Many people are worried when water enters their ears and acc antiscion in f are the m anovre more str ring with a sper anz to f arl to get out. What should be done? If we are sure that our ears are clean and only water has entered, we must do NOTHING. The water, with the temperature of our body, slowly evaporates.
Bringing water out of your ears is a topic that is very popular with DIY enthusiasts. If we surf the internet we find an infinite number of people who spread the most disparate tips to free their ears from the water. With this article I hope to make it clear that any maneuver done on yourself, without being able to look in the ear, is risky and wrong.
There is also some prejudice that water in the ears is harmful. Water, obviously clean water from a shower or from the sea or a lake does not pose any risk. If one after a bath experiences more or less intense discomforts he must verify that he has not had contact with polluted water and that he does not have a pre-existing disease and the water (or rather humidity) has activated it. In the latter case, a specialist examination must be resorted to because the patient will easily have bacterial or fungal external otitis (see points 4 and 5 below).
I now examine the most common situations which, after a bath or shower, lead to the sensation of having water that has entered the ears and does not come out.
1 – Patient with clean ears and normal external ear canal.
2 – Patient with clean ears, but with anomalies or pathologies that restrict the duct.
3 – Patient with ear wax.
4 – Bacterial external otitis.
5 – External mycotic otitis.
6 – Eczematous dermatitis of the external auditory canal (eczema)
7 – Foreign body in an ear
Patient with clean ears and normal external ear canal
The person with clean ears doesn’t have to do anything, he just has to wait. If you have taken a swim in the sea or in the outdoor swimming pool during the day, you just need to stay in the sun and wait. If you have taken a swim in the pool and the sun is not there, you can help yourself with the hairdryer (obviously used at a safe distance from your ears). Hot air facilitates the evaporation of water. If you have made the stunt of the swim in the sea at midnight and the water in your ears is very annoying you can look for a hairdryer or bring patience and let the water slowly evaporate.
The problem is another: how can you be sure that your ears are clean? People feel clean because they shower every day, but this is irrelevant to the ears. By subject with clean ears is meant a patient who had his ears seen by a doctor, who with a special tool, saw the tympanic membranes well and said that the ears are clean.
From these first considerations derives a very simple behavioral rule: if you have the habit of going to the beach or swimming pool, before throwing yourself in the water, let your specialist see your ears, at least once a year.
Otoscopy is important because there are situations [see next point 2] where water will struggle to get out and the specialist will tell you right away.
Patient with clean ears, but with anomalies or pathologies that restrict the duct
This group includes those subjects who underwent an ENT examination and were told that they have narrowing of the duct, normal membrane and absence of ear wax. The main diseases that restrict the conduit are: the exostoses of the conduit, the stenosis (or constrictions) of the conduit the presence of polyps or any other benign (or even malignant) neoformation of the conduit.
The specialist, based on what he has seen, will explain to you what you should do and what you should expect. For example, if your problem is a stenosis or an osteoma, go to the beach calmly, clearly after a swim you will struggle to free your ears from the water, you will have to wait longer than the others. If your problem is an expansive polyp or tumor process, then it will be good to think about removal.
All narrowing of the conduit can improve with adequate surgical treatment. As for bone constrictions (e.g. exostoses), the intervention is not urgent. You can also go to the sea or to the swimming pool, but you must be aware that this problem will retain the water in the bottom of the ear canal and you will only have to wait a long time for it to evaporate. You won’t have to do anything, just wait even longer than a day.
Patient with ear wax
Here we are in front of people who didn’t show their ears before going to the beach. These subjects after the first bath or even after a shower will complain because they think that the water has stopped in the ears. The problem is completely different. Water entered the ear canal and found earwax (Fig. 2). The earwax is hygroscopic, has absorbed water and has increased in volume. The effect is logical, after bathing or showering the patient with earwax perceives discomfort and a noticeable drop in hearing. Thinking that it is the water left inside the duct is simply a mistake. It is the earwax that, with water, has increased in volume.
Bacterial external otitis
Even these people in most cases did not visit before going to the beach or swimming pool. These people have germs in the ear. They often have minimal secretions. With the arrival of summer and water in the ears. A warm and humid environment is created which favors the development of germs. In these cases the problem will not occur with the first bath as for the earwax plug (see point 3). But days will have to pass. Germs will develop otitis externa, the duct will become inflamed. Inflammation will involve the timapnica membrane, there will be pain and a feeling of a closed ear. Also in this case a visit is essential. The specialist must understand that it is bacterial otitis, he must exclude a plug (see point 3) or a mycosis (see point 5) or a foreign body (see point 6).
In several cases germs may not be present in the ear and penetrate with sea or swimming pool water. Be careful when doing the b in gno. It must choose a place that is not in inquin ato or, if you see in outdoor pool in a, is import ante that the ‘ acqu to you to Correctly in mind tr att at a with chlorine.
If your problem is an inflammatory fact involving edema, then a narrowing, then you will need to undergo anti-inflammatory and antibiotic therapy before going on vacation.
External mycotic otitis – otomycosis
The ear mycosis is an amal acts araramahalac ar atteristic to develop arsi facily in the summer. In many people the fungi are silent in the external auditory canal. The subject does not notice anything. He goes to the sea or the river or even to the swimming pool and shortly thereafter he begins feeling of a closed ear, pain and sometimes even foul-smelling secretion. The patient thinks it is the water that has stopped in the ear and does not want to go out. It is not so.
The water has created a humid and warm environment, very conducive to the growth of the fungi. In the example I made, the fungi were pre-existing in the bathroom, but in many cases it is the water that brings the mushrooms into the duct. It is not essential to establish how the fungi entered the ear. It is important that an otomycosis develops. The remedies proposed by non-doctors such as injecting water in the ears or other devilries of this type are completely useless. Otomycosis is a serious disease, difficult for even the best specialists to combat. The advice you can find on the Internet is just nonsense. They only serve to delay the diagnosis and consequently delay the treatment. Making the result even more uncertain.
Eczematous dermatitis of the external auditory canal (eczema)
It is a skin disease that lines the external auditory canal. It particularly affects allergy sufferers. The skin tends to flake, hence the name of desquamative dermatitis. Small flakes of skin, white / yellowish in color, settle in the duct. When you take a bath and water enters the ear. It is absorbed by the skin scales with a tendency to form a plug. In some cases, a mixture of ear wax and skin scales is observed. A characteristic cap is thus formed where the scales are on the outside and inside there is earwax.
Obviously as these people get out of the water or finish the shower. They have the feeling that their ear is plugged. They think there is water left in the ear, but this is a mistake. An ENT examination is needed, cleaning of the ear canal and suitable therapy. The products most often used are cortisone-based. Combinations (cortisone + antibiotics) are often used because there may be associated infections. Obviously the choice of the type of drops to be used is strictly specialized. Must be made on the basis ofotoscopic picture . If, for example, there is a membrane perforation, the range of usable antibiotics will be very limited.
Some doctors recommend ointments or ointments to be introduced into the ear canal; I am against the use of these substances because they easily settle in the duct and cause unpleasant sensations.
Foreign body in an ear
Here you love in front in situ very r actions are, m in no exception wings. It seems strange but it can happen that a foreign body enters the ear. The bodies that are most often found in the ears are balls. Plastic fragments of small toys, small pieces of wood, small pieces of leaves. In all these cases , otoscopy is essential. This should already make it clear that DIY will never solve this problem. In reality, water has a marginal function. When there is a foreign body and the patient takes a bath. Water is easily trapped in the conduit. In some cases, as in sponge fragments, or of wood. Water increases the volume of the foreign body and this remains well inserted in the duct.
Spherical foreign bodies are very dangerous
They can be beads from a necklace. Small beads from a game that has broken, etc. The sphere almost completely occupies the duct. From a feeling of closed ear and if there has been a bath or shower it is easy for the liquid to flow between the ball and the tympanic membrane. Hearing loss and discomfort are the dominant symptoms. Incongruous maneuvers to try to free the ear are useless. But always harmful. All the maneuvers that involve the introduction of something in the duct such as the introduction of a wax cone. The introduction of the tip of a pear or a syringe without a needle do nothing but push the ball deeper and deeper. The extraction of a foreign body from the external auditory canal is a difficult specialist maneuver.
As you can see, the feeling of a closed ear that you feel after a bath is not the symptom of a single pathology. It can derive from very different causes. The fundamental point is that the ears are an easily visible organ and therefore when there is a problem someone competent (general practitioner or ENT specialist) must look at the ears. All these strange ideas that are rampant on the WEB related to self-diagnosis and self-treatment are always to be excluded.
For the diagnosis it is important to know what the patient has done and what he perceives, but it is not enough. It is of paramount importance to look inside the ear .