Treatment for an outer ear boil depends on whether an infection is present. Typically, when an outer ear boil is the result of a bacterial infection, antibiotics are often prescribed. Generally, oral antibiotics are recommended, however, topical antibiotic ointment, or a combination of both can be given. In addition to antibiotics, warm compresses can be used to help ease the pain and soothe inflammation.

An outer ear boil is usually painful and causes significant inflammation. For the pain, people can opt to take an over-the-counter anti-inflammatory drug or acetaminophen. For best results, however, anti-inflammatories usually work better because they treat pain as well as inflammation. Acetaminophen pain relievers only relieve mild to moderate pain, and do not manage inflammation. Both types of medications have side effects and patients should discuss taking them with the physician prior to beginning.

It can be tempting for some individuals to squeeze an outer ear boil, however, this practice can be dangerous. It not only can cause additional pain and swelling, it can contribute to a secondary infection. Only a health care provider should attempt to lance an outer ear boil, under sterile conditions. This is sometimes done to facilitate drainage of pus and speed the healing process. After the procedure, the wound area is typically covered with antibiotic ointment and covered with a sterile dressing.

If the physician deems that the outer ear boil is not related to an infection, remedies such as keeping the area clean and applying cold compresses four or more times daily might be sufficient to alleviate the condition. Although cold compresses are preferred, some people might choose warm compresses because the warmth can help ease irritation. Each time a compress is applied, a clean one needs to be used. Using the same one over and over can contribute to cross contamination.

During the acute phase of an external ear boil, hair should be kept clean and the use of hair products should be avoided. In addition, the ear boil should not be touched unless the hands have been thoroughly washed. Although an outer ear boil is not especially contagious, if it is caused by an infection, care should be taken if the boil is draining or bleeding.

In the rare occasion where the ear boil is accompanied by severe pain, fever, and body aches, the physician should be immediately notified. These symptoms can signal a serious infection and may need medical intervention. Since and outer ear boil typically does not affect the inner ear, hearing is usually not in danger. If left untreated, however, a secondary infection can occur, as can extensive scarring.