A constant desire to scratch in the ear canal, usually accompanied by other manifestations - ringing in the ears, noise, congestion, soreness, hearing loss, is a serious reason for examination in a medical institution, since various pathologies can manifest themselves with such symptoms. Only a specialist can accurately answer the question about the cause of discomfort.
Nevertheless, the first signs of trouble may suggest in which direction it is advisable to look for the cause of discomfort.
Constant severe itching of the ears on the outside, perhaps, indicates an allergic reaction to contact with a new shampoo, a hat made of inappropriate material, a new hair dye, poorly rinsed bedding, a bite of a blood-sucking insect. Such symptoms at the end of a sunny day spent outdoors may indicate that you have burned skin on your ears, and if the day was windy, then it was windy. Ears can also get frostbite, in a warm room they will begin to itch. In addition to itching, other symptoms will appear, in particular, skin flushing and swelling. Allergy can be not only contact. Itchy skin anywhere can come from an unfamiliar food or drug.
If you are constantly in a room with increased dryness of the air and at the same time drink little water, your skin will begin to dry out. The ears, on the other hand, can itch more because they are usually not protected by anything and, in addition to dryness in the room, are exposed to adverse environmental influences. In this case, it is unlikely that the skin on the ears will “burn”, unless you comb them. Rather, there will be peeling, the skin will become thin and "parchment". In addition, when dehydrated, you will often be thirsty.
Itching outside the ear canal, combined with a feeling of fullness and some local hyperthermia, may be the first sign of otitis externa ("swimmer's ear"). Usually, when dirty water infected with bacteria gets in, one ear is affected, in which the epithelium was damaged, however, bilateral inflammation of the external auditory canal is also possible. External otitis is not always of infectious origin. Inflammation may develop after chlorinated pool water enters the ear (as a reaction to the presence of chlorine). Long bathing, cold air on land can cause general hypothermia, which in total will end in external otitis media. With the development of the disease, some hearing impairment, hyperthermia and soreness are possible.
Xerosis (dry skin) of any etiology that occurs with chronic metabolic disorders can manifest itself as constant severe itching of the outer surface of the ears, exciting and auditory canal. At the same time, the accompanying symptoms suggest in which organ the pathological process is maturing. Renal itching is accompanied by dull pain in the lower back or slightly lower, dysuric disorders; hepatic - a taste of bitterness in the mouth, nausea, belching with the smell of rotten eggs, a yellowish tinge of the skin and sclera of the eyes, heaviness or pain under the right rib, the appearance of brownish liver spots on the skin. Diabetics may experience weakness after eating, thirst, weight changes, and blurred vision. Frequent colds and other infections simply cling to diabetics. With hypothyroidism, there is swelling of the mucous membranes of the ear, throat and nose and deterioration of their patency, coarsening of the voice, slowness - the patient simply "sleeps on the go", a decrease in all functions - heart rate, motility of the gastrointestinal tract, hypothermia, hypotension, anemia. It is worth noting that with systemic pathologies, itching in the ears can be and will be more noticeable than in other places, but the entire surface of the skin will suffer, in addition, the quality of nails and hair will deteriorate. They will lose elasticity and become dull, brittle. The ever-present weakness will remind of the deterioration of the general state of health.
Psychogenic itching can be in one place, or it can be observed in several places. The patient may complain of various clinical symptoms, but physical and instrumental examinations and analyzes usually do not confirm the presence of a pathological process corresponding to complaints.
Itching in the throat and ears can be a symptom of mycosis of the nasopharynx. At the same time, a whitish coating is noticeable in the throat, a sour smell is felt from the mouth, liquid discharge from the ears may appear. A fungal infection of the throat is also called fungal tonsillitis - while the throat is sore, the temperature may rise and the patient's well-being may worsen significantly.
The oral cavity, throat and ear can be infected with various pathogens. Most often, infection occurs in water, especially standing water. In this case, itching of the sky and in the ears is often felt. The sky becomes edematous hyperemic or with a whitish coating, depending on the pathogen. To identify it, you need to pass a smear for analysis.
An allergic reaction from the respiratory organs is usually not limited to one, everyone suffers to one degree or another: itching, swelling of the mucous membranes, clear discharge, and even an increase in body temperature can be in the complex manifestations of a hypersensitivity reaction.
Sometimes itching in the throat and ears accompanies the onset of ARVI, with dehydration due to dryness, the skin and mucous membranes itch in different places, however, such a fairly clear localization suggests that the cause is also associated with damage to the ENT organs.
Pain and itching in the left, right ear, that is, any one, at least excludes systemic diseases. Most likely it may be acute otitis media, which is often complicated by a previous infectious disease. Intense shooting pain, congestion, hearing loss is usually felt on one side. Edema of the ear canal contributes to the accumulation of sulfur, the secretion of which increases. The ear itches deep inside, attempts to touch it cause increased pain. Acute inflammation of the middle ear in most cases is accompanied by a rise in temperature to 39℃ and above.
Pain and itching in one ear can be symptoms of otomycosis. Itching and congestion occurs in the initial stage of the disease. The inflammatory process leads to swelling of the auditory canal, degreasing of its surface epithelium, hearing loss. In the acute stage, pain and discharge from the ear with a specific odor, containing desquamated crusts of the epidermis and fragments of fungal mycelium, join. Lymph nodes under the jaw, collarbones and back of the neck may increase. Common symptoms join - weakness, sleep disturbances, hyperthermia.
Pain and itching in one ear can be the result of traumatic injury - an insect bite, foreign body ingestion, age-related vascular disorders, constant unilateral noise exposure, and also be psychogenic in nature.
Itching and dryness in the ears, in addition to the xerosis described above, associated with chronic diseases or dehydration, may indicate the initial stage of a fungal infection. Fungi, settling on the skin, contribute to its degreasing, dryness leads to peeling. Later, other signs of mycosis will join, in particular, secretions will appear, through which the body will eliminate dead skin particles and fragments of fungal mycelium from the ear canal.
Itching in the ears and peeling can be a symptom of dermatosis - psoriasis, eczema. Seborrheic dermatitis is often localized in the external auditory canal and behind the ear folds. The scalp is also more often affected, but sometimes the only manifestation of this disease is external otitis media. The disease is characterized by a long relapsing course. In the warm season, patients usually go into remission, and with the first autumn cold, an exacerbation occurs. Mild forms are characterized by flaking, moderate redness and itching. In more severe cases, relapse begins with a rash of small follicles, merging into larger erythema with clear boundaries, round or oval, on which fatty thick crusts form. In places of rashes, the skin itches.
Celiac disease (gluten intolerance) is a rare autoimmune disease that has many symptoms, sometimes manifesting as excruciating itching in the ears and their peeling.
If crusts and itching appear in the ears, then the reason may be completely harmless, related to hygiene, moreover, both with complete neglect of ear care, and with biased performance of hygiene procedures.
Itching in the ears and congestion - otomycosis may begin with such symptoms, other signs will appear a little later. In the presence of a sulfur plug in the ear, just such symptoms are usually felt, and others usually do not appear. Itching in the ear canal and congestion may indicate the development of otitis externa. In addition, it becomes warm in the ear, later there is pain when chewing, hearing loss, fever.
Allergic reactions to the inhalation of irritating substances can manifest as itching in the nose and ears. These can be fumes and dust from washing powder, the smell of perfume or cologne, cosmetics, and other volatile substances. At the same time, the nose usually lays, abundant transparent discharge appears, the eyes turn red and watery and itchy in the throat. Itching in the ears and eyes is also most likely as a manifestation of an allergy to volatile substances. Similar symptoms may accompany the development of a viral infection. They will be followed by cough, runny nose, fever. Infection with a fungus or bacterial infection with such symptoms also cannot be ruled out.
Itching and discharge in the ears can be signs of various pathologies. Cloudy, grayish, or yellow-green spots are most likely signs of a fungal or bacterial infection. They can be of different consistency, sometimes, with a more acute and advanced process, they simply “flow” from the ear. It happens that the discharge is detected only when cleaning the ear with a cotton swab or turunda. In addition, the patient usually begins to hear worse in the affected ear, there is noise in it, and there may be pain. With purulent otitis - shooting pain, high fever, swelling. Palpation at the locations of the nearest lymph nodes usually causes pain.
Transparent discharge is observed with allergies to the external auditory canal or damage to the integrity of the tympanic membrane. In the second case, complaints are characteristic that there is liquid in the ears and itching. These symptoms indicate the accumulation of exudate in the middle ear cavity (otitis media without signs of inflammation).
If the base of the skull is fractured, cerebrospinal fluid may leak from the ear canal, however, in such cases, the symptoms are very serious (itching and fluid in the ears are unlikely to be its main manifestations).
Bloody discharge from the ear usually indicates an injury or neoplasm.
Sometimes sulfur has a very liquid consistency, brownish copious discharge may be a sign of its hypersecretion.
Itching and tinnitus can be observed in almost all cases described. This is due to the fact that the ear canal is clogged with sulfur or pus, a foreign body, or is greatly narrowed from edema. The noise may resemble the sound of a shell pressed against the ear, or it may be very loud and feel like a whistle of the wind, a ringing or a roar, and be accompanied by other symptoms already mentioned.
Itching in the head and ears - such clinical signs can be given by overdried skin for various reasons: from frequent shampooing with drying shampoos to systemic pathologies. In this case, dry peeling of the skin is observed, dandruff on the head. It can be dry: with insufficient moisture, beriberi, psoriasis. At the same time, the hair fades, loses its healthy shine and becomes brittle, cut at the ends. Rashes may appear on the skin.
Dandruff can be oily. Seborrheic dermatitis, caused by an overproduction of sebum, is characterized by the formation of thick horny crusts and itching. Most often localized on the scalp, capturing the external auditory meatus and the area behind the ears.
Itching in the head and ears may indicate allergic dermatitis. Any hair care product, a perm, a new hat, a poorly rinsed pillowcase, exotic food, a drug, and much more can cause such a reaction.
Parasites: lice, mites (Demodex folliculorum), bacterial, fungal, allergic eczema, neglect of hygiene, even in the absence of parasitic invasion, leads to the fact that the head and ears itch.
Itching in the ears is most pronounced at night, and in almost any case, and especially allergic. The time of day is not a diagnostic marker and is not a characteristic symptom.
In pregnant women, literally from the first days, a powerful restructuring of the body begins to occur. First of all, immunity weakens, and against this background, you can “pick up” a fungal or bacterial infection.
The expectant mother becomes more sensitive to many irritants, and itching in the ears during pregnancy may be a manifestation of an allergic reaction.
In the last trimester of pregnancy, itchy skin can be caused by bile stasis.
The reasons may be different - the same sulfur plug or beriberi. But to self-medicate a pregnant woman is at least short-sighted. You need to discuss your problem with a doctor, perhaps undergo an examination and be treated under his supervision.
Itching in the ears of a child is most often caused by a lump of sulfur, which must be removed from the edge of the ear canal, but only where it can be seen with the eyes. In no case should a child clean his ears with cotton swabs, even the so-called children's ones.
Ears are a self-cleaning system, even the water that enters healthy children's ears when bathing pours out on its own. The maximum that can be done after taking a bath is to blot the outside of the ear with a towel.
A child can be bitten by an insect in the ear. In this case, you can find the bite site and treat it with bepanthen or a rescuer.
Parasites such as lice may well appear in a child, especially one attending a kindergarten. Don't get too complex about this. In the civilized world, they have already come up with a special term "prosperous lice." Modern lice have adapted to sanitation and hygiene. They say they even prefer clean and not too thick hair. After all, it is not in vain that pharmacies offer a number of remedies for pediculosis, including imported ones.
Constant itching in the ears of a child can be a symptom of infection, nutritional errors, injuries, otitis media, and completely adult diseases. So, if you do not find a lump of sulfur, lice or a mosquito bite, then you should consult a doctor.