Mr Nish Mehta
Consultant Otologist, Ear, Nose and Throat (ENT) &
Auditory Implant surgeon
MBBS, PhD, FRCS (ORL-HNS)
E: office@nishmehta.co.uk
T: 020 31503115
Swimmer’s ear / outer ear infections/ Otitis externa
- 01
This is a common condition caused by an infection of the skin in the outer ear. At the beginning this may start as just an itchy ear, but can progress to a leaking ear. The substance leaking from the ear may be offensive in smell and hearing may be reduced. Pain may develop in and around the ear.
- 02
Whilst it is not always possible to understand what caused each case, most cases follow on from swimming in dirty water or using an instrument in the ear.
Some people develop a skin condition in their ear that makes it more likely to get infections.
- 03
Whilst most cases of this infection are bacterial there is moderate level evidence to support the use of acetic acid ear drops. These over-the-counter ear drops (like EarCalm) work by making the ear a less hospitable place for the infecting bacteria to reproduce and give your immune system the edge required to overcome the infection.
Avoiding water entering your ear canal during showers and baths will also help make the ear canal a less hospitable environment for the infecting bacteria. This can be achieved by using cotton wool soaked in vaseline placed in the ear canal.
If the above has failed to control your symptoms or you have significant ear pain you should see an ENT specialist.
Your ENT specialist will examine your ear with a microscope or endoscope and confirm the diagnosis.
They will take swabs through the ear hole so they can identify which bacteria is causing your infection.
They will then clean any infection from your ear using a tiny suction device.
Finally, they will prescribe antibiotic drops or place a cream for your ear.
You will be asked to keep your ears dry, especially when bathing, by using a cotton wool soaked in Vaseline (throw away after use).
You will then be seen again in a week to ensure that the infection is gone or change treatment if the infection is still there.