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Ear Infection vs Swimmer's Ear: What's the Difference?

Middle ear and outer ear infections have different causes, symptoms, and treatments.

Ear pain can come from different parts of the ear — and treatment depends on which type of infection is present.

Middle ear infection (otitis media): Affects the space behind the eardrum, often after a cold. Common in children. Pain may worsen when lying down; fever and hearing changes are common.

Swimmer's ear (otitis externa): Affects the outer ear canal, often after water exposure or canal irritation. Pain when touching the outer ear or pulling on the earlobe is typical.

Treatment differs: Middle ear infections may need watchful waiting or oral antibiotics. Swimmer's ear usually needs prescription ear drops.

When to seek care: Significant pain, fever, drainage, or symptoms in young children warrant prompt evaluation at urgent care.

NeuMed evaluation: Providers examine the ear to determine the type of infection and recommend appropriate treatment.

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