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Swimming-Related Ear and Skin Problems in Children
Why Are Pools Risky for Children?
Pools are communal water environments. Even with regular chlorination, some microorganisms—especially bacteria and fungi—can survive and thrive in insufficiently treated pools. These organisms can enter the body through the ears or skin. Children are more susceptible because their ear canals are narrower, their skin is thinner, and their immune systems are still developing.
Ear Issues: Swimmer’s Ear (Otitis Externa)
One of the most common pool-related problems is “swimmer’s ear” (otitis externa), an infection of the outer ear canal. Constant moisture disrupts the ear’s natural acidic balance, making it easier for bacteria to grow.
Symptoms
- Itching or fullness in the ear
- Pain, especially when touching or pulling the ear
- Yellowish or watery ear discharge
- Mild fever or general discomfort
Treatment
- Prescription ear drops containing antibiotics
- Cleaning of the ear canal by a professional
- Avoiding water exposure (even during baths)
- Oral antibiotics in advanced cases
Prevention
- Gently drying the ears after swimming
- Using swim caps or earplugs
- Avoiding cotton swabs, which can irritate the canal
- Using drying ear drops (alcohol-based, only with doctor approval)
Skin Issues: Chlorine Dermatitis and Fungal Infections
1. Chlorine Dermatitis
Chlorine can strip the skin’s protective oils, leading to dryness, irritation, and itching. This is more common in children with eczema (atopic dermatitis).
Symptoms
- Dry, flaky skin
- Redness and itching
- Widespread irritation on arms, legs, or torso
Treatment and Care
- Showering immediately after swimming
- Applying moisturizers regularly
- Using doctor-recommended barrier creams in sensitive children
- Non-steroidal anti-inflammatory creams when necessary
2. Fungal Skin Infections (Tinea)
Wet swimsuits, moist environments, and shared areas (poolside, showers) can encourage fungal growth.
Symptoms
- Red, itchy lesions in the groin, underarms, or between toes
- Ring-shaped patches with clearer centers
- Peeling, scaling, or oozing skin
Treatment
- Topical antifungal creams
- Oral antifungal medication in persistent cases
- Frequent changing of swimsuits and towels
Other Common Pool-Related Infections
- Conjunctivitis (Pink Eye): Bacteria in pool water can cause redness, itching, and discharge from the eyes.
- Urinary Tract Infections (UTIs): Especially in girls, wearing wet swimsuits for too long can promote UTIs.
How to Protect Your Child from Pool-Related Infections
- Choose pools with verified hygiene standards. Regular monitoring of chlorine and pH levels is crucial.
- Have your child shower before and after swimming. This reduces the microbial load on the skin.
- Do not let your child stay in wet swimwear for extended periods.
- Use skin-appropriate moisturizers. Particularly for children with sensitive or eczema-prone skin.
- Consider using earplugs and goggles. They help prevent both ear and eye infections.
- Watch for signs of irritation. If your child complains of itching, redness, or pain, seek medical advice promptly.
