Otitis externa, the pain that should not be ignored

Otitis externa, popularly known as “swimmer's ear”, is one of the most common ENT conditions and represents an inflammation or infection of the external auditory canal.
At European level, epidemiological studies show that approximately 10% of people develop otitis externa at least once in their life, and the incidence increases significantly in the warm season and among people who frequently practice water sports. Children and adolescents who spend a lot of time in swimming pools or at the sea are among the most affected categories, with an increased incidence in the 7–14 age group.
Causes and risk factors
Excessive moisture in the ear canal favors the development of bacteria and fungi. For this reason, the disease is frequently associated with swimming in pools or the sea.
Otitis externa occurs when the ear's natural protective mechanisms are affected. Cerumen plays an important role in maintaining a protective environment inside the ear canal, but excessive use of ear sticks or the insertion of other objects can cause micro-damage and remove this natural protection. Frequent wearing of in-ear headphones, excessive sweating and high humidity also contribute to the occurrence of infection.
Among the most important risk factors are frequent swimming, diabetes, dermatological conditions such as acne, seborrheic dermatitis, psoriasis and eczema, as well as decreased immunity.
Symptoms of otitis externa
Symptoms usually begin with itching and discomfort in the ear. Later, the pain appears, which is accentuated when touching the auricle or during chewing. As the inflammation progresses, ear discharge, redness, stuffy ear sensation and temporary hearing loss may occur.
In more severe forms, the pain may radiate to the jaw or neck and may be accompanied by fever and swollen lymph nodes.
When should I go to the doctor?
ENT consultation is recommended as soon as persistent pain, ear discharge or hearing loss occur. Although considered a common condition, otitis externa should not be ignored. If not treated properly, the infection can become recurrent and significantly affect the quality of life.
Diagnosed and treated in time, otitis externa usually heals quickly and without complications, and simple preventive measures can considerably reduce the risk of recurrence of this frequent condition in the warm season.
How do we prevent otitis externa?
It is important to keep the ear as dry as possible after swimming or bathing by using a clean towel and tilting the head to either side to allow water to drain from the ear canal.
For people who swim frequently, it is recommended to protect the ears with a swimming helmet or special swimming plugs, so that prolonged contact with water is reduced.
Inserting objects into the ear, such as ear sticks or other cleaning tools, should also be avoided. They can irritate the delicate skin of the ear canal and remove earwax, which has a natural protective role against infection.
ENT at Medicover
The ORL specialty is one of the most accessed medical specialties within Medicover clinics. ENT consultations for adults and children are available in all clinics in Bucharest, as well as in clinics in the country.
More details about pediatric services at Medicover can be found here:
https://www.medicover.ro/medici/pediatrie,s,s
Article sponsored by Medicover




