Swimmers Ear

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An infection needs antibiotics to clear it up. For prevention use ear beer. Each time I dive, or swim, I use 50/50 alcohol and vinegar in each ear. The alcohol kills germs and dries water. The vinegar helps keep the ph balance in your ear. Quarry's and any other confined water is especially full of bacteria from the many people who are there. I got a nasty ear infection during my open water check out at a Florida Spring. I have used "ear beer" since and have never had another. I use a saline drops bottle for this since it is small and easy to keep nearby. I take a, small, bottle of alcohol, pour half of it out, and then I top it off with vinegar. I refil the saline bottle as needed. This lasts for a long time. Mark
 
To solve this problem, you have to look at the root. All water we dive in has bacteria. Our body is a walking germ fest. We have adapted to this, in the case of our ears, by keeping the ph. hostile to the growth of bacteria. By being in the water or having water in our ears for long periods of time, we dilute this ph. Now the bacteria can grow unchecked. You'll first notice your ears seem to be alittle itchy.
Now we know the cause, the solution is simple. Restore the ph. and keep the water out. The best and least expensive way to do this, for divers, is a solution of 50/50 rubbing alcohal and white wine vinegar. The alcohal will dry out the water and the vinegar will restore the ph. Put the solution in before the dive, let stand in each ear for 5 minutes. Use the solution after you get out of the water. If it seems like it burns alittle, drop the alcohal percentage till you find what is right for your ears. You can use whatever vinegar you want. I've found the white wine vinegar to be alittle less smelly.
I would have people on the boat that would have this problem every week. I remembered reading an article in a medical journal from a doctor at a kids summer camp. By the end of the week every kid in the camp would have swimmers ear. He approached the problem like a true scientist. He quickly realized the water, ph. situation as the cause. He used the supplies at hand to formulate a solution. He set up different groups and used different percentages of the vinegar/ alcohal mix with each. He also studied the length of time the solution was left in the ears.
By the end of the summer he had come up with the 50/50 mix and the 5 minutes in each ear before they went in the water and a squirt after they got out of the water. I would mix up a batch of this ear beer and keep it on the boat with my other medical supplies. I would include this information with the dive briefing at the beginning of the week. Those that used the solution would never have a problem. Those that started using it after they started to feel the itch would usually be OK by the end of the week. Anyone that could taste the solution or feel it burn usually had broken the ear drum or badly bruised it. Easy enough to see with an otoscope. Too forceful an equalization can also make the ears tender for the solution.
I believe this article was from the 60's. In the last couple of years, DAN also had an article with the same conclusions. I think I also saw the same general conclusions in an article writen by one of the staff of the experimental diving unit here in Florida. This goes to show you, after 40-50 years, no body has come up with anything better or cheaper. The small bottle for contact solution works well and fits in a mask box with my defog. If you let it get to the itchy point, it may be starting to get infected. The solution will not clear up an infection. It is only a preventative measure.
 
Good DAN article....and it's what my ENT told me to do: Mix 70% isopropyl alcohol with household white vinegar 50:50. Use it in each ear after every swim. The alcohol will dry the canal and the vinegar creates an acidic environment the bacteria can't live in.

Works great!:D
 
DocVikingo wrote an updated article on preventing "swimmer's ear" (otitis externa) for DAN's Alert Diver magazine that was published in the March/April 2007 issue. It doesn't show up in the searches on DAN's site (they don't put everything online), but he has it available on his site:


It's an excellent read, and it's more up to date than what's currently available directly on DAN's web site.
 
If you don't want to spend the money you can use a mixture of white vinegar and alcohol (or peroxide, depending on who you ask). I'm not a doctor so I don't know what the impact of the alcohol vs. peroxide is, just using anecdotal experience here.

Guy Carrier:
I used both the antibiotics and the hydrogen peroxide.

Never put peroxide in your ear! An Otolaryngologist (ear, nose and throat specialist) once told me that putting peroxide in you ear can cause severe damage resulting in deafness. Usually it causes no problems, but why take a chance?
 
Never put peroxide in your ear! An Otolaryngologist (ear, nose and throat specialist) once told me that putting peroxide in you ear can cause severe damage resulting in deafness. Usually it causes no problems, but why take a chance?
Not only can it end in deafness, but isn't it also missing some of the point? The alcohol is there as a drying agent, not just as a topical antiseptic. The hydrogen peroxide solutions, being water with a few percent H2O2, are more of a wetting agent than a drying agent. It'd be a tragedy to cause yourself to go deaf by trying to prevent swimmer's ear, but it'd be doubly a shame if it was due to misunderstanding the causes the problem in the first place.


By the way, if anyone ever has or suspects they have injured their ears and may have a torn eardrum, in no circumstances should they put *anything* in their ears except as instructed by the relevant doctor. Solutions that are perfectly fine and beneficial when applied to the ear canal can be ototoxic (i.e. damaging to the inner ear, possibly leading to deafness) when they're on the wrong side of an eardrum, and hearing is worth more than a dive trip or a medical bill.
 
Never had a problem with swimmers ear until I did a week on a liveaboard. At the end of the week my ears were killing me. Like the others, a trip to the doctor and some antibiotics and I was fine. Next liveaboard trip I brought with me a whole drugstore supply full of "Swimmers Ear". I used it faithfully and generously after every dive and dove for 2 full weeks (1 week on the LOB and 1 week with a Land OP). Not even a hint of an ear infection was present at the end of the trip. I got some funny looks too, usually when I had my head tilted, :) but I also had people asking to borrow some. This stuff is "not" cheap and you don't get much either so I'm really glad the home brew recipe was posted on this thread.

Haven't tried Doc's Pro Plugs" yet but I've also heard that besides keeping the water out, people that have trouble clearing their ears like to use them. Ask your LDS if they carry them. Doc's Proplugs: The Doctor's Choice for Ear Protection
 
This stuff is "not" cheap and you don't get much either so I'm really glad the home brew recipe was posted on this thread. :)

It is cheap compared to the $120 stuff that some people were claiming was the only thing that worked :shakehead:
 
It is cheap compared to the $120 stuff that some people were claiming was the only thing that worked :shakehead:

True, but there are other much cheaper prescriptions available. I recently had a case of swimmer's ear. My doctor prescribed drops and an oral antibotic. The retail on them was approximately $30 each. With a good insurance plan, it is considerably less.

The problem with swimmer's ear is it is fairly rare. I've had it maybe 5 times in just shy of 2000 dives. I tend to not do anything to prevent it. Having just had it, I've been putting my 50/50 drops in before and after each dive. If I continue the practice, I won't have future problems.

BTW, sometimes the 50/50 solution actually cures swimmer's ear.
 

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