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Ear infections

Check if it's an ear infection

The symptoms of an ear infection usually start quickly and include:

  • pain inside the ear
  • a high temperature
  • being sick
  • a lack of energy
  • difficulty hearing
  • discharge running out of the ear
  • a feeling of pressure or fullness inside the ear
  • itching and irritation in and around the ear
  • scaly skin in and around the ear

Young children and babies with an ear infection may also:

  • rub or pull their ear
  • not react to some sounds
  • be irritable or restless
  • be off their food
  • keep losing their balance

Most ear infections clear up within 3 days, although sometimes symptoms can last up to a week.

If you, or your child, have a high temperature or you do not feel well enough to do your normal activities, try to stay at home and avoid contact with other people until you feel better.

How to treat an ear infection yourself

To help relieve any pain and discomfort from an ear infection:

  • use painkillers such as paracetamol or ibuprofen (children under 16 should not take aspirin)

  • place a warm or cold flannel on the ear

  • remove any discharge by wiping the ear with cotton wool

  • do not put anything inside your ear to remove earwax, such as cotton buds or your finger

  • do not let water or shampoo get in your ear

  • do not use decongestants or antihistamines – there's no evidence they help with ear infections

Treatment from a GP

The GP may prescribe medicine for your ear infection, depending on what's caused it.

Infections inside the ear

Antibiotics are not usually offered because infections inside the ear often clear up on their own and antibiotics make little difference to symptoms, including pain.

Antibiotics might be prescribed if:

  • an ear infection does not start to get better after 3 days
  • you or your child has any fluid coming out of the ear
  • there are other factors that increase your or your child’s risk of complications, such as having a weakened immune system

They may also be prescribed if your child is less than 2 years old and has an infection in both ears.

If antibiotics are not prescribed, eardrops containing a painkiller and an anaesthetic might be prescribed.

Outer ear infections

The GP might prescribe:

  • antibiotic eardrops – to treat a bacterial infection
  • steroid eardrops – to bring down swelling
  • antifungal eardrops – to treat a fungal infection
  • antibiotic tablets – if your bacterial infection is severe

If you have a spot or boil in your ear, the GP may pierce it with a needle to drain the pus.

Eardrops may not work if they're not used correctly.

Preventing ear infections

You cannot always prevent ear infections, particularly inner ear infections caused by colds and flu.

To help avoid inner ear infections:

  • make sure your child is up to date with vaccinations
  • keep your child away from smoky environments
  • try not to give your child a dummy after they're 6 months old

To help avoid outer ear infections:

  • do not stick cotton wool buds or your fingers in your ears
  • use earplugs or a swimming hat over your ears when you swim
  • try to avoid water or shampoo getting into your ears when you have a shower or bath
  • treat conditions that affect your ears, such as eczema or an allergy to hearing aids

The main symptoms of an ear infection include an earache, difficulty hearing and a feeling of pressure or fullness in your ear.

Ear infections often get better in a few days. Painkillers and holding a warm or cold flannel to your ear can help. Sometimes medicines may be needed.

You can help avoid ear infections by not getting water in your ears and not putting cotton wool buds or your fingers in your ears.

Related links

Ear infections

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Hearing loss and tinnitus

I’ve had repeated ear infections and persistent fluid behind the ear. I’ve got a scan coming but since losing hearing a little in that ear I’ve started to get more regular tinnitus. Any tips? All welcome! Thanks.
I’ve had repeated ear infections and persistent fluid behind the ear. I’ve got a scan coming but since losing hearing a little in that ear I’ve started to get more regular tinnitus. Any tips? All welcome! Thanks.
LJM15 profile image
LJM15
in British Tinnitus Association
7 months ago

Is anyone's tinnitus episodic?

(A bit of context - I've had recurring ear infections for many years and I had a tympanoplasty operation in 2021 to fix a perforated ear drum. I also work in the music industry, so I guess I've long been high risk) Thanks
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marra7191 profile image
marra7191
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3 months ago

Y'all did it again. Thank you!

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My granddaughter in the UK was regularly denied antibiotics for multiple ear infections as a young baby, toddler and child. Now she is now nearly 9 she has had 4 surgeries and another one in 6 months on her ears.
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