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Ear Infection

AMBULATORY CARE:

An ear infection

is also called otitis media. Blocked or swollen eustachian tubes can cause an infection. Eustachian tubes connect the middle ear to the back of the nose and throat. They drain fluid from the middle ear. You may have a buildup of fluid in your ear. Germs build up in the fluid and infection develops.

Ear Anatomy

Common signs and symptoms:

  • Ear pain
  • Fever or a headache
  • Trouble hearing
  • Ringing or buzzing in your ear
  • Plugged ear or an ear that feels full
  • Dizziness
  • Nausea or vomiting

Seek care immediately if:

  • You have clear fluid coming from your ear.
  • You have a stiff neck, headache, and a fever.

Call your doctor if:

  • You see blood or pus draining from your ear.
  • Your ear pain gets worse or does not go away, even after treatment.
  • The outside of your ear is red or swollen.
  • You are vomiting or have diarrhea.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Ear drops may contain medicine to decrease pain and inflammation.
  • Antibiotics help treat a bacterial infection.

Self-care:

  • Apply heat on your ear for 15 to 20 minutes, 3 to 4 times a day or as directed. You can apply heat with an electric heating pad, hot water bottle, or warm compress. Always put a cloth between your skin and the heat pack to prevent burns. Heat helps decrease pain.
  • Apply ice on your ear for 15 to 20 minutes, 3 to 4 times a day for 2 days or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your ear. Ice decreases swelling and pain.

Prevent an ear infection:

  • Wash your hands often to help prevent the spread of germs. Ask everyone in your house to wash their hands with soap and water. Ask them to wash after they use the bathroom or change a diaper. Remind them to wash before they prepare or eat food.
    Handwashing
  • Stay away from people who are ill. Some germs spread easily and quickly through contact.

Follow up with your doctor as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.