H60.559

Clinical Causes: Excess moisture trapped in the ear, often from swimming or bathing Physical trauma from scratching, insertion of cotton swabs or hearing aids Allergic reactions to earrings, hair products, or other allergens Bacterial infections, commonly due to bacteria entering through damaged skin Fungal infections in some cases, especially in warm, humid environments Underlying skin conditions such as eczema or dermatitis affecting the ear canal

Key Symptoms: Ear pain, often worsening when pulling or touching the ear Itching inside the ear canal Redness and swelling of the outer ear and ear canal Discharge from the ear, which may be clear, pus-like, or bloody A feeling of fullness or pressure in the ear Hearing difficulties due to swelling or fluid buildup Tenderness around the ear and sometimes fever in severe cases

Diagnosis Path: Healthcare providers typically diagnose acute reactive otitis externa through a physical examination. This involves inspecting the ear canal with an otoscope to look for redness, swelling, and discharge. The practitioner may gently probe the ear to assess tenderness and check for signs of secondary bacterial or fungal infection. In some cases, a sample of ear discharge may be collected for laboratory testing to identify the exact cause and guide treatment. A detailed history about recent water exposure, allergic reactions, or ear injury can also aid in diagnosis.

Treatment Protocols: Management of acute reactive otitis externa aims to reduce inflammation, control infection, and soothe symptoms. Common approaches include: - Use of medicated ear drops containing antibiotics to treat bacterial infections and corticosteroids to reduce inflammation - Cleaning the ear canal to remove debris and excess wax, performed carefully by a healthcare professional - Keeping the ear dry and avoiding water entry during healing - Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort - Avoidance of irritants like hair sprays, earrings, or inserting objects into the ear In cases of persistent or severe symptoms, a healthcare provider may prescribe oral antibiotics or recommend further intervention. Follow-up appointments ensure proper healing and help prevent recurrence.