Ear Infections: Causes and Effects on Hearing - Otolaryngology

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Hello Yun Yun,
Thank you for your question regarding your ongoing ear issues. It sounds like you have been dealing with persistent ear inflammation and itching, which can indeed be quite uncomfortable and concerning. Let's delve into the causes of ear infections, their effects on hearing, and some potential management strategies.

Ear infections, particularly external ear infections (otitis externa), can be caused by a variety of factors. These include bacterial or fungal infections, moisture in the ear canal, allergic reactions, and even trauma from inserting objects like cotton swabs into the ear. The skin inside the ear canal is delicate and can easily become irritated or inflamed, especially if it is scratched or if foreign objects are introduced. This irritation can lead to a cycle of itching and scratching, which exacerbates the inflammation and can result in infection.

The symptoms you describe—itching, inflammation, and the use of cotton swabs—are common in cases of otitis externa. The inflammation can lead to a feeling of fullness or blockage in the ear, and in some cases, it can affect hearing. This is because swelling and discharge can obstruct the ear canal, preventing sound from reaching the eardrum effectively. If the inflammation is chronic, it can potentially lead to more significant hearing loss, especially if not managed properly.

Regarding your concern about the skin condition inside your ear, if you have dry, flaky skin, it may contribute to the itching and irritation. Conditions such as eczema or psoriasis can affect the ear canal, leading to similar symptoms. Additionally, if you have a history of allergies, this could also play a role in your ear symptoms, as allergic reactions can cause inflammation and itching.

To manage your symptoms and prevent further complications, here are some recommendations:
1. Avoid Inserting Objects: It’s crucial to avoid using cotton swabs or any other objects to scratch or clean your ears. This can lead to further irritation and increase the risk of infection.

2. Keep Ears Dry: Moisture can exacerbate ear infections. After swimming or bathing, ensure your ears are dry. You can tilt your head to allow water to drain out and gently dry the outer ear with a towel.

3. Consult an Ear Specialist: Since you have been experiencing these symptoms for two to three years, it would be wise to consult an otolaryngologist (ear, nose, and throat specialist). They can perform a thorough examination and may recommend treatments such as medicated ear drops to reduce inflammation and treat any underlying infection.

4. Consider Allergy Testing: If you suspect that allergies may be contributing to your symptoms, discussing this with your healthcare provider could lead to appropriate testing and management strategies.

5. Follow Up on Treatment: If you are prescribed medication, ensure you follow the treatment plan and attend any follow-up appointments to monitor your condition.

In conclusion, while chronic ear inflammation can affect hearing, timely and appropriate management can help mitigate these effects. It’s essential to address the underlying causes of your symptoms to prevent further complications. I encourage you to seek professional medical advice to get a tailored treatment plan that suits your specific needs.

Wishing you good health and relief from your symptoms!
Best regards.