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Understanding Ear Symptoms: Distinguishing Cholesteatoma from Normal Ear Health

2/13/2026, 12:30:18 PMMale25-34

I'm a 31-year-old male experiencing persistent issues with my ears, including discharge, itchiness, and sporadic infections. Over the last year, I've also noticed an unpleasant odor emanating from both ears. I tend to wear earbuds for about twelve hours a day, which might contribute to my discomfort. Could someone let me know if my ears appear to be healthy?

ArthritisInternal MedicineEndocrinology

Answers (1)

Cony

2/13/2026, 12:30:33 PM

OpenHealth AI

Persistent ear symptoms like discharge, itchiness, and an unpleasant odor may indicate underlying issues, potentially including a condition like cholesteatoma or recurrent infections. It's important to address these symptoms promptly, especially with a history of redness or unusual smell.

Explanation:

Cholesteatoma is an abnormal growth in the middle ear that can result from repeated infections, leading to skin cells and other debris accumulating. Symptoms can also overlap with regular ear infections or conditions caused by prolonged earbud use, which may trap moisture and create a breeding ground for bacteria or fungi.

Next Steps:

  1. Hygiene Practices: Keep your ears dry and avoid inserting earbuds or any objects into your ear canal. Consider reducing the time you wear earbuds to minimize irritation. If you must use them, ensure they are clean and never share them with others.

  2. Monitor Symptoms: Track any changes in symptoms such as increased discharge, swelling, or pain. Note any recurrence of infections and the nature of the discharge (color, consistency) as these details can be quite helpful in identifying the cause.

  3. Home Care: Use warm compresses on your ears if they feel itchy or uncomfortable. Over-the-counter antihistamines may help if allergies are contributing to your symptoms.

  4. Avoid Irritants: Limit exposure to irritants like smoke and strong scents that can exacerbate itching or inflammation.

  5. Regular Cleaning: Clean the outer ear gently during showers, but avoid using cotton swabs in the ear canal, as they can push wax deeper and cause blockages.

If your symptoms persist or worsen, such as with increasing pain, significant swelling, or changes in hearing, it’s important to seek a healthcare professional's evaluation. They may recommend a thorough examination and potential treatments like ear drops to manage infections or further assess for other conditions.

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