what happens if water gets in your ears with tubes

Project Fab

4 min read

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20-03-2025

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What Happens if Water Gets in Your Ears with Tubes?

Millions of children and some adults undergo myringotomy, a surgical procedure where tiny tubes (also called tympanostomy tubes or grommets) are inserted into the eardrums to help equalize pressure and drain fluid from the middle ear. While these tubes offer significant relief from ear infections and hearing problems, the question of what happens if water enters the ear with tubes is a common concern for patients and parents. The answer is multifaceted and depends on several factors.

Understanding the Role of Ear Tubes

Before exploring the consequences of water exposure, it's crucial to understand the function of ear tubes. Normally, the Eustachian tube, a narrow passage connecting the middle ear to the back of the throat, equalizes pressure between the middle ear and the outside world. However, in cases of recurrent ear infections or fluid buildup (otitis media with effusion), this tube may become blocked. This blockage can lead to hearing loss, pain, and persistent infections. Ear tubes bypass this blockage, allowing air to enter the middle ear and facilitating drainage of any fluid. The tubes are typically made of a biocompatible material that the body eventually expels, usually within 6-18 months.

Water in the Ear with Tubes: The Scenarios

The impact of water entering the ear with tubes varies depending on several key factors:

• The type of water: Clean, chlorinated pool water poses a lower risk than dirty, stagnant water, which harbors more bacteria and potential pathogens. Similarly, saltwater carries a different risk profile than freshwater.
• The amount of water: A small splash is less concerning than submersion in water for an extended period.
• The individual's overall health: Individuals with weakened immune systems are at a greater risk of infection.
• The presence of other ear conditions: Pre-existing ear infections or allergies can increase the risk of complications.

Potential Consequences of Water Exposure:

While many children with ear tubes swim and bathe without incident, water exposure can lead to several potential problems:

1. Infection: This is the most significant concern. Water, especially contaminated water, can carry bacteria and viruses that can enter the middle ear through the tubes, leading to otitis media (middle ear infection). Symptoms of an ear infection with tubes might include ear pain, drainage from the ear, fever, and hearing loss. These infections can be treated with antibiotics, but untreated infections can lead to more serious complications.

2. Temporary Hearing Changes: Water entering the ear canal can temporarily muffle sounds. This is due to the water's density affecting sound wave transmission. This is usually temporary and resolves once the water drains. However, persistent hearing loss warrants a visit to the doctor to rule out more serious issues.

3. Tube Blockage: Water can sometimes block the tubes, preventing proper ventilation and drainage. This can lead to fluid buildup in the middle ear, potentially causing discomfort and hearing problems. In some cases, the blockage may resolve on its own, while others may require medical intervention.

4. Tube Dislodgement: While less common, vigorous water activities or trauma to the ear can, in rare instances, cause the tubes to dislodge prematurely. This would necessitate a follow-up visit to an ENT specialist to assess and potentially replace the tubes.

5. Scarring: In rare cases, chronic or severe infections caused by water exposure can lead to scarring of the eardrum, potentially affecting future hearing.

Prevention and Mitigation Strategies:

Several strategies can minimize the risk of complications associated with water exposure in children with ear tubes:

• Ear Plugs: Custom-fitted or commercially available earplugs are a highly effective way to prevent water from entering the ear canal. Ensure a proper fit to ensure complete protection.

• Swimming Caps: Swimming caps help to keep water away from the ears, although they don't provide complete protection.

• Avoid Deep Water and Diving: Avoid activities that increase the risk of significant water exposure, such as diving or submersion in deep water.

• Careful Drying: After swimming or bathing, gently dry the outer ear with a clean towel. Avoid inserting anything into the ear canal to prevent irritation or accidental damage.

• Regular Follow-up Appointments: Regular check-ups with an audiologist or ENT specialist are crucial to monitor ear health and detect any problems early.

• Post-Swimming Observation: Parents should monitor their children for any signs of ear infection following water exposure, such as pain, drainage, or fever.

When to Seek Medical Attention:

Consult a doctor or audiologist immediately if your child experiences any of the following after water exposure:

• Persistent ear pain or discomfort
• Drainage from the ear
• Fever
• Significant hearing loss
• Signs of infection (redness, swelling)

Conclusion:

While water entering the ears of children with tubes is a common concern, it does not automatically lead to complications. Taking preventative measures, such as using earplugs and avoiding deep water activities, can significantly reduce the risk of infection or other problems. However, it's crucial to monitor children for any signs of infection or other issues and seek medical attention promptly if necessary. Open communication with your child's doctor or audiologist is essential to ensure proper care and address any concerns related to water exposure and ear tubes. Remember, proactive prevention and prompt medical attention are key to maintaining the health of ears with tubes.