Why Can I Hear Water in My Ear? And What to Do About It

Feeling as though water is lodged in your ear is a common experience, ranging from a minor distraction to a more concerning symptom. This sensation, often characterized by muffled hearing, fullness, or a sloshing sound, affects many. While often due to recent water exposure, it can also signal other ear conditions.

Understanding the Causes

The most straightforward explanation for feeling water in the ear is actual water trapped in the outer ear canal. This often occurs after swimming, showering, or bathing, causing a “sloshing” sound as it moves. The ear canal’s natural curves can make drainage difficult.

Another common cause is earwax accumulation within the ear canal. Significant buildup can block the canal, trapping moisture or mimicking fluid, leading to muffled hearing or a feeling of fullness. This blockage contributes to the mistaken impression of water.

The Eustachian tubes, which connect the middle ear to the back of the throat, also play a role in ear sensations. These tubes are responsible for equalizing air pressure and draining fluid from the middle ear. If they become blocked or dysfunctional due to inflammation from allergies, colds, or even changes in altitude, fluid can accumulate in the middle ear. This condition, known as Eustachian tube dysfunction (ETD), can lead to symptoms such as a feeling of pressure, muffled hearing, or popping and clicking sounds, which can be mistaken for water.

Fluid behind the eardrum, medically termed otitis media with effusion (OME) or “glue ear,” can also cause the sensation of water in the ear. This fluid often develops as a result of Eustachian tube dysfunction or can persist after a middle ear infection. The presence of this non-infected fluid can lead to a feeling of fullness, muffled hearing, or even balance problems. While OME often resolves on its own, it can sometimes linger for weeks or months.

When to Consult a Doctor

While the sensation of water in the ear is often harmless and temporary, certain signs indicate that it might be a more serious issue requiring professional medical evaluation. If the sensation persists for more than a few days, or if it recurs frequently, seeking medical advice is advisable. Persistent symptoms suggest that the underlying cause may not be simple trapped water or a minor blockage.

Accompanying symptoms signal a need for prompt medical attention. These include significant ear pain, especially if it worsens or is severe, and the presence of fever. Pus, discharge, or blood leaking from the ear canal is a concerning sign that warrants immediate consultation. Other symptoms like noticeable hearing loss, dizziness, vertigo, or ringing in the ear (tinnitus) should also prompt a visit to a healthcare provider.

Specific populations, such as young children or infants, should have their ear symptoms evaluated promptly by a doctor. Their Eustachian tubes are shorter and more horizontal, making them more susceptible to fluid buildup and infection. Additionally, if there is any suspicion of a foreign object lodged in the ear, immediate medical help is necessary to prevent further damage or complications.

Relief and Prevention Strategies

For water trapped in the outer ear, several at-home methods can encourage drainage. Tilting the head to the side with the affected ear facing down and gently pulling on the earlobe helps straighten the ear canal, allowing water to flow out. A hair dryer on its lowest, coolest setting, held at least a foot away, can help evaporate the water. Over-the-counter ear drops with 95% isopropyl alcohol (sometimes with glycerin) dry the ear canal and prevent bacterial growth. Do not use these drops if you have a perforated eardrum or ear tubes.

For issues related to Eustachian tube dysfunction, techniques that help equalize pressure can provide relief. Swallowing, yawning, or gently chewing gum can activate muscles that open the Eustachian tubes. The Valsalva maneuver, performed by gently exhaling with the mouth closed and nose pinched, can also help equalize pressure in the middle ear. This maneuver pushes air into the Eustachian tubes, helping them open.

Preventing future occurrences of water in the ear involves several practical steps:

  • Thoroughly drying the outside of the ears with a towel after water exposure.
  • Using earplugs or a swim cap when swimming or showering to prevent water from entering the ear canal.
  • Managing allergies to reduce inflammation that might affect Eustachian tube function.
  • Avoiding the insertion of cotton swabs or other objects into the ear canal, as this can push earwax deeper or irritate the delicate skin.