Ear infection: external

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When to see the doctor

See the doctor if:

• your child complains of an earache
• there is discharge from the ear
• your child is generally unwell, has a fever or is vomiting
• otitis externa becomes a recurrent problem.

What causes it?

Otitis externa, also known as swimmer’s ear, is caused by an inflammation of the skin lining the ear canal. It is more common in children who swim a lot, because water remaining in the ear afterwards can act as an irritant. Commonly, a secondary bacterial or fungal infection develops.

What are the symptoms?

If your child has otitis externa, they may complain of a painful or itchy ear. Sometimes there will be a discharge. The ear usually feels blocked and your child may have difficulty in hearing.

How is it treated?

If your child has a mild case of otitis externa, your doctor may simply prescribe ear drops, which usually have a combination of steroids and antibiotic in them. These should be used for several days after which the ear should be examined again. If your child has a more severe otitis externa, your doctor may insert a small length of gauze, called a wick, which is soaked in a solution of antibiotic and steroid.

You should avoid touching the ear. The ear should also be kept dry, which means your child shouldn’t swim until the ear is completely healed.

How can I prevent it?

If your child suffers from recurrent otitis externa, it may be helpful to put drops in the ear after swimming and bathing. Wearing good quality earplugs can also help to prevent this condition. Your doctor will be able to advise you about these.

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