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Ear Infections


Definition: An ear infection occurs when the space behind the tympanic membrane (ear drum) becomes infected by bacteria.  Ear infections are frequently complications of colds, because the eustachian tube (the tube from the inner ear to the nose) becomes blocked.  When treated appropriately, there should be no permanent damage to the ear or hearing.  Children who are frequently exposed to cigarette smoke are at increased risk of getting ear infections.  

Symptoms:Your toddler may begin to act fussy or cranky, have an elevated temperature, and may repeatedly pull at his ears.  An older child may tell you that her ear hurts or feels funny (stuffy, full, cannot hear like usual).  Cloudy fluid or pus draining from the outer ear is usually an indication of an ear infection.  Occasionally drainage may be blood-tinged if the eardrum has ruptured. 

Please note!   Infants who are discovering their body parts may tug at and play with their ears just for fun.  In general, tugging at the ears is not a symptom of ear infection unless it is also accompanied by fussiness and an elevated temperature.

What to do if you suspect
your child has an ear infection
:
  1. Call our office during office hours to schedule an appointment.  The only way to be sure about a diagnosis is for the pediatrician to examine the ear drum.
  2. Antibiotics may be prescribed for your child to kill the germs that are causing the infection. Antibiotics will not provide immediate relief and must all be taken as directed even if your child appears to feel better.  Please do not stop the medication until all doses are given.
Home Care for Pain and Discomfort:
  1. Give an appropriate dose of acetaminophen (Tylenol®, etc) or ibuprofen (Motrin®).
  2. Apply a warm damp washcloth to the outer ear for 20 minutes to reduce pain while the medicine takes effect.  Some children prefer a cold compress or cool pack for 20 minutes.
  3. If pus or cloudy fluid is draining from the ear canal, wipe it away as it appears.  Do not plug the ear canal with cotton, since this can spread the infection to the outer ear.
  4. Elevate your child’s head for sleeping.  This will help to relieve pressure on the ear drum.
  5. If your child complains of pain only in one ear, have him/her lie down with the good ear down (on the pillow).  This will also help relieve pressure on the ear drum.

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