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Posted by: Sandra 5/13/08
Help,  my cat has a hematoma due to shaking his head because of an ear infection.  I've taken Tom in to the vet twice and had a drained.  then the vet recommended surgery that cost $700 which I don't have.  I just came home and the hematoma seemed to burst, it's smaller now and he has dried blood all around his ear.  What should I do?  I've been given him medicine to treat the ear infection as well an anti-inflammatory med's the vet gave me.  How do I clean him up? Do I use peroxide or just water?  I'm a single mom and completely strapped for cash at the moment, I've already spent over $500 in vet bills for both Tom and my dog Shamoon this month - when it rains, it pours.....

Comments
Not being a vet, but still wanting to do the best I could, I'd probably wash the ear gently with warm water and phisoderm, then use the hydrogen peroxide. You might want to hot (warm) pack it, clean his ear on a daily basis, so you can keep your eye on what is happening with it. Also you might ask your vet about an injection of corticosteroid.
# Posted By Rika | 5/13/08 9:01 PM
Call your vet - explain your situation, and ask what can best be done given your limited resources. Just don't act defensive if your vet re-recommends the surgery - he/she is just looking out for what's best for your pet, and don't gripe about prices or expect freebies (not implying that you would, but some clients do, and it's the wrong move). Call around for opinions. If it's any consolation, I've seen lots of hematomas that healed w/out surgical intervention b/c the clients couldn't afford it - but the ear sure isn't pretty afterwards. I would imagine at this point your biggest problem would be secondary infection of the hematoma itself (although I'm no vet) - I'd keep it as clean as possible w/just some soap and water (wouldn't use anything else unless otherwise instructed), but I'd do my best not to fiddle with it too much, otherwise you may inadvertently destroy tissue that's trying to heal. There's also a fine line w/the use of anti-inflammatories when something is trying to heal - best call your vet.
# Posted By anna | 5/14/08 1:43 PM
I second the hot packs. If his is a kitty who will tolerate some basic ministrations--including most likely a round of antibiotics if it's an open wound--you may be able to solve your dilemma quite nicely without surgery, but with your vet as an understanding ally. First: Is the ear canal accessible? Was an ear infection diagnosed? Are you treating this? Is the ear still puffy?
# Posted By Dr. Patty Khuly | 5/14/08 6:16 PM
 
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