Why does my ear itch even though nothing comes out when I try to clean it? What should I do?

Generally, ear itching without being able to remove anything might be caused by poor hygiene habits, allergies, eczema, otitis media, necrotizing external otitis, and other reasons. It is recommended that patients undergo general treatment, drug therapy, physical therapy, surgical treatment, etc., under a doctor's guidance. The specific analysis is as follows:

1. Poor hygiene habits: Poor hygiene habits may lead to earwax buildup, which can irritate the skin of the external auditory canal and cause itching. Earwax is a naturally secreted protective substance in the ears, but excessive accumulation may cause discomfort. It is recommended that patients regularly clean their ears with warm water or mild ear cleaning solutions, avoiding the use of cotton swabs or other sharp objects deep inside the ear canal to prevent damage to the eardrum.

2. Allergy: Allergic reactions may occur after contact with allergens such as dust mites, pollen, certain foods, or medications, causing allergic responses on the skin of the ear canal and resulting in itching. There may also be nasal discomfort symptoms. It is recommended that patients identify the allergens and try to avoid contact with them.

3. Eczema: Eczema in the ear canal may be triggered by excessive moisture, allergies, or other factors, leading to inflammatory reactions on the external auditory canal skin and causing itching. Patients may use medications such as tacrolimus ointment, mometasone furoate cream, or loratadine tablets as directed by a physician to treat eczema and relieve the symptoms mentioned above. Additionally, under the guidance of professional physicians, physical therapies such as ultraviolet therapy may be used to promote eczema healing.

4. Otitis media: Otitis media is usually caused by bacterial or viral infections, especially after colds or upper respiratory tract infections. These pathogens can cause inflammation inside the ear canal, resulting in an itchy sensation. In addition, allergic reactions, eczema, or fungal infections of the external auditory canal may also affect the middle ear, causing itching and discomfort. For patients with severe symptoms and ineffective drug treatment, myringotomy, myringectomy, or mastoidectomy may be required at a regular hospital.

5. Necrotizing external otitis: Necrotizing external otitis is a severe ear canal infection usually caused by bacteria such as Pseudomonas aeruginosa. This disease can lead to skin and cartilage necrosis in the external auditory canal, causing severe pain, itching, and pus discharge. For patients with severe conditions and ineffective drug treatment, debridement of the external auditory canal, external auditory canal plasty, or other surgical treatments may be required at a regular hospital.

During treatment, it is essential to follow the doctor's instructions strictly and avoid self-medication or self-treatment to prevent worsening of the condition. At the same time, maintaining good personal hygiene and keeping the ear canal clean and dry can help prevent ear diseases.