Swimmer's ear (otitis externa) is an
inflammation or infection of the
ear canal, the passage that leads from the outer ear to the eardrum. This
condition is called swimmer's ear, because it commonly occurs in people who have
been swimming. But other people can get it too.
You can get swimmer's
ear when bacteria or fungus grows in your ear canal. This happens when water,
sand, or other small debris irritates the delicate skin in the ear canal. Other
things that can irritate the ear canal include hearing aids, lots of ear
cleaning, and eczema of the ear canal.
Swimmer's ear is more
likely if you have a very narrow or hairy ear canal; live in a warm, humid
climate; have little or no earwax; have lots of ear infections; or have eczema
or dry skin. If you have had swimmer's ear in the past, you are more likely to
get it again.
Swimmer's ear can be very painful. The pain can get worse when you touch
the earlobe or another part of the outer ear or when you chew. Other symptoms
can include itching, a feeling of fullness in the ear, and a yellowish or
brownish discharge from the ear. Your ear canal may be swollen. In severe
cases, the outer ear can be red and swollen too.
If you think you
have swimmer's ear, call your doctor to find the best way to treat it.
If you have diabetes or take medicine that suppresses your immune system,
swimmer's ear can cause severe problems. Call your doctor right away.
doctor can usually tell whether you have swimmer's ear by looking into your ear
and asking questions about your symptoms.
Follow these tips when treating swimmer's
Some home treatment can help swimmer's ear. But it is
important to see a doctor first. If your doctor says it's okay, you can try
In severe cases, the ear canal should be carefully cleaned
out by an ear specialist. Sometimes, if the ear canal is very swollen, a
wick with antibiotic drops will be placed in the ear canal.
use ear candles. They have no proven benefit, and they can cause harm.
You may be able to prevent swimmer's ear.
The American Academy of Otolaryngology—Head and Neck
Surgery (AAO-HNS) is the world's largest organization of physicians dedicated
to the care of ear, nose, and throat (ENT) disorders. Its Web site includes
information for the general public on ENT disorders.
This website is sponsored by the Nemours Foundation. It
has a wide range of information about children's health—from allergies and
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Other Works Consulted
Haddad J (2011). External otitis (otitis externa). In RM Kleigman et al., eds., Nelson Textbook of Pediatrics, 19th ed., pp. 2196–2199. Philadelphia: Saunders.
Hajioff D, Mackeith S (2008). Otitis externa, search date October
2007. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
Rosenfeld RM, et al. (2006). Clinical practice guideline: Acute otitis externa. Otolaryngology-Head and Neck Surgery, 134(Suppl 4): S4-S23.
August 9, 2012
John Pope, MD - Pediatrics
& Charles M. Myer, III, MD - Otolaryngology
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