External Otitis

11 min read

External otitis, also known as swimmer's ear, is an infection of the outer ear canal caused by bacteria or fungi. It is a common condition that affects both children and adults. The infection can cause pain, itching, and discharge from the ear. It is important to seek medical attention if you suspect you have external otitis, as it can lead to more serious complications if left untreated.

Causes of External Otitis

External otitis is usually caused by bacteria or fungi that enter the ear canal. This can happen when water gets trapped in the ear after swimming or bathing, or when the ear is scratched or injured. Other causes of external otitis include allergies, skin conditions, and using cotton swabs or other objects to clean the ear.

Risk Factors for External Otitis

Certain factors can increase your risk of developing external otitis. These include swimming in polluted water, having a weakened immune system, having a skin condition such as eczema, and having a narrow or hairy ear canal. People who use hearing aids or earplugs are also at an increased risk.

Diagnosis of External Otitis

Your doctor will examine your ear and ask about your symptoms and medical history. They may also take a sample of the discharge from your ear to test for bacteria or fungi. In some cases, an imaging test such as an MRI or CT scan may be needed to rule out other conditions.

Prevention of External Otitis

The best way to prevent external otitis is to keep your ears dry. After swimming or bathing, use a towel to dry your ears thoroughly. Avoid using cotton swabs or other objects to clean your ears, and avoid swimming in polluted water. If you have a skin condition or weakened immune system, talk to your doctor about ways to reduce your risk.

Take the External Otitis Assessment

Symptoms

  • Itching or irritation in the ear canal
  • Redness and swelling of the ear canal
  • Pain or tenderness in the ear
  • Drainage of pus or fluid from the ear
  • Decreased hearing
  • Fever

If you experience any of these symptoms, it is important to see a doctor as soon as possible. Your doctor can diagnose external otitis and provide treatment to help relieve your symptoms.

Causes

Water Exposure

One of the most common causes of external otitis is water exposure. When water gets trapped in the ear canal, it can create a moist environment that is ideal for bacteria and fungi to grow. This is why it is often referred to as swimmer's ear. People who swim frequently or spend a lot of time in the water are more likely to develop external otitis.

Trauma

Trauma to the ear canal can also lead to external otitis. This can include anything from inserting objects into the ear canal to scratching the skin inside the ear. This can damage the skin and create an opening for bacteria and fungi to enter and cause an infection.

Allergies

Allergies can also be a cause of external otitis. Allergens such as dust, pollen, and mold can irritate the skin inside the ear canal and cause inflammation. This can make it easier for bacteria and fungi to enter the ear and cause an infection.

Skin Conditions

Certain skin conditions, such as eczema and psoriasis, can also increase the risk of external otitis. These conditions can cause the skin inside the ear canal to become dry and cracked, which can create an opening for bacteria and fungi to enter and cause an infection.

Prevention

The best way to prevent external otitis is to avoid activities that can lead to water getting trapped in the ear canal. This includes swimming, showering, and using a neti pot. It is also important to avoid inserting objects into the ear canal and to keep the ear dry and clean.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look inside the ear with an otoscope. This is a device with a light and magnifying lens that allows the doctor to see the ear canal and eardrum. The doctor may also use a cotton swab to take a sample of any discharge from the ear. This sample can be tested to identify the type of bacteria or fungus causing the infection.

Symptoms

The most common symptom of external otitis is pain in the ear. This pain may be mild or severe and may be accompanied by itching, redness, and swelling of the ear canal. Other symptoms may include drainage from the ear, hearing loss, and a feeling of fullness in the ear.

Treatment

Treatment for external otitis typically involves the use of antibiotics or antifungal medications. These medications can be taken orally or applied directly to the ear canal. In some cases, the doctor may also recommend the use of ear drops or a steroid cream to reduce inflammation and pain. In severe cases, surgery may be necessary to remove the infected tissue.

Questions for Your Doctor

Symptoms

Describe any symptoms you are experiencing, such as pain, itching, redness, drainage, or a feeling of fullness in the ear. Be sure to mention if the symptoms are getting worse or if they are affecting your daily activities.

Medical History

Your doctor will want to know about your medical history, including any allergies, recent illnesses, or medications you are taking. Be sure to mention if you have had any recent ear infections or if you have been swimming or using earplugs.

Diagnosis

Your doctor may need to perform a physical examination of your ear to diagnose external otitis. He or she may also order tests, such as a CT scan or MRI, to get a better look at the inside of your ear.

Treatment

Your doctor will discuss treatment options with you. Treatment may include antibiotics, antifungal medications, or steroid medications. In some cases, your doctor may recommend surgery to remove any debris or fluid from the ear canal.

Prevention

Your doctor may recommend ways to prevent external otitis, such as avoiding swimming in polluted water, using earplugs when swimming, and keeping the ears dry. He or she may also recommend using a solution of vinegar and rubbing alcohol to clean the ears after swimming.

Treatment

Antibiotics

Antibiotics are the most common treatment for external otitis. They can be taken orally or applied directly to the ear canal in the form of drops or ointment. Oral antibiotics are usually prescribed for more severe cases, while topical antibiotics are used for milder cases. It is important to finish the entire course of antibiotics, even if the symptoms have improved.

Pain Relievers

Over-the-counter pain relievers such as ibuprofen or acetaminophen can help to reduce pain and inflammation associated with external otitis. It is important to follow the instructions on the package and not take more than the recommended dose.

Ear Drops

Ear drops are often used to treat external otitis. They can contain antibiotics, antifungal medications, or a combination of both. Ear drops can help to reduce pain and inflammation, as well as fight the infection. It is important to follow the instructions on the package and not use the drops for longer than recommended.

Home Remedies

There are several home remedies that can help to relieve the symptoms of external otitis. Applying a warm compress to the affected ear can help to reduce pain and inflammation. Over-the-counter ear drops containing acetic acid or hydrogen peroxide can also be used to help reduce pain and inflammation. It is important to follow the instructions on the package and not use the drops for longer than recommended.

Prevention

The best way to prevent external otitis is to keep the ears dry. After swimming or showering, it is important to dry the ears thoroughly with a towel. It is also important to avoid inserting objects into the ear canal, as this can damage the delicate skin and increase the risk of infection.

Drugs & Medications

Treatment for External Otitis

Treatment for external otitis typically involves antibiotics or antifungal medications. These medications can be taken orally or applied directly to the ear canal. In some cases, a doctor may also recommend using a steroid cream or drops to reduce inflammation and pain. In severe cases, surgery may be necessary to remove the infected tissue.

Drugs Used to Treat External Otitis

The most common drugs used to treat external otitis are antibiotics and antifungal medications. Common antibiotics used to treat external otitis include ciprofloxacin, ofloxacin, and amoxicillin. Common antifungal medications used to treat external otitis include clotrimazole, miconazole, and nystatin. In some cases, a doctor may also prescribe a steroid cream or drops to reduce inflammation and pain.

Conclusion

External otitis is an infection of the outer ear canal caused by bacteria or fungi. Treatment typically involves antibiotics or antifungal medications, which can be taken orally or applied directly to the ear canal. In some cases, a doctor may also recommend using a steroid cream or drops to reduce inflammation and pain. Common antibiotics used to treat external otitis include ciprofloxacin, ofloxacin, and amoxicillin. Common antifungal medications used to treat external otitis include clotrimazole, miconazole, and nystatin.

Diet

What to Eat

A healthy diet is important for overall health and can help reduce the risk of infection. Eating a variety of fruits and vegetables, whole grains, lean proteins, and healthy fats can help boost the immune system and keep the body strong. Foods that are high in antioxidants, such as berries, can also help fight off infection. Additionally, foods that are high in zinc, such as oysters, can help reduce inflammation and speed up healing.

What to Avoid

Certain foods can increase the risk of infection and should be avoided. Sugary foods and drinks can weaken the immune system and make it more difficult for the body to fight off infection. Alcohol can also weaken the immune system and should be avoided. Additionally, foods that are high in saturated fat, such as red meat and processed foods, can increase inflammation and should be avoided.

Lifestyle

Keep Your Ears Dry

One of the most important lifestyle tips for preventing external otitis is to keep your ears dry. This means avoiding activities that involve getting your ears wet, such as swimming, showering, and using a neti pot. If you do get your ears wet, make sure to dry them thoroughly with a soft towel.

Avoid Irritants

Another important lifestyle tip for preventing external otitis is to avoid irritants. This includes avoiding putting anything in your ear, such as cotton swabs, bobby pins, or other objects. It also means avoiding using products that contain alcohol or other harsh chemicals, as these can irritate the ear canal.

Wear Earplugs

If you are going to be in a situation where your ears may get wet, such as swimming or showering, it is important to wear earplugs. This will help keep water out of your ears and reduce the risk of infection.

See a Doctor

If you think you may have external otitis, it is important to see a doctor as soon as possible. Your doctor can diagnose the condition and provide treatment to help relieve your symptoms and prevent further complications.

Conclusion

By following these lifestyle tips, you can help prevent and manage external otitis. Remember to keep your ears dry, avoid irritants, wear earplugs, and see a doctor if you think you may have the condition.