Written by Jenni Kollker, FNP-C
What is Swimmer's Ear?
Remember, fun in the sun means more dips in the pool. But what if your little one starts complaining of ear pain post-swim?
Swimmer's Ear, also known as otitis externa, is defined as inflammation of the outer ear canal. This inflammation can be non-infectious or could be an infection caused by bacteria or fungus.
But don't confuse it with the classic “ear infection” or otitis media. That's an issue with the middle ear, where fluid builds up behind the eardrum letting bacteria grow, often leading to fever.
Why do kids get Swimmer's Ear?
It's not just about swimming! Other risk factors include:
Devices or objects used in the ear such as cotton swabs, fingernails, or ear plugs
Obstructions from excess wax or foreign bodies (kids do love their ear-nose experiments!)
Narrow ear canals
Conditions such as eczema or psoriasis involving the ear
Weak immune system
Is it Swimmer's Ear or a middle ear infection?
Knowing whether your child has Swimmer's Ear or a middle ear infection can be tricky but here are some helpful hints:
Swimmer's Ear pain is typically at the outer portion of the canal or near the ear opening.
Your child’s outer ear may be red, swollen and itchy with Swimmer's Ear.
Pain typically increases if you pull or wiggle your child’s earlobe when they have Swimmer's Ear.
Increased pain and pressure when lying down are often related to a middle ear infection.
Symptoms of a cold or illness such as runny nose, sore throat and cough are typically associated with a middle ear infection.
Diagnosing and treating Swimmer's Ear
A quick visit to your healthcare provider can confirm the appropriate diagnosis. They'll review recent illnesses or exposures like swimming and take a close look inside both ears with an otoscope.
Treatment usually aims at easing the pain, treating any underlying infection and preventing future episodes. Your provider might recommend antibiotic ear drops, corticosteroid ear drops, over-the-counter pain meds, and keeping the ear dry.
Prevention:
Tips for safe swimming and preventing Swimmer's Ear:
Keep ears dry as possible.
Use a clean towel to gently dry your child's ears.
Use a blow dryer on a low, cool setting held 12 inches from the head to help dry ears.
Use earplugs when swimming or bathing.
Clean earplugs with mild soap and water, and let them dry.
Do not put any other objects in the ears such as fingers or cotton swabs.
Tilt your child’s head to each side to promote water drainage after swimming and baths.
Summer is all about fun in the sun. Let's keep it that way. Happy swimming!
Assessed and Endorsed by the MedReport Medical Review Board