Swimmer's ear is a medical condition, which involves inflammation, irritation or infection of the ear. It may affect the outer ear and also the ear canal. Swimmer's ear is called Otitis externa in medical terms. The condition may be acute to chronic in nature.

Causes
Swimmer's ear is an infection that's usually caused by bacteria commonly found in water and soil. Infections caused by a fungus or a virus are less common. This condition is more common in teenagers and young adults. It may occur due to a middle ear infection or because of a respiratory infection such as cold.
Swimmer's ear can occur as a result of swimming in unclean or contaminated water. These waters contain pseudomonas and other harmful bacteria, which can lead to such ear infections. The infections are rarely caused by fungus.

Swimmer's ear may also result due to other reasons. They can be:
1. Scratching the inside or outside of the ear.
2. Having something stuck in the ear. When you clean ear wax with cotton swabs or small objects, damage may occur. Using headphone or ear plugs for a long period of time may also cause swimmer's ear.
3. Allergic reaction to some object or anything placed in the ear may also cause Swimmer's ear. These may be hair products or jewelry.
4. Some chronic skin conditions like eczema and psoriasis may also lead to this infection.

Risk factors
There are several factors, which may enhance the risk of getting swimmer's ear. They are as follows:
1. Swimming in water, which has got elevated levels of bacteria. This includes lakes and ponds.
2. People having narrow ear canals are at a more risk of swimmer's ear.
3. Aggressive cleaning and scratching of the ear canal.

Symptoms
The symptoms which indicate swimmer's ear are:
1. tching of the ear canal. This becomes intense as the condition progresses.
2. Redness on the inside parts of the ear, which get more extensive in later stages.
3. Discomfort which worsens by pulling on the outer ear or pushing on the tragus of the front part of the ear.
4. Drainage of a fluid which is clear and odorless. As the condition worsens, there is excessive drainage of fluid along with the discharge of pus.
4. A fullness feeling in the ear and a partial blockage of the ear canal because of swelling and fluids.
5. In advanced stages, fever and swelling of lymph nodes in the neck is indicated. Hearing impairment may occur.

Swimmer's ear is a health condition, which involves the ear. The ear gets inflamed because of a certain bacterial infection. Although it is not a very severe condition, in some cases it can do significant harm.

Causes of Swimmer's Ear

The infection of the bone of the ear is Mastoiditis. This may be an acute infection needing hospitalisation and injectable drugs or may be in the form of slow bone eroding processes like cholesteatoma.

Let us learn more about this condition and its treatment

Understanding the mastoid bone: The mastoid bone is made up of air sacs and it looks a lot like a sponge. In this sense, it is different from the other bones that can be found in the human body. In order to function properly, this bone requires air from the other parts of the ear, including the Eustachain Tube which connects the middle part of the ear with the portion that lies at the back of the throat. If this tube gets infected due to any reason, the infection and bacteria can also travel to the Mastoid bone, leading to an infection in this area. Another form of the infection starts from the ear drum and a slowly progressive bone eroding process starts which spreads into the air sacs and can potentially spread to the brain.

Symptoms: Acute mastoiditis will present with earache, ear discharge and onset of fever and chills, as well as redness and inflammation behind the ear. Pain in the ear may be experienced along with headaches and swelling that may be experienced behind the eyes. At the very earliest sign, these symptoms must be reported to an ENT or ear throat nose specialist so that the treatment can happen at the earliest. Chronic mastoiditis may be due to repeated infections and bone eroding cholesteatoma which presents with repeated episodes of ear discharge which may be foul smelling and may even have blood.

Diagnosis: The diagnosis is mostly made on ear examination and may involve imaging tests like a CT scan as well as an MRI scan of the head and the ear. A simple X-ray of the mastoids can help in detecting the severity of the infection, and it spread.

Treatment: After diagnosing the problem with imaging tests as well as a detailed ear examination, the doctor will usually start the treatment by admitting the patient in the hospital. Antibiotic medication will be administered through intravenous methods, after which oral antibiotics will be prescribed for many days after the patient has been discharged from the hospital. Surgery may be required if the infection has not cleared up even after the use of antibiotics and is also done in cases of bone erosion. This surgery will be done to drain the infected fluid from the ear and remove a part of this Mastoid bone. Complications like facial paralysis and vertigo need to be discussed with the surgeon before the surgery.

Acute Mastoiditis - Symptoms, Diagonisis & Treatment

What are the causes and symptoms of ear discharge?

Ear discharge is the phenomenon of fluids being expelled from the ear. This condition is also known as otorrhea. 

The kinds of fluids that can be discharged from the ear range from blood to pus and other forms of bodily secretions. It is caused by a number of factors, which determine the exact nature of the condition and the diagnosis for treatment. 

What are the causes of ear discharge?
Some forms of ear discharge are natural, such as ear wax which is produced by the body as a form of defense against external particles that may enter the ears. Other forms are unnatural and result from anomalies in the health system. 
The causes of these include the following.

Infections: This is the most common cause of ear discharge and occurs when bacteria and viruses infect the inside of the ear and lead to the secretion of fluids, which builds up in the middle ear or at the eardrum.

Swimmer's ear: This condition is also known as otitis externa and is caused by staying in the water for prolonged periods. It results from excessive exposure to moisture that makes the walls of the ear canal to breakdown allowing bacteria and fungi to enter and infect the ear.

- Trauma: Excess pressure on the eardrum can cause it to rupture and discharge fluids. This happens due to a number of reasons such as exposure to loud explosive sounds or pressure from flying in aircraft and scuba diving.

- Skull injury: Damage to the bones behind the ear as a result of an injury can also lead to ear discharge due to infection.

-Tonsillitis: Inflammation of tonsils may cause pain or a repeated infection in the ear leading to fluid discharge.

What are the symptoms associated with ear discharge?
Some of the symptoms of otorrhea are as follows:
- Abnormal and unusual secretion of fluids from the ear
- Swelling of the ear
- Partial or complete loss of hearing
- Pain and throbbing in the ear
- Accompanying signs such as fever and migraine

Diagnosis and treatment of the problem depend on the exact cause and nature of the condition, which also determines treatment and recovery time.



Why Do You Get an EAR Discharge?

Ear aches are a common complaint for many children. An ear infection can be explained as an inflammation of the middle ear. Unlike other aches, this one cannot be soothed by scratching or applying pressure and hence makes children cranky. Ear infections are usually triggered by bacteria or viruses. 
This causes inflammation that narrows the tube in the ear and allows fluid to build up. This fluid buildup is responsible for the pain.

However, not all ear infections need to be treated with medication. When it comes to treating ear aches in children, picking a natural remedy is a much better option ,since it has no side effects and can address the root cause of the infection. Here are a few natural remedies for earaches:

1. Compress: Hot and cold compresses are very effective ways of treating pain and can be used for earaches as well. Place an ice pack or a warm, moist compress over the ear to soothe the ache. Heat relaxes the muscles and stimulates blood flow while ice controls inflammation and swelling. Hot and cold compresses should not be applied for over 20 minutes at a time. 

2. Water: Some actions can help open up the eustachian tube to the middle ear. Swallowing is one such action. To encourage your child to swallow, offer him lots of fluids. 

3. Oil: Before using oil to treat an earache ensure that your child is not suffering from a ruptured eardrum and there is no fluid leaking from the ear. Pouring a few drops of warm olive oil or sesame oil can help soothe the pain by opening up the eustachian tube. It can also prevent the buildup of excessive ear wax and form a protective layer on the outer ear against bacteria and other infections. 

4. Elevate the head: Elevating a child's head can help improve sinus drainage. When it comes to children, instead of using a pillow below their head, place the pillow below the mattress to create a gradual slope. 

5. Onion: Onions can be used in many different ways to treat earaches. You could either juice an onion and put a few drops of the same in the ear or slice an onion in half and heat it before placing it over the ear like an ear muff. Onion contains anti inflammatory and antibacterial properties that help soothe earaches effectively and quickly. 

If the earache does not reduce or if there is a discharge from the ear, do not continue to self treat it and consult a doctor immediately.

Natural Remedies for Ear Infections in Children

BAHA Implant
Bone Anchored Hearing Aid (BAHA) is a device surgically implanted to help people suffering from a loss of hearing. Most conventional hearing aids transmit sound through air conduction. The BAHA device is suitable for conductive or mild-moderate mixed hearing loss.

Problems with hearing in the middle or outer ears can be helped with the BAHA device. The sound waves received by the BAHA device bypass the middle ear and get delivered straight to the functioning cochlea in both ears.

A BAHA device comprises of two parts:
a) The processor 
b) A fixture which is surgically implanted behind the ear in the bone.

The implant is embedded in the bone. The processor, which remains outside, is attached to the implant. There is a microphone on the processor that picks up sounds. The sounds are passed on to the implant. The implant vibrates which triggers the Cochlear. You can consider wearing a BAHA implant if other conventional hearing aids do not work for you. BAHA implants are also given to people with collapsed or irritated ear canals.

Cochlear Implant Surgery

A complex, small electronic device that helps hearing in people with severe hearing loss or deafness is used in the Cochlear Implant Surgery. The cochlear implant comprises of an external piece behind the ear and another piece that is surgically implanted under the skin. A cochlear implant comprises of four parts:
1. A microphone which picks up sounds from the surroundings
2. A speech processor which chooses and arranges the sounds the microphone picks up
3. A receiver/stimulator and transmitter that picks up signals from the speech processor and changes them into electric impulses
4. An electrode ray, a bunch of electrodes, receives impulses the stimulator sends and transmits them to different areas of the auditory nerves.
The implant does not cure deafness; it only gives you a useful portrayal of sounds in the environment and considerable aid in understanding speech.

The surgery is done in the following way:
i. The area around the site of the implant is shaved or cleaned
ii. The patient's vital signs are monitored through cables, patches and monitors attached to him or her
iii. General anaesthesia is administered through IV or through a face mask
iv. After the device is implanted, the patient is taken to the recovery room for the anaesthesia effect to lessen.

BAHA Implant and Cochlear Implant Surgery

Ear aches are a very painful condition, which tends to affect mostly children. However, adults can be affected by ear aches as well, which can disrupt their routines and be quite painful. Let's have a look at some of the aspects of ear aches in adults.

Causes of ar aches in adults
There are many causes for ear aches in adults and it may vary from one person to another. However some general causes of ear aches in adults are listed below:

    Infections within the body: If you have a throat infection or cold, it could trigger an ear ache as a side effect. Treating the underlying problems will, thus reduce the ear ache or it will go on its own when the symptoms of the cold subside. 
    Ear canal injury: Adults are most often guilty of putting in sharp objects to clean their ear canal, which may result in an injury and also lead to infections. These injuries can also be infected and cause fluid discharge and ear aches.
    Blockages caused by the regular use of ear buds: Using ear buds or other sharp objects to clean the ear will only result in pushing the ear wax further into the ear. This will result in blockages of the ear canal and cause ear aches.
    Dental problems: Certain dental problems, such as wisdom tooth growth can result in problems. Even gum disorders have been known to create ear aches in adults.
    Jaw pain and facial pain: Jaw pain and even facial nerve pain has been known to affect ears and cause aches as well.

Symptoms that may accompany ear aches
Depending on what the causes of the ear aches are, the symptoms may vary. Still, let's have a look at some of the known common symptoms of ear aches in adults:

    Irritability and lack of focus: Ear aches may initially manifest as a headache and make the person irritable.
    Poor sleep: Fluids may build up within the body and thus cause issues while sleeping as the fluids may shift from one area to another.
    Ear drainage: If in case fluids build up, they may drain from your ear, which could vary anywhere within yellow to dark brown colour. This may even indicate that your eardrum is ruptured.
    Hearing problems: Fluid buildup or other underlying causes may also cause hearing difficulties.
    Fever: Sometimes, fever may run as high as 104 degree C due the very infections, which may be causing the ear ache.

Whatever may be the cause, if you have ear aches for sustained periods without underlying reasons, you should visit your doctor immediately to get it checked out, so that appropriate treatment can start quickly.


Ear Ache in Adults

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