If your dog is prone to ear problems, and some breeds like cocker
spaniels are, then you should consider cleaning their ears. Otherwise,
leave their ears alone.
You can purchase a solution from your veterinarian that you can gently
squeeze into their ears, rub their ears gently, and allow them to shake
their heads. This can be done every 2-6 weeks, depending on what your
veterinarian suggests.
If your dog is acting like they have an ear infection (constantly
shaking their head, rubbing at their ears, foul smell coming from their
ears, etc.) then you need to take your pooch to a veterinarian. They
could have an infection or foreign material in their ears.
If you have a dog that's acting like they have an ear problem and you
decide to take care of it yourself you can make it worse or push any
foreign material further down into their ears, potentially puncturing
their ear drums and causing major problems.
I wouldn't use q-tips inside the ear because your dog can move at just
the right moment and the q-tip can accidentally bust the eardrum or push
foreign matter deeper into the ear. Using q-tips on the outside of the
ear, however, is typically safe.
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