED APRIL 23, 2011
Thank you for your pictures. From your images, the lump
at the bottom and back of the right ear appears to be
1. a haematoma due to the dog pawing his ears to relieve
himself of the intense pain
2. an abscess due to infection by bacteria of the
3. a fast-growing malignant tumour since you describe it
as "hard" and not painful and the dog is at the age when
tumours are common.
Ideally, large haematomas and abscesses should be
incised and drained to prevent infection by bacteria and
pain which you believe is not painful to your dog but it
actually is. Malignant tumours are best resected
(removed) when they are smaller in size. In brief,
surgery is advised.
Ferocious dogs can still be sedated and anaesthesized
for the surgeries. A dog transport man can bring your
dog to the vet for surgery. There are anaesthetic risks
(of death) involved in sedation and anaesthesia of an
old dog. An aggressive old dog poses higher risks. The
alternative is to wait for the lump to subside if it is
a haematoma and not causing pain. You will have to
decide yourself as to what to do as the anaesthetic
risks of death are higher in old dogs. Pl phone me at
6254 3326 for appointment or for more queries.
To make an appointment:
tel: +65 9668-6469, 6254-3326
Be Kind To Pets