Recurrent ear hematomas can be due to an underlying clotting or blood vessel disorder, and I recommend labwork to screen for underlying diseases (Complete blood count, chemistry profile, clotting panel, tick titers). If all labwork is normal, then there may be a genetic vessel fragility issue, as I have seen several Shar pei and Shar pei mix puppies with similar symptoms. Repeated administration of long-acting steroids to puppies is not recommended; some advocate injecting Vetalog into the pinna to reduce inflammation, but I have never heard of using systemic injections of Vetalog or Depo to treat ear hematomas. I recommend starting with the labwork and if all looks normal, then having him neutered and the hematomas treated surgically at the same time. Although it is usual to neuter at 6 months of age, puppies as young as 8 weeks of age are routinely neutered at shelters. If your veterinarian is unsure how to proceed, then I would recommend a second opinion.
Good luck,
Kimberly Coyner, DVM DACVD
I will certainly take your advice and get another opinion. I have certainly been concerned about the injections. I was also concerned that no bloodwork was ever done and am happy that you recommended it. Now I feel I have questions that make sense and a plan. Thank you very much. M.