Why do ear piercings smell?

Smelly ear piercings may result from accumulated secretions, improper cleaning, external otitis, infected sebaceous cysts, or allergic reactions to earring materials followed by infection. The condition can be improved through proper cleaning, changing earrings, and medical treatment. If the odor worsens or is accompanied by redness, swelling, or pus discharge, prompt medical attention is necessary.

1. Accumulated secretions: The skin around the piercing naturally produces oils and sweat, which, when mixed with dust and left uncleaned over time, create a buildup that bacteria break down, causing odor. This usually does not cause significant discomfort. It is recommended to gently wipe the area around the piercing with a cotton swab dipped in saline solution and regularly clean secretions to keep the area dry.

2. Improper cleaning: Failure to thoroughly clean the piercing over a long period allows dirt and secretions to remain and ferment, leading to odor and possibly mild itching. It is advised to wipe the piercing and earring weekly with mild medical alcohol, avoid frequent touching, and reduce bacterial growth.

3. External otitis: Bacterial infection of the skin around the ear piercing causes inflammation, increased discharge with odor, and symptoms such as redness, swelling, and pain in the ear canal. Patients may use medications such as lomefloxacin ear drops, cefaclor capsules, or erythromycin ointment under a doctor's guidance to relieve symptoms.

4. Infected sebaceous cyst: Blockage of sebaceous glands near the piercing leads to accumulation of sebum and cyst formation; secondary infection results in odor, local redness, tenderness, and swelling. It is recommended to use medications such as mupirocin ointment, cefixime dispersible tablets, or metronidazole tablets under medical supervision to alleviate discomfort.

5. Allergic reaction to earring material with secondary infection: Wearing earrings made of allergenic materials triggers skin allergy, which may secondarily lead to bacterial infection, causing odor along with rashes, itching, and fluid leakage around the piercing. Patients may take loratadine tablets, fusidic acid cream, or amoxicillin capsules as directed by a physician to improve symptoms.

To promote healthy skin around the piercing, maintain cleanliness and dryness, choose safe earring materials such as sterling silver or pure gold, avoid frequent changes, dry the pierced area promptly after showering, and follow a light diet avoiding spicy and irritating foods.