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What you should know about ear infection treatments

Otitis externa, commonly known as “swimmer’s ear,” is an infection of the outer ear canal, which runs from the eardrum to the outside of the head. It is often caused by water remaining in the ear after swimming, creating a moist environment that facilitates bacterial growth.

Common symptoms include ear pain, itching inside the ear, redness, swelling of the ear canal, and discharge from the ear. In more severe cases, hearing may be temporarily reduced.

Otitis externa is usually caused by bacterial infection, though it can also be triggered by fungi or an allergic reaction. Frequent exposure to moisture (e.g., from swimming or bathing), inserting objects into the ear (like cotton swabs), and skin conditions such as eczema can increase the risk of developing this infection.

A healthcare professional will diagnose otitis externa by examining the ear with an otoscope, a tool that allows them to see inside the ear canal. They will look for signs of inflammation, redness, swelling, and discharge.

Treatment typically involves cleaning the ear canal and using medicated ear drops, such as Otomize, which contain antibiotics, corticosteroids, and acetic acid to reduce infection and inflammation. In severe cases, oral antibiotics may be prescribed.

Yes, to help prevent otitis externa, DON’T USE COTTON BUDS!. Also keep your ears dry by using earplugs or a swim cap when swimming, and tilt your head to drain water from the ears after exposure to moisture. Additionally, drying your ears gently with a towel or using a hairdryer on a low setting can help

Otitis externa itself is not contagious. However, the bacteria or fungi that cause the infection can potentially be spread through contaminated water or shared items like earplugs. It’s important to practice good hygiene to prevent the spread of germs.

You should see a doctor if you experience severe pain, hearing loss, fever, or if symptoms persist despite using over-the-counter treatments. Additionally, if you have diabetes, a weakened immune system, or recurrent infections, it’s important to seek medical advice.

Additional information

What is an ear infection?

An ear infection is a prevalent condition that can affect anyone, with approximately 1 in 10 adults experiencing it at some point in their lives. Ear infections occur when bacteria, fungi, or viruses infiltrate the ear, leading to inflammation and discomfort. These infections can sometimes be confused with other conditions such as allergic reactions or eczema, making accurate diagnosis crucial.

Individuals with certain health conditions, like diabetes, are more susceptible to ear infections while other may be more susceptible due to a weakened immune system. If you experience symptoms and are unsure of the cause, it’s essential to consult a doctor for a proper diagnosis.

Ear infections are categorized based on the area of the ear that is affected:

  • Otitis Externa: Infection of the outer ear canal, often referred to as “swimmer’s ear.”
  • Otitis Media: Infection of the middle ear, commonly following a cold or respiratory infection.
  • Otitis Interna: Infection of the inner ear, which can lead to more serious symptoms such as dizziness and hearing loss.

While many ear infections resolve on their own, seeking treatment can accelerate recovery and alleviate symptoms.

What causes ear infections?

Ear infections are often caused by germs entering the ear through the eustachian tubes, which connect the middle ear to the back of the throat. These germs can be bacterial, viral, or fungal. Several factors can increase the likelihood of developing an ear infection, including:

  • Swimming: Water trapped in the ear after swimming can lead to infections, particularly in the outer ear.
  • Living in Hot or Humid Climates: Warm, moist environments can promote the growth of bacteria and fungi.
  • Poor Ear Hygiene Practices: Inserting objects like cotton buds into the ear can introduce bacteria and cause damage.
  • Skin Conditions: Conditions such as eczema can increase the risk of developing outer ear infections.
  • Chronic Health Conditions: Diabetes, asthma, and allergic rhinitis can all make individuals more prone to ear infections.
  • Previous Ear Infections: A history of ear infections can increase susceptibility to future occurrences.

Cotton buds do not go in the ear!

A common cause of infections and impacted ear wax is the use of cotton buds to clean the ear. I mean to be perfectly fair, their design doesn’t leave much to the imagination as to where they should go. But they do more harm than good, although slightly better than car keys (don’t clean your ears with those either!) just don’t put anything in your ears. If you are concerned about removing excess ear wax, check if your local pharmacy offers an ear wax removal service.

Symptoms of an ear infection

Ear infections can cause a variety of symptoms, which may vary depending on the part of the ear affected. Common symptoms include:

  • Pain in the Ear: Often the first sign of an infection, especially when touching or pulling the ear.
  • Itching and Irritation: Particularly common with outer ear infections.
  • Hearing Issues: Temporary hearing loss or muffled hearing due to fluid build-up.
  • Discharge: Fluid draining from the ear, which may be clear, yellow, or bloody.
  • Unusual Sensations: A feeling of fullness or pressure inside the ear.

It’s important to handle the ear with care, especially if there is visible discharge or irritation. Cleaning the ear too aggressively can exacerbate the infection and cause additional damage.

How are ear infections diagnosed?

To diagnose an ear infection, a doctor will typically begin with a discussion of your symptoms and a review of your medical history. A physical examination of the ear, throat, and nasal passages is usually performed using an otoscope, a tool that allows the doctor to see inside the ear canal and assess the eardrum.

If there is visible swelling, redness, or discharge, these are strong indicators of an ear infection. In some cases, additional tests, such as a hearing test or a tympanometry, may be required to determine the severity of the infection.

How can ear infections be treated?

Although many ear infections, especially mild ones, may clear up on their own within a few days, treatment can help speed up recovery and ease symptoms. Here’s how to manage an ear infection:

  • Pain Relief: Over-the-counter painkillers like paracetamol or ibuprofen can help manage pain and reduce fever.
  • Warm Compress: Applying a warm, damp cloth to the affected ear can provide relief from discomfort.
  • Cleaning the Ear: Gently clean the outer ear with a small amount of warm water, being careful not to insert anything into the ear canal.

For more severe cases, particularly outer ear infections, antibacterial medication may be required. Products like Otomize spray, which contains neomycin (an antibiotic) and dexamethasone (a steroid), are effective at treating mild to moderate infections.

If there is no improvement after seven days of treatment, or if symptoms worsen, it is important to consult a doctor. You may need a more thorough examination, a swab of the infection, or a referral to an ear, nose, and throat (ENT) specialist.

In some cases, particularly with boils in the ear, medical intervention may be necessary to drain the infection. This procedure should only be performed by a healthcare professional.

Preventing ear infections

While it’s challenging to prevent all ear infections, particularly those triggered by colds or flu, there are steps you can take to reduce the risk:

  • Avoid Ear Probing: Refrain from inserting objects like cotton buds into the ears, as this can cause damage and introduce bacteria.
  • Keep Ears Dry: Use earplugs or a swimming cap to prevent water from entering the ears during swimming.
  • Protect Your Ears: Take care to keep water, shampoo, and other irritants out of your ears during showers or baths.

By understanding the causes and symptoms of ear infections and taking preventive measures, you can reduce your risk of developing this common and uncomfortable condition. If you do experience symptoms, seeking timely treatment can help ensure a quick recovery.

Can I order treatments for otitis externa online?

If you’re suffering from otitis externa, commonly known as “swimmer’s ear,” and need effective treatment, you can conveniently order Otomize online from MedicalMojo.co.uk. Otomize is a highly effective ear spray designed to treat bacterial infections of the outer ear, providing relief from symptoms such as pain, itching, and inflammation.

Why choose Otomize for otitis externa?

Otomize contains a combination of neomycin, an antibiotic that fights bacterial infections, dexamethasone, a corticosteroid that reduces inflammation, and acetic acid, which helps to maintain the ear’s natural acidity, preventing further bacterial growth. This triple-action formula works quickly to alleviate the discomfort associated with otitis externa, helping to clear up the infection and prevent it from recurring.

How to order Otomize online

Ordering Otomize from MedicalMojo.co.uk is simple, fast, and secure. Here’s how it works:

  1. Online Consultation: Start by completing a brief, confidential medical questionnaire on our website. This consultation helps our UK-registered prescriber assess your symptoms and medical history to ensure Otomize is the right treatment for you.
  2. Prescriber Review: One of our prescribers will review your consultation and, if appropriate, will prescribe Otomize for you. This step ensures that you receive the correct treatment for your condition.
  3. Discreet Delivery: Once your prescription is approved, Otomize will be dispatched directly to your door in discreet packaging. We offer fast, reliable delivery across the UK, so you can start your treatment as soon as possible.
  4. Ongoing Support: After seven days you will receive a FREE follow up call from one of our prescribers to check if your infection has cleared and what further steps you should take.

Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Independent prescriber, Superintendent pharmacist.


Checked By
Tahir Amin

Compounding pharmacist.


August 21, 2024

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