Acute otitis externa is a common condition often known as swimmer's ear. It is an infection of the ear canal, typically caused by bacteria or fungi. Symptoms may include ear pain, discharge, and reduced hearing. Treatment involves keeping the ear dry and using prescribed ear drops.

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Acute Otitis Externa FAQ


What causes acute otitis externa?

Acute otitis externa is commonly caused by excess moisture in the ear canal, which creates a breeding ground for bacteria or fungi. Trauma to the ear canal and allergic reactions can also play a role.

How is acute otitis externa diagnosed?

Diagnosis typically involves a visual examination of the ear canal using an otoscope. In some cases, a swab of the ear canal may be taken for laboratory analysis to identify the causative organism.

Can acute otitis externa be prevented?

Preventive measures include keeping the ears dry, especially after swimming or showering. Avoid inserting foreign objects into the ear canal, and ensure that any existing skin conditions are well managed.

Are there over-the-counter ear drops for acute otitis externa?

Some ear drops may be available over the counter for mild cases, but it's important to consult a healthcare professional for proper diagnosis and to determine the most effective treatment.

What are the typical symptoms of acute otitis externa?

Common symptoms include ear pain, itchiness, discharge from the ear, reduced hearing, and a feeling of fullness or congestion in the ear canal.

Can swimming cause acute otitis externa?

Yes, frequent exposure to water, particularly when swimming, can increase the risk of developing acute otitis externa. Proper ear drying and protective earplugs can help reduce this risk.

Is acute otitis externa contagious?

Acute otitis externa itself is not contagious, as it is typically caused by individual susceptibility to infection rather than transmission from person to person.

How long does it take for acute otitis externa to heal?

With appropriate treatment, acute otitis externa often begins to improve within a few days. It's important to complete the full course of prescribed medications to ensure the infection is fully resolved.

Can acute otitis externa lead to hearing loss?

In some cases, acute otitis externa can cause temporary hearing impairment. However, prompt treatment usually prevents long-term hearing issues. If you experience hearing loss, consult a healthcare professional.

Are there home remedies for acute otitis externa?

While keeping the ear dry and clean is important, home remedies like using vinegar or alcohol drops are not recommended without medical advice, as they can worsen the condition.

Can acute otitis externa occur in both ears at the same time?

Yes, it is possible for acute otitis externa to affect both ears simultaneously. Seeking prompt medical attention is crucial for effectively managing the condition in such cases.

Is it safe to use cotton swabs for cleaning the ears?

Cotton swabs can push wax and debris further into the ear canal, increasing the risk of injury and infection. It's best to avoid using cotton swabs and instead seek professional ear cleaning as needed.

Is it necessary to avoid swimming during acute otitis externa treatment?

It's advisable to avoid swimming and other activities that involve water exposure until the infection has cleared and the healthcare provider gives the go-ahead to resume such activities.

What are the complications of untreated acute otitis externa?

Without appropriate treatment, acute otitis externa can lead to the spread of infection to surrounding tissues, potentially causing more severe pain, persistent discharge, and in rare cases, irreversible damage to the ear canal.

Can acute otitis externa affect young children?

Yes, children are susceptible to acute otitis externa, especially if they frequently swim or are unable to adequately dry their ears. If a child shows symptoms, it's important to seek medical attention without delay.

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Information provided by Maryam Abdullahi-Mahdi. Reviewed by Mr. Matthew Liew