Swim Season! Are Your EARS Ready?

Swim season is fully upon us, and with that comes a couple medical challenges. Today I'd like to focus on swimmer's ear.

What is swimmer's ear? 
This typically refers to an OUTER EAR infection caused by fungi or bacteria. The moisture left in the ear after swimming is fertile ground for these organisms to multiply, especially lake water.

What are the symptoms?
Swimmer's ear is PAINFUL and almost always one sided, despite the fact that both ears had the same exposure. (Differently shaped ear canals and varied amounts of ear wax are to blame for this discrepancy.) Since this is an outer ear infection, typically there are no other symptoms (such as stuffy nose, headache, or sore throat, like we see with middle ear infections.)

How quickly should you head to your doctor?
Good news here- often mild to moderate cases of swimmer's ear can be treated with over-the-counter solutions. If you are developing fever or intense pain, it's time to head call your doctor, but more mild symptoms can wait for a couple day trial of home therapy.

How is it treated?
Doctors treat these infections with ear drops that contain both antibiotics or anti-fungal medications, as well as drying and anti-inflammatory agents. However, there is a home concoction that works extremely well for prevention, and often can provide a remedy. Grab a bottle of vinegar and a bottle of rubbing alcohol, and mix them together half & half. This mixture can be spilled on to a cotton ball and squeezed into the ear canal OR my preference is to use the bottle from the over-the-counter swimmer's ear prevention product and fill it up with my "home brew". Place around six drops in each ear, and allow to drain back out- do this after every swim session, and three times/day if you develop a sore ear. Warming up the bottle in your hands will make it less irritating to your ears. The vinegar kills the bacteria & fungus and the alcohol dries up any remaining moisture. Voila! Prevention & cure- same solution.

Please remember that although this mixture will treat a large percentage of outer ear infections, if your sore ear isn't improving in a couple days, please call your doctor & let them take a look, as you may require stronger medications.

By the way, using q-tips to "clean" the ear serves to cause minor trauma to the ear canal and tends to make it easier to get these outer ear infections, so skip the q-tips, please.

BOTTOM LINE: If you (or your kids) are frequent swimmers, don't wait for a sore ear to start using swimmer's ear prevention this summer!

Summer Swimmer's Ear PREVENTION

Swimming all summer is FUN...till someone gets "swimmer's ear". An ounce of prevention here is truly worth the proverbial pound of cure, and the best news is that you can MAKE that "ounce" right in your kitchen!

Swimmers ear is caused by bacteria and fungi, which get access to the ear via the pool or lake water during swimming. (By the way, using q-tips to "clean" the ear serves to cause minor trauma to the ear canal and tends to make it easier to get these outer ear infections, so skip the q-tips, please.) 90% of the time, swimmer's ear only affects one ear. If you wake up with both ears hurting, it is more likely your middle ear causing the problem, and all the topical treatments in the world won't help.

Back to your kitchen- grab a bottle of vinegar and then a bottle of rubbing alcohol, and mix them together half & half. This mixture can be spilled on to a cotton ball and squeezed into the ear canal OR my preference is to use the bottle from the over-the-counter swimmer's ear prevention product and fill it up with my "home brew". Place around six drops in each ear, and allow to drain back out- do this after every swim session, and three times/day if you develop a sore ear. Warming up the bottle in your hands will make it less irritating to your ears. The vinegar kills the bacteria & fungus and the alcohol dries up any remaining moisture. Voila! Prevention & cure- same solution. I would estimate this will treat the vast majority of infections, but if your sore ear isn't improving in a couple days, please call your doctor & let them take a look. We certainly see "swimmer's ear" infections that require topical antibiotics and or topical steroids (to decrease inflammation and swelling.)

BOTTOM LINE: If you (or your kids) are frequent swimmers, don't wait for a sore ear to start using swimmer's ear prevention this summer!

Swimmer's Ear- Home Remedy

Here in Texas we are nearly done with school, and thoughts are veering away from finals and towards days filled with swimming, boating and all kinds of water activities. Austin boasts terrific natural swimming spots, including our lakes and our famous spring-fed Barton Springs pool, where the refreshing water stays at a cool 65 degrees even when we are baking in 100-plus temperatures. Not surprisingly, we tend to see an increase in swimmer's ear infections (otitis externa), which can not only be painful, but can limit your water fun. The good news is that prevention works extremely well, and even when that fails, you may not need to head straight to the doctor. The solution is EAR DROPS.

What drops do we use? We make our own home brew of half and half, alcohol and vinegar. (Yes, rubbing alcohol and generic cooking white vinegar.) To be honest, I like the convenience of the over-the-counter little bottle, so I actually buy one and pour out the contents, replacing it with our home remedy. An extra tip is to set it outside (in the shade in Texas) where it will warm up a bit before you put drops in your ears, so it's not cold and irritating.

This mix will actually work both for prevention and for treatment, if you forgot to use it ahead of time. Nine times out of ten, this will be all you will need! The vinegar kills the fungus, and the alcohol dries up any moisture that remains.
If you are an ear-wax-builder-upper, you may need to flush your ears periodically (such as once per month) using an infant bulb syringe and luke warm tap water, to remove packed in ear wax prior to putting in the home brew drops.

BOTTOM LINE: As always, an ounce of prevention is worth a pound of cure, but remember vinegar/alcohol ear drops for swimmer's ear and you'll be set!

Swimmer's Ear- Prevention and Treatment

If you've made it this far into the summer without anyone in your family getting swimmer's ear, congratulations! You're probably either not swimming, or you've been consistently putting drops in your ears after swimming. What drops do we use? We make our own home brew of half and half, alcohol and vinegar. (Yes, rubbing alcohol and generic cooking white vinegar.) To be honest, I like the convenience of the over-the-counter little bottle, so I actually buy one and pour out the contents, replacing it with our home remedy. An extra tip is to set it outside (in the shade in Texas) where it will warm up a bit before you put drops in your ears, so it's not cold and irritating.

This mix will actually work both for prevention and for treatment, if you forgot to use it ahead of time. Nine times out of ten, this will be all you will need! The vinegar kills the fungus, and the alcohol dries up any moisture that remains.
If you are an ear-wax-builder-upper, you may need to flush your ears periodically (such as once per month) using an infant bulb syringe and luke warm tap water, to remove packed in ear wax prior to putting in the home brew drops.

BOTTOM LINE: As always, an ounce of prevention is worth a pound of cure, but remember vinegar/alcohol ear drops for swimmer's ear and you'll be set!