Embarrassing Illnesses

There are a number of things that you can do to avoid otitis externa and prevent it from recurring. These are detailed below.

Avoid damaging your ears

• Do not insert cotton wool buds, or other objects, into your ears. Wax works its way out naturally, and cotton buds should only be used to sweep around your outer ear (pinna).
• If you find that ear wax build-up is a problem, you should have it removed by a healthcare professional.

Keep your ears dry and clean

• Do not let water, soap, or shampoo get inside your ear when you wash. Wear a shower cap in order to avoid water, or soap, entering your ear while you are showering, or bathing.
• After washing, use a hairdryer, on a low setting, to dry your ears. Never push the corners of a towel into your ears to dry them, as this can cause damage.
• If you swim regularly, wear a swimming hat that covers your ears, or use ear plugs.

Treat and prevent other skin conditions

• If you develop otitis externa and you have an allergic disposition (you tend to have many allergies), you should inform your GP or practice nurse. Ear drops that contain certain substances, such as neomycin or propylene glycol, are more likely to cause an allergic reaction than others. Your GP, practice nurse or pharmacist will be able to advise you about which ear drops are most suitable for you.
• If you have an allergic reaction to anything placed inside your ears, such as hearing aids, ear plugs or earrings, you should remove the item. If the allergic reaction is mild it will usually clear up on its own. Using hypo-allergenic products (products that have a lower potential for causing allergic reactions) may also help.
• Make sure that you seek medical advice for any other skin conditions that you have, such as psoriasis or eczema, so that they can be treated using the right medication.
• Try using acidifying ear drops or spray to keep your ears clean, particularly before and after swimming. They may help to prevent otitis externa recurring and are available without a prescription in most pharmacies.