Understanding Otitis Externa: Causes, Symptoms, and Treatment
- phonedocsonline
- Jan 3
- 3 min read
Otitis externa, commonly known as swimmer's ear, is an infection or inflammation of the ear canal. This condition is particularly common in warm, humid climates like Florida, where frequent swimming and water activities increase the risk of developing this painful condition.
At Docs Hotline, we offer fast, affordable telehealth visits to help you identify and treat otitis externa effectively, so you can get back to enjoying Florida’s sunshine without discomfort.
What is Otitis Externa?
Otitis externa occurs when the ear canal becomes infected or inflamed, often due to trapped water that fosters bacterial or fungal growth. The condition can range from mild irritation to severe pain and swelling.
Common Causes of Otitis Externa
Prolonged Moisture Exposure:
Swimming, especially in pools, lakes, or oceans.
Retained water in the ear after bathing or showering.
Trauma to the Ear Canal:
Using cotton swabs, fingernails, or other objects to clean the ear.
Scratches or abrasions create an entry point for bacteria.
Skin Conditions:
Eczema or seborrheic dermatitis in the ear canal can increase susceptibility.
Infections:
Bacterial infections are the most common, often caused by Pseudomonas or Staphylococcus species.
Fungal infections are less common but may occur, especially after prolonged antibiotic use.
Symptoms of Otitis Externa
Otitis externa symptoms can range from mild to severe and may include:
Ear Pain: Sharp or throbbing pain, often worse when touching or pulling on the ear.
Itching: A common early symptom, especially in mild cases.
Discharge: Clear, yellow, or green drainage from the ear.
Swelling and Redness: The ear canal may appear swollen and inflamed.
Hearing Loss: Temporary and due to blockage from swelling or discharge.
Fever: In more severe cases, especially if the infection spreads.
How is Otitis Externa Diagnosed?
A healthcare provider will typically:
Take a Medical History: Discuss symptoms, recent water exposure, or ear trauma.
Perform an Otoscopic Exam: Use an otoscope to look for redness, swelling, or discharge in the ear canal.
Culture Testing (if needed): For recurrent or severe infections, a swab may be taken to identify the specific bacteria or fungi.
Treatment for Otitis Externa
1. Medications
Topical Antibiotics: Ear drops containing ciprofloxacin or neomycin/polymyxin B to treat bacterial infections.
Antifungal Ear Drops: For fungal infections.
Steroid Drops: Reduce inflammation and swelling.
Pain Relievers: Over-the-counter options like ibuprofen or acetaminophen for pain management.
2. Ear Cleaning
A healthcare provider may gently clean the ear canal to remove debris or discharge, improving the effectiveness of ear drops.
3. Avoiding Moisture
Keep the ear dry during treatment by using earplugs or a shower cap.
Preventing Otitis Externa
You can reduce your risk of otitis externa by:
Drying Your Ears: After swimming or bathing, tilt your head to drain water and use a towel to dry the outer ear.
Avoiding Ear Trauma: Don’t insert cotton swabs or other objects into the ear.
Using Earplugs: Wear earplugs when swimming to keep water out.
Alcohol or Vinegar Drops: Use over-the-counter drying drops after swimming to prevent moisture buildup.
When to Seek Medical Attention
You should consult a healthcare provider if:
Pain persists or worsens despite home care.
There is significant swelling or discharge from the ear.
Hearing loss develops or doesn’t improve after clearing discharge.
Fever or systemic symptoms occur, suggesting the infection may have spread.
How Docs Hotline Can Help with Otitis Externa
At Docs Hotline, we provide expert care for otitis externa through convenient telehealth visits:
Quick Diagnosis: Our licensed providers can evaluate your symptoms and determine if you have swimmer’s ear.
Effective Treatment: We’ll prescribe ear drops, pain relievers, or other medications as needed.
Preventive Advice: Learn how to protect your ears and prevent future infections.
Affordable Care: Just $50 per visit, with no insurance required.
Take Care of Your Ears Today
Don’t let otitis externa keep you from enjoying Florida’s water activities. With Docs Hotline, you can get fast, effective treatment from the comfort of your home.

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