Ear canal infections: quick, clear help you can use

Sharp pain, itching, or watery discharge from the ear after swimming or using cotton swabs? That often signals an ear canal infection, also called otitis externa or "swimmer's ear." It’s common, usually not serious, and often fixes quickly if you act right.

Causes and symptoms

Ear canal infections happen when water, damage, or skin conditions let bacteria or fungi grow in the ear canal. Common triggers are swimming, putting fingers or cotton buds in the ear, or having eczema or psoriasis around the ear.

Watch for these signs:

  • Pain that gets worse when you pull the outer ear or chew
  • Itching inside the ear canal
  • Clear, cloudy, or bloody discharge
  • Muffled hearing or a feeling of fullness
  • Fever or swollen glands if the infection spreads

Home care, treatments, and when to see a doctor

For mild cases you can start simple care at home: keep the ear dry, use a warm compress for pain, and take acetaminophen or ibuprofen as needed. Tilt your head to drain fluid and avoid putting anything into the ear.

Do not use drops if you suspect a ruptured eardrum (symptoms: sudden sharp pain followed by drainage, sudden hearing loss, or popping). If you’re unsure, skip self-treating and get checked.

When to see a clinician right away:

  • Severe pain or high fever
  • Hearing loss or balance problems
  • Ear discharge that keeps coming for more than 48 hours
  • Symptoms in a baby or young child
  • If you have diabetes, a weakened immune system, or a history of ear surgery

If a doctor diagnoses otitis externa, common treatments include prescription antibiotic ear drops, sometimes combined with a steroid to reduce swelling. For fungal infections, antifungal drops are used. Oral antibiotics are rare but may be needed if the infection spreads to nearby tissue.

If infections keep coming back, an ENT specialist can check for narrow ear canals, skin conditions, or other issues. They may clean the ear professionally and recommend preventive measures.

Quick prevention tips you can use today: dry ears thoroughly after swimming (tilt and towel, or use a hair dryer on low at arm’s length), wear ear plugs while swimming, avoid inserting objects into the ear, and treat eczema or dermatitis near the ear promptly.

Got questions about medicines or want to know what ear drops are safe for you? Speak with your clinician or pharmacist. If symptoms are severe or don’t improve in a couple of days, get medical care—early treatment usually means faster relief and fewer complications.