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Swimmer's ear - Treatment

Alternative Names

Ear infection - outer ear - acute; Otitis externa - acute; Chronic swimmer's ear; Otitis externa - chronic; Ear infection - outer ear - chronic

Treatment:

Ear drops containing antibiotics are typically given, usually for 10 to 14 days. If the ear canal is very swollen, a wick may be applied in the ear to allow the drops to travel to the end of the canal. Your doctor or nurse can show you how to do this.

Other treatments may include:

  • Antibiotics taken by mouth if you have a middle ear infection or infection that spreads beyond the ear
  • Corticosteroids to reduce itching and inflammation
  • Pain medication, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin)
  • Vinegar (acetic acid) ear drops

People with chronic swimmer's ear may need long-term or repeated treatments to avoid complications.

Placing something warm against the ears may reduce pain.

Expectations (prognosis):

When treated properly, swimmer's ear usually gets better.

Complications:

The infection may spread to other areas around the ear, including the skull bone. In elderly people or those who have diabetes, a severe infection called malignant otitis externa is a possibility. Malignant otitis externa is treated with high-dose antibiotics given through a vein.

Calling your health care provider:

Call for an appointment with your health care provider if:

  • You develop any symptoms of swimmer's ear
  • You notice any drainage coming from your ears
  • Your symptoms get worse or continue despite treatment
  • You have new symptoms, such as fever or pain and redness of the skull behind the ear
  • Reviewed last on: 8/3/2010
  • Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Guss J, Ruckenstein MJ. Infections of the external ear. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 137.

Pfaff JA, Moore GP. Otolaryngology. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 70.

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