Illness & Symptoms
Ear - Swimmer's
Is this your child's symptom?
- An infection or irritation of the ear canal from lots of swimming
 - The ear canal is itchy or painful
 - Also caused by using cotton swabs
 
- If NOT, try one of these: 
 - Ear - Congestion
 - Earache
 - Earache
 
Symptoms of Swimmer's Ear
- Starts with an itchy ear canal
 - Ear canal can become painful
 - Pain gets worse when you press on the tragus. (The tragus is the tab of tissue in front of the ear.)
 - The ear feels plugged or full
 - Ear discharge may start as the swimmer's ear gets worse
 - No cold symptoms or fever
 
Cause of Swimmer's Ear
- Water gets trapped in the ear canal. Then, the lining becomes wet and swollen.
 - This makes it prone to an infection with germs (swimmer's ear).
 - Wax buildup also traps water behind it. Most often, this is caused by cotton swabs.
 - Ear canals were meant to be dry.
 
When to Call for Ear - Swimmer's
 Call Doctor or Seek Care Now
  |  
  Contact Doctor Within 24 Hours
 Contact Doctor During Office Hours
  |  
  Self Care at Home
  |  
Call Doctor or Seek Care Now
- Severe ear pain and not improved after using care advice
 - Redness and swelling of outer ear
 - Fever higher than 104° F (40° C)
 - Your child looks or acts very sick
 - You think your child needs to be seen, and the problem is urgent
 
Contact Doctor Within 24 Hours
- Yellow discharge or pus from ear canal
 - Fever
 - Blocked ear canal
 - Swollen lymph node near ear
 - Your child has ear tubes
 - You are not sure that ear pain is caused by swimmer's ear
 - Ear symptoms last more than 7 days on treatment
 - You think your child needs to be seen, but the problem is not urgent
 
Contact Doctor During Office Hours
- You have other questions or concerns
 
Self Care at Home
- Swimmer's ear with no other problems
 
Care Advice for Mild Swimmer's Ear
What You Should Know About Swimmer's Ear:
- Swimmer's ear is a mild infection of the ear canal.
 - It's caused by water getting trapped in the ear canal. Ear canals were meant to be dry.
 - Here is some care advice that should help.
 
White Vinegar Rinses:
- Rinse the ear canals with half-strength white vinegar. Mix vinegar with equal parts warm water. Exception: ear tubes or hole in eardrum.
 - Start by having your child lie down with the painful ear upward.
 - Fill the ear canal.
 - Wait 5 minutes. Then, turn your child's head to the side and move the ear. This will remove the vinegar rinse.
 - Do the other side.
 - Continue twice a day until the ear canal returns to normal.
 - Reason: restores the normal acid pH of the ear canal and lessens swelling.
 
Pain Medicine:
- To help with the pain, give an acetaminophen product (such as Tylenol).
 - Another choice is an ibuprofen product (such as Advil).
 - Use as needed.
 
Heat For Pain:
- If pain is moderate to severe, use a heating pad (set on low). You can also use a warm wet cloth to outer ear.
 - Do this for 20 minutes. Caution: avoid burns. Repeat as needed.
 - This will also increase drainage.
 
Reduce Swimming Times:
- Try not to swim until symptoms are gone.
 - If on a swim team, it's usually okay to continue.
 - Swimming may slow your child's recovery, but causes no serious harm.
 
Return to School:
- Swimmer's ear cannot be spread to others.
 
What to Expect:
- With treatment, symptoms should be better in 3 days.
 - They should be gone in 7 days.
 
Prevention of Swimmer's Ear:
- Try to keep the ear canals dry.
 - After showers, hair washing, or swimming, help the water run out of ears. Do this by turning the head.
 - Do not use cotton swabs. Reason: packs in the earwax. The wax buildup then traps water behind it.
 - If swimmer's ear is a frequent problem, rinse the ear canals after swimming. Use a few drops of a white vinegar-rubbing alcohol rinse. Use equal parts of each to make the rinse.
 - Lake water has the greatest risk. Rinse the ear canals with tap water after any lake swimming. Do this until you can get vinegar ear drops.
 
Call Your Doctor If:
- Ear pain becomes severe
 - Ear symptoms last over 7 days on treatment
 - You think your child needs to be seen
 - Your child becomes worse
 
Remember! Contact your doctor if you or your child develop any "Contact Your Doctor" symptoms.
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
Copyright 2000-2025 Schmitt Pediatric Guidelines LLC.
Reviewed: 5/5/2025 Updated: 1/25/2025

