Otitis Externa
Otitis externa, also known as “swimmer’s ear,” is an infection of the outer ear canal. This area runs from the opening of the ear to the eardrum. It is more common in children who spend a lot of time in the water, especially during the warmer Florida months. Moisture trapped in the ear canal creates an ideal environment for bacteria or fungus to grow, which can lead to inflammation and infection. While swimming is a major risk factor, otitis externa can also be caused by excessive cleaning of the ears or use of objects like cotton swabs, which can irritate or break the skin lining the ear canal.
Common symptoms of otitis externa in children include ear pain, itching, redness, swelling, and drainage from the ear. Some children may also experience a feeling of fullness in the ear or mild hearing loss. In more severe cases, the ear canal can become swollen shut, making it difficult to hear or instill ear drops.
A healthcare provider can usually diagnose otitis externa by examining the ear with an otoscope. This is a special tool that allows us to see inside the ear canal. We will look for signs of redness, swelling or fluid, and will assess how tender the area is. If not responding to initial treatment, a sample of discharge might be taken. The key is to begin treatment early to avoid complications and relieve discomfort.
Treatment typically includes prescription antibiotic ear drops, sometimes combined with steroids to reduce swelling and pain. In more advanced cases, especially when swelling prevents the drops from reaching deep into the canal, a small sponge or wick may be inserted to help deliver medication. Pain relief with over-the-counter medications like ibuprofen or tylenol can also help keep your child comfortable. Keeping the ear dry during treatment is very important—your provider may recommend avoiding swimming and taking care to keep water out of the ears during bathing.
Parents can help prevent otitis externa by encouraging children to dry their ears thoroughly after swimming or bathing. Using a towel to gently dry the ears or tipping the head to let water drain out can help. Avoid inserting anything into the ears, including cotton swabs, as this can damage the skin and increase the risk of infection. If your child has had swimmer’s ear in the past or is particularly prone to infections, talk to our providers about preventive drops or strategies during swim season.
If you’re concerned about your child’s ear health, please reach out to us to arrange a consultation.