Dogster is reader-supported. When you buy via links on our site, we may earn a commission at no cost to you. Learn more.

Dog Health & Care

How to Clean Shih Tzu Ears: Vet-Approved Steps & Additional Tips

Chelsea Mortensen
By Chelsea Mortensen · Reviewed & fact-checked by Dr. Amanda CharlesVet Approved
Dr. Amanda Charles
Reviewed & Fact-Checked byDr. Amanda CharlesBVSc MRCVS (Veterinarian)
Dr. Amanda Charles, a 2002 graduate from Liverpool University, has built a prolific career in small animal medicine. She is passionate about providing pet owners with reliable and current information, enjoying the varied aspects of veterinary work. Outside the clinic, Amanda's life is filled with the energy of her two young sons, her spirited Cocker Spaniel, along with a spunky Ragdoll cat.View authorThe information is current and up-to-date in accordance with the latest veterinarian research. Learn more
Updated on June 29, 2026
Share
Female veterinarian cleaning ears to nice Shih tzu dog with ear cleaning rod or cotton stick

Shih Tzus' large, floppy ears are adorable but unfortunately, they can be more prone to ear problems such as infections. The shape of their ears means they tend to trap moisture and have poor ventilation. Ear canals are then more prone to becoming warm and sweaty, which is the kind of environment in which bacteria and yeasts that cause ear infections thrive.

If you have a Shih Tzu, you will need to check their ears regularly and help them out by cleaning out their ears. This helps your Shih Tzu avoid wax buildup and infection.

If you have never cleaned a dog’s ears before, never fear! We’ve broken it down below. Here are eight basic steps for ear cleaning that you can apply to every dog, plus four bonus tips that might help if your pup is not keen on it.

divider dog paws 2 oct 2024

The 6 Steps for Cleaning Shih Tzu Ears

1. Prepare Your Cleaning Space

Before you clean, prepare a space, and get everything ready. You’ll want a light, well-ventilated space where you and your pup are both comfortable. It should be easy to get on your pup’s level. You can get down on the floor or put your dog up on a table or counter.

Here are the supplies you need:

  • Pet ear cleaning solution
  • Cotton balls or gauze pads
  • Clean, dry cloth
  • Plenty of treats

It’s important to use an ear-cleaning solution that’s designed for pets. Using a homemade cleaner or the wrong kind of solution can cause irritations and infections. Speak to your vet about the best cleaner for your dog.

If you are looking for the perfect product to clean your dog's sensitive areas, Hepper's Wash Wipes are our recommendation, plus it's a great on-the-go option. These premium wipes are thick and durable enough for the toughest of paw messes, while still being soft enough to use on your dog's ears or eyes. Formulated with pet-friendly, hypoallergenic ingredients they are the ideal product for all dogs of all ages, skin conditions, or sensitivities. 

At Dogster, we’ve admired Hepper for many years and decided to take a controlling ownership interest so that we could benefit from the outstanding designs of this cool pet company!


2. Add Cleaning Solution

Lift the ear flap and squirt a little bit of cleaning solution into your pup’s ears. Moisten your cotton balls with ear cleaner while you are at it.


3. Massage Can Help

Most owners like to gently massage their dog’s ears at this point. This can help break up any dirt and wax and spread out the cleaning solution to do its work. Some dogs also love the massage process, so it can be a great calming moment in the middle of the cleaning session.


4. Take Your Time!

Your dog probably wants to get their ears clean as fast as possible. But it’s important to let the solution sit for 20 to 30 seconds before you dislodge it. This gives it time to soak into the gunk and make it easy to clean. Once it’s soaked in, you can let your dog shake their head like they want to. This will help loosen up the earwax even more!


5. Wipe Clean and Dry

The last step to take is to wipe the ear clean. A cotton ball soaked in the cleaning solution can be used to wipe out all the dirt and debris from inside the ear. Then use a dry, soft cloth to dry your dog’s ears. When you’re wiping your dog’s ears clean, don’t try to clean deep inside its ears. Instead, stick to the parts of the ear that are visible when you lift the ear flap. Don’t use cotton-tipped applicators such as Q-tips as they can be easily inserted too far into the ear canal and cause potential damage.


6. Stop and Consult your Veterinarian if Your Dog Appears to be in Pain

If your dog seems to be uncomfortable while you are cleaning their ears then stop and contact your veterinarian. Your vet will usually look inside your dog’s ear with an otoscope to check for damage deeper in the ear canal and for things stuck in the ear canal such as grass seeds. If they have an ear infection they usually need medicated ear drops. Your vet will let you know how often to clean them but usually, the ears are cleaned first and then the medication is applied.

Image Credit: Sanyalux Srisurin, Shutterstock
divider dog paws 2 oct 2024

Top 3 Tips for Difficult Dogs

Dog’s ears are sensitive. If their first experience of ear cleaning is when they have a painful ear infection, they can come to resent cleaning as they have learned that handling around their ears is painful. Here are some extra tips to make the process of ear cleaning easier for you and your pup.

1. Use Lots of Rewards

Treats or other rewards are a great way to motivate good behavior. You can give your dog a treat right after you squirt the solution in its ears and at the end of the cleaning process. This way, your dog associates ear cleaning with positive things!


2. Speak Calmly

Ear cleaning can be stressful, especially if your pup is stressed too! But a stressed or upset tone of voice can often make things worse. Your dog will pick up that something is wrong and become even more worried! Instead, use a calm, relaxed tone of voice to soothe your dog. Even though your dog can’t understand everything you say, many owners find that narrating each step to their dog helps the dog feel more comfortable. Make sure you only start ear cleaning when you have time and are not in a rush, and sometimes having an extra pair of hands can help too.


3. Consider Anxiety-Relieving Chews

If your dog is struggling with ear cleanings, there are calming supplements on the market that can help your dog remain less anxious no matter what the circumstances. You should always use these chews according to the package directions and consult a vet if your dog has any health issues or is on any medication.

Image Credit: Orawan Pattarawimonchai, Shutterstock
divider dog paws 2 oct 2024

Additional Tips to Consider

Well cleaning ears may not be the easiest of pet parent responsibilities, there are a few steps you can take between cleans that will help make the process a bit easier for everyone.

1. Check Ears Regularly

At least once a week check your dog’s ears for signs of wax buildup and any other problems such as redness or sensitivity. Many Shih Tzus need regular ear cleaning, sometimes once a week, but it does vary between individuals. If you overclean your dog’s ears it can also cause problems, upsetting the normal flora balance inside the ears. Get into a routine of checking and cleaning. This also means you know what is normal for your pup and can spot signs of a problem more quickly. Discuss what cleaning regimen is best with your vet; this is particularly important if your Shih Tzu has had ear infections in the past.


2. Start Young and When the Ears Are Healthy

Image Credit: Lana Langlois, Shutterstock

Due to the shape of your Shih Tzu’s ears, they can be prone to getting sore ear infections. Getting your Shih Tzu used to having their ears handled and cleaned at a young age, or when they don’t have a sore ear, helps them learn that it is not a painful procedure and part of their normal grooming routine.


3. Know the Signs of Infection

Signs of an ear infection include redness, swelling, irritation around the ear, a foul odor, or unusual discharge. You should also look for signs of infection in your dog’s behavior. Your dog might shake its head frequently, scratch its ears, or rub them against the floor or walls. If you see signs of infection, we suggest you speak to a vet.

divider dog paws 2 oct 2024

Conclusion

Regular ear inspection and cleaning will soon become part of your weekly regime. Your dog might even learn to enjoy it if they get lots of treats and attention! By keeping on top of looking after your Shih Tzu’s ears, your pup will be healthier, happier, and less prone to infections.

Related Reads:


Featured Image Credit: Orawan Pattarawimonchai, Shutterstock

Want content like this delivered to you?

Sign Up For Our Newsletter

News, insights, expert advice, and everything dog

* By submitting, you agree to our Terms & Conditions and Privacy & Cookies Policy.

Chelsea Mortensen
Authored by

Chelsea Mortensen

How to Clean Dog Ears: Vet-Approved Steps & Tips

How to Clean Dog Ears: Vet-Approved Steps & Tips

Being a dog parent means caring for all your dog's needs, including food, exercise, and grooming. Grooming is an area that people sometimes tend to overlook, t…

Misty Layne
By Misty Layne · 1 week ago
How to Clean Corgi Ears: 6 Vet-Approved Tips

How to Clean Corgi Ears: 6 Vet-Approved Tips

Corgis are friendly little dogs with adorable, floppy ears that fold downward as puppies. However, as they grow, their ears start to stand straight up. Althoug…

Patricia Dickson
By Patricia Dickson · 1 week ago
How to Clean Shih Tzu Eyes – 5 Vet-Approved Tips and FAQs

How to Clean Shih Tzu Eyes – 5 Vet-Approved Tips and FAQs

Shih Tzus are one of many small breed dogs that are prone to tear stains, which are the result of excess tear production. Caring for your Shih Tzu’s eyes is an…

Nicole Cosgrove
By Nicole Cosgrove · 1 week ago
How to Clean French Bulldog Ears: Vet-Approved Step-by-Step Guide

How to Clean French Bulldog Ears: Vet-Approved Step-by-Step Guide

French Bulldogs are adorable pups, especially with those overly large ears of theirs! But as cute as this breed’s bat ears are, their ear canals are narrow and…

Misty Layne
By Misty Layne · 1 week ago
June 17, 2026

How to Clean a Beagle's Ears: 6 Vet-Approved Steps

Beagles are popular for their large floppy ears, but these can get dirty easily. They can hold in moisture and dirt that can build up in the ear canal, and bac…

Sarah Psaradelis
By Sarah Psaradelis
How to Clean a Beagle's Ears: 6 Vet-Approved Steps
June 17, 2026

How to Clean Your Dachshund's Ears: 8 Vet-Approved Cleaning Tips

Dachshunds have the most adorable features. They have long bodies, earning them the “hot dog” nickname. They have stubby legs and also long, floppy ears! While…

Nicole Cosgrove
By Nicole Cosgrove
How to Clean Your Dachshund's Ears: 8 Vet-Approved Cleaning Tips
June 17, 2026

How to Groom a Shih Tzu – 10 Vet-Approved Tips

Shih Tzus are wonderful dogs that have cute and loving personalities. They are suitable for a variety of home environments, but not everyone is able to commit…

Brooke Billingsley
By Brooke Billingsley
How to Groom a Shih Tzu – 10 Vet-Approved Tips
June 29, 2026

How to Clean a Golden Retriever’s Ears: Vet-Approved Step-by-Step Guide

Cleaning a dog’s ears is an extremely vital part of their grooming routine. Since Golden Retrievers have long, floppy ears, they’re more susceptible to infecti…

Jessica Kim
By Jessica Kim
How to Clean a Golden Retriever’s Ears: Vet-Approved Step-by-Step Guide
June 17, 2026

How Often Should I Bathe My Shih Tzu? Vet-Approved Advice

Most dogs don’t require bathing that often. However, the Shih Tzu is an exception to this rule. They need bathing at least every 3 weeks, though some may do be…

Kristin Hitchcock
By Kristin Hitchcock
How Often Should I Bathe My Shih Tzu? Vet-Approved Advice
June 29, 2026

5 Dogs Prone to Ear Infections: Vet-Reviewed Facts & Signs

All dogs can get ear infections, but breeds with long, floppy ears are more likely to experience this all-too-common problem. Other dogs prone to ear infection…

Keri-Beth Clur
By Keri-Beth Clur
5 Dogs Prone to Ear Infections: Vet-Reviewed Facts & Signs
June 29, 2026

Shih Tzu Eye Discharge: Vet-Reviewed Causes, Signs & Care Tips

If you have a Shih Tzu, you know that eye boogers can be a common occurrence. There's just something about those big eyes that seem to create gunk. But what's…

Adam Mann
By Adam Mann
Shih Tzu Eye Discharge: Vet-Reviewed Causes, Signs & Care Tips
June 17, 2026

Why Do My Dog’s Ears Smell: 5 Vet-Reviewed Reasons

Grooming represents an essential part of any dog’s routine; it includes everything from regular brushing and dental and nail care to cleaning and checking your…

Visnja Radosavljevic
By Visnja Radosavljevic
Why Do My Dog’s Ears Smell: 5 Vet-Reviewed Reasons

Love Dogs? So Do We! Join the Dogster Community

Stay informed with expert pet care insights delivered straight to your inbox! Discover professional guidance on animal behavior, feeding tips, trusted product picks, and much more.

You may opt-out at any time. View our Privacy Policy for more information.

The Dogster app on a phone