What is Swimmers Ear & How Do I Prevent It?

By Stefanie Wolf, Au.D. July 9, 2015

Stefanie Wolf, Au.D., a clinical audiologist at Audiology of Nassau County in Rockville Centre, explains what swimmers ear is, what causes swimmers ear, the symptoms of swimmers ear, and how to treat and prevent swimmers ear.

What is swimmers ear?

Otitis externa, or swimmers ear is an infection in the ear canal. It typically results from water that becomes trapped in the canal and the subsequent growth of bacteria that thrives in the warm, dark, and moist environment. Swimmer’s ear commonly affects swimmers (thus the name) but can occur in anyone who has had water or exposure to bacteria in the canal.

Children are more prone to swimmers ear because the relatively straight shape of the canal does not allow excess fluid to drain as it does for adults. As children grow the anatomy of the canal changes from straight and flat to downward sloping, which facilitates the drainage of water.

If swimmers ear is suspected, it should be treated right away by a doctor to avoid progression and further discomfort. Early stage symptoms of mild swimmer’s ear include itching and redness of the ear canal and possible drainage of clear odorless fluid.

Untreated swimmers ear can become extremely painful not only in the ear canal but on the side of the face, cause decreased hearing, and in the worse cases cause fever and swollen lymph nodes. Treatment typically includes a course of eardrops prescribed by the doctor.

How can I prevent my child from getting swimmers ear this summer?

Avoid using Q-tips or putting any objects into the ear canal. Earwax is a protective barrier for bacterial and fungal infections.

Keep ears dry. Following swimming or bathing dry the outside of the ear with a dry towel. Tilt the head to the side for 10 seconds to allow excess moisture to drain out. For adults only, if you or your child experiences water in the canal a hair dryer can be used on the lowest setting held at least 1 foot away from the ear. The warm air will dry the canal.

Avoid swimming in environments with high bacteria counts.

Consider custom swim plugs that provide a seal that protect the ear canal from water exposure.

Swimming is a joy of summer for both children and adults. Cautious planning and safe practice can assist with prevention of swimmers ear and potential discomfort for the entire family.