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

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.

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.

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

The term swimmer's ear is a bit of a misnomer since other factors including scratches to your ear from Q tips, trapped perspiration inside the ear when you sweat, and living in tropical climates can elevate the risk of contracting this outer ear infection. But swimming poses the greatest risk: widely cited research has found that swimming elevates the risk of contracting this infection fivefold.

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.

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

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.

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.

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.

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.

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.

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.

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.)

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.

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.

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.

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.

There's no cure for tinnitus, but sometimes it goes away on its own

Though there's no cure, treatments and management approaches can significantly reduce symptoms and improve quality of life. Hearing aids, sound generators, and other steps can help some people with this condition. But sometimes tinnitus resolves within hours or days for reasons that remain unclear.

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.

Ménière's disease is a long-term, inner ear disorder that causes vertigo

This severe vertigo-causing disorder may involve long and recurrent episodes of vertigo. Symptoms of this disease include balance issues and hearing loss, tinnitus, and a feeling of fullness in the ear. It typically affects only one ear and is linked to a buildup of excess fluid in the inner ear.

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.

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.

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%.

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

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.

Candida auris spreads easily in healthcare facilities and causes high death rates

This fungus has spread rapidly in healthcare settings since the first US case was reported in 2016, and it has grown increasingly resistant to echinocandins, the antifungal medicine most commonly used to treat it. Often, it’s resistant to multiple antifungal drugs, contributing to its high death toll. It can most readily infect those with invasive medical devices like intravenous catheters and those with frequent or long-duration stays in healthcare facilities.

Cochlear implants stimulate nerves inside the ear to provide the sensation of sound

In a surgical procedure, one part of the implant is placed under the skin behind the ear and electrodes are threaded into the cochlea in the inner ear. Another part of the implant sits behind the ear and picks up sound and then converts it into patterns of nerve stimulation.

Watch how your nervous system's efforts to process silence can contribute to tinnitus

Cochlear cells can be damaged in numerous ways, including aging or exposure to loud noise. If enough cells die, the auditory system can become less sensitive, prompting the brain to compensate by amplifying sound, which is likely to contribute to tinnitus.

An ear doctor with hearing loss seeks to help those with hearing loss enjoy music

Alex Chern, an ear doctor who has hearing loss himself, dreams of restoring the ability to experience "all the richness and the beauty of the sound of music" for patients—not just functional hearing. Hearing aids amplify sound waves and aren't designed to work well with music that may have varied pitch and volume. Chern is studying how hearing loss and engaging with music may affect cognitive decline.

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.

To get that song out of your head, try distracting yourself or playing a new song

Around 90% of people experience getting a snippet of a song stuck in their head, also known as an earworm. Researchers think they are linked to memory, repetition, and inner rehearsal. Before written language, music was used alongside rhyming in many cultures to help people preserve oral histories.

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.

Gene therapy is restoring hearing among kids with genetic deafness

Gene therapy for profound genetic deafness has been advancing in recent years, with multiple clinical trials enabling hearing at normal levels for the first time without hearing aids or cochlear implants. The therapies target hearing loss caused by mutations in the OTOF gene that codes for a protein called otoferlin. That protein normally plays a key role in relaying sound signals in synaptic transmission between the ear's inner hair cells and the auditory nerve.

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.

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.

Most custom earmolds for in-ear hearing aids are made using 3D printing

The technology has also been utilized for behind-the-ear and receiver-in-canal hearing aids, allowing for the creation of structures tailored to the patient's anatomy for enhanced effectiveness. 3D printing has also been used to print retinal eye cells and custom eyeglass frames.

Ancient Egyptian papyrus from 16th century BCE seems to reference tinnitus

Ancient Egyptians wrote that they treated "bewitched ear" with herbal concoctions that involved frankincense and other ingredients, which were placed in the ear.

BPPV occurs when tiny calcium particles called otoconia become dislodged

WIth this condition, formally known as benign paroxysmal positional vertigo, calcium particles that normally help the brain interpret head movement and position migrate for unknown reasons into the ear's semicircular canals, sending irregular nerve impulses to the brain, which cause intense vertigo episodes.

Cochlear implants are raising questions about deaf identity and culture

The rise of cochlear implants, which are usually covered by insurance and can enable hearing for many patients, raises questions about what it means to be deaf, the effects on deaf individuals learning American Sign Language, and about deaf culture. Watch this video that discusses the controversies and spotlights a little girl who hears for the first time with her cochlear implant.

Age-related hearing loss, known as presbycusis, is a top cause of hearing loss

This video walks through the biology of why presbycusis (prez-buh-kyoo-sis) occurs and its etiology. This type of hearing loss is gradual and typically starts with reductions in the ability to hear high-pitched sounds.

Ménière's disease was first identified in 1861

This condition is named after the French clinician Prosper Ménière, who first identified it as being linked to the inner ear, noting it was a disorder of the semicircular canals. It tends to occur in people who are 40 years old or older.

In the womb, a fetus may begin to hear at 18 weeks

Though little indentations form on the side of the fetus's neck at roughly nine weeks—with some formations taking place even before then—developmentally, these indentations don't become ears that allow a little one to hear until around 18 weeks.

The three smallest bones in the human body—the malleus, incus, and stapes—amplify the vibrations of sound waves by almost 20 times to help enable hearing.

Read Charles Darwin's description of his tinnitus suffering

When he was 57 years old, Darwin wrote to a new doctor about his suffering from a variety of maladies, including "singing of ears", vomiting, recurring flatulence, vomiting, and more. He noted how he believed his stress contributed to these symptoms.

Stuffy nose congestion occurs because of swelling of the inferior turbinates

These structures in the nose above the nose hairs swell and shrink constantly and are affected by head position. They can fill with blood during illness, causing the feeling of congestion, but also when a person changes position, especially when lying down. Medications can be used to shrink them, providing temporary relief.

Gene therapy for a rare type of deafness is allowing deaf children and adults to hear for the first time, according to research results reported in April 2026.

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.

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.

Cryptococcus neoformans, a growing threat, causes infections in the brain and lungs

This inhalable, microscopic pathogen is found worldwide. It rarely causes illness, but it can take root in those with compromised immune systems, including people with advanced HIV/AIDS. Symptoms of cryptococcal infection—such as a stiff neck, vomiting, and confusion—can begin weeks or months after breathing in spores, though sometimes symptoms won’t appear for years. There are no known cases of transmission between people or between people and animals.

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.