Q&A for How to Treat an Infected Ear Piercing

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  • Question
    I just got my second hole pierced on my bottom lobe. My ear does not burn, but feels itchy. Is that a sign of infection?
    Luba Lee, FNP-BC, MS
    Luba Lee, FNP-BC, MS
    Board-Certified Family Nurse Practitioner
    Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006.
    Luba Lee, FNP-BC, MS
    Board-Certified Family Nurse Practitioner
    Expert Answer
    You may be experiencing symptoms of atopic dermatitis or allergic metal contact dermatitis, which increase the risk for developing bacterial skin infections. If the symptoms are intense, don’t resolve within couple of days or worsen, see your medical provider for further evaluation.
  • Question
    What do I do if my upper lobe piercing is sore to the touch?
    Sarah Gehrke, RN, MS
    Sarah Gehrke, RN, MS
    Registered Nurse
    Sarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous (IV) therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.
    Sarah Gehrke, RN, MS
    Registered Nurse
    Expert Answer
    A piercing can be sore until it heals. Be sure to keep it clean and follow your piercer's instructions. You can also try a warm compress or an over-the-counter pain reliever. If you have redness, soreness, or pus, contact your healthcare provider to make sure that you don't have an infection.
  • Question
    Does a crust around the piercing mean that it is infected?
    Sarah Gehrke, RN, MS
    Sarah Gehrke, RN, MS
    Registered Nurse
    Sarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous (IV) therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.
    Sarah Gehrke, RN, MS
    Registered Nurse
    Expert Answer
    A honey-colored crust around your new piercing is a part of the normal healing process. Is not an infection if you don't have pus, redness, or pain.
  • Question
    What do I do if my upper lobe piercing is sore to the touch?
    Luba Lee, FNP-BC, MS
    Luba Lee, FNP-BC, MS
    Board-Certified Family Nurse Practitioner
    Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006.
    Luba Lee, FNP-BC, MS
    Board-Certified Family Nurse Practitioner
    Expert Answer
    Superficial earlobe infections tend to have a benign course and respond well to local treatment, including warm, moist packs and application of over-the-counter topical antibiotic ointment. Treatment with 2 percent mupirocin ointment (Bactroban) or oral antistaphylococcal antibiotics may be warranted if symptoms of redness and tenderness don’t resolve with conservative measures such as warm compresses and OTC antibiotic ointment.
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