Swimmer's ear is not the same thing as a middle ear infection (otitis media), which is inside of the ear and experienced by almost all children. While swimmer's ear is common among children, anyone can get swimmer's ear. Symptoms of swimmer's ear include:
- itchy ears
- red, irritated ears
- dry, flaky skin around the outer ear
- swelling
- ear pain
- hearing loss
- ear drainage which may be clear, pussy, or have a foul odor
- occasionally swimmer's ear can cause a ruptured ear drum
Rarely swimmer's ear can spread to parts of the body other than the outer ear canal. If this happens, symptoms of a more systemic infection are likely to occur, including:
- fever
- pain around the bones and tissues at the base of the skull may indicate a related and more serious condition called malignant otitis externa
If you are not sure whether your condition is a middle ear infection or swimmer's ear, there are a few key differences. Swimmer's ear is very painful to the outer ear -- so if you touch your ear and experience pain, you may have swimmer's ear. A middle ear infection will not cause visible swelling, itchiness, or pain to the outer portion of the ear (the cartilage portion of the ear, which can be easily seen and felt).
Certain risk factors make it more likely that you will develop symptoms of swimmer's ear. These include:
- unnecessary removal of ear wax (cerumen)
- putting any foreign object into the ear, even a q-tip
- scratching your ear (this damages the skin and makes it easier for germs to get in)
- swimming in contaminated water, including commercial swimming pools and hot tubs
It is important to see a doctor if you have symptoms of swimmer's ear so that you can get antibiotics to treat the infection. Untreated swimmer's ear may cause so much swelling that tissues may block access to the ear canal. If this happens your doctor will insert a wick into your ear which will allow antibiotic ear drops to be administered.
Sources:
CDC. Swimmer's Ear. Accessed: May 3, 2011 from http://www.cdc.gov/healthywater/swimming/rwi/illnesses/swimmers-ear.html
Medline Plus. Swimmer's Ear. Accessed: May 3, 2011 from http://www.nlm.nih.gov/medlineplus/ency/article/000622.htm


