Learn about swimmer's ear, which sickens 1 in 10 Americans

Swimming boosts the risk of contracting swimmer's ear by fivefold

The term swimmer's ear is a bit of a misnomer since other factors including scratches to your ear from Q tips, trapped perspiration inside the ear when you sweat, and living in tropical climates can elevate the risk of contracting this outer ear infection. But swimming poses the greatest risk: widely cited research has found that swimming elevates the risk of contracting this infection fivefold.

Swimmer's ear is America's most common waterborne illness

Federal government analysis of the roughly 7 million waterborne illness cases that occur annually in the US found that swimmer's ear comprises some 4.7 million, or 65%, of the annual waterborne illnesses and 20% of hospitalizations. Norovirus infection comes in second place.

Explore why swimmer's ear will not go away on its own

This infection is typically treated with ear drops to reduce inflammation and fight the bacteria or fungus that led to the issue. But without treatment, complications can arise, including a deep tissue infection, bone or cartilage damage, or—very rarely—spreading beyond the ear into the skull bones and surrounding areas.

Doctors explain that most ear infections—but not swimmer's ear—affect the middle ear

A typical ear infection occurs in the area behind the eardrum, but swimmer's ear is an infection of the ear canal. Its characteristic symptom is pain whenever the ear is moved, though it can also include itching and a sense of fullness. Symptoms typically begin within a few days or a week of a water buildup not being addressed.

Swimmer's ear is not contagious

Though a lot of people may have symptoms of swimmer's ear at the same time at the same pool, that's because they are all swimming and the moisture is remaining in their ears—not because they are passing this bacterial or fungal-caused infection to each other. People of any age swimming in a pool, lake, or other body of water are all at risk, though children are considered particularly vulnerable.

Exactly who coined the term 'swimmer's ear' remains unknown

There is no record of anyone being the first person to call otitis externa by its most commonly known name, swimmer's ear. The earliest known use of the term was in a 1917 news article, according to the Oxford English Dictionary. The article in Connecticut's The Day stated that the illness was appearing among swimmers and bathers that summer.

Children are at increased risk of contracting swimmer's ear

Kids may be more likely to spend time at the pool so they have that water exposure. They also tend to have narrow ear canals, a prime location for water to get trapped. Frequently wearing earbuds or excessively trying to rid ears of earwax, however, can also increase the chances of painful swimmer's ear infections at any age.

Ear infections can arise from chlorinated water, too

Any water remaining in the ear can lead to swimmer's ear. Chlorinated water, however, can also strip the skin of the oils and wax that would otherwise protect the ear.

Listen to why extensive ear rinsing can create problems

The clinician who hosts this podcast discusses how his patient developed swimmer's ear after he flooded his ears with water during his daily showers, ostensibly to clean them. The resulting itchy, painful ears were the result of removing protective earwax in the ear and also altering the typical pH of the ear.

Watch how to safely remove water from your ears

Do not stick a Q-tip into the ear canal—it can cause microtears of the delicate skin there and elevate infection risks. Instead, try tapping on the side of your tilted head after swimming to break the surface tension so water will drip out, or pulling your earlobe in different directions while the ear is pointed downwards. Another suggested approach is to place a few droplets of isopropyl alcohol or over-the-counter eardrops inside the ear to speed evaporation. If those approaches don't work, consider contacting your physician.

Surfer's ear, from repeated cold water exposure, leads to new bony protrusions in the ear

Frequent exposure to icy cold water, typical in surfing, can cause tiny bony growths to develop in the ear canal, informally called surfer's ear. While the exact cause for these growths is unknown, it may be the body's protective response to shield the ear drum from the cold. These protrusions can heighten the risk of swimmer's ear, lead to wax buildup, and result in hearing loss.

See why wearing earbuds—instead of over-the-ear headphones—can cause ear infections

Earbud headphones can heighten the risk of ear infections. They can lead to earwax buildup and create a dark, moist environment as you sweat—ideal conditions for germs to thrive. Wearing external over-the-ear headphones or ones that don't enter deep into the ear canal can help.

Q-tips can cause more problems than they solve

Swabbing the ear with a Q-tip can disrupt the ear wax that naturally protects the ear from dirt and bacteria. It can also tear the delicate skin of the ear drum, causing permanent hearing loss and constant discomfort that's similar to the symptoms of swimmer's ear. (Some users may encounter a paywall.)

We can get food poisoning from spending time in swimming pools, lakes, rivers, and ponds

Some of the same pathogens that may sicken us in food or water may also sicken us in recreational swimming environments. Bacteria can rub off of people’s (or animal’s) bodies or contaminate the water through a diarrheal episode. Washing your hands for at least 20 seconds before eating food if you are at the beach, pool, or other similar environments and being sure not to swallow the water are ways to help keep safe.

We hear because soundwaves are converted into electrochemical signals in our ears

This science teacher video systematically walks through the biology of the outer, middle, and inner ear. The explanation starts with the auricle, an external part that funnels sound through the auditory canal, and the tympanic membrane (the ear drum), which vibrates when sounds hit it. Beyond that, as the video details, is the eustachian tube, which is connected to the back of our throats and allows air to pass in and out to equalize ear pressure.

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Ménière's disease is a long-term, inner ear disorder that causes vertigo

This severe vertigo-causing disorder may involve long and recurrent episodes of vertigo. Symptoms of this disease include balance issues and hearing loss, tinnitus, and a feeling of fullness in the ear. It typically affects only one ear and is linked to a buildup of excess fluid in the inner ear.

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Around 90% of people experience getting a snippet of a song stuck in their head, also known as an earworm. Researchers think they are linked to memory, repetition, and inner rehearsal. Before written language, music was used alongside rhyming in many cultures to help people preserve oral histories.

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Promoting the idea of hearing-at-all-costs in medical and education settings has created division in the deaf community and influenced decisions about learning sign language.

On average, people smell worse if they're sick

For a small 2014 research study, a panel was tasked with sniffing the smelly t-shirts of people who had been injected with a compound known to activate the immune system and those of controls without the shot. It found that those who were acting as if unwell (due to the injection) generally smelled worse. Subsequent work found that those who sniffed unpleasant odors had a mild immune response of their own—perhaps to protect them from disease. (Some users may experience a paywall.)

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