Itchy and smelly ears may be related to diseases such as eczema of the external auditory canal, active stage of chronic suppurative otitis media, fungal otitis externa, etc. General treatment, medication and surgical treatment need to be selected according to the cause of the disease and the characteristics of the disease.
1. Eczema of the external auditory canal: often related to contact with allergens, nerve dysfunction and endocrine disorders, it can cause symptoms such as ear itching, running water, pus and ear canal odor. It is necessary to keep the external auditory canal dry and clean, avoid contact with allergens, use mometasone furoate cream locally, and take antihistamines such as loratadine orally. When secondary infection occurs, local and systemic antibiotics can be used to fight infection, such as ofloxacin.
2. Chronic suppurative otitis media in active stage: In acute attack of suppurative bacterial infection of the middle ear, the pus overflows from the tympanic membrane perforation, which stimulates itching of the external auditory canal, and the pus emits a bad smell. The ear canal can be cleaned with 3% hydrogen peroxide solution followed by optional ear baths such as ofloxacin ear drops. After inflammation control, tympanoplasty can be chosen to remove inflammatory lesions in the middle ear and hearing reconstruction.
3. Fungal otitis externa: fungal infection in the external auditory canal, usually with itching in the ear, combined with bacterial infection can cause swelling, pain and pus in the external auditory canal, followed by odor. Perform debridement to remove granulation, necrotic tissue and pus, and apply 1% to 3% salicylic acid ethanol solution to the ear. You can also use mycotoxin to spray on the external ear canal or apply broad-spectrum antimycobacterial drugs such as miconazole nitrate cream.
When the discovery of itchy ears and odor, can actively seek medical systematic examination, after a clear diagnosis, in accordance with the doctor’s instructions standardized treatment.