Bugs in ears: how to remove them?

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In the UK, the chances of small insects making their way into our ears while we sleep are significantly lower compared to countries where sleeping on the floor is common. Despite being a rare occurrence, the occasional adventurous bug, such as a tiny fly or cockroach, might find its way in. Nonetheless, for those living in the UK, this is an infrequent concern, and such instances of insect intrusion remain quite uncommon.

Worms or bugs in ears: symptoms

Experiencing a worm, insect or bug in the ear, while uncommon, can happen and is characterized by several noticeable symptoms:

  • Persistent, non-specific earache
  • Swelling within the ear
  • A reddish, itchy ear canal
  • Unaccountable tickling or tingling sensations
  • Sounds in the ear that may mimic tinnitus, such as buzzing or ringing
  • Discharge of pus or blood from the ear
  • Partial hearing loss or a feeling of fullness in the ear, often with dulled ambient noises
  • The peculiar sensation of something moving in your ear
Profile of a woman with perforated eardrum
Insects in ears: possible consequences

An insect in the ear can cause irritation and lead to severe complications like a perforated eardrum, ear inflammation, and hearing loss if not treated quickly.

More about perforated eardrum

What to do if a bug gets into your ear?

If an insect like an ant, moth, or fly wanders into your ear, it's important to remain composed and attempt a gentle removal. Should the insect remain lodged, it's imperative to consult an ENT specialist without delay. Avoid using tools such as tweezers for extraction, as improper use could lead to significant damage.

Steps for removing insects from ear at home

Occasionally, you may be able to deal with an insect in your ear on your own. The key is to stay calm and avoid sudden movements. It's crucial not to use Q-tips or other instruments that might press the insect further into the ear canal, which could cause additional damage.

 

Here's a guide you can follow at home to try and remove an insect from your ear:

  • Have someone inspect the ear canal using a flashlight or magnifying glass to determine the insect's type and location.
  • Find a comfortable place to sit where you can easily tilt your head to give better access to the affected ear.
  • Tilt your head to the side with the affected ear pointing down and gently pull on your ear. This could encourage the insect to fall out if it's not lodged too deeply.
  • Use an ear dropper or bulb syringe to gently rinse the ear with warm water.
  • Keep your head tilted so that the water can reach the insect, then tilt in the opposite direction to let the water and the insect flow out.
  • Avoid this method if you suspect that the eardrum might be perforated, as it could worsen the condition.

When to seek medical advice

It's important to consult with a healthcare professional even if you believe you've managed to remove an insect from your ear on your own. This step is crucial as there's a possibility that only part of the bug has been extracted. Medical attention is strongly recommended if there's any concern about potential bites or scratches on the eardrum, or if symptoms such as pain or ear bleeding persist after the removal attempt.

Tips to avoid insect entry into your ears

Minimizing the risk of insects entering your ears starts with keeping your sleeping environment clean. If you're outdoors or camping, make it a habit to keep the tent zipped up at all times during sleep or when you're not around, and consider applying insect repellent as an added precaution.

When the obstruction is not an insect

It might come as a surprise, but ears are more frequently visited by non-insect foreign bodies than by bugs themselves. Daily activities such as housekeeping or gardening can result in various particles like dust, plant debris, and sand finding their way into the ear canal. Often, these intrusions are misinterpreted as hearing problems or simply the sensation of a full ear, but it's actually ear wax buildup that's the usual culprit for such feelings. If you suspect your ear might be blocked or there's something inside it, it's wise to get it checked out. Consider scheduling a complimentary hearing examination.

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Types of ear-invading insects

Various insects might find their way into your ear canal, such as:

  • Bugs
  • Worms
  • Earwigs
  • Spiders
  • Flies
  • Cockroaches
  • Bed Bugs
  • Moths
  • Mosquitoes

What happens if a head lice goes in your ear?

Lice are small parasites commonly found in human hair, and they are notorious for infesting the scalp. People often wonder if these pests can enter our ears.

Although lice feed on human blood and are suited to the scalp, they are not designed to inhabit the ear canal. The conditions inside the ear do not support their survival or reproduction.

Additionally, the type of hair within our ears is not suitable for lice compared to scalp hair. On the rare occasion that a louse might end up in the ear, it could cause irritation and itchiness but would not be able to create an infestation.

Should you believe there's an insect or any other foreign body in your ear, it's critical to consult a healthcare provider for its safe removal.

Can you get worms in your ears?

The idea of worms in the ears may sound like something out of a horror story, but it's a concern that some people have. In reality, the presence of actual worms in the ears is exceedingly rare. Certain types of infections can lead to the presence of larvae, particularly in tropical regions where parasitic infections are more common, but these are not the typical worms one might imagine. 

Most often, when people experience sensations that feel like crawling or wriggling in their ears, it's due to other causes such as water trapped in the ear canal, inflammation, or even the simple movement of ear hair. True cases of worms in the ears are usually the result of a serious parasitic infection and would require immediate medical treatment.

Do earwigs go in your ear?

The unsettling myth that earwigs, with their distinctive forceps-like pincers, prefer to burrow into human ears has persisted for ages.

Despite their name suggesting a connection to human ears, earwigs, known scientifically as "Dermaptera," are actually nocturnal insects that favor dark, moist environments as hiding spots during the daytime. They might inadvertently enter human dwellings, but there is no evidence to support the notion that they are attracted to or commonly enter human ears.

The term "earwig" originates from the Old English "ēarwicga," with "ēar" meaning ear and "wicga" meaning insect, though this association is entirely coincidental.

It's important to note that earwigs are generally more interested in decomposing vegetation than in venturing into human ears.

Aural myiasis and its dangers: ear infestations

Aural myiasis, a rare yet troubling condition, occurs when fly larvae (maggots) infest the outer or middle ear, leading to a parasitic infection. This type of infestation falls under the larger category of myiasis, where larvae inhabit parts of the body. It's more prevalent in tropical climates and can also impact those with inadequate hygiene practices.

While many cases of aural myiasis may resolve without intervention, there's a potential for serious complications, such as the larvae penetrating deeper into the central nervous system. Be vigilant for symptoms such as:

  • Continuous itching, unease, and the feeling of something moving within the ear
  • Emission of a bad-smelling discharge

Maintaining ear hygiene is essential not merely for comfort but also for protecting against auditory health issues.

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Bugs in ears FAQs

How long can a bug live in your ear?

In the rare event that an insect enters an ear, it typically does not survive for long. Nonetheless, on occasion, an insect may remain alive for a few days, leading to noticeable discomfort and a buzzing or rustling sound within the ear. For those seeking solutions or experiencing this issue, it's important to address it promptly to avoid prolonged irritation or potential harm to the ear canal.

Can you leave a dead bug in your ear?

It is not advisable to leave a deceased insect in your ear, as this can lead to inflammation or infection, commonly referred to as otitis. It is important to remove the insect promptly and, if necessary, obtain medical assistance to ensure the ear is cleared safely and to prevent any complications.

How far can a bug travel in your ear?

The thought of an insect traveling deep into the ear canal can be unsettling. The ear canal is a few centimeters long, leading to the eardrum, which acts as a barrier. While a bug might venture a short distance into the ear canal, it cannot go beyond the eardrum. If an insect were to make it that far, it could cause discomfort and potentially damage the eardrum, which could lead to hearing impairment. 

Can a bug crawl in the ear to the brain?

No, a bug cannot crawl from your ear to your brain. The ear canal is separated from the middle ear by the eardrum, a thin membrane that is impermeable to insects. Even if a bug were to enter the ear canal, it would be unable to penetrate the eardrum to access the middle ear. Beyond the middle ear, there are additional barriers, including the bony labyrinth of the inner ear, which further protect the brain. 

The notion of insects reaching the brain is a common myth, but it is anatomically impossible due to these protective structures of the human ear and skull. If an insect does become trapped in the ear canal, it can cause discomfort and should be removed by a healthcare professional, but rest assured, it cannot travel internally to the brain.

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