What Is Swimmer’s Ear? Causes And Symptoms

Imagine this: You’ve just enjoyed a refreshing swim, only to find that your ear starts itching or feeling blocked later. At first, it seems like a minor inconvenience, but within hours, it escalates into pain, discomfort, and maybe even difficulty hearing.

This is often the start of a swimmer’s ear, a common yet irritating condition that can develop whether one is an avid swimmer or just takes a long bath.

Left untreated, a swimmer’s ear can become painful and cause more serious complications. The good news is that it’s easily preventable and treatable if caught early.

In this article, we’ll explore swimmer’s ear, its symptoms, how it happens, and, most importantly, how to prevent and treat it.

What Is Swimmer’s Ear?

Otitis externa, or swimmer’s ear, is an infection of the outer ear canal, the tube that connects the outer ear to the eardrum. This condition often occurs after swimming or any other activity that allows water to become trapped in the ear canal. Bacteria or fungi thrive in the moisture, leading to irritation, inflammation, or infection.

But don’t be fooled by the name—it’s not just swimmers who are at risk. Even if you don’t swim, activities like showering, using earbuds, or scratching your ear can create the right conditions for a swimmer’s ear.

 

Swimmer’s Ear Symptoms

Swimmer’s ear symptoms can range from mild discomfort to severe pain, depending on how advanced the infection is. Below is a breakdown of specific symptoms based on the progression of the condition:

Mild Symptoms:

  • Itching inside the ear canal: One of the first signs that something is wrong, often mild at first but persistent.
  • Slight discomfort when touching the ear: You might notice mild pain when you tug or press around your earlobe.
  • Clear, odourless fluid drainage: You may see a small amount of clear fluid leaking from your ear, but it is usually minimal.

Moderate Symptoms:

  • Increased itching: As the infection progresses, the itching becomes more intense and hard to ignore.
  • Pain in the ear: The pain may worsen, especially when pulling on the ear.
  • Redness and swelling inside the ear canal: The infection causes visible redness and inflammation in the ear canal, which can feel warm to the touch.
  • Full or blocked feeling in the ear: You might experience a sensation of fullness, as if something is blocking the ear canal, leading to discomfort.
  • Muffled hearing or temporary hearing loss: The swelling and fluid buildup in the canal can make it harder to hear, resulting in temporary hearing loss.

Severe Symptoms:

  • Severe, radiating pain: The pain can intensify and spread beyond the ear to the side of your head, neck, or face.
  • Complete blockage of the ear canal: Swelling may become so severe that the ear canal is completely blocked, making it difficult to hear.
  • Pus-like fluid drainage: The ear may begin to discharge thicker, yellow or green pus-like fluid, a sign that the infection is worsening.
  • Swollen lymph nodes: The infection may cause nearby lymph nodes around the ear and neck to swell as your body tries to fight it off.
  • Fever: You may develop a fever as your body responds to the infection, signalling that medical intervention is necessary.

 

What Causes Swimmer’s Ear?

Several factors can lead to a swimmer’s ear, but the primary cause is moisture trapped in the ear canal. Here’s a breakdown of the most common culprits:

Water Exposure

Water that gets stuck in the ear canal after swimming or bathing can encourage the growth of bacteria and fungi. This is why swimmers, divers, and even surfers are often more prone to developing swimmer’s ear.

Earwax Removal

Earwax (or cerumen) is crucial in keeping your ears healthy. It acts as a natural barrier, protecting the ear canal from bacteria, dirt, and water. Over-cleaning your ears or using cotton swabs can remove too much earwax, making your ear more vulnerable to infections. Cleaning your ears too much can increase your risk of swimmer’s ear.

Inserting Foreign Objects

Putting objects like cotton swabs, pens, hairpins, or even earbuds in your ears can scratch or irritate the skin inside the ear canal. These tiny abrasions can provide an entry point for bacteria or fungi, leading to infection.

Skin Conditions

People with certain skin conditions, such as eczema, psoriasis, or dermatitis, are more susceptible to swimmer’s ear. These conditions can cause dry, flaky skin, which weakens the skin’s ability to protect itself from infections.

Swimmer’s Ear Treatment

If you suspect you have a swimmer’s ear, seeing a healthcare provider sooner rather than later is important. Swimmer’s ear doesn’t typically go away on its own, and the infection can worsen without treatment. Swimmer’s ear treatment typically includes:

Prescription Ear Drops

Your doctor will most likely prescribe ear drops containing a combination of antibiotics and corticosteroids. The antibiotics help kill the bacteria or fungi causing the infection, while the steroids reduce inflammation and swelling. It’s crucial to use these drops as directed, even if your symptoms start to improve after a few days.

Pain Management

Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce pain while the infection clears up. In more severe cases, your doctor may need to clean out any debris or fluid from your ear canal to help the medication work better.

Keeping The Ear Dry

During treatment, you’ll need to keep your ear dry. Avoid swimming or bathing, and if water accidentally gets into your ear, dry it immediately by tilting your head or using a hairdryer in a low, cool setting.

Most cases of swimmer’s ear improve within 7 to 10 days of starting treatment. However, if left untreated, the infection can spread and cause more serious issues, including long-term hearing problems.

 

How To Prevent Swimmer’s Ear

The best way to deal with a swimmer’s ear is to avoid getting it in the first place. Here are some tips on how to prevent swimmer’s ear:

  • Keep your ears dry: Gently tip your head to the side after swimming or showering to let any trapped water drain out. You can also use a soft towel to pat the outer ear dry​.
  • Use earplugs: Wearing swimming earplugs or a swim cap can cover and protect your ears during prolonged exposure.
  • Avoid inserting objects into your ears: Don’t use cotton swabs, paper clips, or even your fingers to clean your ears. This can damage the delicate skin inside, increasing your risk of infection​.
  • Try a vinegar solution: If you’re prone to a swimmer’s ear and don’t have a punctured eardrum, you can use a homemade solution of equal parts white vinegar and rubbing alcohol before and after swimming to help prevent bacteria and fungi from growing​.

 

Conclusion About Swimmer’s Ear

If you do develop a swimmer’s ear, don’t panic. With proper swimmer’s ear treatment and adjustments to your ear care routine, you’ll return to normal in no time.

And remember, whether you’re swimming, showering, or just listening to music with earbuds, keeping your ears healthy is all about balance—don’t overdo it with cleaning, but don’t let them stay too wet either.

Whether you’re enjoying a swim or using earbuds, ear health is all about balance. If you’re a swimmer, taking precautions is especially important.

If you’re looking for a safe, supportive environment to improve your swimming skills, JustSwim offers some of the best swimming lessons in Singapore. Our professional instructors help you master your strokes and teach water safety. Book a trial today!

 

Frequently Asked Questions About Swimmer’s Ear

Can A Swimmer’s Ear Go Away On Its Own?

No, a swimmer’s ear typically does not resolve on its own and requires treatment, usually antibiotic ear drops.

How Long Does Swimmer’s Ear Last?

A swimmer’s ear usually clears up within 7 to 10 days with proper treatment. However, more severe cases may take longer to heal.

Can Swimmer’s Ear Cause Permanent Hearing Loss?

Swimmer’s ear rarely causes permanent hearing loss. Any hearing difficulties caused by swelling or fluid buildup in the ear canal typically resolve once the infection clears up.

Is Swimmer’s Ear Contagious?

No. The swimmer’s ear is not contagious and is not spread from person to person.

Can You Swim While Being Treated For Swimmer’s Ear?

It’s recommended to avoid swimming until the infection has fully cleared to prevent further irritation or contamination of the ear canal.