Ear infections (otitis externa) are one of the top 5 reasons dogs visit the vet. Some breeds are especially prone, including Cocker Spaniels, Labrador Retrievers, Basset Hounds, and any breed with floppy ears or narrow ear canals.

Treatment Costs

  • Consultation + ear examination: £30–£65
  • Ear cytology (swab to identify infection type): £30–£60
  • Ear drops (e.g., Surolan, Easotic): £15–£40
  • Ear flush under sedation (for severe cases): £100–£250
  • Total for a typical first infection: £100–£170
  • Chronic/recurring ear infections (specialist referral): £300–£1,000+

Common Causes

Ear infections in dogs are usually caused by:

  • Bacteria or yeast: Often secondary to an underlying issue
  • Allergies: The most common underlying cause. Food allergies and atopic dermatitis (environmental allergies) both commonly present with ear infections
  • Ear mites: More common in puppies and cats
  • Foreign bodies: Grass seeds are a common summer problem
  • Anatomy: Breeds with narrow ear canals (e.g., Shar Pei) or very hairy ear canals (e.g., Poodles) are predisposed

When to See the Vet

See your vet if your dog is:

  • Shaking their head frequently
  • Scratching at one or both ears
  • Holding their head to one side
  • Has a smelly discharge from the ear
  • Has red, swollen, or painful ear canals

Do not attempt to treat ear infections with over-the-counter drops or home remedies. Using the wrong product can worsen the infection or mask symptoms.

Saving Money on Ear Treatment

  • If ear drops are prescribed, ask for a written prescription — you can buy Surolan and other ear medications online for significantly less
  • For dogs with chronic ear problems, ask about allergy testing to address the root cause rather than repeatedly treating symptoms
  • Regular ear cleaning (weekly for prone breeds) can help prevent infections

Last updated: March 2026. Sources: VetCost practice data, British Small Animal Veterinary Association.