Otitis media is the most common type of ear infection.
What is it?
What are the parts of the ear?
- The Outer Ear: the part of the ear you can see
- The Middle Ear: the part that is responsible for hearing
- The Inner Ear: the part that is responsible for balance
When the middle ear is infected doctors call it “Otitis Media”
Who gets otitis media?
Otitis media is most common in children, but it can also occur in adults.
What causes otitis media?
Otitis media can be caused by infection with a virus, bacteria, or fungus. Sometimes, throat infections (e.g. strep throat) can travel into the ear via the Eustachian tube, which connects the ear and throat.
What will it do to me?
Symptoms of otitis media
- Ear pain
- Fever
- Irritability
- Swollen lymph nodes in the neck
- A wet-feeling ear
- If there is also another infection (e.g. a cold), then symptoms may include cough, runny nose, and sore throat
Otitis media with effusion
“Effusion” means a buildup of fluid. If pus builds up in the middle ear, behind the eardrum, this can interfere with your hearing.
Complications of otitis media
Otitis media can cause a burst eardrum, leading to sudden temporary hearing loss. If otitis media is not treated, it can spread to the bones surrounding your ear. Untreated otitis media can also result in permanent damage to your hearing.
When to go to the hospital
- If your fever is above 39°C
- If you have sudden hearing loss
- If there is blood, pus, or brown fluid draining from your ear
What can I do?
Preventing otitis media
Otitis media is not always preventable However, there are things you can do to lower your risk. Don’t use Q-tips. The ear is naturally self-cleaning, and Q-tips will push bacteria further inside the ear. You can also use earplugs when swimming to prevent water from getting inside the ear.
Symptom relief
Acetaminophen (Tylenol) or Ibuprofen (Advil) can be used both for pain relief and to bring down a fever.
Antibiotics
As we noted earlier, otitis media can be caused by infection with a virus most commonly or bacteria. Viral infections always resolve on its own. Bacterial infection can be treated with antibiotics, such as Amoxicillin (Amoxil).
Seeing a specialist
People that have very frequent or long-lasting ear infections may be referred to see an “ear, nose and throat” (ENT) specialist. This doctor can talk to you about further options, such as putting a small tube through the eardrum to allow better drainage of fluid.