Swimmer's Ear Overview
Learn About Swimmer's Ear
Swimmer's ear is inflammation, irritation, or infection of the outer ear and ear canal. The medical term for swimmer's ear is otitis externa.
Swimmer's ear may be sudden and short-term (acute) or long-term (chronic).
Ear infection - outer ear - acute; Otitis externa - acute; Chronic swimmer's ear; Otitis externa - chronic; Ear infection - outer ear - chronic
Swimmer's ear is more common among children in their teens and young adults. It may occur with a middle ear infection or a respiratory infection such as a cold.
Swimming in unclean water can lead to swimmer's ear. Bacteria commonly often found in water can cause ear infections. Rarely, the infection may be caused by a fungus.
Other causes of swimmer's ear include:
- Scratching the ear or inside the ear which can damage the skin of the ear canal
- Getting something stuck in the ear
Trying to clean (wax from the ear canal) with cotton swabs or small objects can also damage the skin.
Long-term (chronic) swimmer's ear may be due to:
- Allergic reaction to something placed in the ear
- Chronic skin conditions, such as eczema or psoriasis
Symptoms of swimmer's ear include:
- Drainage from the ear -- yellow, yellow-green, pus-like, or foul smelling
- Ear pain, which may get worse when you pull on the outer ear
- Hearing loss
- Itching of the ear or ear canal
In most cases, you will need to use antibiotic ear drops for 10 to 14 days. If the ear canal is very swollen, a wick may be put into the ear. The wick will allow the drops to travel to the end of the canal. Your provider can show you how to do this.
Other treatments may include:
- Antibiotics taken by mouth if you have a middle ear infection or infection that spreads beyond the ear
- Corticosteroids to reduce itching and inflammation
- Pain medicine, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin)
- Vinegar (acetic acid) ear drops
People with chronic swimmer's ear may need long-term or repeated treatment. This will avoid complications.
Placing something warm against the ear may reduce pain.
Duke Health Integrated Practice Inc
Calhoun Cunningham is an Otolaryngologist in Raleigh, North Carolina. Dr. Cunningham and is rated as an Experienced provider by MediFind in the treatment of Swimmer's Ear. His top areas of expertise are Acoustic Neuroma, Schwannoma, Infant Hearing Loss, and Ruptured Eardrum. Dr. Cunningham is currently accepting new patients.
Ronald Intini is a Family Medicine provider in Wendell, North Carolina. Dr. Intini and is rated as an Experienced provider by MediFind in the treatment of Swimmer's Ear. His top areas of expertise are Shingles, Glucose-Galactose Malabsorption Deficiency, Glucose Phosphate Isomerase Deficiency, and Congenital Sucrase-Isomaltase Deficiency.
Raleigh Capitol Ear Nose And Throat
Jeevan Ramakrishnan is an Otolaryngologist in Garner, North Carolina. Dr. Ramakrishnan and is rated as an Experienced provider by MediFind in the treatment of Swimmer's Ear. His top areas of expertise are Chronic Rhinosinusitis with Nasal Polyps (CRSwNP), Sinusitis, Empyema, and Palatal Myoclonus. Dr. Ramakrishnan is currently accepting new patients.
Swimmer's ear most often gets better with the proper treatment.
The infection may spread to other areas around the ear, including the skull bone. In older people or those who have diabetes or a condition that weakens the immune system, the infection may become severe. This condition is called malignant otitis externa. This condition is treated with high-dose antibiotics given through a vein.
Contact your provider if:
- You develop any symptoms of swimmer's ear
- You notice any drainage coming from your ears
- Your symptoms get worse or continue despite treatment
- You have new symptoms, such as fever or pain and redness of the skull behind the ear
These steps can help protect your ears from further damage:
- DO NOT scratch the ears or insert cotton swabs or other objects in the ears.
- Keep ears clean and dry, and DO NOT let water enter the ears when showering, shampooing, or bathing.
- Dry your ear very well after it has gotten wet.
- Avoid swimming in polluted water.
- Use earplugs when swimming.
- Try mixing 1 drop of alcohol with 1 drop of white vinegar and placing the mixture into the ears after they get wet. The alcohol and acid in the vinegar help prevent bacterial growth.
Summary: The goal of this observational study is to explore the risk factors of fungal otitis externa in the fungal otitis externa patients The main question it aims to answer is: What behaviors lead to the occurrence of fungal otitis externa? Participants will complete a detailed questionnaire survey. If there is a comparison group: Researchers will compare the healthy group and the disease group to see i...
Published Date: July 16, 2024
Published By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
American Speech-Language Hearing Association website. Swimmer's ear (otitis externa). www.asha.org/public/hearing/Swimmers-Ear/. Accessed August 1, 2024.
Haddad J. External otitis (otitis externa). In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 679.
Naples JG, Brant JA, Ruckenstein MJ. Infections of the external ear. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 138.