
Swimmer’s ear vs. middle ear infection: Ear pain can be tricky. Sometimes it’s just mild discomfort, but at other times, it can turn into a full-blown infection. Two common types of ear infections are swimmer’s ear and middle ear. Though they might feel similar, they’re actually quite different, and so is the way you treat them.
What is a swimmer’s ear infection?
Swimmer’s ear, or otitis externa, affects the outer ear canal, the part that runs from the outside of your ear to the eardrum. It often happens when water gets trapped in the ear after swimming, bathing, or even during a shower. The moisture creates a breeding ground for bacteria and fungi.
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What are the symptoms of a swimmer’s ear infection?
You’ll usually notice symptoms like itching inside the ear, redness, mild pain, and sometimes a clear fluid discharge. In severe cases, the pain can spread to your jaw or the side of your face. One key thing: if pulling on your outer ear hurts, it’s likely a swimmer’s ear.
What is a middle ear infection?
Middle ear infection, or otitis media, occurs behind the eardrum. It’s more common in children but can affect adults too, especially during or after a cold, throat infection, or sinus congestion.
The middle ear fills with fluid and becomes infected, often due to a blocked Eustachian tube (the passage that connects the ear to the back of the throat). Symptoms include ear pain, a feeling of fullness, trouble hearing, and sometimes fever. In some cases, the eardrum might burst, leading to pus-like drainage.

How is a swimmer’s ear and a middle ear infection treated?
A swimmer’s ear is usually treated with antibiotic ear drops and by keeping it dry. On the other hand, middle ear infections may need oral antibiotics, especially if there’s fever or severe discomfort. Using the wrong treatment, like putting ear drops in a middle ear infection, can do more harm than good. That’s why it’s important not to self-diagnose.
What to do if the ears are infected?
- If you’re prone to swimmer’s ear, dry your ears after water exposure.
- For middle ear infections, treating colds and allergies early can help prevent them.
- Always consult a doctor if ear pain lasts more than a day, especially if there’s a fever or discharge.
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Understanding the difference between the two helps you seek the right care at the right time and protect your hearing in the long run.