Book an appointment
Book a free appointment with one of our experts at a store near you.
What happens in a hearing test?
Understand what happens at your free hearing test with Boots Hearingcare

Ear Health: Conditions of the Ear

Our ears play a vital role in our daily lives, enabling us to experience the sounds around us. However, like any other part of the body, they're susceptible to various conditions that can impact our hearing, balance, and overall well-being. 

This guide discusses  the significance of sustaining healthy ears, looking into prevalent conditions and  their  influence on overall well-being. 

Updated: 13th February 2024
man suffering with tinnitus

Tinnitus (ringing in the ears)

Tinnitus isn't just about sound; it's a complex phenomenon linked to hearing. Ageing and loud noises emphasise the need for proactive hearing loss prevention. It affects daily life, challenging concentration and sleep.

Symptoms

Sounds in your ears: tinnitus triggers different sounds like ringing or buzzing, affecting how you hear.

Hard to concentrate: the ongoing noise can make it tough to focus on things.

Trouble sleeping: tinnitus might disturb your sleep, making it challenging to rest well.

Treatment

Numerous treatments and management techniques are tailored to alleviate the challenges of tinnitus. 

Sound therapy for relief: gentle sounds ease the impact for a more peaceful hearing experience.

Cognitive-behavioural therapy (CBT): tackles the emotional side for holistic well-being.

Comprehensive support: combined treatments empower individuals to take charge of their auditory health.

Coping strategies

Mindfulness techniques play a huge role. It can help individuals navigate through persistent sounds, creating a tranquil auditory environment, whether through ambient sounds or white noise, contributing to a soothing atmosphere. Additionally, practising stress management techniques and adopting a healthy lifestyle can positively influence tinnitus symptoms. 

Our tinnitus remedies to try at home can help you discover effective coping strategies.

 Otitis Externa

Otitis Externa (Swimmer’s Ear)

Known as swimmer's ear, Otitis Externa demands attention for its diverse causes and risk factors. Moisture exposure, worsened by swimming or humid environments, creates an environment for bacterial or fungal infections. Minor skin irritation from frequent ear cleaning or earbud use can also trigger it. 

Symptoms

Ear pain and sensitivity: experience pain, especially with movement, indicating potential inflammation.

Persistent itching and discharge: notice ongoing itching and discharge, signs of the infection's progression.

Temporary hearing loss: encounter temporary hearing loss, emphasising the impact on auditory function.

Treatment

Antibiotics for infection: effectively combat bacterial or fungal infections causing inflammation with prescribed antibiotics.

Pain relief measures: alleviate discomfort associated with ear pain through recommended pain relief measures.

Surgical interventions (if needed): in cases of severe infection, surgical interventions may be considered to address the condition comprehensively.

Earwax Blockage

Earwax blockage

Medically known as impacted earwax, earwax blockage occurs when wax builds up, causing potential discomfort and hearing issues. Factors like overproduction, improper cleaning, and the use of earplugs contribute to this common condition. Attempts to remove wax with objects can worsen the blockage, disrupting the ear's natural self-cleansing mechanism.

Symptoms

An earache often signals the presence of blockage, accompanied by the following symptoms.

Earache and pressure: presence of an earache, often accompanied by a feeling of fullness or pressure in the ear.

Decreased hearing: notice decreased hearing due to the blockage interfering with sound transmission.

Ringing and dizziness: individuals may notice a ringing sensation (tinnitus) or experience dizziness, highlighting the impact of earwax accumulation.

Treatment

When confronted with earwax blockage, there are effective treatment options to restore auditory comfort. 

Ear drops: specially formulated ear drops soften and facilitate the natural expulsion of earwax, offering a gentle at-home remedy.

Professional manual removal:  healthcare professionals can  manually remove for  precision and safe clearance.

Irrigation: in intensive cases, controlled flushing (irrigation) may be recommended, tailored to the blockage's severity.

Mastoiditis

Mastoiditis

Mastoiditis, inflammation of the mastoid bone behind the ear, poses risks when untreated middle ear infections lead to infection in its air cells. This bone, crucial for ear structure, supports vital hearing-related structures.

Symptoms

Intense ear pain: severe ear pain signalling inflammation of the mastoid bone.

Localised swelling and drainage: swelling behind the ear, accompanied by pus or discoloured drainage, indicates infection impact.

Fever: a systemic response, a fever shows the body's infection-fighting attempt. Early recognition is vital.

Treatment

Addressing mastoiditis involves a multifaceted approach to eliminate infection and restore ear health. 

Antibiotics: primary defence against bacterial infection, targeting mastoiditis and alleviating symptoms.

Surgical intervention: drainage or mastoidectomy may be considered for severe cases, eliminating the infection source.

Pain management and fever-reducing medications: crucial components, easing discomfort associated with ear pain and fever.

Mastoiditis

Eustachian tube dysfunction

Eustachian Tube Dysfunction (ETD) impacts the canal connecting the middle ear to the throat, which is important for pressure equalisation and fluid drainage. Allergies, infections, or pressure changes can contribute to this condition.

Symptoms

Ear pressure or fullness: prominent symptom, causing a sense of fullness or pressure, disrupting ear equilibrium.

Hearing difficulties or changes in clarity: impaired hearing, noticeable during activities like air travel or changes in altitude.

Treatment

Addressing ETD involves tailored treatments:

Medication: decongestants or nasal steroids may alleviate congestion and promote Eustachian tube function.

Balloon dilation: a minimally invasive procedure, inflating a balloon in the Eustachian tube widens the passage, offering relief.

Surgery: in severe cases, myringotomy or ventilation tube placement may be considered to improve airflow.

Meniere’s disease

Meniere’s disease

Meniere's disease, a chronic inner ear disorder, significantly impacts balance and quality of life. While its exact cause remains elusive, lifestyle adjustments play a key role in symptom management.

Symptoms

Meniere's disease has three main symptoms:

Vertigo: feeling like everything is spinning. This can happen unexpectedly and affect daily activities.

Tinnitus: hearing persistent noises like ringing or buzzing in the ears. This can be disruptive and uncomfortable.

Hearing loss: gradual or sudden hearing loss, which can get worse over time.

Treatment

Medication: some drugs can help control dizziness and other symptoms.

Dietary changes: eating less salt can reduce fluid buildup in the ear, helping with symptoms.

Hearing aids: using hearing aids can improve communication for those with hearing loss.

Stress management: stress can trigger episodes, so finding ways to relax is important.

Regular monitoring: keeping in touch with healthcare professionals for check-ups helps adjust the treatment plan as needed.

Meniere’s disease long-term management

Meniere's disease, with its unpredictable triad of vertigo, tinnitus, and hearing loss, means it requires a strategic long-term management plan. This is to enhance stability and reduce the frequency of attacks.

Diet: stick to a low-salt diet to minimise symptoms.

Hydration: stay well-hydrated for overall health and to help with inner ear balance.

Stress control: manage stress through techniques like mindfulness or meditation.

Medication: take prescribed medications consistently.

Regular check-ups: stay in touch with healthcare professionals to monitor progress.

Exercise: specific exercises can enhance balance and stability.

Audiological support: keep up with hearing evaluations and adjust hearing aids as needed.

Benign paroxysmal positional vertigo

Benign paroxysmal positional vertigo (BPPV)

BPPV disrupts inner ear balance, causing intense dizziness triggered by head movements. Repositioning manoeuvres realign displaced ear crystals, empowering individuals to reclaim balance.

Symptoms

Intense dizziness: spinning sensation during specific head movements impacting daily activities.

Nausea: accompanies intense spinning, a common symptom requiring attention.

Imbalance: disruption of daily activities due to inner ear intricacies.

Treatment

Repositioning manoeuvres: targeted repositioning manoeuvres, performed by healthcare professionals, aim to guide the displaced ear crystals (otoconia) back to their correct l place within the inner ear. These strategic techniques are designed to restore equilibrium and alleviate dizziness.

Professional intervention: precise interventions by healthcare professionals for focused, effective treatment.

Empowering balance: alleviating symptoms to enhance overall well-being.

Managing BPPV episodes

Repositioning manoeuvres

Seek professional guidance for specific repositioning manoeuvres to relocate displaced ear crystals, alleviating vertigo.

Medication

In some cases, medications may be prescribed to ease symptoms or control nausea during episodes.

Cholesteatoma

Cholesteatoma

Cholesteatoma, an abnormal accumulation of skin cells in the middle ear, requires quick intervention for optimal outcomes. Repeated infections or inflammation can trigger this growth, potentially leading to hearing loss and structural damage. Early recognition is vital. Treatment often involves surgical removal to preserve hearing and mitigate complications. 

Symptoms

Cholesteatoma has a range of symptoms, each signalling potential complications within the ear.

Hearing loss: gradual hearing impairment is a common indicator, reflecting the impact of cholesteatoma on the delicate structures responsible for auditory function.

Ear drainage: persistent, foul-smelling discharge from the ear may occur as a consequence of the abnormal skin cell growth, highlighting the need for a quick check-up.

Ear pain or discomfort: individuals with cholesteatoma may experience pain or discomfort in the affected ear, signalling inflammation or pressure changes caused by the abnormal skin cell accumulation.

Treatment

Treatment for cholesteatoma often involves a surgical approach, tailored to address the abnormal growth and mitigate potential complications.

Surgical removal: removal eliminates the abnormal skin cell growth, alleviates pressure, and preserves hearing.

Postoperative care: diligent care involves regular check-ups to monitor healing, manage symptoms, and assess surgical effectiveness.

Perforated Eardrum

Perforated eardrum

A perforated eardrum, marked by a tear or hole in the delicate membrane connecting the outer and middle ear, arises from various causes. Chronic ear infections, untreated, can elevate pressure, leading to rupture. Trauma, whether direct injury or foreign object insertion, is another potential catalyst. Abrupt changes in atmospheric pressure during activities like air travel can stress the eardrum. Getting  prompt medical attention is essential for assessment, determining the perforation's extent, and planning  treatment for restoring your ear health.

Symptoms

Symptoms of a perforated eardrum signal the breach in the membrane:

Ear pain: individuals may experience varying degrees of ear pain or discomfort, often associated with the initial injury or infection that led to the perforation.

Hearing loss: impaired hearing due to compromised eardrum function.

Ear drainage: fluid discharge from the ear, which may be clear, bloody, or pus-like, is a common indicator of a perforated eardrum.

Tinnitus: ringing or buzzing sounds in the affected ear (tinnitus) due to the perforation.

Vertigo or dizziness: imbalance or dizziness, especially with underlying ear infections.

Treatment

Treatment for a perforated eardrum depends on the size, location, and underlying cause of the perforation. Several approaches aim to facilitate healing and restore ear function:

Observation: monitoring small perforations showing signs of healing without immediate intervention.

Medication: antibiotic eardrops can prevent or treat infections, reducing the risk of complications associated with a perforated eardrum.

Surgical repair (Tympanoplasty): larger or non-healing perforations may require surgical repair using a graft.

Paper patch: in some cases, a paper or gelatin patch may be applied to promote healing and closure of the perforation.

Hearing aids: assist in amplifying sounds for individuals experiencing hearing loss, especially in long-standing perforations.

Labyrinthitis

Labyrinthitis

Labyrinthitis, an inner ear inflammation, disrupts both balance and hearing. Understanding its causes, symptoms, and management is crucial for those facing its challenges. It often stems from viral or bacterial infections affecting the inner ear, triggered by respiratory illnesses or infections spreading from other body parts.

Symptoms

Labyrinthitis shows through a distinctive set of symptoms, each signalling the inner ear's tumultuous state.

Vertigo: dizziness or spinning, known as vertigo, is a hallmark symptom. Individuals may feel a disorienting loss of balance, impacting their daily activities.

Hearing loss: fluctuating or persistent hearing impairment.

Nausea: inner ear disruption contributes to unsettling sensations, occasionally accompanied by vomiting.

Treatment

Treating labyrinthitis involves a multifaceted approach:

Medication: antivirals or antibiotics, along with symptom-specific medications.

Vestibular rehabilitation: tailored exercises to enhance balance, exercises to enhance balance and diminish symptoms of vertigo. These exercises are tailored to your specific needs.

Rest and hydration: adequate rest and hydration support healing.

Hearing aids: for those experiencing hearing loss, especially if it persists after the acute phase, hearing aids can be beneficial in restoring auditory function.

Counselling: can assist individuals in managing the emotional challenges associated with vertigo, hearing loss, and other symptoms.

Managing labyrinthitis

Effectively managing labyrinthitis involves a twofold approach—addressing current symptoms and implementing strategies to prevent recurrent attacks.

Otosclerosis

Otosclerosis

Otosclerosis, marked by abnormal bone growth in the middle ear, disrupts hearing's delicate orchestration. Symptoms include progressive hearing loss, initially with low-frequency sounds, along with tinnitus and occasional dizziness. Treatment spans hearing aids for early stages to surgical options like stapedectomy or stapedotomy.

Symptoms

Otosclerosis shows through nuanced symptoms:

Progressive hearing loss: gradual difficulty hearing low-frequency sounds, progressing to higher frequencies.

Tinnitus: persistent ringing or buzzing sounds in the affected ear.

Dizziness or imbalance: some may experience episodes of dizziness or subtle imbalance.

Treatment

Addressing otosclerosis involves tailored treatment:

Hearing aids: in the early stages of otosclerosis, hearing aids are instrumental tools, amplifying sounds and compensating for the gradual loss of auditory acuity.

Stapedectomy: surgical removal of the immobilised stapes bone for improved sound transmission.

Stapedotomy: less invasive, creating a small hole in the stapes footplate to restore sound transmission.

Managing otosclerosis

Regular monitoring

Healthcare professionals monitor changes in symptoms or hearing for optimal outcomes.

Adapting lifestyle

Practices like good ear hygiene, avoiding loud noises, and prompt treatment for respiratory infections contribute to overall success.

Prevention and ear health tips

Maintaining good ear health is a key aspect of overall well-being, and adopting simple yet effective strategies can contribute to a lifetime of auditory comfort.

1. Gentle Ear Cleaning:
Use a washcloth for outer ear cleaning, avoiding cotton swabs to prevent injury and allowing natural self-cleaning.

2. Noise Protection:
Safeguard ears with quality ear protection like earplugs or noise-cancelling headphones to prevent noise-induced hearing loss.

3. Limit Earbud Use:
Follow the 60/60 rule: listen at no more than 60% volume for no longer than 60 minutes to avoid hearing damage.

4. Regular Check-ups:
Schedule routine ear check-ups to address concerns promptly and ensure early detection of potential issues.

5. Protect Against Infections:
Keep ears dry after swimming and avoid exposure to dirty water to guard against ear infections.

6. Healthy Hearing Habits:
Turn down electronic device volume, take breaks from loud environments, and recognise signs of hearing issues for quick intervention.

Living with conditions of the ear

Living with ear conditions requires resilience and proactive strategies for a good quality of life. 

1. Seek Professional Support:
Consult ear specialists and audiologists for comprehensive understanding and tailored treatment plans.

2. Embrace Assistive Devices:
Enhance communication and engagement with hearing aids or cochlear implants for those with hearing loss.

3. Develop Communication Strategies:
Communicate openly about the condition, establish effective communication strategies, and face individuals while speaking.

4. Manage Stress and Mental Health:
Prioritise mental health with stress-management techniques, counselling, and support groups for emotional challenges.

5. Create a Quiet Haven:
For conditions like hyperacusis or tinnitus, create a calm living environment using sound-masking techniques.

6. Practice Self-Care:
Prioritise overall well-being with rest, a balanced diet, exercise, and mindfulness practices.

7. Educate Yourself:
Stay informed about the ear condition, treatment options, and lifestyle adjustments for active participation in care.

8. Advocate for Accessibility:
Ensure accommodations in various settings, advocate for services like captioning and workplace adjustments.

9. Connect with Others:
Build a supportive network through online forums, local groups, and hearing health organisations for valuable insights.

10. Stay Positive and Resilient:
Cultivate a positive mindset, celebrate achievements, and adapt to life with an ear condition with resilience.

Preserving your ear health

Ear health is integral to our overall well-being. Proactive steps for good ear health include:

Gentle ear care: prioritise gentle cleaning of the outer ear to allow the natural self-cleaning mechanism to unfold.

Noise protection: shield ears from excessive noise using protective measures like earplugs or noise-cancelling headphones.

Regular check-ups: establish a proactive relationship with healthcare professionals for early detection and personalised care.

Communication strategies: develop effective communication strategies, fostering understanding and support for those managing hearing loss.

Mindful lifestyle choices: embrace a mindful lifestyle with adequate rest, a balanced diet, regular exercise, and stress-management techniques.

By prioritising ear health, you’ll pave the way for a higher quality of life. Healthy ears contribute to our ability to fully enjoy the symphony of sounds that colour our experiences—the laughter of loved ones, the rustle of leaves, and the melodies that shape our daily lives.

Frequently asked questions

What is the most serious ear condition?

The severity of ear conditions varies, but conditions like sudden hearing loss or untreated chronic infections can have serious consequences. Seeking prompt medical attention for significant changes in hearing or persistent ear issues is crucial for early intervention.

How can I tell if I'm experiencing hearing loss?

Signs of hearing loss include difficulty understanding conversations, needing to turn up device volume, and struggling in noisy environments. If you or others notice these signs, a comprehensive hearing assessment by an audiologist can provide clarity on your hearing health.

How can I tell if I'm experiencing hearing loss?

Signs of hearing loss include difficulty understanding conversations, needing to turn up device volume, and struggling in noisy environments. If you or others notice these signs, a comprehensive hearing assessment by an audiologist can provide clarity on your hearing health.

Are there any everyday habits that can help protect my ears from damage?

Protecting your ears involves simple yet impactful habits. Avoid prolonged exposure to loud noises, use ear protection in noisy environments, refrain from inserting objects into the ear canal, and prioritise gentle ear cleaning with a washcloth rather than cotton swabs.

What are some common causes of tinnitus, and can it be treated?

Common causes of tinnitus include exposure to loud noises, age-related hearing loss, and earwax blockages. While there is no cure for tinnitus, various management techniques, including sound therapy and cognitive-behavioural therapy, can help individuals cope with the symptoms.

How often should I have my ears checked by a healthcare professional?

Regular ear check-ups are recommended, especially if you experience changes in hearing, persistent ear discomfort, or issues like tinnitus. An annual check-up with an audiologist or ear specialist can help monitor your ear health and detect any potential issues early on.

emma jarvis

Written By:
Emma Jarvis

Digital Optimisation Lead

Author Image

Medically Reviewed By:
Kuraisha Govender
Audiology Expert