H60.313

Clinical Causes: Excess moisture in the ear canal, often due to swimming or bathing Injury or trauma caused by scratching, inserting objects like ear buds or hearing aids Bacterial or fungal infections that invade the skin of the ear canal Allergic reactions to earrings, hair products, or other allergens Skin conditions such as eczema or psoriasis affecting the ear canal Prolonged use of hearing aids or earphones that can trap moisture Obstruction or blockage in the ear canal, leading to buildup of fluids

Key Symptoms: Itching within the ear canal Redness and swelling of the outer ear and ear canal Discomfort or pain, which may worsen with movement of the jaw or pressure Drainage of clear, yellow, or pus-like fluid A sensation of fullness or pressure in the ears Decreased hearing or sensitivity in affected ears Tenderness when touching or pulling on the outer ear

Diagnosis Path: Healthcare professionals diagnose diffuse otitis externa, bilateral, through a physical examination of the ears. They typically inspect the ear canal with an otoscope to observe redness, swelling, and any discharge. The doctor may also inquire about recent water exposure, symptoms, and prior ear issues. In some cases, samples of drainage may be taken to identify bacterial or fungal involved organisms, guiding appropriate treatment.

Treatment Protocols: Treatment aims to relieve symptoms, eliminate infection, and prevent recurrence. Common approaches include: - **Ear Cleaning:** Gentle removal of debris and excess moisture by a healthcare professional - **Medications:** Ear drops containing antibiotics or antifungals to combat infection - **Pain Management:** Over-the-counter pain relievers or prescribed medications for discomfort - **Keeping Ears Dry:** Avoiding water exposure during healing, using ear plugs or drying drops - **Addressing Allergies or Skin Conditions:** Using prescribed topical or systemic medications as needed In severe cases, oral antibiotics may be prescribed. It's important to follow medical advice regarding ear maintenance and medication use to prevent complications or recurrence.