Otitis media and swimming: what to know

Otitis media is an infection or inflammation behind the eardrum. It often follows congestion linked with a common cold or allergic rhinitis, rather than water entering the ear canal. Swimming may still be uncomfortable while earache, fever, dizziness, or reduced hearing is present.

If fluid is draining, the eardrum is perforated, or a ventilation tube is present, water precautions may be different. A clinician who knows the ear's condition can give specific advice.

Avoid swimming while you feel unwell or have ear discharge, significant pain, fever, or dizziness. Keep water out if advised, and do not put drops into the ear unless they have been recommended for your situation. When symptoms have settled, ask about a gradual return and suitable protection, particularly after a perforation or ear procedure.

Arrange a GP consultation if earache, hearing change, or discharge persists or returns after swimming. Seek prompt care for severe pain, high fever, swelling behind the ear, marked dizziness, worsening illness, or facial weakness. A child who is unusually sleepy, difficult to comfort, or drinking poorly also needs medical advice.

Ask whether swimming is appropriate now, whether the eardrum is intact, whether a tube or perforation changes the advice, and which symptoms should delay water activities. Confirm how to protect the ear during bathing.