Family is not about Blood

Hiya, 

Hanging up the phone I was excited for my little Step-Pooch to get her nails clipped at the groomers as she does enjoy day trips out to new places. Always rushing to try and see everything, smell everything and generally be in everything. Always nosey and forever our little star when she goes anywhere with the Vet or Groomer they always tell us how good she is and how lucky we are to have such a well behaved dog. Or maybe that is just what they say to every owner?!

However, as we did our weekly "pretend" vet check where we get her up for cuddles on the sofa and pretend that she has her teeth checked, her eyes, her paws and her ears. But something was wrong. 
"What on earth is this" Mr Warehouse exclaimed as I turned to him he showed me. Not seeing clearly I allowed him to guide my hand over the inflamed sausage-shaped lump in our pup's floppy ear. Shaking us off it was obviously uncomfortable but not sore to the point she cried. I looked at Mr. Warehouse and we wondered if it was something serious. 
"If we need to go to the Vets we should go now," I said panicked as I looked at the time. It was early evening so confident we may get seen that night, so I dialled the number for our local vets. 

Without saying what it may be or telling us an educated diagnosis they seemed concerned and worryingly said that there were no appointments for that evening but instead, could we instead bring her in tomorrow morning, first thing. I agreed and ended the call with little more than being told it was a possible aural haematoma - a solid swelling of clotted blood within the tissues. But with the prospect of a £45.00 fee just to examine her properly, I shuddered at the true cost once medication and extras had been added. 

Wanting to make sure that our Vets were correct, and find a cheaper consultation fee, I called another vet closer to where we have now moved to in the countryside. They explained that yes, similar to a blood blister in humans, that animals can get these too, most commonly after an ear infection or, in this case, smacking a soft floppy ear off of something hard. Bursting the blood vessels and, unlike humans, dogs and other animals struggle to regulate this natural occurrence and thus rather than the body automatically absorbing the excess blood back into the tissue surrounding the area it creates a pocket that fills up and then starts to process and drain away the fluid into the body. However, this process could take days, weeks or even months in many cases and we discovered after Googling it (I know I told him not to but Mr Warehouse was on it before I came off the phone to the Vets) most dogs and cats are left with a cauliflower ear, crumpled and disfigured from the trauma. 

Booking an appointment for Monday we kept an eye on our grumpy pup all weekend and made sure that sausage was not filling up too much. I was concerned that the following morning we would come down to a bloodbath scene with splattering's up the new white carpet and walls following the blister bursting overnight. Thankfully we had nothing of the sorts and instead she was fine if only a little irritable.  And so this evening after work I arrived home and, bundling her into my little Fiat, Clifford, we went round to the new Vets. Pulling into the small car park and walking in, I felt happy with the practice and could see just how much they cared and loved animals from the photos and thank you cards on the walls. 
"This feels like a proper country bumpkin vet's," I said to my fiance, who laughed and made some comment about not being in the 'real' countryside. 

Soon we were called through and looking over her the petite blonde lady took another look at her ear and quizzed us both on our dog's habits and traits. I explained that following our Pyometra scare in February of 2016 she was operated on to save her life and spayed and that other than this she is as healthy and fit as a fiddle. 

The lovely Veterinary nurse said that most likely it was an aural haematoma and that this would be easily fixable. She explained that it’s typically caused by overly aggressive ear scratching or head shaking that resulted from an ear infection. To try and make our fur baby feel better the Vet suggested a drain to draw out the fluid with a needle or syringe under general anaesthetic. A steroid and medication would then be injected into the pocket to reduce swelling, inflammation and to stop it from happening again. However, she also explained that it is very common for an aural haematoma to return and on the next time, we would need surgery.

Going into more detail, The sweet lady said confirmed that a surgical repair is often considered the most effective treatment for ear hematomas. Looking online at vetstreet.com, Mr Warehouse has seen that, along with the Vets advice the surgery will be carried out under anaesthesia and an incision is made along the length of the aural hematoma on the inner surface of the ear. Once the fluid and blood clots are removed, the inner surface of the ear is tacked down to the outer surface of the ear with sutures. The sutures hold the inner and outer surfaces against each other so that when scar tissue forms, the two surfaces are smooth and not lumpy. The sutures generally stay in place for a few weeks while the incision is left open so that fluid will continue to drain as the ear heals. Eventually, the incision will heal on its own.

Taking the lead the kindly nurse took our pooch to have her aural haematoma drained and returned with a rather bloodied dog. Bleeding stemmed,  her fur and coat were smothered with bright red claret. We must have looked worried as the vet went on to explain that whilst she has attempted to drain all of the blood (and apparently there was alot) there may still be a little amount that will continue to come in the next few days, and, coupled with the steroids and medication to prevent it filling again we may have a little spillage here and there. 

Told to keep an eye on it and being given our first lot of ear gel, we booked in for another appointment next week to see how pup gets on. Looking at it now as she sits at the foot of the bed, on a towel and looking sorry for herself, I remind myself about how complacent I can be sometimes, about how we can all be sometimes, when someone we are around all the time becomes ill or poorly and you remember just how much they mean to you and this is no different when it comes to our dog. 

'Til next time, Love A.Lou xx