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What Are Ear Infections?

Ear infections are very common, particularly in children. They affect the middle ear (the space behind the eardrum) and can cause pain, discomfort, and temporary hearing problems.

Most ear infections clear up on their own within 3 days, although sometimes symptoms can last up to a week. While they can be painful and distressing, particularly for young children, they usually get better without the need for antibiotics.

Common Symptoms of an Ear Infection

Earache

Pain inside the ear is usually the main symptom, which can range from mild discomfort to severe pain.

High Temperature

A fever or feeling hot and shivery often accompanies an ear infection.

Difficulty Hearing

Temporary hearing loss or muffled hearing is common during an ear infection.

Discharge from the Ear

Fluid or discharge running out of the ear may occur if the eardrum has perforated.

Pressure or Fullness

A feeling of pressure or fullness inside the ear is a common symptom.

Itching and Irritation

Itching and irritation in and around the ear, sometimes with scaly skin.

In Young Children and Babies: Look out for rubbing or pulling their ear, not reacting to some sounds, being irritable or restless, being off their food, or keeping losing their balance.

Ear infection assessment

Types of Ear Infections

There are three main types of ear infections, affecting different parts of the ear:

Middle Ear Infection (Otitis Media)

The most common type, affecting the space behind the eardrum

  • Often caused by bacterial or viral infections
  • Common in children
  • May follow a cold or respiratory infection

Outer Ear Infection (Otitis Externa)

Also known as swimmer's ear, affects the ear canal

  • Often caused by water remaining in the ear
  • Creates a moist environment for bacteria
  • Common in swimmers

Inner Ear Infection (Labyrinthitis)

Affects the inner ear structures

  • Can cause dizziness and balance problems
  • May affect hearing
  • Usually viral in origin

Treatment and Self-Care

Things You Can Do at Home

To help ease pain and discomfort from an ear infection:

  • Use painkillers such as paracetamol or ibuprofen (children under 16 should not take aspirin)
  • Remove any discharge by wiping the ear with cotton wool
  • Place a warm or cold flannel on the ear
  • Rest and get plenty of fluids
  • Keep your head elevated when sleeping

Medical Treatment

A pharmacist or GP may recommend or prescribe:

  • Antibiotic tablets or eardrops
  • Antifungal or steroid eardrops
  • Painkilling eardrops
  • In some cases, a GP may pierce a spot or boil to drain pus

Note: Eardrops may not work if they're not used correctly. Your pharmacist or GP can show you the proper technique.

How Ear Infections Are Diagnosed

If you have symptoms of an ear infection, a GP or pharmacist may use an instrument with a small light and magnifying glass (an otoscope) to look inside your ear.

Some otoscopes blow a small puff of air into the ear to check for blockages, which could be a sign of an infection.

Managing and Preventing Ear Infections

Do

  • Make sure your child has had all their childhood vaccinations
  • Keep your child away from smoky environments
  • Use earplugs or a swimming hat when swimming
  • Put cotton wool smeared with petroleum jelly in ears when showering if prone to infections
  • Treat conditions that affect your ears, such as eczema
  • Stay home if you have a high temperature or feel unwell

Don't

  • Don't put anything inside your ear to remove earwax, such as cotton buds or your finger
  • Don't let water or shampoo get in your ear
  • Don't go swimming while you have an ear infection
  • Don't use decongestants or antihistamines – there's no evidence they help
  • Don't give your child a dummy after they're 6 months old

Important: You cannot always prevent ear infections, particularly those caused by colds and flu. However, following these guidelines can help reduce the risk.

When to Seek Professional Help

Get Urgent Help From NHS 111 or a GP If:

  • You or your child feel generally unwell
  • You have a very high temperature, or feel hot, cold or shivery
  • There is swelling around the ear
  • Fluid is coming out of the ear
  • You have a change in hearing or new hearing loss
  • You feel sick, are vomiting, feel dizzy or have a severe sore throat
  • Your child under 12 months has earache in both ears
  • You have diabetes, or a heart, lung, kidney or neurological condition
  • You have a weakened immune system

See a GP If:

  • Your child is under 12 months old and you think they have an ear infection
  • You have earache that does not get better after 3 days
  • You or your child keep getting ear infections
  • You need advice about managing symptoms
  • You'd like a hearing assessment after an ear infection

For children aged 1 to 17: A pharmacist can give the same treatments as a GP for an ear infection and provide advice.

How Sussex Audiology Centre Can Help

Professional hearing assessment

Post-Infection Assessment

We can assess your hearing after an ear infection to ensure it has returned to normal and identify any ongoing issues.

Hearing Assessment

Comprehensive hearing tests to evaluate any temporary or permanent changes to your hearing following infections.

Ear Health Monitoring

Regular monitoring for those who experience recurrent ear infections to track ear health over time.

Tympanometry Testing

Testing to assess middle ear function and fluid presence, helping to diagnose the cause of recurring infections.

Specialist Referrals

If necessary, we can refer you to an ENT specialist for further investigation and treatment of persistent ear problems.

Advice and Support

We provide practical guidance on preventing future infections and managing ear health effectively.

If you're experiencing recurrent ear infections, have concerns about your hearing after an infection, or need advice about ear health, we're here to help. Our experienced audiologists can provide comprehensive assessments and ongoing support.

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