
Most people associate ear infections with children, but adults experience them too — often with more discomfort and slower healing. If you’ve ever felt ear pain, pressure, or muffled hearing after a cold or shower, you may have had an ear infection without realizing it.
At Better Ears, we regularly help adults suffering from recurring ear infections, pain, and fullness. Understanding what causes these infections — and when to seek help — can prevent complications and keep your ears healthy.
What Is an Ear Infection?
Understanding the Anatomy of the Ear
Your ear has three main parts — the outer, middle, and inner ear — and infections can occur in any of them. Each section plays a vital role in hearing and balance.
The Difference Between Outer, Middle, and Inner Ear Infections
- Outer ear (otitis externa): Often called swimmer’s ear, caused by moisture or bacteria entering the ear canal.
- Middle ear (otitis media): Commonly linked to colds or sinus infections that block the Eustachian tube.
- Inner ear (labyrinthitis): A deeper infection that can affect balance and cause dizziness or nausea.
Common Causes of Ear Infections in Adults
Bacteria and Viruses
Most ear infections begin after a respiratory illness, when bacteria or viruses travel from the nose or throat into the ear.
Sinus Congestion and Allergies
Blocked sinuses can trap fluid behind the eardrum, creating the perfect environment for infection.
Earwax Buildup and Moisture
Impacted earwax or excess moisture can trap bacteria, leading to inflammation or pain.
Swimming or Water Exposure
Prolonged water exposure can irritate the ear canal lining and introduce bacteria — especially in humid conditions.
Smoking or Upper Respiratory Infections
Smoke exposure weakens the immune response in the ears, increasing the risk of infection after a cold.
Types of Ear Infections in Adults
Outer Ear Infection (Otitis Externa)
Caused by bacteria entering through moisture or minor skin damage. Symptoms include itching, redness, and tenderness around the ear canal.
Middle Ear Infection (Otitis Media)
Common after colds or sinus congestion. Symptoms include pain, fluid buildup, and pressure behind the eardrum.
Inner Ear Infection (Labyrinthitis or Vestibular Neuritis)
Affects the balance system, causing dizziness, nausea, or unsteady movement.
Common Symptoms of an Ear Infection
- Persistent ear pain or pressure
- Muffled hearing or temporary hearing loss
- A sensation of fullness in one ear
- Fluid drainage or unpleasant odour
- Dizziness or mild fever
- Ringing or buzzing sounds (tinnitus)
If these symptoms last more than a couple of days, professional evaluation is essential.

When an Ear Infection Becomes Serious
Persistent or Severe Pain
Severe, throbbing pain that doesn’t ease with medication could signal a deeper infection or eardrum issue.
Recurrent Infections
If infections keep returning, the cause may be wax buildup, sinus issues, or chronic inflammation.
Balance Problems or Tinnitus
Inner ear infections can impact your balance and cause tinnitus — both signs that need expert attention.
Spreading Redness or Swelling Around the Ear
If the skin around your ear becomes hot or swollen, it could indicate spreading infection and requires urgent treatment.
How Ear Infections Are Diagnosed
Visual Ear Examination (Otoscopy)
Your audiologist or clinician examines your ear canal using a lighted otoscope to check for wax, redness, or fluid buildup.
Identifying Wax, Fluid, or Inflammation
In many adult cases, what feels like an infection may simply be wax impaction, easily fixed with professional microsuction.
Hearing and Balance Testing if Needed
If dizziness or hearing loss accompanies your infection, further tests help identify the root cause.
Safe and Effective Treatments for Ear Infections
Professional Earwax Removal (Microsuction)
If earwax is trapping bacteria or moisture, microsuction — a gentle, dry removal method — can provide instant relief.
Medication for Bacterial or Viral Infections
Antibiotic or antiviral treatment may be prescribed depending on the cause and severity.
Home Care and Symptom Relief Methods
Warm compresses, hydration, and rest can help reduce pain and support healing. Always avoid inserting anything into your ear.
Why You Should Avoid DIY Ear Cleaning During Infection
The Dangers of Ear Candles, Cotton Buds, or Drops
Ear candles are ineffective and can cause burns, while cotton buds push wax deeper, worsening the problem.
How DIY Methods Worsen Inflammation
During infection, the ear canal skin is sensitive. Inserting tools or drops can cause further irritation or secondary infection.
Prevention Tips for Healthy Ears
Keep Your Ears Dry and Clean Safely
After swimming or showering, gently dry your outer ears with a towel — never insert objects.
Manage Allergies and Colds Promptly
Decongestants or saline sprays can help prevent sinus blockages from reaching your ears.
Schedule Routine Ear Health Checks
Professional ear exams every 6–12 months prevent recurring infections and maintain optimal ear health.
How Better Ears Helps Treat and Prevent Ear Infections
Expert Diagnosis and Safe Treatment
Our HCPC-registered audiologists provide gentle, professional care for ear infections, wax buildup, and ear pressure relief.
Four Convenient Hertfordshire Clinics and Home Visits
Visit Better Ears in:
- Radlett – 347 Watling Street, WD7 7LB
- Harpenden – 1 High Street, AL5 2RS
- Hemel Hempstead – 161 London Road, HP3 9SQ
- Wheathampstead – 2 High Street, AL4 8AA
We also offer home visits for added comfort and accessibility.

Compassionate Care with Advanced Audiology Tools
From diagnosis to treatment, we combine advanced otoscopic imaging, microsuction, and patient-centered care for the best results.
FAQs About Ear Infections in Adults
Q1. Can adults get ear infections as often as children?
While less common, adult ear infections can be more severe and take longer to heal.
Q2. Can earwax cause infections?
Yes, wax buildup can trap bacteria and moisture, leading to irritation or infection.
Q3. Should I use ear drops if my ear hurts?
Only use drops prescribed or recommended by a professional — some can worsen infections.
Q4. How long does it take for an ear infection to heal?
Mild infections may clear within a few days, but severe cases can take up to two weeks.
Q5. Can Better Ears treat ear infections?
Yes — we safely remove wax, assess ear health, and refer you for medical treatment if needed.
Conclusion: Don’t Ignore the Signs — Get Expert Help Early
Ear infections in adults may start as minor discomfort, but ignoring the signs can lead to pain, hearing loss, or recurring issues. The safest solution? Get checked early.
At Better Ears, we provide expert ear health checks, professional wax removal, and compassionate care to restore comfort and protect your hearing.
Book your ear infection assessment today at your nearest Better Ears clinic and experience safe, gentle relief — the professional way.