Ear infections resulting from earrings and piercings can be a common concern, even when these procedures are carried out in licensed establishments with stringent hygiene practices. In this article, we'll delve into the causes, symptoms, and treatments for ear infections caused by earrings and piercings, aiming to provide you with the knowledge to address this issue effectively.
How to treat a pierced ear infection
Treating an ear piercing infection is crucial for a speedy recovery and to prevent complications.
If you encounter signs of infection or an allergic response, you can initially attempt home remedies within the first 48 hours. Nevertheless, if the symptoms persist or if you develop a fever, it's crucial to consult a medical professional to avert potential complications. Here are steps to help you treat a pierced ear infection:
Home remedies
During the first 48 hours of the onset of symptoms of a piercing infection, it is possible to consider home remedies as an initial measure. This includes cleaning the piercing twice a day using a saline solution, which can be purchased in ready-made form or prepared at home by mixing water with common salt.
It is essential to keep the wound as clean as possible. This is achieved by careful washing of the affected area with neutral soap and gentle drying using gauze to avoid causing additional damage to the skin.
The use of saline to wash the wound also helps to keep the wound clean and prevents the progression of infection. After washing the wound, it is important to dry the ear carefully using sterile gauze.
For mild infections, following these tips, along with the application of a specialised antibiotic cream, may be sufficient to relieve pain and achieve healing of the helix piercing. However, in more severe cases characterised by severe pain, pus or fever, it is essential to seek medical attention.
Seek medical attention
Keep the area clean
Antibiotics for ear piercing infection
Avoid irritants
Don't remove the earring

If the infection does not improve within 48 hours or you experience fever, it is important to see a doctor. They can prescribe local antibiotic creams or oral antibiotics as needed.
Types of pierced ear infections
There are two main types of ear piercings – through the earlobes and through the cartilage of the upper ear.
- Earlobe piercings tend to heal more quickly, with a lower risk of infection, thanks to strong blood flow.
- On the other hand, upper ear cartilage piercings are more prone to infections due to their limited blood flow.
1. Newly pierced ear infection
Following the piercing of your ears, it is common to encounter a period of mild discomfort and pain lasting several weeks. Nevertheless, if you begin to observe supplementary indications such as increased redness, swelling, or heightened irritation, these could serve as potential indicators of an infection. Disregarding or postponing the treatment of these manifestations might result in the development of more serious complications.
2. Old ear piercing infection
Failing to address an ear infection in a timely manner can worsen the situation and potentially lead to more critical consequences. There is no home remedy for old ear piercing infection, the only solution to avert the deterioration of a longstanding piercing infection, is to seek medical care and undergo a comprehensive dermatological assessment. This assessment aids in pinpointing the underlying issue and guarantees the application of suitable treatment, preventing the infection from spreading and expediting the recovery process.
3. Infected ear lobe piercing
Infected ear lobe piercings typically affect the soft tissue of the earlobe. Symptoms may include redness, swelling, pain, and discharge. To treat this type of infection, it's important not to remove the earring, clean the infected area three times a day, and wash your hands before touching it. Consult a healthcare professional if the infection doesn't improve with home care.
4. Back of ear piercing infected
Infections behind the ear can occur when piercings are done in the cartilage area. Symptoms may include pain, redness, swelling, and discharge. Cartilage piercings have a higher risk of infection compared to earlobe piercings. For an infected cartilage piercing, it's advisable to seek medical attention, especially if the piercing becomes painful, itchy, red, and swollen.

5. Crusty ear piercing infection
A crusty ear piercing infection often presents with the formation of crust or scab around the piercing site. This can be a sign of infection or delayed healing. It's essential to keep the area clean and follow proper aftercare to prevent crust formation.
If it persists, consult a professional piercer or a healthcare provider for advice.
6. Infected tragus, septum and helix
For piercings in sensitive areas such as the helix, tragus, rook, or daith, it's vital to grasp the recommended care procedures. The disinfection methods and time needed for healing can differ based on the type of piercing. Therefore, it's important to consult with your piercer to get a clear understanding of the unique care required for each type of piercing. Comprehending the particular aftercare and healing instructions for various piercings is essential to ensure a successful healing process and minimize the risk of complications.
Symptoms of ear piercing infection
It is essential to recognise the symptoms of an ear piercing infection in order to take early action. The main symptoms include:
- Redness and swelling around the wound: An infection often manifests itself with redness and swelling in the area of the piercing.
- Throbbing or warmth in the piercing area: You may experience a throbbing or warm sensation in the affected area.
- The presence of a bump or ear piercing bubble: Indicating localized infection and trapped fluids
- Painful to the touch and excessive sensitivity: The infected piercing is often painful to the touch, and the surrounding skin may be very sensitive.
- Foul-smelling discharge of yellowish or greenish fluid (pus): A collection of pus is a clear sign of infection. This discharge may have an unpleasant odour.
- Fever: In severe cases of infection, you may experience fever.
Ear pain after piercing
Pus formation post-piercing
Skin lumps following ear piercing

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What causes ear piercing infection?
Ear piercing infections can be caused by several factors. These include:
- Inadequate hygiene during the procedure: infection can occur if the piercing is performed under poor hygienic conditions. It is essential to choose an approved and specialised centre to minimise this risk.
- Inadequate care during healing: After piercing, it is crucial to follow the hygiene recommendations provided by the piercing professional. If not properly cared for, the wound can become infected.
- Contact with bacteria on our hands: Touching the pierced area with dirty hands can introduce bacteria into the wound and cause infection.
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Allergies arising from earring use
Allergy-related infections
Remedies for allergic infections
Cauliflower ear
Fibroid or cyst behind the ear
After getting an ear piercing, inflammation in the earlobe can lead to the development of a reactive fibroid or cyst behind the ear. This can appear as a small, painful lump situated at the back behind the earlobe on which there is the piercing causing discomfort upon touch.
Causes of a cyst behind the ear
A probable cause of a cyst behind the ear is the formation of a reactive fibrous nodule or a small cyst within the earlobe, which results in a partial blockage of the piercing hole.
This obstruction can induce irritation and potentially increase the risk of infection when wearing earrings.
Treating a cyst behind the ear
If you experience this symptom, it is advisable to avoid wearing earrings and cleanse the affected earlobe. A healthcare provider may recommend cortisone or antibiotic cream for topical application. If the problem persists, consulting a dermatologist is necessary to explore solutions. In severe cases, surgical intervention may be required.
How to clean an ear piercing infection
For a proper ear cleaning in the area of an infected piercing, follow these steps:
- Wash your hands: Start by thoroughly washing your hands with soap and water to prevent the introduction of more bacteria into the infected area.
- Saline solution: Use a saline solution specifically made for wound care. Gently soak a clean cotton ball or pad in the saline solution, then apply it to the infected piercing. Let it sit for a few minutes to help clean the area and loosen any crust or discharge.
- Remove crust or discharge: After soaking, carefully wipe away any crust or discharge that has softened, being gentle to avoid causing further irritation.
- Avoid touching: Refrain from touching your infected piercing with dirty hands. Keep contact to a minimum to prevent the spread of bacteria.
- Antibiotic ointment (if recommended): If your healthcare provider prescribes an antibiotic ointment, apply it according to their instructions.
- Keep it dry: Ensure that the area stays dry, as moisture can promote infection. Avoid swimming in pools or hot tubs until the infection has healed.
- Follow professional advice: If the infection is severe or doesn't improve with at-home care, seek medical attention. In some cases, oral antibiotics may be required to treat the infection.
Remember that maintaining good hygiene and keeping the area clean is crucial in preventing and treating ear piercing infections. Be cautious not to over-clean the area, as excessive cleaning can also irritate the piercing. Consult with a healthcare professional for guidance if the infection persists or worsens.
Caring for infected ear piercing

To avoid ear infections, it's crucial to:
- Visit a licensed and skilled piercing studio
- Steer clear of do-it-yourself (DIY) piercings
- Adhere to the sanitation guidelines provided by the piercer
- Prioritize regular hand washing before handling the pierced area