External otitis​

Getting to Know External Otitis: Understanding Symptoms, Causes, and Care

What is External Otitis?

External otitis, also known as ear canal inflammation or ear canal eczema, refers to the inflammation of the ear canal, a component of the outer ear. This condition can cause swelling, redness, itching, and discomfort in the ear canal.

  • The ear comprises three parts: outer ear, middle ear, and inner ear.
  • Inflammation can result in itching, pain, and occasional fluid discharge from the ear.
  • Antibiotics might be necessary for treating severe cases of ear canal inflammation.

Understanding the Causes

External otitis has two types: acute and chronic. Acute ear infections are common and can arise due to various reasons:

  • Swimming, diving, or prolonged moisture exposure can create a favorable environment for bacterial growth.
  • Activities like using earplugs or in-ear headphones can cause irritation.
  • Individuals with narrow ear canals and minimal earwax might be at higher risk due to decreased natural protection.
  • Chronic ear canal inflammation often stems from eczema caused by shampoo chemicals or metal earrings. Antibiotics are typically ineffective in this case.

Recognizing Symptoms

The inflammation of the ear canal leads to a range of symptoms:

  • Pain and itching in the ear canal.
  • Clear fluid drainage from the ear.
  • Swelling that can impact hearing.
  • Severe cases may result in fatigue and fever.

Self-Care Measures

For minor cases, consider the following self-care tips:

  • Avoid swimming or bathing until the ear canal heals completely.
  • Refrain from inserting objects into the ear, even earplugs.
  • Over-the-counter ear spray can be helpful, offering antibacterial properties and drying effects. Use it while protecting your ear from water.
  • If symptoms persist or worsen, consult a healthcare professional. They might prescribe ear drops or ointment containing antibiotics.
  • Prevent ear infections by refraining from scratching or probing the ears and avoiding cotton swabs. When bathing, try:
    • Using a swimming cap to keep ears dry.
    • Applying alcohol to the ears before and after bathing, and before bedtime.

Managing External Otitis

For mild cases, over-the-counter ear sprays can be effective, killing bacteria and reducing moisture. If symptoms persist, seek medical attention for:

  • Prescription of ear drops or ointment containing antibiotics.
  • Severe swelling: In some cases, a doctor may insert gauze moistened with alcohol (tamponade) to reduce swelling.

Knowing When to Seek Care

Consult a healthcare professional if:

  • Symptoms persist despite using ear spray.
  • Inflammation leads to significant pain and swelling.

External otitis is a manageable condition, but medical attention might be necessary for severe cases.