Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Swimmer's ear, or external otitis, is typically a bacterial infection of the skin of the outer ear canal.
Swimmer's ear can occur in both acute and chronic forms.
Excessive water exposure and frequent instrumentation (usually with cotton swabs) of the ear canal are important causative factors.
Early symptoms include itchy ears, a feeling of fullness, swelling, drainage, and pain.
Antibiotic ear drops and avoidance of water are frequently necessary for treatment.
Proper ear care can avoid most infections.
What is "swimmer's ear" or acute external otitis?
External otitis or "swimmer's ear" is an infection of the skin covering the outer ear and ear canal. Acute external otitis is commonly a bacterial infection caused by streptococcus, staphylococcus, or pseudomonas types of bacteria. The swimmer's ear infection is usually caused by excessive water exposure from swimming, diving, surfing, kayaking, or other water sports. When water collects in the ear canal (frequently trapped by wax), the skin can become soggy and serve as an inviting area for bacteria to grow. Cuts or abrasions in the lining of the ear canal (for example, from cotton swab injury) can also predispose to bacterial infection of the ear canal.
The first symptom of infection is that the ear will feel full, and it may itch. Next, the ear canal will swell, and ear drainage will follow. At this stage the ear will be very painful, especially with movement of the outside portion of the ear. The ear canal can swell shut, and the side of the face can become swollen. Finally, the lymph nodes (glands) of the neck may enlarge, making it difficult or painful to open the jaw. People with swimmer's ear may experience some temporary hearing loss in the affected ear.
Ear pain can be caused by conditions within the ear, the ear canal, or it may affect visible portions of the ear. Infections of the ear include infections of the middle ear (otitis media), outer ear (swimmer's ear or otitis externa). An earache also can be caused by pain and inflammation of the outer portion of the ear.
Some people may experience the following related symptoms and signs with earache:
Foreign objects in the ear are common reasons for emergency room visits,
especially in children. The majority of these foreign objects are harmless.
Some are extremely uncomfortable (insects or sha"...