Swimmer's Ear

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.

This outer ear infection—in the tube leading from the ear opening to the eardrum—is usually caused by bacteria. Formally called otitis externa, this condition is commonly called swimmer's ear because microbes can enter the ear canal while swimming.

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.

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.

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.

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.

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.

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.

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.

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.