Swimmer’s ear, medically known as otitis externa, is an infection affecting the outer ear canal, the passage from the eardrum to the outside. This condition often arises when water becomes trapped, creating a moist environment for bacterial growth. It can also develop if the delicate skin lining the ear canal is damaged by inserting fingers or other objects. Symptoms include pain, itching, and general discomfort, which can significantly disrupt sleep.
Managing Pain and Discomfort
Over-the-counter pain relievers, such as ibuprofen, acetaminophen, or naproxen, can help reduce inflammation and discomfort associated with swimmer’s ear. Follow dosing instructions carefully, especially for children. Applying a warm compress to the affected ear can also offer relief by soothing pain and promoting blood circulation. To create a warm compress, wet a clean washcloth with comfortably warm water, wring out the excess, and gently hold it against the ear for 10 to 15 minutes. Repeat as needed, especially before bedtime.
Choosing the Right Sleeping Position
Selecting an appropriate sleeping position can significantly minimize pressure and discomfort on the affected ear. If only one ear is experiencing pain, sleeping on the unaffected side is recommended, allowing the infected ear to face upwards. This position helps prevent direct pressure on the inflamed area and can facilitate fluid drainage. For individuals with bilateral ear discomfort or those who prefer sleeping on their back, elevating the head can provide relief. Using extra pillows or a wedge pillow to keep the head slightly raised helps reduce pressure and encourages fluid drainage. Donut pillows, designed with a central hole, can also cushion the ear and prevent contact pressure.
Protecting Your Ear at Night
Preventing further irritation and keeping the ear dry are important steps for healing. Avoid inserting any objects, such as cotton swabs, fingers, or hairpins, into the ear canal, as this can worsen the infection or cause additional damage to the delicate skin. After showering or bathing, gently pat the outer ear dry with a soft towel. A hairdryer set on the lowest, cool setting, held several inches away, can also carefully dry the outer ear canal. If showering before bed, wearing a shower cap can help prevent water from entering the ear. While earplugs are sometimes used to keep water out during swimming, they should be avoided during an active infection unless specifically advised by a medical professional, as they might trap moisture or irritate the ear canal.
When Professional Help is Needed
While home remedies can provide comfort, certain symptoms necessitate prompt medical attention. Seek professional help if you experience severe pain that does not improve with over-the-counter pain relievers, or if the pain radiates to your face, neck, or side of the head. Other signs that warrant a doctor’s visit include fever, spreading redness or swelling beyond the ear, or discharge from the ear that is pus-like, discolored, or foul-smelling. Muffled hearing or temporary hearing loss are also indicators that medical evaluation is needed. Delaying treatment can lead to complications, making timely consultation with a healthcare provider important for effective resolution.