Ear canal itching frustrates reader

DEAR DR. GOTT: For years, I have had itching in my ear canal. At times, I wake myself up scratching my ears with my nails. This causes abrasions, pain and a buildup of residue. At times, there is a buildup of what appears to be dry skin. I have tried antibiotic and cortisone creams, olive oil and aloe vera, to no avail. Any suggestions? My doctor doesn’t have any.

DEAR READER: Many things can cause itchy ears. You could have a skin condition such as eczema or psoriasis, an infection, allergy, inadequate amounts of wax production, a fungal infection and more.

Testing must be performed to hopefully find the exact cause. Perhaps you should speak with your primary-care physician to determine if a biopsy of the residue buildup or a course of oral antibiotics or antifungal would be appropriate. The testing might then determine whether you need to be seen by a dermatologist for your symptoms of dry, itchy skin or an otolaryngologist for the pain and buildup of residue. I wish I could be more specific, but based on your brief note, you are exhibiting a lot of confusing signs that have me puzzled.

Readers who would like related information can order my Health Report “Ear Infections and Disorders” by sending a self-addressed stamped No. 10 envelope and a $2 check or money order made payable to Dr. Peter Gott and mailed to P.O. Box 433, Lakeville, CT 06039-0433. Be sure to mention the title or print an order form off my website’s direct link at www.AskDrGottMD.com/order_form.pdf.