The Surprising Link Between Your Gut and Ear Health
- Ashley Amas
- Apr 23
- 6 min read
If you’ve ever struggled with swimmer’s ear or frequent ear infections, the solution might start in your gut. Emerging research reveals a fascinating connection between the auditory-gut-brain axis—the intricate relationship between your ears, gut microbiome, and immune system. Here’s how to break the cycle of recurring infections using simple, science-backed strategies from both Western medicine and Traditional Chinese Medicine (TCM).

Why Your Gut Matters for Ear Health
Your gut microbiome—the trillions of bacteria living in your digestive tract—plays a starring role in immune function and inflammation. When gut bacteria are out of balance (dysbiosis), it can weaken your defenses against ear infections. For example:
Inflammation pathways: Gut imbalances trigger systemic inflammation, making your ears more vulnerable to infections like otitis externa (swimmer’s ear).
Shared microbiomes: Harmful bacteria from the gut or respiratory tract can travel to the ear via the Eustachian tube, especially after colds or sinus issues.
Probiotic power: Beneficial gut bacteria like Lactobacillus and Bifidobacterium help block ear pathogens and reduce infection recurrence.
Western Prevention Strategies
TCM Solutions for Ear Health
Natural Remedies to Soothe Infections
When to See a Doctor
The Bottom Line
Stopping recurrent ear infections starts with a holistic approach: keep ears dry, nurture your gut, and consider TCM’s balance-focused strategies. By combining Western hygiene with TCM’s herbal and dietary wisdom, you can protect your ears and break the cycle of discomfort.
Always consult a healthcare provider or TCM practitioner before starting new treatments, especially for children or chronic conditions.
Sources:
1
Frontiers
frontiersin.org/journals/neuro…
A review of the auditory-gut-brain axis - Frontiers
Hearing loss places a substantial burden on medical resources across the world and impacts quality of life for those affected. Further, it can occur peripher...
2
Mayo Clinic
mayoclinic.org/diseases-condi…
Swimmer's ear - Symptoms & causes - Mayo Clinic
The moist environment from water remaining in your ear after swimming or bathing can lead to this infection in the outer ear canal.
3
Department of Health & Human Services
betterhealth.vic.gov.au/health/conditi…
Swimmer's ear | Better Health Channel
Swimmer's ear can be triggered by exposure to water or mechanical damage due to overzealous cleaning.
4
Dr. Jake Fratkin - Boulder, CO |
drjakefratkin.com/articles/pedia…
Pediatric Ear Infections And Chinese Medicine | Dr. Jake Fratkin
Pediatric Ear Infections And Chinese Medicine - Article by Dr. Jake Paul Fratkin, Doctor of Oriental Medicine, offering consultations in person or by SKYPE
5
Hearing Health Connection
hhc.alpacaaudiology.com/blog/home-reme…
The Best At-Home Remedies for Treating Ear Infections
If you or your child is dealing with an earache or ear infection, discover the best at-home remedies to alleviate pain and discomfort. Learn more.
6
Audiology Research
pmc.ncbi.nlm.nih.gov/articles/PMC10…
Modulation of Gut Microbiome as a Therapeutic Modality for Auditory ...
The gut microbiome has been shown to play a pivotal role in health and disease. Recently, there has been increased interest within the auditory community to explore the role of the gut microbiome in the auditory system and its implications for ...
7
Mayo Clinic News Network
newsnetwork.mayoclinic.org/discussion/hom…
Home Remedies: Suffering from swimmer's ear
Swimmer's ear is an infection in the outer ear canal, which runs from your eardrum to the outside of your head. It's often brought on by water that remains in your ear after swimming, creating a moist environment that aids bacterial growth. Putting fingers, cotton swabs or other objects in your ears also can lead […]
8
Frontiers in Neuroscience
pmc.ncbi.nlm.nih.gov/articles/PMC10…
A review of the auditory-gut-brain axis - PMC - PubMed Central
Hearing loss places a substantial burden on medical resources across the world and impacts quality of life for those affected. Further, it can occur peripherally and/or centrally. With many possible causes of hearing loss, there is scope for ...
9
How to Get Rid of Swimmer's Ear - Children's Health
Swimmer's ear can be a painful ear infection for kids. Learn how to prevent and treat swimmer's ear with tips from a Children's Health expert.
10
Madison & Saratoga Hearing Center
albanyhearclear.com/exploring-the-…
Exploring the Role of Microbiota in Ear Health and Balance
In this blog, we discuss the connection between microbiota and the ears and its impact on overall health and your hearing and balance.
11
GoodRx
Swimmers Ear Home Remedies: 5 Methods to Relieve Symptoms
Swimmer’s ear can be aggravating and, if not treated, lead to worse symptoms. Thankfully, you can try these swimmer’s ear home remedies to find relief.
12
Healthdirect Australia
healthdirect.gov.au/swimmers-ear
Swimmer's ear (otitis externa) – symptoms and treatment - Healthdirect
Swimmer's ear (otitis externa) is an infection of the outer ear canal. Learn what you can do to treat or avoid the risks of developing swimmer's ear.
13
pmc.ncbi.nlm.nih
pmc.ncbi.nlm.nih.gov/articles/PMC65…
Probiotics for preventing acute otitis media in children - PMC
14
nutraingredients-usa
nutraingredients-usa.com/Article/2021/1…
Probiotics for ear infections? Researchers demonstrate microbiota ...
15
journals.physiology
journals.physiology.org/doi/full/10.11…
The Microbiota-Gut-Brain Axis | Physiological Reviews
16
sertomacenter
sertomacenter.org/blog/?id=surpr…
The Surprising Link Between Gut Bacteria and Hearing Health
17
nationwidechildrens.org/newsroom/news-…
Study Suggests New Way to Prevent Recurrent Ear Infections
Eliminating bacteria’s DNA and boosting antimicrobial proteins that already exist may help prevent middle ear infections from reoccurring.
18
mdpi
Modulation of Gut Microbiome as a Therapeutic Modality for Auditory ...
19
nordicclinic
nordicclinic.se/the-surprising…
The Surprising Connection between the Gut Microbiome and ...
20
pmc.ncbi.nlm.nih
pmc.ncbi.nlm.nih.gov/articles/PMC58…
A microbiome case-control study of recurrent acute otitis media ...
21
activatedprobiotics.com.au/ear-infections…
Ear infections and the role of probiotics
22
mdpi
Psychobiotics and the Microbiota–Gut–Brain Axis: Where Do We Go ...
23
acupuncturereliefproject
acupuncturereliefproject.org/news-blog/174-…
Outer Ear Infection - Acupuncture Relief Project
24
health.clevelandclinic
health.clevelandclinic.org/best-ways-to-s…
How To Prevent and Get Rid of Swimmer's Ear
25
Western Missouri Medical Center
Pediatric Swimmer's Ear | Western Missouri Medical Center
If you’ve ever had swimmer’s ear, you know what a damper it can put on summer fun. Learn more about this painful ear infection...
26
clinic.acumedic
clinic.acumedic.com/can-we-help/co…
Labyrinthitis - An Introduction - Chinese Medicine and Western ...
27
stanfordhealthcare
stanfordhealthcare.org/medical-condit…
Treatment for Swimmer's Ear - Stanford Health Care
28
Me & Qi
Otitis Media Relief with Traditional Chinese Medicine - Me & Qi
Gain insights into otitis media through the lens of Traditional Chinese Medicine on Me & Qi. Delve into the causes and explore natural TCM remedies for effective relief and wellness.
29
health.clevelandclinic
health.clevelandclinic.org/home-remedies-…
Treating an Ear Infection at Home - Cleveland Clinic Health Essentials
30
Frontiers
frontiersin.org/journals/micro…
Association between gut microbiota and sensorineural hearing loss
BackgroundSeveral recent studies speculated that the gut microbiota is associated with sensorineural hearing loss (SNHL) and proposed the concept of the gut–...
31
The Hearing Review
hearingreview.com/inside-hearing…
Want to Prevent Recurrent Middle Ear Infections? Eliminate a ...
Scientists from The Research Institute at Nationwide Children's Hospital say that eliminating a particular bacteria's DNA and boosting certain antimicrobial proteins may help prevent middle ear infections from reoccurring.
32
PubMed
pubmed.ncbi.nlm.nih.gov/37600010
A review of the auditory-gut-brain axis - PubMed
Hearing loss places a substantial burden on medical resources across the world and impacts quality of life for those affected. Further, it can occur peripherally and/or centrally. With many possible causes of hearing loss, there is scope for investigating the underlying mechanisms involved. Various …
33
Nutrients
pmc.ncbi.nlm.nih.gov/articles/PMC64…
Prevention of Recurrent Acute Otitis Media in Children Through the ...
Acute otitis media (AOM) is one of the most common bacterial infections in children. Empiric antibiotherapy leads to increasing antimicrobial resistance rates among otopathogens and may impair the correct development of the microbiota in early life.
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