An itch deep in the ear can be incredibly frustrating. You may feel the urge constantly, yet the area is nearly impossible to reach safely. The encouraging news is that itchy ears are usually annoying rather than dangerous. Still, many people want to know why they happen and what can be done about them. Doctors explain the most common causes, simple home remedies, and the warning signs that mean you should get medical care.
Even though people often call it an “inner ear” itch, that description is not quite accurate, says Hae-Ok Ana Kim, M.D., division chief of otology, neurotology, and skull base surgery at Columbia University’s Irving Medical Center. What you are usually trying to reach is the skin of the outer ear canal, she explains, and that area is difficult for the hand to access.
Experts featured here: Hae-Ok Ana Kim, M.D., division chief of otology, neurotology, and skull base surgery at Columbia University’s Irving Medical Center, and Geoffrey B. Trenkle, D.O., a board-certified surgeon in otolaryngology and founder of the Los Angeles Center for Ear, Nose, Throat, and Allergy.
Here is what ear health specialists say may be behind the urge to scratch, and how to help keep ears comfortable and itch-free.
Why do the inside of my ears itch?
Doctors say there are several possible explanations for itchy ears.
Earbuds and hearing aids
Wearing earbuds or hearing aids for long periods can trap moisture, irritate the canal, or expose the area to allergens or bacteria, according to Geoffrey B. Trenkle, D.O., a board-certified surgeon in otolaryngology and founder of the Los Angeles Center for Ear, Nose, Throat, and Allergy.
Cotton swabs and too much cleaning
Using cotton swabs every day may seem like good hygiene, but it can do more harm than good. Dr. Trenkle says this habit can remove protective oils, create tiny injuries, or push debris farther into the ear. That can leave the canal dry and irritated, which often makes itching worse.
Skin conditions
The skin in the ear canal can be affected by the same problems that irritate skin elsewhere on the body, including eczema and allergies. Dr. Trenkle notes that cotton swabs can also increase sensitivity or aggravate existing issues. Dr. Kim adds that these problems share a common cause: inflammation, which is the body’s response to irritation or outside materials. A shortage of natural earwax, as well as conditions such as seborrheic dermatitis, can also lead to itchiness, Dr. Trenkle says.
Allergies to food or jewelry
According to the Cleveland Clinic, hay fever or a pollen allergy can sometimes make the ears itch after exposure to certain foods. If itching is accompanied by hives or itching elsewhere on the face, an allergic reaction is likely.
Metal allergies are also common, the Cleveland Clinic says, especially reactions to metals such as nickel or copper. If your ears regularly itch when you wear earrings made from a certain metal, that material may be the trigger.
Infection
Fungal and bacterial infections can develop when the ear canal stays warm and moist, such as after frequent swimming or bathing without fully drying the area. Itching can be one of the symptoms, Dr. Trenkle explains.
Excess earwax
Some people naturally make more earwax than others. If wax builds up, especially if it becomes impacted or tightly packed, it can irritate the canal, says Dr. Trenkle. In that case, professional treatment may be needed, or you may try an at-home earwax removal kit designed for irrigation.
Home remedies for itchy ears
The best way to prevent and ease ear itching is to keep the canal moisturized and clear of debris other than normal earwax.
Use mineral oil or ear drops
Dr. Kim says a few drops of mineral oil or baby oil placed at the front of the canal can help keep the skin hydrated. She suggests doing this once a week after showering or before bed, using an eye dropper bought from a pharmacy. Dr. Trenkle adds that over-the-counter ear drops can work similarly and may include anti-inflammatory ingredients or other moisturizers such as glycerin. Dr. Kim emphasizes that you should be sure nothing is stuck in the canal before trying anything like this.
Clean earbuds and hearing aids regularly
Dr. Trenkle says it also helps to clean these devices often and limit how long you wear them, which can reduce irritation and moisture buildup.
Keep the ear canal dry
Dr. Trenkle recommends protecting the ears from excess moisture by wearing earplugs while swimming or drying the ears gently after a shower.
Try a warm compress
A warm compress placed near the ear, not inside it, may soothe mild irritation or itching caused by dryness or minor inflammation, Dr. Trenkle says.
Do not scratch
Avoid putting fingers or other objects into the ear, as this can prevent additional irritation or injury, Dr. Trenkle says.
When to see a doctor about itchy ears
If you believe allergies are causing the itching, your primary care doctor can examine the area and suggest treatment, Dr. Trenkle says. If you also notice drainage, pain, changes in hearing, tinnitus, dizziness, or swelling, you should seek medical attention for a proper diagnosis. Those symptoms may point to an ear infection, which experts have previously said may require oral or topical antibiotics.
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