How to distinguish ear wax from ear mites in a cat?

How to distinguish ear wax from ear mites in a cat? - briefly

Ear wax appears as a light‑brown, crumbly substance that can be wiped away cleanly, while ear mites produce a dark, oily discharge often containing visible specks of the parasites themselves. A veterinary otoscopic examination confirms the presence of mites, whereas a simple visual inspection and texture test distinguishes wax from an infestation.

How to distinguish ear wax from ear mites in a cat? - in detail

Ear wax in cats appears as a light‑brown, waxy substance that may be dry or slightly moist. It usually coats the outer canal and can be wiped away with a soft cloth. The odor is faint, and the cat often shows no discomfort. In contrast, ear mites produce a dark, crumbly debris that resembles coffee grounds. The material is typically black or dark brown, clumped together, and may contain tiny, moving parasites visible under magnification. The debris often emits a strong, musky smell, and the cat may scratch the ear frequently, shake its head, or display signs of irritation such as redness and swelling of the ear canal.

Key differences:

« Color » – light brown wax versus dark brown/black debris.
« Texture » – smooth, pliable wax versus gritty, crumbly particles.
« Presence of live organisms » – absent in wax, visible mites in debris.
« Behavioral signs » – minimal in wax, frequent scratching and head shaking with mites.

Diagnostic steps:

  1. Visual inspection: pull the ear flap back, examine the canal with a bright light. Note color and consistency of material.
  2. Microscopic examination: collect a small sample of debris on a slide, cover with a coverslip, and observe under low magnification. Presence of oval, translucent mites confirms infestation.
  3. Otoscopic assessment: use an otoscope to evaluate the ear canal walls for inflammation, redness, or ulceration, which are common with mite infestation.

Management:

• If wax is the sole finding, clean the canal with a veterinarian‑approved ear cleanser, avoiding cotton swabs that can damage the tympanic membrane.
• If mites are detected, administer an appropriate acaricidal treatment such as selamectin, milbemycin, or a topical formulation containing pyrethrins. Follow the prescribed dosing schedule and repeat treatment after two weeks to eliminate any newly hatched mites.
• After treatment, re‑evaluate the ear using the diagnostic steps to confirm resolution.
• Maintain regular ear hygiene to prevent recurrence, especially in multi‑cat households where mite transmission is common.