Individuals with ear tubes, also known as tympanostomy tubes, often wonder about swimming safety. Concerns about water entering the ears and conflicting advice are common. Understanding current medical guidance and proper precautions can clarify how to safely enjoy water activities with ear tubes.
Understanding Ear Tubes
Ear tubes are small, hollow cylinders, typically made of plastic or metal, inserted into the eardrum during a surgical procedure. This procedure, called tympanostomy, is often recommended for children experiencing recurrent ear infections or persistent fluid buildup behind the eardrum. Their primary purpose is to drain fluid from the middle ear, allow air entry, equalize pressure, and reduce future infections. Tubes usually remain in place for about 6 to 18 months before falling out on their own as the eardrum heals.
Swimming Guidelines with Ear Tubes
For most individuals with ear tubes, swimming is generally considered safe, particularly in clean, chlorinated water like swimming pools. Medical guidelines have evolved; the misconception that swimming is always restricted is no longer widely held. Studies show little difference in infection rates between children using ear protection in chlorinated pools and those who do not. Surface swimming poses low risk, as significant water pressure is needed for water to pass through the tiny tubes into the middle ear.
However, prolonged submersion or deep diving can increase the likelihood of water entering the middle ear through the tubes. After ear tube placement, a short recovery period, usually a few days, is recommended before resuming swimming. Consulting with a healthcare provider is advisable to determine specific recommendations based on individual circumstances.
Protecting Ears During Water Activities
While not always necessary in chlorinated pools, ear protection offers added security, especially for active swimmers or those prone to discomfort. Various earplugs are available, including moldable silicone putty types that seal the ear canal opening. Custom-molded earplugs, made by an audiologist, offer a precise and comfortable fit.
Alongside earplugs, swimming headbands made of neoprene can keep earplugs securely in place and provide additional protection. Designed to fit snugly over the ears, they are a practical choice for children and adults. After water activities, gently drying the outer ear can help maintain ear hygiene.
Situations Requiring Extra Caution
Certain aquatic environments or activities warrant increased caution for individuals with ear tubes. Non-chlorinated water sources like lakes, rivers, or oceans carry a higher infection risk due to more microorganisms and bacteria. Hot tubs also harbor higher bacterial concentrations, making them less ideal for water exposure with ear tubes.
Submerging the head in soapy bathwater requires caution, as soap reduces water’s surface tension, potentially allowing it to pass through the tubes more easily. Deep diving or jumping into water can create pressure changes that increase the chance of water entering the middle ear. Avoid swimming with an active ear infection, ear pain, or discharge until these issues resolve and after consulting a doctor. Scuba diving is generally not recommended with ear tubes due to significant pressure changes and the risk of water entry, which can lead to vertigo and infection.