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28F - Three Years of Itchy Ears and Odor: Seeking Solutions

8/1/2025, 3:40:22 AMMale25-34

I am a 28-year-old woman, standing at 5'8" and weighing 130 pounds. I do not smoke and am not currently taking any medications. For the past three years, I have been dealing with a persistent itch in my ears, accompanied by an unpleasant smell and some foul-smelling discharge. Despite trying various treatments including oral antibiotics, antibiotic ear drops, and steroids, I have yet to see any improvement. During my visit to the doctor, I received a recommendation to avoid using Q-tips and was told that "some individuals simply experience itchy ears." However, I am convinced that a solution exists! I'm reaching out for any advice or insights on the potential causes of my symptoms or remedies that may alleviate this incessant itching.

AgingWellnessFamily Medicine

Answers (1)

Cony

8/1/2025, 3:40:41 AM

OpenHealth AI

It sounds incredibly frustrating to deal with persistent itchy ears, unpleasant odor, and discharge for such a long time. The symptoms you're experiencing could be due to a variety of causes including ear infections, allergies, skin conditions like eczema or psoriasis, or even fungal infections. Since standard treatments haven't worked, it’s understandable that you’re looking for more insights.

Explanation

Itchy ears with discharge and odor can often indicate infections (bacterial or fungal), or skin conditions affecting the ear canal. Using Q-tips can actually exacerbate issues by pushing wax deeper or causing irritation, which is why your doctor advised against them.

Your persistent symptoms might be linked to factors like:

  • Chronic Ear Infections: These could be recurrent despite treatment.
  • Eczema or Psoriasis: Skin conditions can lead to itching and flaking in the ear canal.
  • Fungal Infections: These can thrive in warm, moist environments and cause foul odors and itching.

Next Steps

  1. Keep the Ears Dry: Moisture can worsen infections and itching. After showering, gently dry your ears with a towel. Consider using earplugs when swimming.

  2. Stop Using Q-Tips: Follow your doctor’s advice and avoid inserting anything into your ears, including cotton swabs. This can prevent further irritation and potential injury.

  3. Consider Antifungal Treatment: If you suspect a fungal infection, over-the-counter antifungal ear drops may help. Look for products specifically designed for ear use and follow instructions carefully.

  4. Allergy Management: If you have any known allergies, managing them could decrease itching. Antihistamines might help, especially if the itching is related to allergies.

  5. Consult a Specialist: If your symptoms persist despite self-care, consider seeking a second opinion from an ear, nose, and throat (ENT) specialist. They may provide tailored treatments, including allergy testing or advanced options like prescription medications.

  6. Document Symptoms: Keep a symptom diary to track any patterns or triggers that could assist healthcare professionals in providing more personalized treatment.

It's understandable to want a resolution, and taking these steps may help lead you to some improvement. Remember, managing skin or infection issues can often take time, so patience is key. Let me know if there's more you’d like to discuss!

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