{"id":15098,"date":"2020-08-24T09:00:15","date_gmt":"2020-08-24T13:00:15","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=15098"},"modified":"2020-08-26T11:36:53","modified_gmt":"2020-08-26T15:36:53","slug":"ear-infection-in-kids","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/ear-infection-in-kids\/","title":{"rendered":"Ear Infections in kids"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent&#8217;s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series <a href=\"https:\/\/www.singlecare.com\/blog\/tag\/common-childhood-illnesses\/\">here<\/a>.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\"> <a href=\"#earinfection\">What is an ear infection?<\/a> | <a href=\"#doctor\">When to see a doctor<\/a> | <a href=\"#treatment\">Treatments<\/a> | <a href=\"#complications\">Complications<\/a> | <a href=\"#recurrent\">Recurrent ear infections<\/a> | <a href=\"#prevention\">Prevention<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Few smells transport me back to my childhood faster than the \u201cbanana medicine.\u201d As a child who suffered from frequent ear infections, I became well-acquainted with that bright yellow liquid that tasted like candy, but was really an antibiotic. That I have had so many occasions to wax nostalgic at the smell in my days as a daycare teacher, and now a parent, makes one thing clear: Ear infections and childhood go hand-in-hand.\u00a0<\/span><\/p>\n<h2 id=\"earinfection\"><b>What is an ear infection?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A middle ear infection (acute otitis media, or AOM) is an inflammation of the middle ear. It occurs when fluid builds up behind the eardrum and is usually caused by bacteria. Ear infections in kids are especially common, with <\/span><a href=\"https:\/\/www.nidcd.nih.gov\/health\/ear-infections-children\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">5 out of 6 children<\/span><\/a><span style=\"font-weight: 400;\"> experiencing at least one by the time they are 3 years old, with peak incidence occurring between ages 6 and 12 months.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While ear infections are an infection within the middle ear, they typically start with an upper respiratory tract infection caused by viruses, including influenza viruses. Bacteria or viruses from the nose and throat move into the middle ear and to the eardrum (tympanic membrane), causing increased secretions, swelling, and pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some children are more prone to ear infections than others. Children under the age of 6, who attend daycare, who are exposed to cigarette smoke, who have other health conditions such as asthma, ear or facial abnormalities, who live in polluted areas, or who drink from a bottle lying down are at a higher risk for ear infections. Also, lack of breastfeeding or pneumococcal and influenza vaccines increase the risk for ear infections. Ear infections may also run in families.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Symptoms of an ear infection in kids<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When there is a fluid build-up in the middle ear without infection, the condition is called otitis media with effusion. This typically doesn\u2019t cause fever, pus, or drainage, but can still cause pain from pressure or other problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhen there is fluid in the middle ear, the eardrum cannot vibrate so the first symptoms you may notice are a feeling of fullness in the middle ear and a decrease in your ability to hear out of that ear,\u201d says Leann Poston, MD, a medical contributor for Ikon Health.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This fluid build-up can become more serious. \u201cAny time fluid sits still, just like in a pond, bacteria and viruses can start to increase in number and cause an infection,\u201d says Dr. Poston.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Verbal children can tell their parents about an earache\u2014but because ear infections typically start before children are able to express themselves clearly, it\u2019s important for parents to watch for other signs of ear infection. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tugging\/pulling at the ears<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fever, particularly in infants and young children<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Trouble sleeping<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fussiness\/irritability\/crying<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Trouble hearing\/lack of response to quiet sounds<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fluid draining from the ear<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Clumsiness\/problems with balance<\/span><\/li>\n<\/ul>\n<h2 id=\"doctor\"><b>When should I take my child to the doctor for an ear infection?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Ear infections don\u2019t always necessitate a visit to the doctor, but it\u2019s a good idea to see a healthcare provider if an ear infection is suspected\u2014even if just to confirm that the symptoms are due to an ear infection and not something else. \u201cThe teeth, sinus infections, a build-up of earwax, or infected tonsils can also result in ear pain that is not due to an infection,\u201d says Dr. Poston.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A visit to a healthcare provider (usually a family physician, pediatrician, or nurse practitioner) <\/span><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/community\/for-patients\/common-illnesses\/ear-infection.html#anchor_1566476062251\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">is necessary if<\/span><\/a><span style=\"font-weight: 400;\"> there is:<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fever of 102.2 degrees Fahrenheit or higher in children older than 6 months<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fever 100.4 degrees Fahrenheit or higher in children younger than 6 months<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Discharge, pus, or fluid coming from the ear<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hearing loss<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headache, stiff neck, or sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Any other symptom that is concerning or severe<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You should also schedule an appointment if symptoms last longer than two to three days, worsen, or pain is uncontrollable with over-the-counter medication.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At your visit, your child\u2019s healthcare provider will usually do a physical exam to check symptoms. \u201cA medical provider uses an otoscope, which is a magnifying glass on a tube with a light, to look through the ear canal to the eardrum,\u201d says Dr. Poston. \u201cIf it is infected it will look red and swollen and you can usually see yellow fluid behind it. If the pressure builds up too much it can pop a hole in the eardrum. This relieves the pressure and pain and infected fluid drains out of the ear.\u201d<\/span><\/p>\n<h2 id=\"treatment\"><b>Treatments for ear infections in kids<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cAntibiotics are prescribed if fluid is seen behind the eardrum, the ear infection is painful, or the child has a fever and ear pain,\u201d says Dr. Poston. \u201cThe first choice for antibiotics is <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\"><span style=\"font-weight: 400;\">usually Amoxicillin<\/span><\/a><span style=\"font-weight: 400;\"> unless you are allergic, have recently been on Amoxicillin, have recurrent ear infections that are resistant to treatment with Amoxicillin, or have an eye infection with the ear infection. The dosage for Amoxicillin is based on weight.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotics are <\/span><a href=\"https:\/\/www.health.harvard.edu\/childrens-health\/new-guidelines-for-treating-ear-infections\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">not always necessary<\/span><\/a><span style=\"font-weight: 400;\">. \u201cAntibiotics are usually used for children who get recurrent ear infections; however, not all children need to be treated with antibiotics, says Soma Mandal, MD, board certified internist at<\/span><a href=\"https:\/\/www.summitmedicalgroup.com\/doctor\/smandal\/\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">Summit Medical Group<\/span><\/a><span style=\"font-weight: 400;\">. \u201cMost ear infections can clear on their own and pain relievers such as<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-acetaminophen\"> <span style=\"font-weight: 400;\">acetaminophen<\/span><\/a><span style=\"font-weight: 400;\"> can be taken for pain relief. Antibiotics play no role in the treatment for a viral ear infection, and they can be associated with side effects and potential antibiotic resistance.\u201d Alternative initial antibiotics include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cefdinir\"><span style=\"font-weight: 400;\">cefdinir<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cefuroxime-axetil\"><span style=\"font-weight: 400;\">cefuroxime<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cefpodoxime-proxetil\"><span style=\"font-weight: 400;\">cefpodoxime<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ceftriaxone-sodium\"><span style=\"font-weight: 400;\">ceftriaxone<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Approximately 80% of children with acute ear infections will recover without the use of antibiotics. If the child is not in great discomfort, or showing signs of serious infection, the healthcare provider may suggest \u201cwatchful waiting\u201d\u2014rechecking the child\u2019s ears at intervals to make sure the fluid is draining on its own. Studies show that delaying antibiotic treatment, combined with watchful waiting, does not increase the likelihood of the child developing serious problems. If the infection is viral, antibiotics will not treat the infection.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/pediatrics.aappublications.org\/content\/131\/3\/e964\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The American Academy of Pediatrics <\/span><\/a><span style=\"font-weight: 400;\">advises, \u201cThe decision not to give initial antibiotic treatment and observe should be a joint decision of the clinician and the parents. In such cases, a system for close follow-up and a means of beginning antibiotics must be in place if symptoms worsen or no improvement is seen in 48 to 72 hours.\u201d<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/ear-infection-treatment-and-medications\"><b>Ear infection medications and treatments<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Symptom management is an option while waiting for ear infections to clear on their own. This might include:<\/span><\/p>\n<ul>\n<li><b>Pain and fever medication<\/b><span style=\"font-weight: 400;\"> such as ibuprofen (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-advil\"><span style=\"font-weight: 400;\">Advil<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-motrin\"><span style=\"font-weight: 400;\">Motrin<\/span><\/a><span style=\"font-weight: 400;\">) or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tylenol-childrens\"><span style=\"font-weight: 400;\">Tylenol<\/span><\/a><span style=\"font-weight: 400;\"> (for children under 6 months, use only Tylenol\u2014never give a child Aspirin)<\/span><\/li>\n<li><b>Numbing ear drops<\/b><span style=\"font-weight: 400;\">\u2014read the label and make sure they do not contain any ingredients <\/span><a href=\"https:\/\/www.healthychildren.org\/English\/safety-prevention\/at-home\/medication-safety\/Pages\/Prescription-Ear-Drops.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">warned against by the FDA<\/span><\/a><span style=\"font-weight: 400;\"> for children, and consult a healthcare provider before using ear drops. For tips on how to apply ear drops, check out this <\/span><a href=\"https:\/\/www.healthychildren.org\/English\/safety-prevention\/at-home\/medication-safety\/Pages\/How-to-Give-Ear-Drops.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">tutorial<\/span><\/a><span style=\"font-weight: 400;\"> from The American Academy of Pediatrics.<\/span><\/li>\n<li><b>Rest<\/b><\/li>\n<li><b>Hydration<\/b><span style=\"font-weight: 400;\"> with water and other fluids<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/children-pain-relievers-fever-reducers\/\"><b>What\u2019s the best pain reliever or fever reducer for kids?<\/b><\/a><\/p>\n<p><b>Words of caution:\u00a0<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ALWAYS check with a healthcare provider before giving a child over-the-counter cough, cold, or decongestant medications. These medications can cause dangerous effects in children.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">NEVER put anything inside the child\u2019s ear canal (aside from drops if recommended by the child\u2019s doctor). This includes cotton swabs, cotton balls, or any other objects, or liquids unless directed by a healthcare professional.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ALWAYS finish the entire course of antibiotics, if prescribed\u2014even if the child feels better.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Children will usually start to feel better after two to three days, but fluid in the ear may remain for three to six weeks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ear infections are <\/span><a href=\"https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/ear-nose-throat\/Pages\/Your-Child-and-Ear-Infections.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">not contagious<\/span><\/a><span style=\"font-weight: 400;\">. Children can return to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/back-to-school-health-tips\/\"><span style=\"font-weight: 400;\">school or daycare<\/span><\/a><span style=\"font-weight: 400;\"> once the fever is gone and they feel well enough to do so, even if still on a course of antibiotics. However, some of the illnesses that cause ear infections are contagious, so make sure the cause of the ear infection is also taken care of before allowing the child near other children.<\/span><\/p>\n<h2 id=\"complications\"><b>What are some potential complications from ear infections?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Most ear infections will heal without issue, but there are some complications that can arise.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Hearing loss<\/b><span style=\"font-weight: 400;\"> due to prolonged fluid in the ear, which can affect speech and language in young children<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Ruptured eardrum<\/b><span style=\"font-weight: 400;\">, which will release the pressure but may heal with scar tissue. Multiple ruptures can cause problems with the membrane vibrations.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Mastoiditis<\/b><span style=\"font-weight: 400;\"> when the infection spreads to the air cells in the mastoid bone behind the ear. This may require surgical drainage.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If the child\u2019s symptoms are not going away within two to three days, with or without treatment, see a healthcare provider. If a follow-up is recommended, make sure to follow through on the appointment.<\/span><\/p>\n<h2 id=\"recurrent\"><b>What are recurrent ear infections and how are they treated?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cRecurrent ear infections are due to persistent fluid behind the eardrum that gets re-infected,\u201d says Dr. Poston. \u201cYounger children are more likely to get recurrent ear infections because their Eustachian tubes (drainage tubes in the ears) are both more horizontal and smaller in diameter.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotics do not get rid of the fluid behind the eardrum, but will eliminate most of the bacteria. Children who get more than three ear infections in six months, or four ear infections in 12 months, may get \u201ctubes\u201d in their ears. These small, plastic tubes are inserted into the eardrum, usually under anesthesia, and help fluid drain from behind the eardrum. They require checkups and usually fall out on their own after six to nine months. If other treatment isn\u2019t productive, a healthcare provider or ear, nose, and throat specialist may suggest removing the child\u2019s adenoids to prevent the spread of infection into the Eustachian tubes.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/swimmers-ear-treatment-and-medications\"><b>Swimmer\u2019s ear treatments and medications<\/b><\/a><\/p>\n<h2 id=\"prevention\"><b>How to prevent ear infections in children<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">While ear infections can\u2019t be prevented entirely, there are some ways to reduce the risk factors associated with them:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Keep cigarette smoke away from children, especially babies. Research shows that children around secondhand smoke have more ear infections.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Keep children\u2019s vaccinations up to date, especially the pneumococcal and influenza (flu) vaccines.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Use good hand washing hygiene for everyone, including children.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Don\u2019t bottle-prop or allow babies or young children to go to bed (or nap) with a bottle.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Keep children away from people who are sick.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Breastfeed exclusively for six months, and continue to breastfeed until the baby is at least 12 months old.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent&#8217;s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series here. What is an ear infection? | When to see a doctor | Treatments | [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":14833,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[19608],"coauthors":[8622],"class_list":["post-15098","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-common-childhood-illnesses","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ear infection in kids: A parent\u2019s guide to treatment<\/title>\n<meta name=\"description\" content=\"Ear infection in kids is a common childhood illness. 5 out of 6 experience one by age 3. 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