Fungal Ear Infection: Causes, Symptoms, Treatment
Fungal ear infections (otomycosis) cause itching, pain, and discharge in the ear. Learn about causes, symptoms, treatment options, and prevention tips for healthy ears.
Written by Dr. Rohinipriyanka Pondugula
Reviewed by Dr. Siri Nallapu MBBS
Last updated on 25th Aug, 2025
Ear infections can be uncomfortable, and when they’re caused by fungi, they require special attention. A fungal ear infection, also known as otomycosis, occurs when fungi grow in the ear canal, leading to irritation, itching, and sometimes pain. While it’s not usually serious, it can be bothersome if left untreated.
In this article, we’ll discuss what causes fungal ear infections, their symptoms, and how they can be treated. We’ll also share some helpful tips to prevent them and when to seek medical help.
What Is a Fungal Ear Infection?
A fungal ear infection occurs when fungi (such as Aspergillus or Candida) grow inside the ear canal. Unlike more common and bacterial infections, fungal infections thrive in warm, moist environments. People who live in humid climates, swim frequently, or have weakened immune systems are more prone to these infections.
Common Causes of Fungal Ear Infections
Several factors can contribute to fungal ear infections, including:
1. Excess Moisture – Swimming, humid weather, or excessive sweating can create a damp environment in the ear, encouraging fungal growth.
2. Injury to the Ear Canal – Scratching the ear with cotton swabs or sharp objects can damage the skin, making it easier for fungi to invade.
3. Weakened Immune System – People with diabetes, HIV, or those taking immunosuppressant medications are at higher risk.
4. Long-term Antibiotic Use – Antibiotics can kill beneficial bacteria, allowing fungi to overgrow.
5. Wearing Hearing Aids or Earbuds – These devices can trap moisture and increase the risk of infection.
Symptoms of a Fungal Ear Infection
The signs of a fungal ear infection can vary but often include:
- Itching (the most common symptom)
- Ear pain or discomfort
- Redness and swelling in the ear canal
- White, black, or yellow discharge (sometimes with a foul smell)
- Hearing loss or muffled hearing due to blockage
- A feeling of fullness in the ear
If you experience severe pain, fever, or swelling around the ear, seek medical help immediately, as this could indicate a more serious infection.
How Is a Fungal Ear Infection Diagnosed?
A doctor (usually an ENT specialist) will examine your ear using an otoscope to check for redness, swelling, and fungal growth. They may take a small sample of the discharge for lab testing to confirm the type of fungus causing the infection.
Consult Top ENT Specialist
Treatment for Fungal Ear Infections
Treatment focuses on clearing the infection and relieving symptoms. Common approaches include:
1. Antifungal Ear Drops
- The most common treatment is antifungal ear drops (e.g., clotrimazole, fluconazole).
These are applied directly into the ear canal for a few days to weeks.
2. Cleaning the Ear
- A doctor may gently clean the ear to remove fungal debris, which helps the medication work better.
- Do not try to clean your ear at home with cotton swabs, as this can worsen the infection.
3. Oral Antifungal Medications
- If the infection is severe or doesn’t respond to ear drops, oral antifungals (like itraconazole) may be prescribed.
4. Pain Relief
- Over-the-counter pain relievers (e.g., ibuprofen or acetaminophen) can help with discomfort.
Home Care and Prevention Tips
While medical treatment is essential, you can also take steps to prevent fungal ear infections:
- Keep Ears Dry – After swimming or showering, tilt your head to drain water and use a towel (not cotton swabs) to dry the outer ear.
- Avoid Inserting Objects – Cotton swabs, hairpins, or fingers can scratch the ear canal, increasing infection risk.
- Use Earplugs When Swimming – This helps keep water out of the ear.
- Limit Earphone Use – If you wear earbuds often, clean them regularly and take breaks to allow air circulation.
- Manage Underlying Conditions – If you have diabetes or a weakened immune system, keep them under control.
When to See a Doctor
Most fungal ear infections improve with treatment, but you should consult a doctor if:
- Symptoms worsen or don’t improve in a week.
- You experience severe pain, fever, or swelling.
- You notice hearing loss or dizziness.
If you suspect a fungal ear infection, Apollo 24|7 makes it easy to consult an ENT specialist or schedule a test from home. Early treatment can prevent complications and speed up recovery.
Final Thoughts
Fungal ear infections can be annoying, but they’re usually easy to treat with the right care. By keeping your ears dry, avoiding unnecessary ear cleaning, and seeking medical help when needed, you can reduce the risk of infection.
If you’re experiencing persistent ear discomfort, don’t ignore it; reach out to a healthcare provider for proper diagnosis and treatment.
Need expert advice? Book an online consultation with an ENT specialist on Apollo 24|7 today!
Consult Top ENT Specialist
Consult Top ENT Specialist
Dr. Chanchal Pal
Ent Specialist
36 Years • MBBS, MS (ENT, Head & Neck), PG Certificate (Hospital Administration)
Delhi
Apollo Hospitals Indraprastha, Delhi
(50+ Patients)
Dr. Nishant Rana
Ent Specialist
8 Years • MBBS. MS ENT
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Dr. Tanvi Choubey
Ent Specialist
7 Years • MBBS, MS (ENT). Fellowship in Head Neck Onco Surgery . Consultant - ENT
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Dr. Sreeram Valluri
Ent Specialist
15 Years • MBBS, MS ENT
Manikonda Jagir
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Dr. Sushith C
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Consult Top ENT Specialist
Dr. Chanchal Pal
Ent Specialist
36 Years • MBBS, MS (ENT, Head & Neck), PG Certificate (Hospital Administration)
Delhi
Apollo Hospitals Indraprastha, Delhi
(50+ Patients)
Dr. Nishant Rana
Ent Specialist
8 Years • MBBS. MS ENT
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Tanvi Choubey
Ent Specialist
7 Years • MBBS, MS (ENT). Fellowship in Head Neck Onco Surgery . Consultant - ENT
Rourkela
Apollo Hospitals, Rourkela, Rourkela
Dr. Sreeram Valluri
Ent Specialist
15 Years • MBBS, MS ENT
Manikonda Jagir
Apollo Clinic, Manikonda, Manikonda Jagir
Dr. Sushith C
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
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