You notice your cat’s ear looks swollen, like a soft balloon. They’re scratching or shaking their head more than usual. It could be an ear hematoma—but should you rush to the vet right now?
This article explains what a cat ear hematoma is, whether it’s a medical emergency, and what steps you should take to keep your cat comfortable and safe. If needed, you can find a 24-hour emergency vet near you.
Is a Cat Ear Hematoma an Emergency?
A cat ear hematoma is not usually a life-threatening emergency, but it does require timely veterinary attention. While it may not need a midnight visit to the ER, you shouldn’t wait more than a day or two to get it checked. Delaying treatment can lead to increased pain, infection, or permanent ear disfigurement.
If your cat is in visible pain, bleeding, or constantly shaking their head, you should call your vet or visit an emergency animal clinic to prevent the issue from getting worse.
What Is a Cat Ear Hematoma?
An ear hematoma is a swelling that occurs when blood vessels inside the ear flap (pinna) rupture, causing blood to pool between layers of skin. It looks like a soft, swollen, or warm area on the ear, and can range in size.
This often happens when a cat scratches their ear aggressively or shakes their head forcefully due to an underlying issue like:
- Ear mites
- Ear infections
- Allergies
- Injury from fights or accidents
While the hematoma itself is not dangerous, it’s painful and signals another issue that needs attention.
Signs Your Cat Has an Ear Hematoma
Look for these common signs:
- Soft, squishy swelling on one ear flap
- Your cat frequently shakes their head or scratches their ear
- Ear feels warm or looks red and puffy
- Discomfort when you touch the ear
- Your cat tilts their head to one side
If your cat has any of these symptoms, it’s time to schedule a vet visit. If your regular vet is closed, you can use a 24-hour emergency vet finder to get care now.
What Happens If You Don’t Treat a Hematoma?
Leaving a hematoma untreated can lead to complications such as:
- Continued pain and discomfort
- Blood clotting and hardening of the ear flap
- Permanent ear deformity (called cauliflower ear)
- Secondary infections from bacteria buildup
- Underlying causes like ear mites or infection getting worse
Although it’s not immediately life-threatening, ignoring it will cause more pain for your cat—and cost more to treat in the long run.
How Vets Treat Cat Ear Hematomas
Depending on the size and severity, your vet may recommend one of the following treatments:
- Drainage: Using a needle to remove pooled blood (often temporary)
- Surgery: A small incision drains blood and a few sutures prevent refilling
- Treatment of underlying cause: Such as mites, infection, or allergies
- Pain relief: Anti-inflammatories or pain medications
Surgery is often the most effective way to prevent recurrence and reduce the chance of ear deformity. Recovery usually takes 1–2 weeks with proper aftercare.
What You Can Do at Home (Before the Vet)
While you wait for your vet appointment, here’s how you can help your cat:
- Prevent further scratching by using an e-collar if you have one
- Keep your cat indoors and calm
- Don’t try to drain or poke the ear yourself—it can cause infection
- Avoid using over-the-counter drops without vet guidance
If your cat is in severe pain or the swelling seems to be growing quickly, go directly to a 24-hour clinic.
How to Prevent Ear Hematomas in the Future
Since hematomas are often caused by ear irritation, prevention means tackling the root issues:
- Treat ear mites or infections early with vet-approved medications
- Monitor for signs of allergies like itchy skin or frequent scratching
- Keep ears clean but don’t over-clean or use harsh products
- Trim nails regularly to reduce injury risk from scratching
Frequent checkups and early action can keep your cat comfortable and avoid future ear issues.
Conclusion: Don’t Wait Too Long
A cat ear hematoma may not be a 3 a.m. emergency, but it definitely needs prompt care. The sooner it’s treated, the less your cat suffers—and the lower your vet bill might be.
If your regular clinic is closed or you’re not sure what to do, visit 24 Hour Emergency Vet to find a vet open right now. Your cat’s comfort and health shouldn’t have to wait.
Act early, treat gently, and keep those ears pain-free.