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The Truth About Itchy Ears: You May Be Causing the Problem

Allergic rhinitis, or hay fever, can also cause itchy skin. So can food allergies and drug allergies. However, true drug allergies are rare.

Why Do My Ears Itch?

Can’t stop scratching your ears? An itchy ear canal (the tube that connects your outer ear to your eardrum) happens to people of all ages. How you can get relief will depend on what’s making you scratch.

No matter the cause of your itch, it’s never a good idea to stick any objects in your ears. You could damage your inner ear, including the tiny bones that help you hear.

Some reasons for itchy ears include:

Earwax buildup. Wax is your body’s way of cleaning dead skin cells and dirt out of your ears, but too much of it can make them itch.

Don’t be tempted to try to remove the buildup with a cotton swab. That pushes the wax deeper inside, where it can get stuck. Instead, try over-the-counter ear drops that break up the wax. If that doesn’t help, see your doctor. They can use a special tool to safely remove built-up wax.

One of the most important and most popular changes to the health insurance landscape brought about by the passing of the Affordable Care Act was the prohibition against denying patients health insurance, or charging them more, if they had preexisting conditions. Research shows that 27% of Americans in the 18 to 64 age group have what would have been considered a “declinable medical condition” before the Affordable Care Act took effect, and in some regions, the percentage of patients with preexisting conditions rises to nearly four in 10, the Henry J. Kaiser Family Foundation

But don’t overdo it. Ears can also get itchy if they don’t have enough wax inside them.

Infections. Itchy ears can sometimes be a sign of an ear infection. Bacteria and viruses cause them, usually when you have a cold, the flu, or allergies. One kind, swimmer’s ear, can happen when water stays in your ear after you swim. Too much moisture wears away your ear canal’s natural layer of defense against germs.

To stop the itch, you’ll need to treat the infection. Some may go away on their own, but your doctor could prescribe ear drops. You may need to take them a few times a day for a week. Other infections may need a course of antibiotics. Learn more about ear infection symptoms.

Skin allergies. The skin inside your ears can itch because of an allergic reaction. A beauty product like hair spray or shampoo could be the culprit. So can products that have nickel, like earrings. Plastic, rubber, or metal you put inside your ears, like earbuds or a hearing aid, can also cause a rash called contact dermatitis.

To get relief, you’ll need to figure out what you’re allergic to and stop using it. Until then, your doctor may prescribe a steroid cream to stop your urge to scratch. Learn more about skin allergies and contact dermatitis.

Eczema or psoriasis. If you have these skin conditions, you may be prone to itchy ear canals. You can usually treat these problems with ear drops. In severe cases, you may also need to take steroid pills. Learn more about psoriasis in your ears.

Cleaning your ears. Putting cotton swabs into your ears can inflame your ear canal and leave you itching. Bobby pins, paper clips, matchsticks, and your fingers can also scratch the skin inside your ears, making it easy for bacteria to enter and cause an infection. Learn more about how to clean your ears.

Food allergies. If you have hay fever or a pollen allergy, your ears may itch when you eat certain fruits, vegetables, or tree nuts. Known as oral allergy syndrome, you may notice this most during allergy season.

The prickly feeling in your ears should stop as soon as you swallow the food or take it out of your mouth. In most cases, you don’t need treatment. Still, speak to your doctor. She may test you to see how severe your allergy is. People with extreme food allergies may need to carry an epinephrine auto-injector. Learn more about food allergies and your skin.

Show Sources

National Eczema Society: “Fact Sheet: Ear Eczema.”

NHS Choices: “Otitis externa.”

University of Texas McGovern Medical School Department of Otorhinolaryngology – Head & Neck Surgery: “Patient Care: Itchy Ears.”

Mayo Clinic: “Ear Infections.”

Merck Manual: “Consumer Version: Dermatitis of the Ear Canal.”

American College of Allergy, Asthma and Immunology: “Oral Allergy Syndrome.”

American Academy of Allergy, Asthma & Immunology: “Oral Allergy Syndrome.”

American Family Physician: “Otitis Externa: A Practical Guide to Treatment and Prevention.”

American Academy of Otolaryngology-Head and Neck Surgery: “Experts Update Best Practices for Diagnosis and Treatment of Ear Wax (Cerumen Impaction): Important Patient Education on Healthy Ear Care.”

National Psoriasis Foundation: “Psoriasis on the Face.”

The Journal of Pediatrics, “Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010.”

DermNet New Zealand, “Otitis Externa.”

The Truth About Itchy Ears: You May Be Causing the Problem

When it comes to itchy ears, you may be your own worst enemy. So put down that cotton swab (or whatever you were about to stick in there) and think about that for a minute.

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Now let’s talk about what you should — and shouldn’t — do for your ears.

Itchy ears are quite common and aren’t usually a sign of a serious condition. But sometimes, the things you do, or forget to do, can cause them to itch — or make the problem worse.

Ear surgeon Erika Woodson, MD, says itchy ears are a universal experience. “It’s part of the human condition, but it’s not generally something to be concerned about,” she says.

Why your ears are itchy

Dr. Woodson traces the most likely causes of these problems.

Overcleaning

Dr. Woodson says nearly half the people she treats have ear conditions they caused themselves. The biggest culprit? Excessive or intrusive cleaning.

“The purpose of earwax is to waterproof and protect your ears,” she explains. “It has both antifungal and antibacterial properties to help prevent infection.”

Over-cleaning can remove that protection. While it may provide temporary relief, it leaves you open to bigger problems than that tickle in your ear.

Sticking objects in your ear canal to clean it (or to scratch an itch) often just makes matters worse. You’ll likely just push the wax farther in. With time, that can lead to earwax buildup.

Wax buildup

Itchiness is often a symptom of wax buildup, but you’ll likely notice other signs — pain or an odor coming from your ear, for instance.

“Most of us don’t need to clean our ears at all,” says Dr. Woodson. Earwax generally comes out of your ear canal on its own. And you can wash it away from your outer ear when you bathe.

You can typically treat earwax buildup at home. Use ear drops to break up the wax. After you shower or take a bath, just pat the external ear canal dry with a towel. Don’t try to clean out your ear canal with anything else, Dr. Woodson advises. See your doctor if drops aren’t effective.

Underlying skin conditions

Dermatologic conditions like eczema and psoriasis can surface on various areas of the skin — and make you itch.

But the rashes or plaques can also develop in places your eye can’t see.

“Your ear canal is lined with skin like the rest of your body, so eczema and psoriasis may also show up there,” Dr. Woodson explains.

If your ears itch and you have a condition like eczema or psoriasis, see your dermatologist, or an ear, nose and throat (ENT) specialist. “Get your ears checked out — your itch may be caused by a treatable dermatologic condition,” says Dr. Woodson.

Ear infections

Itchiness is one early symptom of an ear infection. But you’ll typically see other symptoms as well.

“If you feel pain in the ear or there’s discharge from the ear, it’s time to call your doctor,” Dr. Woodson advises.

Food allergies

Yes, food allergies can cause your ears to itch. For those with hay fever or a pollen allergy, your ears may begin to itch after you eat foods like nuts, soy, wheat, milk, fish and shellfish.

If you have a pollen allergy, known as oral allergy syndrome, you may feel itching in your ears after eating foods like apples, melons, bananas, cherries, kiwis, sunflower seeds, hazelnuts and almonds.

You may develop hives and have itching on other areas of your face, too. If you’re having trouble breathing after eating any of these foods, you may be experiencing anaphylaxis and should seek treatment immediately.

Irritation from jewelry

You may have a sensitivity to certain metals like nickel that are used to make jewelry, including earrings. Wearing earrings may lead to itchy ears.

Nickel is one of the most common skin allergies. If you’re allergic to nickel, you may experience itchiness, redness, dry patches or even swelling. Symptoms typically last 12 to 48 hours after contact.

The best treatment is to avoid contact with nickel, but if you have mild symptoms, over-the-counter hydrocortisone cream and antihistamines can help.

Mild ear itchiness is usually temporary and goes away on its own. If your itch lasts more than a few days, or if you have other symptoms, see your doctor. And remember, cleaning your ears the right way will help you avoid problems.

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Why Are My Ears Itchy?

The ears are highly sensitive, so they may itch even without a specific cause. Other causes of itchy ears range from earwax buildup to infections to allergies.

The ears may be pretty small compared to an arm or a leg, but they’re full of sensitive neurological fibers. As a result, the ears are subject to their fair share of itching. You might have chronically itchy ears simply because the ears are highly sensitive.

Itchy ears can also indicate an underlying medical condition. By understanding some of the causes of itchy ears, you can better determine how to find relief.

Itchy ears can be the result of a number of causes.

Dry skin in the ears

If your ears don’t produce enough wax, your ear skin can become dry and itchy.

Earwax has lubricating effects. Its absence can cause your skin to itch. You may even notice flaking skin coming from the ear.

Conditions that cause itchy skin

In rare cases, conditions that cause itchy skin elsewhere on the body can affect the ears as well. They include psoriasis and eczema, which is also known as atopic dermatitis.

You may also develop a rash if you have one of these conditions.

Earwax buildup

On the other hand, a buildup of earwax can also lead to symptoms such as itchy ears and irritation. Earwax buildup is also known as cerumen impaction.

Ear canal dermatitis

This condition occurs when the skin in and around your ear canal becomes inflamed. Dermatitis is another term for skin inflammation.

Ear canal dermatitis can be the result of an allergic reaction to products in or near your ear, such as personal care products or metal in your earrings.

Aural eczematoid dermatitis is another type of dermatitis in the ear. Experts don’t know what causes it.

Hearing aid use

Hearing aids can cause water to become trapped in the ears or trigger an allergic reaction to the hearing aid itself. Ill-fitting hearing aids can also place pressure on certain areas of the ear, leading to itching.

Otitis externa (outer ear infection)

Otitis externa is an infection of the outer ear canal. It can be fungal or bacterial.

It can cause pain as well as itching. It’s an inflammatory condition, so it can lead to redness and swelling too.

Fungal ear infection

Otomycosis is a type of fungal infection that affects the outer ear. It’s closely associated with the genus Aspergillus, but Candida is another common culprit.

People at a higher risk of otomycosis include those who:

live in hot, humid environments , including tropical or subtropical countries
have inadequate hygiene
have a condition that affects the immune system, such as diabetes
overuse antibiotic ear drops

Otitis media (middle ear infection)

You may develop a middle ear infection if your eardrum ruptures or you have ear tubes to help prevent drainage. This type of ear infection can also cause itching.

Allergies

As mentioned above, your ears may itch if they come into contact with products you’re allergic to, such as:

shampoos, conditioners, and other personal care products
earrings
hearing aids
earplugs

Allergic rhinitis, or hay fever, can also cause itchy skin. So can food allergies and drug allergies. However, true drug allergies are rare.

Symptoms that may appear along with itchy ears include:

an itchy throat
rash
skin redness or other forms of skin discoloration
ringing in the ears
the feeling that your ears are clogged

If you have a type of infection, itchy ears may also be accompanied by symptoms such as:

fever
swollen ears
pain
drainage or discharge from the ear, such as pus
muffled hearing

Seek immediate medical attention if you’re experiencing severe bleeding or drainage from your ears or if you suddenly have hearing loss.

Also, seek medical help if your symptoms don’t improve with time or home care.

A healthcare professional will likely examine your ears and take a medical history to help them identify potential causes. They’ll look for any telltale rashes, such as eczema-like patches. They may also look for excess earwax or earwax very close to the eardrum, which can cause itching.

To pinpoint the cause, a healthcare professional will likely ask about other symptoms, such as fever, and when those symptoms began.

Itchy ears are typically the result of a breakdown in the health of your ear skin. Treatment usually seeks to correct these breakdowns.

A doctor may recommend or prescribe the following:

baby oil to soften the skin
oral antibiotics to treat an infection, if you also have a high temperature or blood or pus draining from the ear
an antibiotic ointment, such as Bacitracin or Neosporin
a steroid ointment to relieve inflammation, such as 1% hydrocortisone cream (Ala-Cort) or 0.1% betamethasone cream (BetaVal, Valnac)
swimmer’s ear drops, if you have otitis externa
a combination of eardrops and oral antibiotics, if you have a middle ear infection plus rupture

Always speak with a doctor before using ointments or ear drops. This will ensure you’re not putting anything irritating in the ear. Also, if you have a damaged eardrum, do not use ointments or ear drops unless a doctor prescribes them.

Also, avoid scratching your ears. Scratching will probably make your ears feel worse.

Consider scheduling regular appointments with a doctor so they can safely clean your ears. They can remove excess earwax while also minimizing trauma to the area.

If you do not already have a primary care doctor, you can browse doctors in your area through the Healthline FindCare tool.

To prevent irritation, avoid cleaning your ears with objects such as:

cotton swabs
cotton balls
paper clips
bobby pins

Here are other tips to avoid itchy ears and irritation:

If your ears produce excess earwax, you may want to keep your earwax at a manageable level by using doctor-approved approaches, such as ear drops or a bulb syringe.
Refrain from using any personal care products that might have caused your itchy ears in the past.
Opt for antiallergic jewelry.
If you swim frequently, use a solution (such as rubbing alcohol) to dry up excess water in the ear canal.

Last medically reviewed on November 29, 2022

The Truth About Itchy Ears: You May Be Causing the Problem