Objects in the Ear
Topic OverviewObjects (foreign bodies) inserted into the ear usually do not cause
significant damage. But objects that are inserted forcefully can damage the
ear canal or penetrate the eardrum. Problems with objects in the
ear most commonly occur in children younger than age 5 and in people who have
problems with thinking and reasoning, such as an intellectual disability or
Alzheimer's disease. Some objects in the
ear cause more problems than others. - An insect or object in the ear may cause minimal
symptoms. A young child may complain of discomfort or unusual noises in the
ear. In this case, it is reasonable to try to remove the object. If the object
can't be removed, it may fall out on its own over the next 24
hours.
- Food items may be placed in the ear. Dry foods expand when
they become moist. Seeds, such as beans, peas, or popcorn, can swell from the
moistness of the ear canal, making them harder to remove. The objects may
cause pain and hearing loss as they expand to fill the ear canal. The
irritation may cause a bad-smelling liquid to drain from the ear.
-
The tip or a piece of cotton from a cotton swab may become lodged in the ear
canal if one is used to try to clean the ear canal or remove another
object.
- Disc batteries (also called button cell batteries) are more
dangerous than other objects and should be removed immediately. The moist
tissue in the ear canal can cause the battery to release strong chemicals
(alkali) quickly, often in less than 1 hour. These chemicals can cause a severe
burn and scarring in a little as 4 hours.
The longer an object is left in the ear, the harder it
is to remove. Also, the longer an object stays in the ear, the higher the chances of infection.
A visit to a doctor is needed if an object remains in the ear longer than 24
hours. An urgent visit to a doctor is needed any time a disc
battery is placed in the ear or if symptoms of injury develop after an object
has been inserted in the ear. Symptoms of injury include sudden hearing loss,
moderate to severe pain, dizziness, or bleeding. Check your
symptoms to decide if and when you should see a doctor. Check Your SymptomsDo you have an ear problem caused by an object in the ear? Yes Ear problem from an object in ear No Ear problem from an object in ear How old are you? Less than 12 years Less than 12 years 12 years or older 12 years or older Can you remove the battery from the ear? You can use tweezers for this. Yes Able to remove disc battery from ear No Not able to remove disc battery from ear Is there any drainage or bleeding from the ear? Yes Drainage or bleeding from ear No Drainage or bleeding from ear Is any food or plant matter stuck in the ear? Plants and foods (especially foods like beans or popcorn) can soak up moisture in the ear and get bigger. They need to be removed right away. Yes Pieces of food or plant stuck in ear No Pieces of food or plant stuck in ear Is there any pain in the ear? Is the pain severe? Severe means that the pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. Do you have any new hearing loss? Was the hearing loss sudden and complete? Yes Sudden and complete hearing loss No Sudden and complete hearing loss Is the dizziness severe? Severe means that you are so dizzy that you need help to stand or walk. Do you think you may have an ear infection? Pain and discharge from the ear are the usual symptoms of infection. Yes Possible ear infection Do you have diabetes or a weakened immune system? What weakens the immune system in an adult or older child may be different than in a young child or baby. Yes Diabetes or immune problem No Diabetes or immune problem Has an object been stuck in the ear for more than 24 hours (1 full day)? Yes Object stuck in ear for more than 24 hours No Object stuck in ear for more than 24 hours Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
Disc batteries are small, round
batteries used in toys, cameras, watches, and other devices. Because of the
chemicals they can release, they can cause serious problems if they are
swallowed or get stuck in an ear or the nose. Small magnets used in household items and objects that contain a lot of lead (such as bullets, buckshot, fishing weights and sinkers, and some toys) also can cause problems if
swallowed. - If a disc battery is stuck in the ear or nose:
- The battery needs to be removed right
away—within 1 hour if possible.
- Use tweezers to try to remove the
battery. If you can't remove it, get medical help.
- If you have swallowed a disc battery, magnet, or lead object:
- Get medical help right away.
- Do not try to
vomit.
- Do not eat or drink anything.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
illness. Some examples in adults are: - Diseases such as diabetes, cancer, heart disease,
and HIV/AIDS.
- Long-term alcohol and drug
problems.
- Steroid medicines, which may be used to treat a variety
of conditions.
- Chemotherapy and radiation therapy for
cancer.
- Other medicines used to treat autoimmune
disease.
- Medicines taken after organ transplant.
- Not
having a spleen.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
illness. Some examples in children are: - Diseases such as diabetes, cystic fibrosis, sickle
cell disease, and congenital heart disease.
- Steroid medicines,
which are used to treat a variety of conditions.
- Medicines taken
after organ transplant.
- Chemotherapy and radiation therapy for
cancer.
- Not having a spleen.
Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care. - Call your doctor now to discuss the symptoms and
arrange for care.
- If you cannot reach your doctor or you don't have
one, seek care in the next hour.
- You do not need to call an
ambulance unless:
- You cannot travel safely either by driving
yourself or by having someone else drive you.
- You are in an area
where heavy traffic or other problems may slow you down.
Seek Care TodayBased on your answers, you may need care soon. The
problem probably will not get better without medical care. - Call your doctor today to discuss the symptoms
and arrange for care.
- If you cannot reach your doctor or you don't
have one, seek care today.
- If it is evening, watch the symptoms and
seek care in the morning.
- If the symptoms get worse, seek care
sooner.
Home TreatmentTo remove an object from the ear:- Tilt the head to the side and shake it. Gently
pulling the ear up and back may straighten the ear canal and help dislodge the
object.
- If the object is visible and the person is calm and
cooperative, carefully try to remove the object with blunt-ended tweezers. Do
not use non-gripping instruments, such as bobby pins, cotton swabs, or
matchsticks. Use care not to push the object farther into the
ear.
- Do not try to remove an object if the person will not hold
still.
- Do not try to remove an object if it is so far inside the
ear that you can't see the tips of the tweezers.
- Do not try to
flush an object out with water.
- When trying to remove an object
from a child's ear:
- Speak to the child in a calm, relaxed
voice. This will help control the child's fear.
- An object that is
not causing symptoms does not have to be removed right away. If the child is
upset, it may be best to let him or her calm down before trying to remove the
object.
To remove a disc battery from the ear:If the battery
is partially out of the ear, you may be able to remove it with your fingers or
blunt-nosed tweezers. - Do not use non-gripping instruments, such as
bobby pins, cotton swabs, or matchsticks.
- Use care not to push the
battery farther into the ear.
- If a child resists or is not able to
hold still, do not attempt to remove the battery.
- Do not use
eardrops or sprays of any type. This can cause the battery to corrode more
quickly.
Note: If you can't remove the battery, call your doctor. If you
are not able to reach your doctor immediately, go directly to the nearest
hospital emergency department. Do not place eardrops or other solutions of any kind in the ear in an attempt to remove the battery.
Eardrops can cause the battery to corrode quickly, causing severe damage to the
ear canal. To remove an insect from an ear:Do not try to kill
an insect that has flown or crawled inside the ear. - Instead, pull the ear up and back, and let the
sun or a bright light shine inside the ear. Insects are attracted to light and
may crawl out.
- If the insect does not crawl out:
- Lie the person down with the ear facing
upward.
- Fill the ear canal with warm (body temperature) mineral,
olive, or baby oil. The insect may float out.
Do not use ear candles. They have
no proven benefit in the removal of earwax or other objects in the ear and can
cause serious injury. Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
treatment: - Pain develops or increases.
- The
object cannot be removed.
- The
ear, ear canal, or the skin around the ear becomes red or
swollen.
- Drainage from the ear develops.
- You develop
other symptoms, such as hearing loss, dizziness, or bleeding.
- Your
symptoms become more severe or frequent.
PreventionSmall children love to explore their
surroundings. They are also curious about their bodies. To prevent children
from inserting objects into their ears: - Supervise young children, especially children
younger than age 5, to reduce the risk that they will put objects in their ears
or other body openings, such as the mouth, nose, rectum, or
vagina.
- Keep all objects small enough to be swallowed or inserted
into body openings away from small children. Warn children not to put any
object into a body opening.
- Store all disc batteries in a safe
place out of the reach of children. Properly dispose of used disc batteries out
of the reach of children.
Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions: - What is in your ear? If the object has been
removed, take it with you.
- How long has the object been in your
ear? If the object has been removed, how long was it in the
ear?
- How have you tried to remove the object? What methods have you
used? What happened?
- If the object has been removed, how was this
done?
- What symptoms have developed since the object became stuck in
the ear?
- Do you have any
health risks?
CreditsByHealthwise Staff Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Kathleen Romito, MD - Family Medicine Specialist Medical ReviewerAdam Husney, MD - Family Medicine Current as ofApril 7, 2017 Current as of:
April 7, 2017 Last modified on: 8 September 2017
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