Why does swimmer's ear cause earache?

The outer ear canal is lined with delicate skin over bone and cartilage, leaving little room for swelling. In swimmer's ear, moisture or minor damage to that skin can lead to inflammation. As the canal narrows, everyday movement of the outer ear can pull on sore tissue and trigger pain.

Earache is a very common presentation of Swimmer's Ear. Pain may become more noticeable when you press the small flap at the ear entrance, pull the outer ear, chew, or lie on that side. It may occur with itchiness, a blocked sensation, discharge, or muffled hearing. Ear pain also has causes outside the canal, including dental and throat problems.

Keep water out of the affected ear and avoid swimming while symptoms are active. Do not scratch inside the canal or try to remove wax with cotton buds. A warm cloth held against the outside of the ear may be comforting. A pharmacist can advise on pain relief that is appropriate for you.

If a clinician confirms swimmer's ear, treatment may include ear drops chosen for the cause and the condition of the eardrum. Use drops exactly as directed and mention any previous ear surgery, a hole in the eardrum, diabetes, or immune-system condition.

Seek same-day medical advice if pain is severe, the ear becomes very swollen, you have fever, discharge, new hearing change, or pain that is worsening despite basic care. Get urgent help for swelling or redness spreading around the ear, dizziness, weakness in the face, or if you feel very unwell.

Ask whether the pain is coming from the ear canal, whether the eardrum is intact, which activities to avoid, and what symptoms should prompt an earlier review.