Can Hearing Aids Cause Ear Infections? Symptoms, Causes and Fast Relief

Hearing aids significantly improve life for millions, but some hearing aid users experience ear infections from time to time. If you've felt pain, itching, or discharge while using them, an infection may be the cause. Thankfully, with proper care, you can relieve symptoms and return to comfortable hearing aid use.

Infections can happen with hearing aids just like any other device that is worn for extended periods of time in your ears — they trap moisture and block the natural flow of earwax that normally self-cleans from the ear. At eosera®, we offer targeted solutions like EAR PAIN MD®, EAR ITCH MD®, and EAR WAX MD® to help hearing aid users find fast, effective relief.

This comprehensive guide will walk you through the common causes of hearing aid-related ear infections, how to identify symptoms early, effective treatment options, and most importantly, prevention strategies to avoid future occurrences. We'll also share expert advice on proper hearing aid maintenance and cleaning protocols that can significantly reduce your risk of infection.

Can hearing aids cause ear infections?

Ear infections related to hearing aids typically fall into two categories: otitis externa (outer ear infections, commonly known as "swimmer's ear") and fungal infections. These infections occur when bacteria or fungi multiply in the warm, moist environment, especially when hearing aids are not cleaned properly.

Several factors increase the risk of developing an ear infection while using hearing aids:

1. Moisture Retention: Hearing aids can trap moisture in the ear canal, creating an ideal environment for bacterial growth.

2. Improper Cleaning: Inadequate cleaning of hearing aids can lead to the buildup of earwax, dead skin cells, and bacteria.

3. Poor Fit: Hearing aids that don't fit quite right can cause friction between the hearing aid and ear canal can create tiny abrasions where bacteria can enter. 

4. Allergic Reactions: Some users may experience allergic reactions to the materials in hearing aids.

The ear canal naturally has protective mechanisms, including earwax production, which works as a self-cleaning tool for the ear. However, hearing aids can disrupt this natural balance, particularly if they fit improperly or aren't cleaned regularly.

A clinical study published in Hearing Balance and Communication found that hearing aid users showed significantly more microbial debris in the ear canal, increasing the risk for infections like otitis externa.

Understanding this relationship between hearing aids and infections is the first step toward effective prevention and treatment. Many users are unaware that their hearing aids may be the source of their discomfort until the infection becomes severe, highlighting the importance of education and awareness.

What are the common signs of ear infection?

Recognizing the symptoms of an ear infection early can help you seek treatment before the condition worsens. If you use hearing aids and experience any of the following symptoms, you may have an infection:

Physical Symptoms

• Sharp, dull, or throbbing pain in the ear

• Redness or swelling of the ear canal

• Discharge (clear, yellow, or greenish fluid)

• Crusting in or around the ear

• Tenderness when touching the outer ear

Sensory Symptoms

• Muffled hearing or temporary hearing loss

• Feeling of fullness or pressure in the ear

• Increased sensitivity to noise
  

However, persistent or worsening symptoms, especially when accompanied by pain or discharge, indicate an infection that requires attention. Don't hesitate to contact your healthcare provider if you experience these symptoms, as early intervention is key to preventing complications.

What should you do if you wear hearing aids and have an ear infection?

When you first notice symptoms of an ear infection, there are several steps you can take to find immediate relief while waiting to see a healthcare professional:

Temporary Removal of Hearing Aids

The first step is to remove your hearing aids to allow your ears to breathe and dry out. This helps reduce moisture and gives your ear canal a chance to recover. While this may be inconvenient, especially if you rely heavily on your hearing aids, it's an essential part of the healing process. According to audiologists, most mild infections show improvement within 24–48 hours of hearing aid removal.

Over-the-Counter Solutions

Several over-the-counter options can provide temporary relief:

• Ear drops specifically designed for temporary ear pain relief

• Anti-inflammatory pain relievers, like ibuprofen, to reduce discomfort

• Antihistamines, if allergies contribute to your symptoms

Products from eosera® are specifically formulated to address ear care needs and can be particularly helpful for hearing aid users experiencing discomfort. First, eosera® EAR PAIN MD® provides fast-acting, temporary numbing relief with 4% lidocaine, while eosera® EAR ITCH MD® uses botanical oils in a fine mist to soothe dryness and irritation. If earwax impaction is causing discomfort, eosera® EAR WAX MD® can help dissolve the earwax buildup. 

If symptoms persist for more than 2-3 days, worsen, or if you experience severe pain or fever, seek medical attention immediately. 

When do I need to go to the doctor for an ear infection?

For bacterial ear infections, which are common among hearing aid users, doctors usually prescribe antibiotic ear drops. These medications typically contain antibiotics like ciprofloxacin or neomycin combined with a steroid to reduce inflammation. The standard treatment course lasts 7-10 days, though you should notice improvement within 48-72 hours of starting treatment.

Fungal Infections

Sometimes ear infections require antifungal medications, which are available as drops or creams. These treatments often contain clotrimazole or miconazole and may require a longer treatment period of 2-3 weeks. Fungal infections can be more persistent and may require multiple visits to ensure complete resolution.

Severe Cases

In more severe cases, especially if the infection has spread beyond the ear canal, oral antibiotics may be necessary. Early medical treatment is known to help reduce the risk of chronic ear complications and support faster recovery. 

During treatment, your doctor will likely advise you to temporarily discontinue using your hearing aids or to use them for limited periods. This recommendation should be followed carefully to allow your ear to heal properly. 

How to Clean Hearing Aids to Prevent Ear Infections

One of the most effective ways to prevent ear infections is through proper cleaning and maintenance of your hearing aids. Following a consistent cleaning routine can significantly reduce your risk of developing infections:

Cleaning Routine for Hearing Aids

Establish a regular cleaning routine for your hearing aids:

1. Hold your hearing aid facing downward, so that dirt and debris can get a little help from gravity.
2. Use your hearing aid cleaning brush from top to bottom
3. For In-The-Ear hearing aids: Check your wax guard for clogging and replace it if needed. Clean microphone ports
4. For Behind-The-Ear Hearing Aids: Clean the receiver opening with your wax pick
5. Wipe down the entire casing/shell with a soft cloth.
6. Clean ear molds separately with mild soap and water from time to time.
7. For hearing aids with replaceable batteries, make sure you open the battery door and allow the moisture to escape overnight. 
8. Put your hearing aids in your drying container. 

Proper tools make cleaning more effective. Invest in a cleaning kit that includes a wax loop, brush, and cloth specifically designed for hearing aids. Avoid using alcohol, cleaning solvents, or household cleaners, as these can damage the delicate components of your devices.

Many hearing aid users underestimate the importance of regular cleaning. 

If you find that your ears are impacted with wax, cleaning them using clinically proven*earwax dissolving drops can help. Many doctors recommend eosera® EAR WAX MD® to safely dissolve earwax quickly. The eosera® WAX BLASTER MD® system comes with everything you need to clean your ears, including an easy-grip irrigation device, wash basin, and eosera® EAR WAX MD® wax dissolving drops. 

Daily Habits That Help Prevent Future Infections

Beyond cleaning your hearing aids, certain lifestyle adjustments can significantly reduce your risk of developing ear infections:

How Do You Manage Moisture in Hearing Aids?

Moisture control is crucial for preventing infections in hearing aid users:

• Keep your ears dry after showering or swimming before inserting hearing aids

• Consider using a hearing aid sweatband for exercise or during hot weather

• Remove hearing aids during activities that cause excessive sweating

• Use a dehumidifier case for storing hearing aids overnight

How to Tell If Your Hearing Aids Fit Properly

Ensuring your hearing aids fit properly is essential for preventing irritation that can lead to infections:

• Schedule regular appointments with your audiologist to check the fit of your hearing aids

• Report any discomfort immediately rather than trying to "get used to it"

• Consider custom-molded hearing aids if you experience frequent fit issues

• Ask about hypoallergenic materials if you suspect an allergic reaction

Healthy Ear Habits for Hearing Aid Users

Develop healthy habits for general ear care:

• Avoid using cotton swabs or other objects to clean inside your ear canals

• Let your ears "breathe" by taking hearing aid breaks when possible

• Consider using ear drops designed to maintain a healthy pH balance in the ear canal

• Stay hydrated and maintain good overall health, as this affects ear health as well

Know When to Seek Help from a Hearing Specialist

Consult a healthcare provider immediately if you experience:

• Severe pain in or around the ear

• Fever accompanying ear symptoms

• Dizziness or balance problems

• Sudden hearing loss beyond your normal hearing level

• Drainage of blood or pus from the ear

• Symptoms that worsen despite home treatment

• Redness or swelling that extends beyond the ear canal

Choosing the Right Doctor For Hearing Aid Users

Different healthcare professionals specialize in ear-related issues:

1. Audiologist: For hearing aid fit and maintenance issues

2. Primary Care Physician: For basic ear infections and initial assessment

3. Otolaryngologist (ENT): For complex or recurring ear infections

4. Dermatologist: If skin conditions are contributing to ear problems

Don't hesitate to seek a second opinion if your symptoms persist despite treatment. Early intervention can prevent complications and protect your hearing. Remember that recurring infections may indicate an underlying issue that needs to be addressed.

If you experience more than two ear infections within six months, ask for a referral to an ENT specialist who can evaluate whether there are anatomical factors, allergies, or other issues contributing to your susceptibility to infections. 

Frequently Asked Questions

Can I wear my hearing aids while treating an ear infection?

Most healthcare providers recommend temporarily discontinuing hearing aid use during treatment for ear infections, especially during the first 2-3 days when symptoms are most severe. This allows the ear canal to dry out and helps medication reach the infected areas.

Once the acute symptoms subside, you may be able to wear your hearing aids for limited periods, gradually increasing usage as healing progresses. Always follow your doctor's specific recommendations, as the severity and type of infection will determine the appropriate wearing schedule during recovery.

How long does it typically take for a hearing aid-related ear infection to clear up?

With proper treatment, most bacterial ear infections show significant improvement within 2-3 days and clear up completely within 7-10 days. Fungal infections typically take longer to resolve, often requiring 2-3 weeks of consistent treatment.

However, healing time varies based on the severity of the infection, your overall health, and how promptly treatment was started. Complete the full course of prescribed medication even if symptoms improve early to prevent recurrence or antibiotic resistance.

Are certain types of hearing aids less likely to cause ear infections?

Cleaning and hearing aid maintenance matter more than the specific type of hearing aid. Discuss your concerns with your audiologist, who can recommend the best option based on your hearing needs and ear health history.

Some audiologists suggest open-fit hearing aids and behind-the-ear models that don't completely occlude the ear canal generally allow for better airflow and less moisture buildup, potentially reducing infection risk. Custom-molded hearing aids made from hypoallergenic materials may also reduce irritation for sensitive individuals.

About eosera®

At eosera®, we specialize in innovative ear care solutions designed to address the unique challenges faced by hearing aid users and those with ear health concerns. With over a decade of experience in developing specialized ear care products, our team of healthcare professionals and researchers combines clinical expertise with cutting-edge technology to create effective solutions for common ear problems.

We provide a comprehensive range of ear care products specifically formulated to help temporarily relieve pain associated with ear infections, earaches from colds, flu, and allergies; as well as earwax dissolving drops, and itchy ear sprays. 

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