Next to a cold, an ear infection is the most common childhood illness. In fact, most kids have at least one ear infection by the time they are three-years-old. An ear infection develops when fluid in the middle ear (the inside part of the ear behind the eardrum) becomes infected by bacteria or a virus.
Sometimes kids with colds develop an ear infection. When your child has an ear infection, she may complain of ear pain or you may see drainage coming from her ear. Younger infants may simply be fussy or have a fever.
Call your doctor if your child has an earache and any of these signs:
- Drainage from the ear.
- Swelling or redness around the ear.
- Dizziness.
- Trouble hearing.
- A fever.
An antibiotic may not be given right away if the ear infection is mild. But if the doctor prescribes an antibiotic, make sure your child takes all the medicine as directed—even if she begins to feel better and the pain is less after a few days. The doctor may suggest you try a dose of acetaminophen (like Tylenol) to relieve ear pain.
Here's some good news: Kids with ear infections do not need to stay home if they are feeling well. If they need to take an antibiotic at school or child care, make sure someone can give them their medication properly.
What if fluid remains in the middle ear after an ear infection is treated?
It is normal for fluid to stay in the middle ear right after an ear infection. This fluid usually clears up within two to three months. If fluid stays in the middle ear for more than three months, it may affect your child's hearing. Your child may also have repeated ear infections. If your child has middle ear fluid present for a long time, ask your doctor if a hearing test is needed.
"Use Antibiotics Wisely" is an educational program sponsored by the Maryland Department of Health and Mental Hygiene and Centers for Disease Control and Prevention.
Revised May 16, 2006
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