Middle Ear Infections

Also: Ear Infection, Middle

Infection of the middle ear, otitis media, is common in infants and young children.  Although ear infections can be extremely painful, they are seldom harmful.

WHAT CAUSES MIDDLE EAR INFECTIONS?

An ear infection is a secondary complication of colds and nasal allergies.  Swelling in the nose and throat keeps the middle ear cavity from ventilating properly.  Fluid accumulation in the middle ear results.  When resident bacteria from the nose and throat begin to grow in this stagnant fluid, a middle ear infection results.

WHEN SHOULD PARENTS SUSPECT AN EAR INFECTION?

Children with ear infections have usually been suffering with a cold for a few days.  The baby may cry out in pain or act inconsolable.  Fussiness provoked by lying flat or swallowing is also suggestive.  Some babies will grab or bat at their ears.  Many children have fever with ear infections.

Surprisingly, some ear infections will cause no symptoms other than those expected with a mild cold.  This is no reason for concern.  Undiagnosed, hence untreated, ear infections usually resolve on their own without complication.  Hearing damage resulting from ear infections is rare.

HOW IS AN EAR INFECTION TREATED?

  1. An antibiotic drug is given regularly for a period of 3 to 10 days.
  2. Antibiotic ear drops may be used if the eardrum is ruptured.
  3. Pain relieving medicines may be used.
  4. Occasionally, it is necessary to reexamine the ear in 1 to 2 weeks.

WHAT CAN BE DONE TO AVOID EAR INFECTIONS?

  1. Do not smoke around your child.
  2. Minimize exposure to other sick children as much as possible.
  3. Treat nasal allergies when present.
  4. If problems persist or recur frequently, referral to an ear, nose, and throat surgeon may be indicated.  The ENT may recommend ear ventilation tubes and/or the removal of adenoid tissue.

DISPELLING COMMON MYTHS ABOUT EAR INFECTIONS

  1. Wind exposure has nothing to do with ear infection.
  2. Taking a bottle while lying down has no effect on ear infection.
  3. Water exposure has no impact on (middle) ear infection. (See Swimmer’s Ear)
  4. Not every ear infection requires antibiotic treatment.