Swimmer's ear is an infection of the ear canal, the passage that carries sounds from the outside of the body to the eardrum. It can be caused by different types of germs. Show
What Causes Swimmer's Ear?Swimmer's ear (or otitis externa) is common in kids who spend a lot of time in the water. Too much moisture in the ear can irritate the skin in the canal, letting bacteria or fungi get in. It happens most often in summertime, when swimming is common. But you don't have to swim to get swimmer's ear. Anything that injures the skin of the ear canal can lead to an infection. Dry skin or eczema, scratching the ear canal, ear cleaning with cotton swabs, or putting things like bobby pins or paper clips into the ear can all increase the risk of otitis externa. And if someone has a middle ear infection, pus collected in the middle ear can drain into the ear canal through a hole in the eardrum and cause it. What Are the Signs & Symptoms of Swimmer's Ear?Ear pain is the main sign of swimmer's ear. It can be severe and gets worse when the outer part of the ear is pulled or pressed on. It also may be painful to chew. Sometimes the ear canal itches before the pain begins. Swelling of the ear canal might make a child complain of a full or uncomfortable feeling in the ear. The outer ear may look red or swollen, and lymph nodes around the ear can get enlarged and tender. Sometimes, there's discharge from the ear canal — this might be clear at first and then turn cloudy, yellowish, and pus-like. Hearing might be temporarily affected if pus or swelling blocks the ear canal. Most kids with swimmer’s ear don’t have a fever. Can Swimmer's Ear Be Prevented?Using over-the-counter drops of a dilute solution of acetic acid or alcohol in the ears after swimming can help prevent swimmer's ear, especially in kids who get it a lot. These drops are available without a prescription, but should not be used in kids who have ear tubes or a hole in the eardrum. To avoid injuring an ear, young kids should not clean their ears themselves. Also, never put objects into kids' ears, including cotton-tipped swabs. Dry ears after they get wet using a hair dryer on the cool setting. How Is Swimmer's Ear Treated?Treatment depends on how severe the infection is and how painful it is. A health care provider might prescribe ear drops that contain antibiotics to fight the infection, possibly mixed with a medicine to reduce swelling of the ear canal. Ear drops are usually given several times a day for 7–10 days. If a swollen ear canal makes it hard to put in the drops, the doctor may insert a tiny sponge called a wick to help carry the medicine inside the ear. In some cases, the doctor may need to remove pus and other buildup from the ear with gentle cleaning or suction. This lets the ear drops work better. For more severe infections, health care providers may prescribe antibiotics taken by mouth and might want to run tests on discharge from the ear to find which bacteria or fungi are causing the problem. Over-the-counter pain relievers often can manage ear pain. Once treatment starts, your child will start to feel better in a day or two. Swimmer's ear is usually cured within 7–10 days of starting treatment. How Can I Help My Child Feel Better?Ear infections should be treated by a doctor. If not, the ear pain will get worse and the infection may spread. At home, acetaminophen or ibuprofen may help ease pain. Follow the health care provider's instructions for using ear drops and oral antibiotics, if they are prescribed. It's important to keep water out of your child's ear during the entire course of treatment. You can use a cotton ball covered in petroleum jelly as an earplug to protect your child's ear from water during showering or bathing. When Should I Call the Doctor?Call your doctor right away if your child has any pain in the ear with or without fever, decreased hearing in one or both ears, or abnormal discharge from the ear. In addition to pain and/or itching, there may also be drainage of fluid from the ear, and decreased hearing since the ear is full of infected material. In severe conditions, there may be some redness of the outside part of the ear or the surrounding face. Treatment:Most cases of swimmer's ear can be treated with antibiotic ear drops, such as POLYSPORIN® Plus Pain Relief Ear Drops. Instill one to two drops, four times a day, for 5 to 7 days. You should avoid getting water in the ear until the treatment is complete. Before use, read package insert for more complete information on dosing and cautions. Treatment is required for various types of ear conditions, such as ear infections, bullous myringitis (infection of the eardrum), and eustachian tube dysfunction. In some cases, prescription ear drops or other types of medications will need to be used. Over-the-counter (OTC) ear drops can be used to help relieve symptoms associated with these types of conditions, but there are no available OTC ear drops that will treat infections. In the case of other issues such as wax buildup, OTC ear drops may be used as a possible form of treatment. Verywell / Jiaqi Zhou Earwax Removal DropsExcess buildup of earwax can lead to a variety of unwanted symptoms, including:
When the wax builds up enough to cause symptoms, removal is required. It can be done using ear drops. OTC ear drops are either water or oil based. Ingredients typically found in earwax removal eardrops include glycerin, mineral oil, and saline solutions. These ear drops may also contain other substances, such as carbamide peroxide, baking soda, and acetic acid. Causes of Ear Pain and Treatment Options How Ear Drops Work for EarwaxAll ear drops are designed to break down and dissolve the earwax buildup that is causing issues. The different substances used in the drops work in different ways:
Although ear drops can be helpful in the removal of built-up earwax, there are some downfalls. For those who have sensitive skin, ear drops can cause irritation of the skin in and around the ear canal. Therefore, they should be used sparingly or as directed. Some popular OTC ear drops include Polysporin Plus Pain Relief Ear Drops, Biovea Ear Soothing Oil, Hyland’s Earache Drops, and Murine Ear Drops. Be sure to read the directions and ingredient list carefully and speak to a healthcare provider or pharmacist if you are unsure which ear drops are right for you. Fluid Drying (Swimmer’s Ear) DropsSwimmer’s ear, also known as otitis externa, is an outer ear infection that affects the ear canal. The condition is caused by water that gets trapped in the ear, a lack of protective ear wax, and injury to the ear canal. Symptoms include:
Prescription ear drops are sometimes used by people with swimmer’s ear if the infection requires antibiotic treatment, but OTC ear drops may be used to help dry out the ears quicker. This can help clear up the infection. The ingredients used in ear drops that help dry out the ears include isopropyl alcohol or glycerin. The alcohol in the ear drops works by combining itself with the water in the ear. The water-alcohol combination then evaporates, drying out the ear. If symptoms continue to persist or become worse after using an OTC ear drop for swimmer’s ear, see a healthcare provider since a prescription is likely needed. Using ear drops properly will require you to lie down on your side with the affected ear facing the ceiling. Once you administer the drops, you will then stay lying in that position for at least two minutes. Anesthetic (Numbing) Ear DropsAnesthetic ear drops can help alleviate pain and swelling caused by ear infections. They aren’t often recommended, though, because they do not treat the infection, and other pain relievers can be used such as acetaminophen or ibuprofen. According to the Food and Drug Administration, these types of ear drops should only be used after a careful and thorough evaluation of the included ingredients. This is because they have not been evaluated for safety or efficacy for everyday use for ear pain and swelling associated with various ear infections. Ingredients that have been shown to cause adverse reactions include:
If you are experiencing ear pain and think you may have an ear infection, the best thing to do is to use an approved OTC oral pain reliever and make an appointment with your primary care physician or other healthcare provider to have it checked out. Ear Infection Doctor Discussion GuideDownload PDF Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in!Thank you, {{form.email}}, for signing up. There was an error. Please try again. When Not to Use Ear DropsIf you have or suspect you have a ruptured eardrum, you should avoid using ear drops completely. This is because if there is a hole or a way through the eardrum, chemicals can make their way into the middle ear and cause harm. A few symptoms you may notice if you have a ruptured eardrum include:
If you think you may have a ruptured eardrum, see your healthcare provider and refrain from using any OTC ear drops. OTC ear drops may help relieve some symptoms of various ear infections, but they will not treat the infection itself. To treat an ear infection properly, you have to see your healthcare provider. They will help determine what is causing the infection and how severe it is, and prescribe the appropriate antifungal or antibacterial ear drops. SummaryEar drops can help treat several health issues affecting the ear. They are generally safe and effective, but you should not use ear drops if you suspect you have a ruptured eardrum. In that case, see your healthcare provider for diagnosis and treatment. Frequently Asked Questions
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