Swimming boosts the risk of contracting swimmer's ear by fivefold

Children are at increased risk of contracting swimmer's ear

Kids may be more likely to spend time at the pool so they have that water exposure. They also tend to have narrow ear canals, a prime location for water to get trapped. Frequently wearing earbuds or excessively trying to rid ears of earwax, however, can also increase the chances of painful swimmer's ear infections at any age.

Learn about swimmer's ear, which sickens 1 in 10 Americans

This outer ear infection—in the tube leading from the ear opening to the eardrum—is usually caused by bacteria. Formally called otitis externa, this condition is commonly called swimmer's ear because microbes can enter the ear canal while swimming.

Swimmer's ear is not contagious

Though a lot of people may have symptoms of swimmer's ear at the same time at the same pool, that's because they are all swimming and the moisture is remaining in their ears—not because they are passing this bacterial or fungal-caused infection to each other. People of any age swimming in a pool, lake, or other body of water are all at risk, though children are considered particularly vulnerable.

Ear infections can arise from chlorinated water, too

Any water remaining in the ear can lead to swimmer's ear. Chlorinated water, however, can also strip the skin of the oils and wax that would otherwise protect the ear.

Swimmer's ear is America's most common waterborne illness, accounting for about 65% of annual waterborne illnesses and 20% of hospitalizations in that category.

Explore why swimmer's ear will not go away on its own

This infection is typically treated with ear drops to reduce inflammation and fight the bacteria or fungus that led to the issue. But without treatment, complications can arise, including a deep tissue infection, bone or cartilage damage, or—very rarely—spreading beyond the ear into the skull bones and surrounding areas.

Doctors explain that most ear infections—but not swimmer's ear—affect the middle ear

A typical ear infection occurs in the area behind the eardrum, but swimmer's ear is an infection of the ear canal. Its characteristic symptom is pain whenever the ear is moved, though it can also include itching and a sense of fullness. Symptoms typically begin within a few days or a week of a water buildup not being addressed.

Exactly who coined the term 'swimmer's ear' remains unknown

There is no record of anyone being the first person to call otitis externa by its most commonly known name, swimmer's ear. The earliest known use of the term was in a 1917 news article, according to the Oxford English Dictionary. The article in Connecticut's The Day stated that the illness was appearing among swimmers and bathers that summer.

Watch how to safely remove water from your ears without increasing your risk of infection.

Listen to why extensive ear rinsing can create problems

The clinician who hosts this podcast discusses how his patient developed swimmer's ear after he flooded his ears with water during his daily showers, ostensibly to clean them. The resulting itchy, painful ears were the result of removing protective earwax in the ear and also altering the typical pH of the ear.

See why wearing earbuds—instead of over-the-ear headphones—can cause ear infections

Earbud headphones can heighten the risk of ear infections. They can lead to earwax buildup and create a dark, moist environment as you sweat—ideal conditions for germs to thrive. Wearing external over-the-ear headphones or ones that don't enter deep into the ear canal can help.

Surfer's ear, from repeated cold water exposure, leads to new bony protrusions in the ear

Frequent exposure to icy cold water, typical in surfing, can cause tiny bony growths to develop in the ear canal, informally called surfer's ear. While the exact cause for these growths is unknown, it may be the body's protective response to shield the ear drum from the cold. These protrusions can heighten the risk of swimmer's ear, lead to wax buildup, and result in hearing loss.

Q-tips can cause more problems than they solve

Swabbing the ear with a Q-tip can disrupt the ear wax that naturally protects the ear from dirt and bacteria. It can also tear the delicate skin of the ear drum, causing permanent hearing loss and constant discomfort that's similar to the symptoms of swimmer's ear. (Some users may encounter a paywall.)

Infants are particularly at-risk for ear infections

The Eustachian tubes, which connect the middle ear to the upper throat and help to drain fluids and equalize pressure, are relatively flat at birth, making it hard for gravity to assist with drainage. The angle of these tubes changes and becomes steeper as we age, making fluid buildup in the ear canal less common.

We can get food poisoning from spending time in swimming pools, lakes, rivers, and ponds

Some of the same pathogens that may sicken us in food or water may also sicken us in recreational swimming environments. Bacteria can rub off of people’s (or animal’s) bodies or contaminate the water through a diarrheal episode. Washing your hands for at least 20 seconds before eating food if you are at the beach, pool, or other similar environments and being sure not to swallow the water are ways to help keep safe.

See what loud noises do to inner ear hair cells

This animation illustrates how louder music can affect inner ear hair cells. Damage to these cells is generally considered permanent. Hearing protection like ear plugs can reduce the level of sound entering into the ear and help protect those cells.

Neanderthals commonly had surfer's ear, a potential sign of extensive seafood collection

Analysis from 2019 found that about half of the 23 Neanderthal skulls scientists examined seemed to have the bony growths in the inner ear, signifying they had surfer's ear. Those growths suggest our ancient relatives, dating back to between perhaps 100,000 and 40,000 years ago, were potentially hunting fish, mollusks, or other marine resources in chilly waters.

Musicians are 57% more likely to have tinnitus compared to the general public

Musicians have four times the risk of developing hearing loss, and their risk of developing tinnitus is increased by more than half.

Cold water swimming can induce positive stress

The tradition of cold water swimming (or taking a cold plunge, or even a cold shower) has been shown to release the same hormones triggered during a stress response. This can have the effect of increasing blood flow, improved mental acuity, and more.

We may be using Q-tips in our ears—even when we shouldn't—because they can stimulate pleasure nerves

People continue to use Q-tips inside their ears even though we know it's risky. Some clinicians suggest that beyond the desire to get water out, this may be because the nerve bundle called the vagus nerve, which spans from the brain to the large intestine, can be stimulated that way, causing a pleasurable sensation in other body parts including the heart, belly, or genitals.

Although rare, HFMD can spreads in pools due to poor bathroom hygiene

In pools with inadequate levels of chlorine, this disease can spread via the poop-to-mouth route, though this isn't one of the most common ways the disease is transmitted. People can become infected by swallowing contaminated pool water after little kids (or their parents) don't do an adequate job removing virus-laden feces from the child before the child enters the water.

Some research suggests that the gut microbiome influences our risk of heatstroke, with elevated exercise levels raising body temperature to unsafe levels and increasing gut permeability—causing a "leaky" gut.

Some men may be at elevated risk of inheriting tinnitus

A 2017 Swedish Twin Registry study suggests that bilateral tinnitus—when tinnitus occurs in both ears instead of just one—appears to be heritable, at least in men.

If kids have ear tubes, over-the-counter ear drop solutions to clear buildup shouldn't be used

Mixes of acetic acid or alcohol to help speed water evaporation in the ears shouldn't be placed into children's ears if they have a hole in the eardrum or if they had ear tubes inserted—hollow cylinders made of plastic or metal that are inserted into the eardrum by a doctor to help drain fluid and improve airflow in the middle ear. Alcohol or acids can cause irritation to the middle ear and intense pain as they pass through the hole or tube.

If there were a swimming pool on the moon, where gravity is about one-sixth that of Earth, championship finswimmers could potentially launch themselves up to 5 meters (16 feet) in the air.

How hearing protection became cool

In recent years, the WHO shared research findings that over 1 billion teens and young people face risks of hearing loss due to unsafe listening practices. While earplugs used to hold a reputation for being uncool, this article explores how awareness has led to more people fashioning different types of hearing protection. Explore the growing trend of earplugs at raves, concerts, and other loud events.

Tinnitus is a rare side effect of COVID-19

The infection can affect inner ear cells, and a review of the literature across multiple studies concluded that hearing loss occurred in 3.1% of patients with the virus and tinnitus in 4.5%.

Becoming an Olympic swimmer costs tens of thousands of dollars

When you see Olympic athletes win gold, it's the culmination of years of hard work and discipline. But it isn't all sweat equity. Before ever stepping foot on the world stage, these athletes have to pay or find funding for private coaching and lessons, club memberships, and meet fees, with estimates that it costs $25K to $40K to make it to the Olympics.

Learn how your earwax may be determined by genetics—and geography

Researchers have discovered that wet and dry earwax are associated with specific gene variations. Wet earwax is particularly associated with warmer areas of Europe, Asia, and the Americas, suggesting that dry earwax may have been evolutionarily advantageous in cooler climates.

One decibel of hearing loss increases tinnitus risk by 6% for older people

That's according to an analysis of more than 18,000 people published in BMC Medicine in 2023. The tinnitus risk is not just limited to older people: The research also concluded that one decibel of hearing loss increases the risk of developing tinnitus among young adults by 3 percent.

If hearing is damaged, the brain may amplify remaining sounds, perhaps causing tinnitus.

Sickle cell trait can put people at elevated risk of heat-related illness

This hereditary blood disorder affects the shape and function of red blood cells. A US military study found that among recruits the incidence rate of exertional heat-related illness was 48% higher among those who had sickle cell trait as compared to those without. Easing into intense exercise and gradually increasing exertional frequency and intensity is recommended.

We hear because soundwaves are converted into electrochemical signals in our ears

This science teacher video systematically walks through the biology of the outer, middle, and inner ear. The explanation starts with the auricle, an external part that funnels sound through the auditory canal, and the tympanic membrane (the ear drum), which vibrates when sounds hit it. Beyond that, as the video details, is the eustachian tube, which is connected to the back of our throats and allows air to pass in and out to equalize ear pressure.

Reduced inflammation from cold plunges lacks scientific support

The cold water triggers immediate cold shock, increasing heart rate and blood pressure, and prolonged exposure can lead to cold-water incapacitation and hypothermia. Plungers are encouraged to enter the water slowly and manage their breathing to reduce the risk of shock. Warm baths post-plunge are discouraged, and exercise is generally better for recovery.

Heat-related complications are of greater concern for distance runners than cardiac threats

Analysis of more than 130,000 runners in Tel Aviv events during a seven-year period indicated that the runners were 10 times more likely to experience heatstroke than serious cardiac problems. Scientists suggest that runners should take 10 to 14 days to acclimate to a hot climate before tackling a serious run.

Extreme weather conditions heighten cholera risks in settings like refugee camps

Runoff from sewage—exacerbated by situations like flooding or extreme rains—heightens this threat. Increasing temperatures also create the ideal conditions for the bacteria to reproduce, increasing transmission risks.

Pickleball injuries were responsible for $350M in medical costs in 2023

Unsurprisingly, picklers over 50 account for 90% of the injuries, with the most common being sprains, strains, and fractures. Experts say a substantial pregame warm-up can prevent most injuries.

Read the 2012 study about captive orcas and the threat of mosquito-borne illness

Written by orca trainers who went on to become scientists, it states mosquitoes bite orcas at night when the animals hang out close to the surface. What's more, antibiotics used to keep captive orcas healthy also may depress their immune response, boosting the risks of them being unable to fight off diseases like West Nile Virus and encephalitis, which have killed orcas at US water parks.

Hearing loss can affect balance and make falls more likely

For reasons that are not yet fully understood, hearing loss seems to increase the risk of falls. One explanation is that reduced environmental awareness due to hearing loss may put people at greater risk. Another theory is that the brain has to work harder to process sound with hearing loss and that cognitive load may also boost the chances of falls. One study found that for every 10 decibel increase in hearing loss, there was a 1.4 fold increased odds of falling in the preceding 12 months.

Mosquito-borne illnesses have killed two captive orcas at SeaWorld since they became water park attractions.

People with tinnitus should avoid silence—sound-rich environments distract the brain

This podcast from an audiologist discusses common questions about tinnitus. It notes that tinnitus could be described as a phantom sound associated with hyperactivity in the brain. It's linked with loud sound exposures above 85 decibels, hearing loss associated with aging and stress, among other factors.

Exertional heatstroke is a leading cause of death among athletes and soldiers in training, and typically occurs when someone sweats intensely while exercising in the heat.

More than 5% of the world's population has disabling hearing loss

Disabling hearing loss is defined as hearing loss greater than 35 decibels in the better hearing ear. (For context, that means the sound of leaves rustling, at roughly 30 decibels, would be inaudible even to your better-hearing ear.) The World Health Organization's data suggests that more than 5% of the world's population has this level of loss requiring rehabilitation, which amounts to 430 million people—including 34 million children.

Eating too much salt can worsen vertigo

High salt intake can cause fluid retention in the inner ear, worsening vertigo. Slashing sodium amounts (and caffeine and alcohol consumption) are particularly recommended for those suffering from Ménière's disease to help stabilize inner ear fluid levels.

China reports the highest prevalence of hearing loss and South Africa reports the lowest

This conclusion comes from research published in 2025 that analyzed self-reported hearing loss and hearing aid use from long-term studies that covered 28 countries. Its findings included that the countries with the greatest prevalence of hearing loss (China, South Korea, Mexico, and Brazil) also had the lowest levels of hearing aid use.

Diving boards disappeared out of safety, but they don't cause most diving accidents

Bouncy diving boards were widely adopted in backyard and community pools in the 1960s. Reports identifying diving as the primary cause of sports-related spinal accidents exaggerated the role diving boards played (most diving injuries were in lakes, beaches, and rivers) and gave insurers a basis to reduce coverage.

Tinnitus estimates vary, but may occur in 10%-15% of the population

This video discusses the mechanisms underlying tinnitus and explores the knowns and unknowns about the condition. Tinnitus most commonly occurs among those with hearing loss, suggesting that cochlear damage may be a factor.

Five hazards of human spaceflight

From space radiation to isolation, humans struggle when it comes to traveling and living in space. What does this mean for long-term spaceflight? This hour-long podcast episode attempts to answer that question while detailing five major spaceflight hazards.

How water pressure affects the body

The extreme conditions of the deep sea include increasing amounts of pressure as explorers and organisms descend into its depths. The major danger for both fish and humans is the way pressure changes how body tissues absorb chemical molecules...

There's no cure for Ménière's disease, only medications to reduce frequency of attacks

Ménière's disease is an inner ear problem that can cause vertigo and hearing loss. Most of the time, Ménière's disease affects only one ear.