Managing Ear Inflammation: Tips for Itching and Blood Clots - Otolaryngology

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Ear inflammation


Hello Doctor: Over the past few months, I have developed wounds and inflammation in my ears due to cleaning them.
When the inflammation occurred, it was very itchy, and I kept digging into my ears, which did not allow the wounds to heal properly, resulting in a lot of dead skin in both ear canals.
Later, I visited an otolaryngologist who helped remove the dead skin from my ear canals (there was some bleeding during the procedure) and prescribed oral medication and ear drops.
I am still undergoing treatment; although my condition has improved significantly and I no longer clean my ears myself, I still experience occasional itching, and there are still blood clots (bruising) in my right ear canal.
I need to return for a follow-up examination.
I would like to ask if there are any methods to relieve itching in the ears, and how long it typically takes for the blood clots to disappear? Thank you!

Bi Er, 20~29 year old female. Ask Date: 2021/12/05

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you have an itchy ear, you can apply a cold compress or ice pack near the outer ear to relieve the discomfort.
Alternatively, you may consult a physician for oral medication or topical ointment.
As for the absorption of blood clots, it may take several weeks.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/12/05

More Info


Managing ear inflammation, particularly when it involves itching and the presence of blood clots, can be a challenging experience. Based on your description, it seems that you have been dealing with complications from improper ear cleaning, which led to inflammation and the formation of dead skin in the ear canal. This is a common issue, and it’s good that you sought medical attention from an ear, nose, and throat (ENT) specialist.

First, let’s address the itching in your ears. Itching can be caused by several factors, including dryness, irritation from cleaning, or even an allergic reaction to products used in the ear. Here are some tips to help manage the itching:
1. Avoid Scratching: It’s crucial to resist the urge to scratch or insert objects into your ears, as this can exacerbate irritation and lead to further injury or infection.

2. Moisturize: If dryness is contributing to the itching, consider using a few drops of mineral oil or a specialized ear oil to help moisturize the ear canal. This can provide relief from dryness and itching.

3. Cool Compress: Applying a cool, damp cloth to the outer ear can help soothe itching and reduce inflammation. Just be sure not to insert anything into the ear canal.

4. Over-the-Counter Remedies: There are over-the-counter antihistamines that can help if the itching is due to allergies. Additionally, topical corticosteroid creams may be prescribed by your doctor to reduce inflammation and itching.

5. Follow-Up with Your Doctor: Since you mentioned that you still have some blood clots in your ear, it’s essential to follow up with your ENT specialist. They can assess the situation and determine if further treatment is necessary.

Regarding the blood clots in your ear, the healing time can vary depending on several factors, including the extent of the injury and your overall health. Generally, blood clots in the ear canal can take a few days to a couple of weeks to resolve. Here are some points to consider:
1. Observation: Monitor the blood clots for any changes. If they begin to decrease in size and color, that’s a positive sign. However, if you notice increased pain, swelling, or discharge, you should seek medical attention promptly.

2. Avoid Water Exposure: Keep your ears dry while they are healing. Avoid swimming and be cautious when showering to prevent water from entering the ear canal.

3. Medication Compliance: Continue taking any prescribed medications, such as antibiotics or anti-inflammatory drugs, as directed by your doctor. This will help manage inflammation and prevent infection.

4. Regular Check-Ups: Since you have a history of ear issues, regular check-ups with your ENT specialist are vital. They can provide ongoing care and monitor your recovery.

In conclusion, managing ear inflammation, itching, and blood clots requires a combination of self-care strategies and professional medical guidance. It’s essential to avoid further irritation to the ear, keep the area clean and dry, and follow up with your healthcare provider for any persistent symptoms. With proper care, you should see improvement in your symptoms and overall ear health. If you have any concerns or if your symptoms worsen, do not hesitate to seek medical attention.

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