Ear infection

    • Otitis media means inflammation / infection of the middle ear. The middle ear is a small space located behind the eardrum.
    • Many young children (4 months to 18 months) may pull on their ears with teething. These children usually do not have a cold and sleep fine.
    • Getting water splashed in the ear, earwax, wind or being cold do not cause a middle ear infection.
    • Ear infections are not contagious, but the viruses that cause a cold which leads to an ear infection are contagious.
    • The doctor may not find an ear infection initially with a cold. But if the cold continues, an ear infection may develop. Be alert to worsening of symptoms

Most common in children from 6 months until 2 or 3 years old, but can occur at any age, even newborns. 

    • Unless the child is in extreme pain, the doctor does not need to be contacted in the middle of the night.
    • The doctor then may prescribe anaesthetic ear drops or other pain killers, and possibly antibiotics.
    • The child may still need analgesia for 48 hours after starting the antibiotics .
 

Signs of an acute ear infection:

    • Fussy babies who don't eat well or pull off the bottle or breast
    • Not sleeping well
    • Usually with a cold, but occasionally without signs of a cold
    • May or may not have a fever
    • Pulling on the ear ( pullling on the ear in a happy, non-sick child may be a sign of teething )
    • Not hearing well, talking loudly, ignoring normal voice tones, television volume increased
    • Older child will complain of pain

CALL DOCTOR IMMEDIATELY 

  • Severe pain that has not responded to any home treatments
  • History of any penetrating ear trauma
  • Stiff neck
  • Redness, swelling and tenderness over the bone behind the ear (signs of mastoiditis)
  • Acting sick

CALL DURING NORMAL HOURS 

  • Earache especially when accompanied by: fever, loss of sleep, fussiness, ear discharge, poor appetite, pulling off the bottle or breast,
  • History of swimming and pain with movement of the earlobe (swimmer’s ear)
  • Child on antibiotics for an ear infection that is still having significant pain symptoms after 48 hours
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