Ear, Nose, and Throat Disorders
Question #7870
28 days ago
54

Otomycosis - #7870

Anonymously

For the past few weeks, I’ve been dealing with itching and discomfort in my right ear. At first, I thought it was just a mild ear infection, but then I noticed some flaky skin and a weird discharge coming from my ear. When I finally went to the doctor, they told me I have otomycosis, which is apparently a fungal ear infection. I’ve never had an ear infection like this before, so I’m trying to understand how otomycosis happens. Does it only occur in people who swim a lot, or can it develop from something else like excessive ear cleaning or allergies? I do use earbuds often—could that have played a role? The doctor prescribed antifungal ear drops, but I’m wondering how long it usually takes for otomycosis to go away. Will the itching and discharge stop quickly, or does it take weeks to fully clear up? Also, is there a chance that the infection could spread to the other ear or deeper inside? I also read that otomycosis is more common in warm, humid environments. Does that mean I need to take extra precautions to keep my ears dry? Would using a hairdryer on a low setting after showers help prevent future infections? Another concern I have is whether otomycosis can come back after treatment. If someone has had otomycosis once, are they more likely to get it again? Is there anything I should do to keep my ears healthy and avoid fungal infections in the future?

Otomycosis
Fungal ear infection
Ear itching
Ear discharge
Antifungal treatment
Ear health
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
27 days ago
Otomycosis is indeed a fungal infection of the ear, and it can develop in several ways, not just from swimming. While being in warm, humid environments can increase the risk, other factors can contribute to its development. Excessive ear cleaning, particularly with cotton swabs or earbuds, can irritate the ear canal and disrupt the natural protective barrier, making it more susceptible to infections. Allergies may also play a role by causing inflammation that can affect the ear. Your use of earbuds could potentially contribute to this condition if they are not clean or if moisture gets trapped in the ear canal. It’s advisable to keep ear devices clean and to limit their use when experiencing any ear issues. Regarding the duration of treatment, antifungal ear drops typically take several days to start alleviating symptoms, but the total duration of treatment can vary. Most often, you should begin to see improvement in itching and discharge within the first week, but it may take longer to completely resolve, often up to two weeks or more, depending on the infection's severity. It's crucial to complete the full course as prescribed by your doctor, even if symptoms improve. In terms of the infection spreading, while it's generally localized, it is possible for it to affect the other ear or deeper structures in cases of severe or improperly managed infections. If you notice increased pain, fever, or more significant discharge, it’s imperative to contact your healthcare provider promptly. To help prevent future infections, keeping your ears dry is crucial. Using a hairdryer on a low setting after a shower can aid in drying your ear canal, but be sure to keep it at a safe distance and not too close to avoid any burns. Additionally, consider limiting moisture exposure in your ears. If you swim frequently, using earplugs can help prevent water from entering your ear canal. Otomycosis can recur, particularly if the underlying factors such as moisture retention or skin irritation persist. Maintaining ear hygiene is essential for prevention. Avoid inserting objects into your ears, as this can cause injury and facilitate fungal growth. If you have a known allergic condition that affects your ears, managing that with your healthcare provider's guidance can also be beneficial. You should monitor your symptoms closely and follow up with your doctor if you have any concerns during your treatment or post-treatment. If you find that the infection returns, discussing preventative strategies with your healthcare professional can provide additional tailored support.
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