Zapalenie ucha środkowego
Objawy

Zapalenie ucha środkowego (otitis media) to stan zapalny przestrzeni za błoną bębenkową, często wywołany przez zablokowanie trąbki Eustachiusza, co prowadzi do gromadzenia się płynu i rozwoju infekcji bakteryjnych (Streptococcus pneumoniae, Haemophilus influenzae) lub wirusowych (RSV, wirus grypy). Objawy obejmują ból ucha, uczucie ciśnienia, gorączkę powyżej 38°C, przytłumiony słuch oraz wyciek płynu w przypadku perforacji błony bębenkowej. U dzieci objawy mogą być mniej specyficzne, np. drażliwość, brak apetytu czy trudności ze snem. Przebieg choroby dzieli się na fazę początkową (2-7 dni po infekcji górnych dróg oddechowych), ostrą (3-7 dni) oraz fazę zdrowienia, podczas której objawy ustępują zwykle w ciągu 3-5 dni, choć płyn może utrzymywać się do kilku miesięcy.

Zapalenie ucha środkowego – objawy

Zapalenie ucha środkowego (otitis media) to infekcja wypełnionej powietrzem przestrzeni za błoną bębenkową. Jest to stan zapalny, który prowadzi do gromadzenia się płynu za błoną bębenkową, powodując ból i dyskomfort. Zapalenie ucha środkowego występuje częściej u dzieci niż u dorosłych, głównie ze względu na krótsze i bardziej poziome trąbki Eustachiusza, które łatwiej ulegają zablokowaniu.12

Główne objawy zapalenia ucha środkowego

Objawy zapalenia ucha środkowego zazwyczaj pojawiają się nagle i mogą obejmować:34

  • Ból ucha (od łagodnego do silnego) – jest to najczęstszy objaw
  • Uczucie ciśnienia lub pełności w uchu
  • Gorączka (temperatura powyżej 38°C)
  • Trudności ze słyszeniem lub przytłumiony słuch
  • Wyciek płynu z ucha (jeśli błona bębenkowa uległa perforacji)
  • Ogólne złe samopoczucie
  • Zawroty głowy lub problemy z równowagą
  • Ból głowy

56

Objawy u niemowląt i małych dzieci

U niemowląt i małych dzieci, które nie potrafią jeszcze werbalnie wyrazić bólu, zapalenie ucha środkowego może objawiać się poprzez:78

  • Ciągłe pocieranie lub ciągnięcie za ucho
  • Zwiększoną drażliwość lub płaczliwość
  • Trudności ze snem lub częste budzenie się w nocy
  • Gorączkę
  • Brak apetytu
  • Brak reakcji na niektóre dźwięki
  • Wymioty lub biegunka
  • Utratę równowagi

910

Objawy u dorosłych

Dorośli z zapaleniem ucha środkowego mogą doświadczać:1112

  • Ból ucha lub uczucie ciśnienia
  • Wyciek z ucha
  • Przytłumiony słuch
  • Ból gardła
  • Gorączka
  • Problemy z równowagą (rzadziej)

1314

Przebieg zapalenia ucha środkowego

Fazy rozwoju infekcji

Zapalenie ucha środkowego często rozwija się w następstwie infekcji górnych dróg oddechowych, takiej jak przeziębienie, zapalenie gardła lub alergia. Infekcja zazwyczaj przebiega w kilku fazach:1516

  1. Faza początkowa – objawy zazwyczaj pojawiają się 2-7 dni po rozpoczęciu przeziębienia lub innej infekcji górnych dróg oddechowych.17
  2. Faza ostra – charakteryzuje się intensywnymi objawami, takimi jak ból ucha, wyciek płynu, gorączka i trudności ze słyszeniem. Ta faza zazwyczaj trwa około 3-7 dni.18
  3. Faza zdrowienia – większość ostrych infekcji ucha środkowego poprawia się w ciągu 48-72 godzin, niezależnie od tego, czy zastosowano antybiotyki. Jednakże płyn może utrzymywać się w uchu środkowym przez kilka tygodni do miesięcy po ustąpieniu infekcji.19

Mechanizm powstawania infekcji

Zapalenie ucha środkowego jest często spowodowane zablokowaniem trąbki Eustachiusza, która łączy ucho środkowe z gardłem. Gdy trąbka Eustachiusza zostaje zablokowana (np. w wyniku przeziębienia, alergii lub infekcji dróg oddechowych), płyn gromadzi się w uchu środkowym, tworząc środowisko sprzyjające rozwojowi bakterii lub wirusów.2021

Bakterie takie jak Streptococcus pneumoniae i Haemophilus influenzae są najczęstszymi bakteryjnymi przyczynami zapalenia ucha środkowego.22 Infekcja może być również spowodowana przez wirusy, takie jak wirus syncytialny układu oddechowego (RSV) i wirus grypy.23

Perforacja błony bębenkowej

W niektórych przypadkach ciśnienie płynu nagromadzonego za błoną bębenkową może spowodować jej pęknięcie (perforację). Gdy to nastąpi:2425

  • Można zaobserwować wyciek żółtego, mętnego płynu lub ropy z ucha
  • Ból często nagle ustępuje po perforacji, ponieważ zmniejsza się ciśnienie
  • Błona bębenkowa zwykle goi się samoistnie w ciągu kilku tygodni

2627

Fazy ustępowania objawów

Większość przypadków zapalenia ucha środkowego ustępuje samoistnie w ciągu kilku dni. Typowy proces zdrowienia przebiega następująco:2829

  • Gorączka powinna ustąpić w ciągu 2 dni (48 godzin)
  • Ból ucha powinien zmniejszyć się w ciągu 2 dni i ustąpić w ciągu 3 dni (72 godzin)
  • Dzieci zwykle powoli poprawiają się w ciągu 2-3 dni
  • Całkowite ustąpienie objawów następuje zazwyczaj w ciągu 3-5 dni, choć czasem mogą utrzymywać się do tygodnia

3031

Nawet po ustąpieniu infekcji, płyn może utrzymywać się w uchu środkowym przez kilka tygodni do miesięcy. U 90% dzieci płyn zazwyczaj ustępuje samoistnie w ciągu 1-2 miesięcy.32 W niektórych przypadkach może to trwać 8-12 tygodni do pełnego wyleczenia.33

Kiedy zgłaszać się do lekarza

Należy skonsultować się z lekarzem, jeśli:3435

  • Objawy nie ustępują w ciągu 2-3 dni lub pogarszają się
  • Ból jest silny lub nie ustępuje po zastosowaniu leków przeciwbólowych
  • Z ucha wycieka ropa lub krew
  • Wystąpiła nagła utrata słuchu
  • Infekcja dotyczy dziecka poniżej 6 miesiąca życia
  • Dziecko ma wysoką gorączkę (powyżej 39°C)
  • Występują nawracające infekcje ucha
  • Pacjent ma chorobę podstawową, taką jak mukowiscydoza lub wrodzona wada serca, która mogłaby zwiększyć ryzyko powikłań

3637

Rodzaje zapalenia ucha środkowego

Wyróżnia się kilka rodzajów zapalenia ucha środkowego, które różnią się przebiegiem i objawami:38

Ostre zapalenie ucha środkowego (AOM)

Jest to najczęstszy typ zapalenia ucha środkowego. Charakteryzuje się:3940

  • Nagłym początkiem objawów
  • Obecnością płynu za błoną bębenkową
  • Zaczerwienieniem i wybrzuszeniem błony bębenkowej
  • Silnym bólem ucha
  • Gorączką
  • Czasową utratą słuchu

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Wysiękowe zapalenie ucha środkowego (OME)

Ten typ zapalenia charakteryzuje się obecnością płynu za błoną bębenkową bez objawów ostrej infekcji. Często występuje po ostrym zapaleniu ucha środkowego. Objawy mogą obejmować:4344

  • Uczucie pełności lub zatkania w uchu
  • Przytłumiony słuch
  • Brak typowych objawów infekcji (ból, gorączka)
  • Czasami łagodny dyskomfort w uchu

4546

Stan ten nazywany jest również „uchem kleistym” (glue ear), ponieważ płyn za błoną bębenkową staje się gęsty i lepki.47

Przewlekłe zapalenie ucha środkowego

O przewlekłym zapaleniu ucha środkowego mówimy, gdy stan zapalny utrzymuje się przez co najmniej 3 miesiące. Objawy mogą być mniej nasilone niż w przypadku ostrego zapalenia i obejmują:4849

  • Łagodny ból ucha lub uczucie ucisku
  • Wyciek z ucha
  • Utratę słuchu
  • Niską gorączkę
  • Pogorszenie słuchu

5051

Nawracające zapalenie ucha środkowego

Jeśli dziecko ma trzy lub więcej epizodów zapalenia ucha środkowego w ciągu 6 miesięcy lub cztery epizody w ciągu roku, przy czym co najmniej jeden epizod wystąpił w ciągu ostatnich 6 miesięcy, możemy mówić o nawracającym zapaleniu ucha środkowego.5253

Potencjalne powikłania

Większość przypadków zapalenia ucha środkowego nie prowadzi do długotrwałych powikłań, jednak nieleczone lub nawracające infekcje mogą czasami skutkować poważnymi konsekwencjami:5455

Utrata słuchu

Łagodna, przejściowa utrata słuchu jest powszechna podczas zapalenia ucha środkowego z powodu obecności płynu za błoną bębenkową. Słuch zazwyczaj wraca do normy po wyleczeniu infekcji i ustąpieniu płynu.56

Jednak nawracające infekcje lub długotrwała obecność płynu może prowadzić do poważniejszej utraty słuchu. W rzadkich przypadkach, gdy dochodzi do trwałego uszkodzenia błony bębenkowej lub innych struktur ucha środkowego, utrata słuchu może być trwała.5758

Opóźnienie rozwoju mowy

U niemowląt i małych dzieci utrata słuchu spowodowana nawracającymi zapaleniami ucha środkowego może opóźnić rozwój mowy i języka. Może to dotyczyć nawet przypadków, gdy utrata słuchu jest przejściowa.5960

Dzieci z przewlekłym wysiękowym zapaleniem ucha środkowego mogą mieć trudności z prawidłowym rozwojem umiejętności językowych z powodu długotrwałej utraty słuchu.6162

Infekcje w innych częściach głowy

W rzadkich przypadkach, nieleczone infekcje ucha środkowego mogą rozprzestrzeniać się na okoliczne tkanki, powodując:6364

  • Zapalenie wyrostka sutkowatego (mastoiditis) – infekcja kości znajdującej się za uchem. Objawia się bólem za uchem, obrzękiem i gorączką.65
  • Zapalenie opon mózgowych – rzadkie, ale poważne powikłanie, gdy infekcja rozprzestrzenia się na błony otaczające mózg.66
  • Ropnie – skupiska ropy, które mogą tworzyć się w pobliżu miejsca infekcji.67

Perforacja błony bębenkowej

Jak wspomniano wcześniej, ciśnienie płynu za błoną bębenkową może doprowadzić do jej perforacji. Choć większość perforacji goi się samoistnie, w niektórych przypadkach mogą one prowadzić do:6869

  • Przewlekłego wycieku z ucha
  • Nawracających infekcji
  • Problemów ze słuchem

W podsumowaniu, zapalenie ucha środkowego jest częstym schorzeniem, szczególnie u dzieci, które zazwyczaj ustępuje samoistnie w ciągu kilku dni. Jednakże ważne jest, aby monitorować objawy i skonsultować się z lekarzem, jeśli utrzymują się one dłużej niż 2-3 dni, są szczególnie nasilone lub dotyczą małych dzieci. Wczesna diagnoza i odpowiednie leczenie mogą zapobiec potencjalnym powikłaniom.7071

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Ear infection (middle ear) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
    An ear infection, also known as acute otitis media, is an infection of the air-filled space behind the eardrum, known as the middle ear. Children are more likely than adults to get ear infections. […] Symptoms of ear infection often come on fast. […] Ear infection symptoms common in children include: Ear pain. Tugging at an ear. Trouble sleeping. Crying more than usual. Fussiness. Trouble hearing or replying to sounds. Loss of balance. Fever. Fluid coming from the ear, which can be from a torn ear drum. Headache. Loss of appetite. […] Common symptoms of ear infections in adults include: Ear pain or pressure. Fluid coming from the ear, which can be from a torn ear drum. Trouble hearing. […] Many conditions have symptoms of an ear infection. It’s important to get a good diagnosis and prompt treatment.
  • #2 Ear infections and glue ear
    https://www.rch.org.au/kidsinfo/fact_sheets/Ear_infections_and_Otitis_media/
    Ear infections are very common in small children. Most infections get better quickly and are not usually serious. The two types of ear infections often seen in children are middle ear infections (otitis media) and outer ear infections (otitis externa). Most ear infections involve the middle ear. […] Every time a middle ear infection happens, fluid collects behind the ear drum. This fluid usually slowly clears by itself, but children who get frequent infections may have fluid stay behind the eardrum for longer. This is called glue ear. Glue ear may last for many weeks or months, making it harder for your child to hear. Occasionally, glue ear can temporarily affect language development. […] Babies and young children get more middle ear infections than older children because they have smaller tubes (called the Eustachian tubes) that connect the middle ear to the throat. When your child has a cold, germs from the throat can travel up to the middle ear and cause an infection. Infections develop more easily in smaller tubes and it’s not uncommon for small children to have lots of ear infections in one year, sometimes as often as once every month.
  • #3 Ear infection (middle ear) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/ear-infection-middle-ear
    Symptoms of ear infection often come on fast. […] Ear infection symptoms common in children include: Ear pain, Tugging at an ear, Trouble sleeping, Crying more than usual, Fussiness, Trouble hearing or replying to sounds, Loss of balance, Fever, Fluid coming from the ear, which can be from a torn ear drum, Headache, Loss of appetite. […] Common symptoms of ear infections in adults include: Ear pain or pressure, Fluid coming from the ear, which can be from a torn ear drum, Trouble hearing. […] Many conditions have symptoms of an ear infection. It’s important to get a good diagnosis and prompt treatment. […] Symptoms that last for more than 2 to 3 days, Symptoms in a child younger than 6 months old, Symptoms that are getting worse, An infant or toddler who is sleepless or cranky after a cold or other infection that affected breathing, also known as an upper respiratory infection, Fluid, pus or blood from the ear, Hearing loss.
  • #4 Middle ear infection (otitis media) | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/middle-ear-infection-otitis-media/
    Otitis media is an infection of the middle ear. It causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum. […] The main symptoms of a middle ear infection include: earache, a high temperature (fever), being sick, a lack of energy, slight hearing loss if the middle ear becomes filled with fluid. […] In some cases, a hole may develop in the eardrum (perforated eardrum) and pus may run out of the ear. The earache, which is caused by the build-up of fluid stretching the eardrum, then resolves. […] 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. […] You or your child has symptoms that do not improve within 2 or 3 days, regular ear infections, a lot of pain, a discharge of pus or fluid from the ear, an underlying health condition, such as cystic fibrosis or congenital heart disease, which could make complications more likely. […] Most ear infections get better on their own within 3 to 5 days and do not need any specific treatment. […] Antibiotics are not usually used to treat middle ear infections.
  • #5 Ear Infection Basics | Ear Infection | CDC
    https://www.cdc.gov/ear-infection/about/index.html
    Is your child’s ear hurting? It could be an ear infection. […] Middle ear infection (acute otitis media) is an infection in the middle ear. […] Signs and symptoms include ear pain, fever, fussiness or irritability, rubbing or tugging at an ear, and difficulty sleeping. […] Bacteria, like Streptococcus pneumoniae and Haemophilus influenzae (nontypeable), are the two most common bacteria causing middle ear infection. […] A fever of 102.2F (39C) or higher, pus, discharge, or fluid coming from the ear, worsening symptoms, symptoms of a middle ear infection that last for more than 23 days, and hearing loss are reasons to seek medical care. […] A healthcare provider can diagnose a middle ear infection by asking about symptoms and examining your child. They will look inside your child’s ear to examine the eardrum and look for pus in the middle ear.
  • #6 Ear infections
    https://www.nhs.uk/conditions/ear-infections/
    The symptoms of an ear infection usually start quickly and include: pain inside the ear (earache), a high temperature, 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. […] You or your child have: earache that does not start to get better after 3 days, lots of ear infections. […] You have symptoms of an ear infection and: you’ve become generally unwell, you have a very high temperature or feel hot and shivery, there’s swelling around the ear, fluid is coming out of the ear, your hearing has changed or you have hearing loss, you feel sick or are sick (vomit), feel dizzy or have a severe sore throat, your child is under 2 and has earache in both ears, you have diabetes, a heart, lung, kidney or neurological condition, you have a weakened immune system (for example, because of chemotherapy). […] You’ll usually need to see a GP if your ear infection does not start to get better after 3 days. […] How it’s treated depends on what’s causing your symptoms and which part of your ear is infected.
  • #7 Ear Infection (Otitis Media): Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/8613-ear-infection-otitis-media
    Symptoms of an ear infection often begin after a cold. They include: Ear pain. Loss of appetite. Trouble sleeping. Trouble hearing in the ear that’s blocked. A feeling of fullness or pressure in your ear. Yellow, brown or white drainage from your ear. (This may mean that your eardrum has broken.) […] A child with an ear infection may: Rub or tug on their ears. Cry more than usual or act fussy. Have a fever ranging from 100.5 to 104 degrees Fahrenheit (38 to 40 degrees Celsius). (Half of children have fevers with ear infections.) Start mouth breathing or have increased snoring. Mouth breathing may be a sign of enlarged adenoids. […] Symptoms include ear pain that may cause your infant or toddler to be especially fussy or irritable.
  • #8
    https://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/Pages/Ear-Infection-Information.aspx
    Here are additional symptoms of ear infection to look for in your child: Ear pain. This can be a sharp pain or dull, throbbing ache. Discomfort might come and go or remain constant. It is common for the pain to be worse at night. […] Trouble hearing. Your child might complain that their ear is plugged up or that they can’t hear very well. Babies and toddlers might not respond as they normally would when you speak to them. Some children with prolonged hearing loss related to ear infections may have delayed speech and language development. […] Fever. Your child’s body temperature may be higher than 98.6 degrees, which is generally considered normal. […] Ear drainage. Sometimes pus or fluid can come out of your child’s ear, which can be a sign of an infection which may have ruptured the eardrum.
  • #9 Ear Infection (Middle Ear) Symptoms, Causes & Treatments | Ada
    https://ada.com/conditions/middle-ear-infection/
    A middle ear infection generally develops very rapidly. […] Signs and symptoms in children may include: Ear pain, Generally feeling unwell (malaise), Fever, Muffled hearing/partial hearing loss, Fluid in the ear or yellow, clear or bloody discharge from the ears, Increased irritability, restlessness, crying and trouble feeding, Nausea, vomiting and/or dizziness, A child may excessively pull, tug or touch their ears. […] Symptoms of a middle ear infection in adults may include: Ear pain, Partial hearing loss/muffled hearing, Fluid in the ear (that may leak out) or yellow, clear or bloody discharge from the ears. […] It is important to consult a doctor when: Symptoms develop in a child of six months or younger, A child displays symptoms for 48 hours or more and has a temperature of 39 C (102.2 F) or more, Symptoms show no sign of improvement after two or three days, Symptoms become worse rather than better over the first few days, Discharge presents itself, Symptoms are experienced by a person with an underlying health condition, such as cystic fibrosis or congenital heart disease, which could make complications more likely.
  • #10 Middle ear infection symptoms in kids | Norton Children’s Louisville, Ky.
    https://nortonchildrens.com/news/middle-ear-infection-symptoms-in-kids/
    You will also want to watch for some of these signs: […] Tugging or holding the ears (a sign of pain) […] Fever of 100 degrees or higher […] Headache […] Irritability, excessive crying, unable to be soothed […] Lack of energy or interest in playing or activities […] Losing balance […] Nausea, vomiting and diarrhea […] Loss of appetite […] Sleeping issues, either going to sleep or staying asleep […] Signs of muffled hearing or hearing loss — child doesn’t respond to sounds […] More rare symptoms of ear infection include: […] Ringing in the ear […] Child experiences a spinning sensation (vertigo) […] Ruptured eardrum, with sudden flow of drainage from ear […] The symptoms of an ear infection are shared by a number of conditions. It’s important to get a correct diagnosis and treatment as soon as possible. Call your child’s provider if:
  • #11 Middle Ear Infections (Otitis Media) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/otitis-media.html
    Ear pain is the main sign of a middle ear infection. Kids also might have: a fever, trouble eating, drinking, or sleeping. Chewing, sucking, and lying down can cause painful pressure changes in the middle ear. […] If the pressure from the fluid buildup gets high enough, it can rupture the eardrum, with fluid draining from the ear. This is a common cause of ruptured eardrums in children. A child with a ruptured eardrum might feel dizzy or nauseated, and have ringing or buzzing in the ear. […] Middle ear infections often go away on their own within 2 or 3 days, even without any specific treatment. […] Often, there’s fluid in the middle ear even after an infection clears up. If it’s there for longer than than 3 months, more treatment might be needed. […] Fluid buildup in the middle ear also blocks sound, which can lead to temporary hearing problems. Kids having a problem might: not respond to soft sounds, need to turn up the TV or radio, talk louder, seem inattentive at school. […] In kids who have otitis media with effusion, the fluid behind the eardrum can block sound, so mild temporary hearing loss can happen, but might not be obvious. […] A child whose eardrum has ruptured might have ringing or buzzing in the ear and not hear as well as usual.
  • #12 Otitis Media (Middle Ear Infection) in Adults | Columbia University Medical Center Department of Otolaryngology Head and Neck Surgery | ColumbiaDoctors
    https://www.columbiadoctors.org/specialties/ear-nose-throat/conditions/middle-ear-infection
    A middle ear infection (also called otitis media) is an infection behind your eardrum. It can happen after any condition that traps fluid in the middle ear, such as a cold, allergies, sore throat, or respiratory infection. Middle ear infections are common in children, but they can be more serious when they happen in adults. […] Common symptoms of a middle ear infection in adults are: Pain in one or both ears, Drainage from the ear, Muffled hearing, Sore throat, Fever, Balance problems (this is rare). […] Without treatment, middle ear infections can cause problems such as infection in other parts of the head, permanent hearing loss, and paralysis of a facial nerve.
  • #13 Middle Ear Infection (Otitis Media) in Adults | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/m/otitis-media-middle-ear-infection.html
    A middle ear infection occurs behind the eardrum. It’s most often caused by a virus or bacteria. Most kids have at least one middle ear infection by the time they are 3 years old, but adults can also get them. […] These are the most common symptoms of middle ear infections in adults: Ear pain, Feeling of fullness or pressure in the ear, Fluid draining from the ear (if the eardrum has ruptured or burst), Fever, Hearing loss. […] Pain and fever can be the most common symptoms. […] Without treatment, permanent hearing loss may happen.
  • #14 Ear Infection in Adults: Symptoms, Causes, Diagnosis, and More
    https://www.healthline.com/health/ear-infection-adults
    Ear infections may be more common in children than in adults, but adults are still susceptible to these infections. […] A middle ear infection is also known as otitis media. Its caused by fluid trapped behind the eardrum, which causes the eardrum to bulge. Along with an earache, you may sense fullness in your ear. […] Otitis media can come with a fever. You may also have trouble hearing until the infection starts to clear. […] If you experience fluid draining from your ear, it could be a sign the middle ear infection has progressed to a tympanic membrane rupture. This condition can cause a sudden loss of hearing, but tends to heal on its own. […] A middle ear infection often starts from a cold or other respiratory problem. The infection moves to one or both ears through the eustachian tubes.
  • #15 Ear Infection in Adults: Symptoms, Causes, Diagnosis, and More
    https://www.healthline.com/health/ear-infection-adults
    Ear infections may be more common in children than in adults, but adults are still susceptible to these infections. […] A middle ear infection is also known as otitis media. Its caused by fluid trapped behind the eardrum, which causes the eardrum to bulge. Along with an earache, you may sense fullness in your ear. […] Otitis media can come with a fever. You may also have trouble hearing until the infection starts to clear. […] If you experience fluid draining from your ear, it could be a sign the middle ear infection has progressed to a tympanic membrane rupture. This condition can cause a sudden loss of hearing, but tends to heal on its own. […] A middle ear infection often starts from a cold or other respiratory problem. The infection moves to one or both ears through the eustachian tubes.
  • #16 How Long Does a Middle Ear Infection Last? | ENT Sheffield
    https://www.entsheffield.co.uk/how-long-does-a-middle-ear-infection-last/
    A middle ear infection, also known as otitis media, is a common disease that can cause discomfort and concern, particularly among children. […] The progression of a middle ear infection involves distinct phases. It often begins with a respiratory infection or cold, leading to inflammation of the Eustachian tube. […] During the acute stage, individuals may experience intense symptoms such as ear pain, fluid discharge, fever, and hearing difficulties. Typically, this phase lasts for about three to seven days. […] If the infection persists beyond the acute stage, it may progress to the subacute or chronic stage. Subacute otitis media usually spans one to three weeks, while chronic cases extend beyond three weeks and might recur over time. […] Several factors influence the duration of a middle ear infection. These include age, overall health, immune system strength, and adherence to prescribed treatments.
  • #17 Symptoms of Otitis Media | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/otitis-media/symptoms.html
    Symptoms of a middle ear infection (acute otitis media) often start 2 to 7 days after the start of a cold or other upper respiratory infection. Some children don’t have any symptoms. […] Symptoms may include: Earache (mild to severe). Fussiness in babies and young children. They may pull at their ears and cry. They may have trouble sleeping. They may also have a fever. Fever. Drainage from the ear that is thick and yellow or bloody. This means the eardrum has probably burst (ruptured). The hole in the eardrum often heals by itself in a few weeks. Loss of appetite, vomiting, and grumpy behavior. Trouble sleeping. […] Symptoms of fluid buildup may include: Popping, ringing, or a feeling of fullness or pressure in the ear. Children often have trouble describing this feeling. They may rub their ears trying to relieve pressure. Trouble hearing. Children who have problems hearing may seem dreamy or inattentive, or they may be grumpy or cranky. Balance problems and dizziness.
  • #18 How Long Does a Middle Ear Infection Last? | ENT Sheffield
    https://www.entsheffield.co.uk/how-long-does-a-middle-ear-infection-last/
    A middle ear infection, also known as otitis media, is a common disease that can cause discomfort and concern, particularly among children. […] The progression of a middle ear infection involves distinct phases. It often begins with a respiratory infection or cold, leading to inflammation of the Eustachian tube. […] During the acute stage, individuals may experience intense symptoms such as ear pain, fluid discharge, fever, and hearing difficulties. Typically, this phase lasts for about three to seven days. […] If the infection persists beyond the acute stage, it may progress to the subacute or chronic stage. Subacute otitis media usually spans one to three weeks, while chronic cases extend beyond three weeks and might recur over time. […] Several factors influence the duration of a middle ear infection. These include age, overall health, immune system strength, and adherence to prescribed treatments.
  • #19 Ear infections Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/ear-infections
    Middle ear (otitis media) infections are very common in young children. They include: […] Acute otitis media (AOM) is an inflammation caused by bacteria in the middle ear fluid trapped by the Eustachian tube. Children with AOM exhibit signs of an ear infection including pain, fever, and tugging at the ear. […] AOM symptoms improve within 48 to 72 hours with or without antibiotic treatment in most children. There does not appear to be any risks of complications for at least the first 2 to 3 days. […] Even after symptoms subside, fluid may persist in the middle ear for weeks to months after AOM onset. […] OME occurs when fluid, called an effusion, becomes trapped behind the eardrum in one or both ears. […] There is usually no pain. Sometimes the only clue that it is present is a feeling of stuffiness in the ears, which can feel like „being under water.”
  • #20 Ear infection (middle ear) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
    Symptoms that last for more than 2 to 3 days. Symptoms in a child younger than 6 months old. Symptoms that are getting worse. An infant or toddler who is sleepless or cranky after a cold or other infection that affected breathing, also known as an upper respiratory infection. Fluid, pus or blood from the ear. Hearing loss. […] Swollen eustachian tubes can become blocked, causing fluids to build up in the middle ear. This fluid can become infected and cause the symptoms of an ear infection. […] Most ear infections don’t cause long-term complications. Ear infections that happen again and again can lead to serious complications: Mild hearing loss is common with an ear infection. But hearing usually gets better after the infection clears. Ear infections that happen again and again or constant fluid in the middle ear can cause worse hearing loss. If there’s lasting damage to the eardrum or other parts of the middle ear, hearing might not get better.
  • #21 Ear Infection in Adults: Symptoms, Causes, Diagnosis, and More
    https://www.healthline.com/health/ear-infection-adults
    An infection can irritate the eustachian tubes and cause them to swell. Swelling can prevent them from draining properly. When fluid inside these tubes cant drain, it builds up against the eardrum. […] If fluid is draining from your ear or youre having trouble hearing, you should also seek immediate medical attention. […] The type of ear infection you have will determine the type of treatment. In many cases of middle and outer ear infections, antibiotics are necessary. […] You may be prescribed antibiotics. Some antibiotics may be taken orally. Others can be applied directly to the site of the infection with ear drops. […] If an ear infection goes on too long without treatment, it can put an individual at risk of permanent hearing loss and possibly having the infection spread to other parts of the head. However, prompt and proper treatment can usually take care of the infection quickly.
  • #22 Ear Infection Basics | Ear Infection | CDC
    https://www.cdc.gov/ear-infection/about/index.html
    Is your child’s ear hurting? It could be an ear infection. […] Middle ear infection (acute otitis media) is an infection in the middle ear. […] Signs and symptoms include ear pain, fever, fussiness or irritability, rubbing or tugging at an ear, and difficulty sleeping. […] Bacteria, like Streptococcus pneumoniae and Haemophilus influenzae (nontypeable), are the two most common bacteria causing middle ear infection. […] A fever of 102.2F (39C) or higher, pus, discharge, or fluid coming from the ear, worsening symptoms, symptoms of a middle ear infection that last for more than 23 days, and hearing loss are reasons to seek medical care. […] A healthcare provider can diagnose a middle ear infection by asking about symptoms and examining your child. They will look inside your child’s ear to examine the eardrum and look for pus in the middle ear.
  • #23 22 Ear Infection Symptoms: How to Treat & When to See a Doctor
    https://www.emedicinehealth.com/what_does_the_start_of_an_ear_infection_feel_like/article_em.htm
    Viruses. Common viral causes of middle ear infections are respiratory syncytial virus (RSV) and flu (influenza) virus. […] Fluid from the sinuses can back up through the Eustachian tubes that connect the throat to the middle ear, such as when the sinuses or throat are inflamed from infection (from a cold, sinusitis, or an allergy attack). The backed-up fluid becomes trapped in the middle ear, which is a good breeding ground for bacteria and viruses.
  • #24 Ear infections
    https://www.nhs.uk/conditions/ear-infections/
    The symptoms of an ear infection usually start quickly and include: pain inside the ear (earache), a high temperature, 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. […] You or your child have: earache that does not start to get better after 3 days, lots of ear infections. […] You have symptoms of an ear infection and: you’ve become generally unwell, you have a very high temperature or feel hot and shivery, there’s swelling around the ear, fluid is coming out of the ear, your hearing has changed or you have hearing loss, you feel sick or are sick (vomit), feel dizzy or have a severe sore throat, your child is under 2 and has earache in both ears, you have diabetes, a heart, lung, kidney or neurological condition, you have a weakened immune system (for example, because of chemotherapy). […] You’ll usually need to see a GP if your ear infection does not start to get better after 3 days. […] How it’s treated depends on what’s causing your symptoms and which part of your ear is infected.
  • #25 Middle ear infection (otitis media) | nidirect
    https://www.nidirect.gov.uk/conditions/middle-ear-infection-otitis-media
    Otitis media is an infection of the middle ear. It causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum. Anyone can develop a middle ear infection but infants between six and 15 months old are most commonly affected. […] In most cases, the symptoms of a middle ear infection (otitis media) develop quickly and get better in a few days. This is known as acute otitis media. […] Symptoms include: earache it is the most common symptom in adults and older children; slight hearing loss if the middle ear becomes filled with fluid, hearing loss may be a sign of glue ear, also known as otitis media with effusion. […] In some cases, a hole may develop in the eardrum (perforated eardrum) and pus may run out of the ear. […] The earache pain caused by the build-up of fluid stretching the eardrum then begins to get better as the fluid drains and the pressure drops.
  • #26 Ear Infection (Otitis Media): Symptoms, Causes, and Treatment
    https://patient.info/ears-nose-throat-mouth/earache-ear-pain/ear-infection-otitis-media
    Ear infection is very common in children although it can occur in people of any age. The main symptoms are earache and feeling unwell. Painkillers are the main treatment. Antibiotics are not usually helpful but are prescribed in some cases. The infection usually clears within a few days. […] Ear pain (earache) is common but does not always occur. It is caused by having a tense, inflamed eardrum. […] High temperature (fever) is common. […] Children may feel sick or be sick (vomit) and be generally unwell. […] Young babies may be hot and irritable. A hot, crying baby may have an ear infection. […] Sometimes the eardrum bursts (perforates). This lets out the infected fluid (mucus) and often relieves pain quite suddenly. The ear becomes runny, sometimes for a few days. Most perforations are small. A perforated eardrum usually heals within a few weeks after the infection clears.
  • #27 Ear infections and glue ear
    https://www.rch.org.au/kidsinfo/fact_sheets/Ear_infections_and_Otitis_media/
    Signs and symptoms of ear infections include ear pain, irritability, and symptoms of a cold (e.g. runny nose, sore throat). […] As fluid collects behind the eardrum, it causes the drum to bulge, resulting in intense pain. Occasionally, the eardrum will bulge so much that it tears (this is called a burst eardrum), and you will see a thick yellow discharge come from the ear. When this happens, children often suddenly feel better, as the bulging has stopped. A burst eardrum normally heals without treatment. […] Children with middle ear infections often have a fever; sometimes a fever will be the only symptom of a middle ear infection. […] Glue ear is not an infection, but usually follows one or more middle ear infections. Signs and symptoms of glue ear can include problems hearing, some pressure or pain in the ear, irritability or problems sleeping, and problems with balance.
  • #28 Middle ear infection (otitis media) | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/middle-ear-infection-otitis-media/
    Otitis media is an infection of the middle ear. It causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum. […] The main symptoms of a middle ear infection include: earache, a high temperature (fever), being sick, a lack of energy, slight hearing loss if the middle ear becomes filled with fluid. […] In some cases, a hole may develop in the eardrum (perforated eardrum) and pus may run out of the ear. The earache, which is caused by the build-up of fluid stretching the eardrum, then resolves. […] 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. […] You or your child has symptoms that do not improve within 2 or 3 days, regular ear infections, a lot of pain, a discharge of pus or fluid from the ear, an underlying health condition, such as cystic fibrosis or congenital heart disease, which could make complications more likely. […] Most ear infections get better on their own within 3 to 5 days and do not need any specific treatment. […] Antibiotics are not usually used to treat middle ear infections.
  • #29 Ear Infection Questions
    https://www.seattlechildrens.org/conditions/a-z/ear-infection-questions/
    Often, children don’t get better the first day. […] Most children get better slowly over 2 to 3 days. […] The fever should be gone by 2 days (48 hours). […] The ear pain should be better by 2 days. It should be gone by 3 days (72 hours). […] If pus is draining from the ear, the eardrum probably has a small tear. This can be normal with an ear infection. […] The pus may be blood-tinged. […] Most often, this heals well after the ear infection is treated. […] Ear pain becomes severe or crying becomes nonstop. […] Ear pain lasts more than 3 days on antibiotics. […] Ear discharge is not better after 3 days on antibiotics. […] During an ear infection, fluid builds up in the middle ear space. […] The fluid can cause a mild hearing loss for a short time. […] It will slowly get better and go away with the antibiotic. […] The fluid is no longer infected, but sometimes, may take weeks to go away. In 90% of children, it clears up by itself over 1 to 2 months. […] Permanent harm to the hearing is very rare.
  • #30 Ear infections
    https://www2.hse.ie/conditions/ear-infections/
    The symptoms of an ear infection usually start quickly and include: pain inside the ear, a high temperature of 38 degrees Celsius or above, being sick, a lack of energy, difficulty hearing, fluid coming from 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, refuse their food, lose their balance. […] Most ear infections clear up within 3 days. But sometimes symptoms can last up to 1 week. […] Infections in the middle ear (behind the eardrum) often clear up on their own. Antibiotics make little difference to symptoms, including pain. […] Antibiotics might be prescribed if you or your child has: symptoms that do not improve after 3 days, fluid coming out of the ear, a risk of complications, due to an illness such as cystic fibrosis.
  • #31 Middle ear infection (otitis media) | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/middle-ear-infection-otitis-media
    Otitis media is an infection of the middle ear. It causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum. […] The main symptoms of a middle ear infection include: earache, a high temperature (fever), being sick, a lack of energy, slight hearing loss if the middle ear becomes filled with fluid. […] In some cases, a hole may develop in the eardrum (perforated eardrum) and pus may run out of the ear. The earache, which is caused by the build-up of fluid stretching the eardrum, then resolves. […] 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. […] You or your child has: symptoms that do not improve within 2 or 3 days, regular ear infections, a lot of pain, a discharge of pus or fluid from the ear, an underlying health condition, such as cystic fibrosis or congenital heart disease, which could make complications more likely. […] Most ear infections get better on their own within 3 to 5 days and do not need any specific treatment. […] Antibiotics are not usually used to treat middle ear infections.
  • #32 Ear Infection Questions
    https://www.seattlechildrens.org/conditions/a-z/ear-infection-questions/
    Often, children don’t get better the first day. […] Most children get better slowly over 2 to 3 days. […] The fever should be gone by 2 days (48 hours). […] The ear pain should be better by 2 days. It should be gone by 3 days (72 hours). […] If pus is draining from the ear, the eardrum probably has a small tear. This can be normal with an ear infection. […] The pus may be blood-tinged. […] Most often, this heals well after the ear infection is treated. […] Ear pain becomes severe or crying becomes nonstop. […] Ear pain lasts more than 3 days on antibiotics. […] Ear discharge is not better after 3 days on antibiotics. […] During an ear infection, fluid builds up in the middle ear space. […] The fluid can cause a mild hearing loss for a short time. […] It will slowly get better and go away with the antibiotic. […] The fluid is no longer infected, but sometimes, may take weeks to go away. In 90% of children, it clears up by itself over 1 to 2 months. […] Permanent harm to the hearing is very rare.
  • #33 Ear infection (middle ear) – adults | Healthify
    https://healthify.nz/health-a-z/e/ear-infections-adults/
    A middle ear infection (pokenga taringa) occurs when bacteria or viruses infect the middle ear, causing pain and discomfort. […] Symptoms of a middle ear infection commonly include: sharp or dull or throbbing pain in ear (this usually wears off within 3 days), feeling of pressure or blockage in your ear, discharge from your ear, headache, fever (temperature above 38C), reduced hearing in the affected ear or ringing in your ear (tinnitus), dizziness or loss of balance. […] Most symptoms resolve within a week, but it can take 8 to 12 weeks to fully recover. […] Make an appointment to see your healthcare provider if: you have unusual symptoms (eg, numbness of your face or pain in the bone behind your ear), your symptoms dont start to get better after 3 days, your symptoms last longer than a week. […] Antibiotics may be considered for certain situations, eg, severe infections or repeated infections. […] If your infection has cleared but you still have ongoing symptoms (eg, hearing loss) make an appointment to see your healthcare provider.
  • #34 Ear Infection (Middle Ear) Symptoms, Causes & Treatments | Ada
    https://ada.com/conditions/middle-ear-infection/
    A middle ear infection generally develops very rapidly. […] Signs and symptoms in children may include: Ear pain, Generally feeling unwell (malaise), Fever, Muffled hearing/partial hearing loss, Fluid in the ear or yellow, clear or bloody discharge from the ears, Increased irritability, restlessness, crying and trouble feeding, Nausea, vomiting and/or dizziness, A child may excessively pull, tug or touch their ears. […] Symptoms of a middle ear infection in adults may include: Ear pain, Partial hearing loss/muffled hearing, Fluid in the ear (that may leak out) or yellow, clear or bloody discharge from the ears. […] It is important to consult a doctor when: Symptoms develop in a child of six months or younger, A child displays symptoms for 48 hours or more and has a temperature of 39 C (102.2 F) or more, Symptoms show no sign of improvement after two or three days, Symptoms become worse rather than better over the first few days, Discharge presents itself, Symptoms are experienced by a person with an underlying health condition, such as cystic fibrosis or congenital heart disease, which could make complications more likely.
  • #35 Ear infections
    https://www.nhs.uk/conditions/ear-infections/
    The symptoms of an ear infection usually start quickly and include: pain inside the ear (earache), a high temperature, 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. […] You or your child have: earache that does not start to get better after 3 days, lots of ear infections. […] You have symptoms of an ear infection and: you’ve become generally unwell, you have a very high temperature or feel hot and shivery, there’s swelling around the ear, fluid is coming out of the ear, your hearing has changed or you have hearing loss, you feel sick or are sick (vomit), feel dizzy or have a severe sore throat, your child is under 2 and has earache in both ears, you have diabetes, a heart, lung, kidney or neurological condition, you have a weakened immune system (for example, because of chemotherapy). […] You’ll usually need to see a GP if your ear infection does not start to get better after 3 days. […] How it’s treated depends on what’s causing your symptoms and which part of your ear is infected.
  • #36 Middle ear infection (otitis media) | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/middle-ear-infection-otitis-media
    Otitis media is an infection of the middle ear. It causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum. […] The main symptoms of a middle ear infection include: earache, a high temperature (fever), being sick, a lack of energy, slight hearing loss if the middle ear becomes filled with fluid. […] In some cases, a hole may develop in the eardrum (perforated eardrum) and pus may run out of the ear. The earache, which is caused by the build-up of fluid stretching the eardrum, then resolves. […] 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. […] You or your child has: symptoms that do not improve within 2 or 3 days, regular ear infections, a lot of pain, a discharge of pus or fluid from the ear, an underlying health condition, such as cystic fibrosis or congenital heart disease, which could make complications more likely. […] Most ear infections get better on their own within 3 to 5 days and do not need any specific treatment. […] Antibiotics are not usually used to treat middle ear infections.
  • #37 Ear infection – otitis media and otitis externa | healthdirect
    https://www.healthdirect.gov.au/ear-infection
    You should see your doctor if: you or your child is in pain, there is discharge from your or your child’s ear, you or your child is unwell, vomiting or has a fever, you or your child can’t hear properly, your child gets repeated ear infections. […] Middle ear infections usually go away on their own after a few days. Antibiotics aren’t usually needed, unless you or your child have a high fever or are very unwell. If you or your child aren’t feeling better after 2 days, consider returning to your doctor for a review. […] Children under 6 months old, Aboriginal and/or Torres Strait Islander children and children with certain medical conditions are more likely to have complications from ear infections. For this reason, they are more likely to need antibiotics.
  • #38 Ear Infections in Children, Babies & Toddlers | NIDCD
    https://www.nidcd.nih.gov/health/ear-infections-children
    An ear infection is an inflammation of the middle ear, usually caused by bacteria, that occurs when fluid builds up behind the eardrum. […] There are three main types of ear infections. Each has a different combination of symptoms. […] Acute otitis media (AOM) is the most common ear infection. Parts of the middle ear are infected and swollen and fluid is trapped behind the eardrum. This causes pain in the ear commonly called an earache. Your child might also have a fever. […] Otitis media with effusion (OME) sometimes happens after an ear infection has run its course and fluid stays trapped behind the eardrum. A child with OME may have no symptoms, but a doctor will be able to see the fluid behind the eardrum with a special instrument. […] Chronic otitis media with effusion (COME) happens when fluid remains in the middle ear for a long time or returns over and over again, even though there is no infection. COME makes it harder for children to fight new infections and also can affect their hearing.
  • #39 Ear Infections in Children, Babies & Toddlers | NIDCD
    https://www.nidcd.nih.gov/health/ear-infections-children
    An ear infection is an inflammation of the middle ear, usually caused by bacteria, that occurs when fluid builds up behind the eardrum. […] There are three main types of ear infections. Each has a different combination of symptoms. […] Acute otitis media (AOM) is the most common ear infection. Parts of the middle ear are infected and swollen and fluid is trapped behind the eardrum. This causes pain in the ear commonly called an earache. Your child might also have a fever. […] Otitis media with effusion (OME) sometimes happens after an ear infection has run its course and fluid stays trapped behind the eardrum. A child with OME may have no symptoms, but a doctor will be able to see the fluid behind the eardrum with a special instrument. […] Chronic otitis media with effusion (COME) happens when fluid remains in the middle ear for a long time or returns over and over again, even though there is no infection. COME makes it harder for children to fight new infections and also can affect their hearing.
  • #40 Ear Infections (Otitis Media): Symptoms, Treatment and Prevention
    https://www.nationwidechildrens.org/conditions/ear-infections-otitis-media
    Otitis media is an ear infection in the middle ear. Fluid buildup behind the ear drum leads to middle ear infections. When there is fluid in the middle ear, it is called an effusion. Fluid in the middle ear can cause temporary hearing loss. A person can get an ear infection at any age. However, theyre more common in children under 3 years of age. There are 2 types of otitis media: acute and chronic. […] Acute otitis media is caused by a bacteria or virus that causes pus to form behind the ear drum. This can lead to pain, pressure, and sometimes fever. It may cause permanent hearing loss if not treated. This is rare. This infection is usually very painful. Signs and symptoms: Fussy, Restless or not sleeping well, Pull or rub their ears or move their head from side to side, Does not want to eat (loss of appetite), Fever over 101 Fahrenheit (F) or 38.3 Celsius (C) under the arm (axillary).
  • #41 Middle Ear Infection Causes, Symptoms, Treatment & Antibiotics
    https://www.medicinenet.com/ear_infection/article.htm
    A middle ear infection includes the eardrum and tissues behind it. A middle ear infection includes the eardrum and tissues behind it. […] Middle ear inflammation is also called otitis media. Otitis media is inflammation of the middle ear; however, many doctors consider otitis media to be either inflammation or infection of the middle ear, the area inside the eardrum (tympanic membrane, see illustration). „Otitis” means inflammation of the ear, and „media” means middle. […] This inflammation often begins with infections that cause sore throats, colds, or other respiratory problems and spreads to the middle ear. Infections can be caused by viruses or bacteria and can be acute or chronic. Both ears can be infected at the same time (double ear infection). […] Acute middle ear infections usually are of rapid onset and short duration. They typically are associated with fluid accumulation in the middle ear, signs or symptoms of infections in the ear, a bulging eardrum usually accompanied by pain or a perforated eardrum, and drainage of purulent material (pus, also termed suppurative otitis media). The person also may have a fever.
  • #42 Quick Facts:Ear Infection (Acute Otitis Media) – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/quick-facts-ear-nose-and-throat-disorders/middle-ear-disorders/ear-infection-acute-otitis-media
    Acute otitis media is a painful type of ear infection in your middle ear. It happens suddenly and usually gets better quickly. If the infection doesn’t go away or keeps coming back, it’s called a chronic ear infection. […] The most common symptoms are: Ear pain, Hearing loss. Infants may be cranky or have difficulty sleeping. Young children may pull on their ear, have a fever, feel sick to their stomach, throw up, or have diarrhea. […] If the infection causes a hole in the eardrum (eardrum perforation), fluid may drain from the ear. This often relieves the pain.
  • #43 Ear Infections in Children, Babies & Toddlers | NIDCD
    https://www.nidcd.nih.gov/health/ear-infections-children
    An ear infection is an inflammation of the middle ear, usually caused by bacteria, that occurs when fluid builds up behind the eardrum. […] There are three main types of ear infections. Each has a different combination of symptoms. […] Acute otitis media (AOM) is the most common ear infection. Parts of the middle ear are infected and swollen and fluid is trapped behind the eardrum. This causes pain in the ear commonly called an earache. Your child might also have a fever. […] Otitis media with effusion (OME) sometimes happens after an ear infection has run its course and fluid stays trapped behind the eardrum. A child with OME may have no symptoms, but a doctor will be able to see the fluid behind the eardrum with a special instrument. […] Chronic otitis media with effusion (COME) happens when fluid remains in the middle ear for a long time or returns over and over again, even though there is no infection. COME makes it harder for children to fight new infections and also can affect their hearing.
  • #44 Ear infections Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/ear-infections
    Middle ear (otitis media) infections are very common in young children. They include: […] Acute otitis media (AOM) is an inflammation caused by bacteria in the middle ear fluid trapped by the Eustachian tube. Children with AOM exhibit signs of an ear infection including pain, fever, and tugging at the ear. […] AOM symptoms improve within 48 to 72 hours with or without antibiotic treatment in most children. There does not appear to be any risks of complications for at least the first 2 to 3 days. […] Even after symptoms subside, fluid may persist in the middle ear for weeks to months after AOM onset. […] OME occurs when fluid, called an effusion, becomes trapped behind the eardrum in one or both ears. […] There is usually no pain. Sometimes the only clue that it is present is a feeling of stuffiness in the ears, which can feel like „being under water.”
  • #45 Otitis Media (with Effusion) – Symptoms | familydoctor.org
    https://familydoctor.org/condition/otitis-media-with-effusion/
    Otitis media is a generic term that refers to an inflammation of the middle ear. The middle ear is the space behind the eardrum. Otitis media with effusion means there is fluid (effusion) in the middle ear, without an infection. […] Children who have otitis media with effusion may not have any symptoms. Usually they don’t act sick. They could experience the following: A feeling of fullness in the ear. Muffled hearing. Fluid that drains from the ears (if the eardrum has ruptured). Some pain inside the ear (if your child is too young to speak and tell you his or her ear hurts, he or she may tug at the ear often). […] If your child’s otitis media with effusion develops into an infection, he or she may have other symptoms. These include: Pain in the ear (crying or pulling at the ear for very young children). Fever. Irritability. Listlessness. Trouble hearing. Not feeling like eating or sleeping.
  • #46 Overview: Middle ear infection – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279381/
    If the infection continues for several weeks, it’s considered to be a chronic middle ear infection (chronic otitis media). The earache and fever will go away, but the fluid remains in the middle ear. […] Sometimes fluid remains in the middle ear after the infection has disappeared and the eardrum has healed. This is called otitis media with effusion (OME), also known as glue ear. Children who have glue ear often feel pressure inside their ear, but rarely experience pain. Glue ear can cause hearing loss, which may delay speech and language development. […] Complications following an acute middle ear infection are very rare. Rare complications include mastoiditis, meningitis, and damage to the inner ear. […] The main symptom of mastoiditis is pain behind the ear, sometimes accompanied by swelling and fever too.
  • #47 Middle ear infections | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/middle-ear-infections
    Middle ear infection (called otitis media) is an infection behind the eardrum. Ear infections are very common and are usually painful. […] Infection can cause: Earache mild to severe pain in the ear or face or pulling at the ear and irritability in an infant. Fever a high temperature might be the only symptom in babies or young children. Mild deafness caused by fluid which builds up from the infection. Ear discharge this happens when the eardrum bursts because of pressure behind it. […] Children usually recover from mild infections in three to five hours, although your child may feel tired afterwards. […] Middle ear infections are usually caused by a viral or bacterial infection and often happen during or after a child has a cold. […] Some middle ear infections lead to the condition known as glue ear, when thick fluid in the middle ear causes slight deafness. This is not permanent, but it may need treatment.
  • #48 Middle Ear Infection Causes, Symptoms, Treatment & Antibiotics
    https://www.medicinenet.com/ear_infection/article.htm
    Chronic middle ear infections are persistent inflammation of the middle ear, typically for a minimum of three months. This is in distinction to an acute ear infection that usually lasts only several weeks. Following an acute infection, fluid (an effusion) may remain behind the eardrum (tympanic membrane) for up to three months before resolving. […] Symptoms of acute middle ear infection in infants, toddlers, and children may include the following: Young nonverbal children may be irritable and pull or tug at their ear(s). Young children with middle ear infections may be irritable, fussy, or have problems feeding or sleeping. Older children may complain about pain and fullness in the ear (earache). […] Other signs and symptoms may include: Fever: A child of any age may have a fever. Pain and hearing loss: The buildup of pus within the middle ear causes pain and dampens the vibrations of the eardrum (so there is usually temporary hearing loss during the infection). Pus drainage: Severe ear infections may cause the eardrum to rupture. The pus then drains from the middle ear into the ear canal.
  • #49 Ear infection – chronic: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000619.htm
    Chronic ear infection is fluid, swelling, or an infection behind the eardrum that does not go away or keeps coming back. It may cause long-term or permanent damage to the ear and involves a hole in the eardrum (perforation) that does not heal. […] Symptoms of a chronic ear infection may be less severe than symptoms of an acute infection. The problem may go unnoticed and untreated for a long time. […] Symptoms may include: Ear pain or discomfort that is usually mild and feels like pressure in the ear, Fever, usually low-grade, Fussiness in infants, Pus-like drainage from the ear, Hearing loss. […] Symptoms may continue or come and go. They may occur in one or both ears. […] Chronic ear infections often respond to treatment. However, your child may need to keep taking medicines for several months.
  • #50 Pediatric chronic ear infections (otitis media) – Children’s Health ENT
    https://www.childrens.com/specialties-services/conditions/chronic-ear-infection
    Ear infections, or otitis media (otitis media), are one of the most common complaints in children. When an ear infection lasts a long time or comes and goes, it is considered chronic. […] Chronic ear infections can cause permanent damage to the ear including hearing loss, which affects speech development. […] A chronic ear infection can cause milder symptoms than an acute ear infection. Symptoms may affect one or both ears and may be constant or come and go. […] Signs include: A feeling of pressure in the ear or mild ear pain, Fluid draining from ears, Low fever, Fussiness in infants, Trouble hearing, Trouble sleeping. […] If your child has had persistent ear infections or persistent fluid buildup in the middle ear, your doctor may refer you to a hearing specialist (audiologist), speech therapist or developmental therapist to test your child’s hearing, speech skills, language comprehension or developmental abilities. […] The most common cause is a buildup of fluid and mucus behind the eardrum, which does not drain properly through the ears eustachian tube. […] Children are more prone to ear infections between ages two and four, when their eustachian tubes are shorter and narrower and prone to blockage.
  • #51 Acute and Chronic Ear Infections | North Dallas ENT
    https://northdallasent.com/acute-and-chronic-ear-infections/
    A chronic ear infection can cause milder symptoms than an acute ear infection. Symptoms may affect one or both ears and may be constant or come and go. Signs include: A feeling of pressure in the ear, Mild ear pain, Fluid draining from ears, Low fever, Hearing loss, Trouble sleeping. […] If chronic ear infections are left untreated, it may result in hearing loss. If hearing loss affects both ears, the damage to the middle ear may slow language and speech development. While permanent hearing loss is rare, the risk increases with the number and length of infections. […] Besides hearing loss, other complications such as a ruptured eardrum may occur if chronic ear infections are left untreated.
  • #52 Ear Infections: Causes, Acute vs. Chronic, and Recovery Time
    https://www.webmd.com/cold-and-flu/ear-infection/understanding-otitis-media-basics
    Your child may have: […] The most common trigger of an ear infection in kids is an upper respiratory infection, like a cold or the flu. […] If a doctor looks at your child’s eardrum and sees that it’s red and bulging, they’ll diagnose them with an ear infection. […] Some kids only get an ear infection once, or once in awhile. If so, it’s called acute ear infection (or acute otitis media). […] If the infection clears up but comes back as many as three times in a 6-month period (or four times in a year), your child may be diagnosed with recurrent acute otitis media. […] At times, fluid can also build up in your child’s middle ear without signs of infection. If so, it’s called otitis media with effusion. […] Repeat ear infections can be a concern since they’re linked to short-term hearing loss. […] If your child has severe hearing loss for a long time, learning to speak and understand language may be harder.
  • #53 Otitis Media: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2013/1001/p435.html
    If OME is suspected and the presence of effusion on otoscopy is not evident by loss of landmarks, pneumatic otoscopy, tympanometry, or both should be used. […] Children with persistent, significant AOM symptoms despite at least 48 to 72 hours of antibiotic therapy should be reexamined. […] If a bulging, inflamed tympanic membrane is observed, therapy should be changed to a second-line agent. […] For children with recurrent AOM (i.e., three or more episodes in six months, or four episodes within 12 months with at least one episode during the preceding six months) with middle ear effusion, tympanostomy tubes may be considered to reduce the need for systemic antibiotics in favor of observation, or topical antibiotics for tube otorrhea.
  • #54 Ear infection (middle ear) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
    Symptoms that last for more than 2 to 3 days. Symptoms in a child younger than 6 months old. Symptoms that are getting worse. An infant or toddler who is sleepless or cranky after a cold or other infection that affected breathing, also known as an upper respiratory infection. Fluid, pus or blood from the ear. Hearing loss. […] Swollen eustachian tubes can become blocked, causing fluids to build up in the middle ear. This fluid can become infected and cause the symptoms of an ear infection. […] Most ear infections don’t cause long-term complications. Ear infections that happen again and again can lead to serious complications: Mild hearing loss is common with an ear infection. But hearing usually gets better after the infection clears. Ear infections that happen again and again or constant fluid in the middle ear can cause worse hearing loss. If there’s lasting damage to the eardrum or other parts of the middle ear, hearing might not get better.
  • #55 Ear infection (middle ear) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
    Hearing loss in infants and toddlers might cause delays in speaking and developing age-linked skills. This might be true even if hearing loss doesn’t last. […] Untreated infections or infections that don’t respond well to treatment can spread to nearby tissues. Rarely, an ear infection can cause infection of the bony section behind the ear, known as mastoiditis. This infection can harm the bone and cause pus-filled cysts. […] Also rarely, serious middle ear infections can spread to other tissues in the head. This can infect the brain or the membranes around the brain, an infection known as meningitis.
  • #56 Ear infection (middle ear) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/ear-infection-middle-ear
    Swollen eustachian tubes can become blocked, causing fluids to build up in the middle ear. This fluid can become infected and cause the symptoms of an ear infection. […] Most ear infections don’t cause long-term complications. Ear infections that happen again and again can lead to serious complications: Mild hearing loss is common with an ear infection. But hearing usually gets better after the infection clears. Ear infections that happen again and again or constant fluid in the middle ear can cause worse hearing loss. […] Symptoms of ear infections usually get better in a couple of days. Most ear infections clear up in a week or two without treatment. […] Antibiotics might be helpful for some children and for adults with ear infections. But using antibiotics too often can cause the medicine to not work as well against the bacteria. […] Ear tubes drain fluid from the middle ear. Ear tubes might help children who have repeated, long-lasting ear infections, also known as chronic otitis media.
  • #57 Middle ear infections and hearing loss
    https://www.healthyhearing.com/help/hearing-loss/middle-ear-infections
    While hearing loss from ear infections is almost always temporary, chronic untreated ear infections do carry a small risk of permanent hearing loss. This typically happens when the middle ear structures, like the eardrum or ossicles, are damaged after repeated infections and fluid buildup. […] If you or your child has any of the symptoms above, call your pediatrician, family doctor or otolaryngologist, also known as an ear-nose-throat doctor (ENT). It is important to act quickly because a middle ear infection can easily be treated and the ear pain alleviated.
  • #58 Ear infections Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/ear-infections
    Hearing may be temporarily impaired in children. But most children will not have long-term hearing loss. […] Chronic Otitis Media refers to persistent infection in the middle ear. […] Severe cases of recurrent acute otitis media (AOM) or persistent otitis media with effusion (OME) may impair hearing for a period of time. But the hearing loss is not substantial or permanent for most children. […] Hearing loss in children may temporarily slow down language development and reading skills. However, uncomplicated chronic middle ear effusion generally poses no danger for developmental delays in otherwise healthy children. […] If the ear infection is severe, the tympanic membrane may rupture, causing the pus to drain from the ear. (This usually brings relief from pain.) Pus in the ear may cause hearing loss in some children.
  • #59 Ear infection (middle ear) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
    Hearing loss in infants and toddlers might cause delays in speaking and developing age-linked skills. This might be true even if hearing loss doesn’t last. […] Untreated infections or infections that don’t respond well to treatment can spread to nearby tissues. Rarely, an ear infection can cause infection of the bony section behind the ear, known as mastoiditis. This infection can harm the bone and cause pus-filled cysts. […] Also rarely, serious middle ear infections can spread to other tissues in the head. This can infect the brain or the membranes around the brain, an infection known as meningitis.
  • #60 Patient education: Ear infections (otitis media) in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/ear-infections-otitis-media-in-children-beyond-the-basics/print
    The fluid that collects behind the eardrum (called an effusion) can persist for weeks to months after the pain of an ear infection resolves. An effusion causes trouble with hearing, which is usually mild to moderate and temporary. About 45 percent of children will have reduced hearing two weeks after an infection, and 24 percent of children will have reduced hearing three months after an infection. […] Children with underlying speech, hearing, or developmental problems may have worse outcomes related to the fluid and associated hearing loss. They should be evaluated before three months because they may need earlier intervention.
  • #61 Ear infections and glue ear
    https://www.rch.org.au/kidsinfo/fact_sheets/Ear_infections_and_Otitis_media/
    If your child has frequent ear infections or their hearing appears to be affected by glue ear, they should have their hearing tested by a hearing specialist (an audiologist). […] Most children outgrow middle ear problems (including glue ear), and have perfect and undamaged ears with normal hearing when they get older. […] Hearing and speech development can be affected if glue ear is persistent.
  • #62 Middle ear infection: babies, kids & teens | Raising Children Network
    https://raisingchildren.net.au/babies/health-daily-care/health-concerns/middle-ear-infection
    Ear infections that keep coming back might lead to glue ear, which is a thick, glue-like ooze in the middle ear. This thick fluid can stop sound getting through to the inner ear, which leads to varying degrees of hearing loss. This might lead to behaviour, language and learning difficulties. […] Most middle ear infections are caused by a virus. The symptoms of this type of middle ear infection usually improve by themselves within 24-48 hours. […] Recurrent ear infections Some children with recurrent ear infections or glue ear might need a long course of antibiotics. Glue ear generally improves within 3 months.
  • #63 Ear infection (middle ear) – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
    Hearing loss in infants and toddlers might cause delays in speaking and developing age-linked skills. This might be true even if hearing loss doesn’t last. […] Untreated infections or infections that don’t respond well to treatment can spread to nearby tissues. Rarely, an ear infection can cause infection of the bony section behind the ear, known as mastoiditis. This infection can harm the bone and cause pus-filled cysts. […] Also rarely, serious middle ear infections can spread to other tissues in the head. This can infect the brain or the membranes around the brain, an infection known as meningitis.
  • #64 Otitis Media (Middle Ear Infection) – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=otitis-media-middle-ear-infection-90-P02057
    Otitis media is inflammation located in the middle ear. Otitis media can occur as a result of a cold, sore throat, or respiratory infection. […] The following are the most common symptoms of otitis media. However, each child may experience symptoms differently. Symptoms may include: Unusual irritability, Difficulty sleeping or staying asleep, Tugging or pulling at one or both ears, Fever, Fluid draining from ear(s), Loss of balance, Hearing difficulties, Ear pain. […] The symptoms of otitis media may resemble other conditions or medical problems. Always consult your child’s physician for a diagnosis. […] In addition to the symptoms of otitis media listed above, untreated otitis media can result in any/all of the following: Infection in other parts of the head, Permanent hearing loss, Problems with speech and language development.
  • #65 Overview: Middle ear infection – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279381/
    If the infection continues for several weeks, it’s considered to be a chronic middle ear infection (chronic otitis media). The earache and fever will go away, but the fluid remains in the middle ear. […] Sometimes fluid remains in the middle ear after the infection has disappeared and the eardrum has healed. This is called otitis media with effusion (OME), also known as glue ear. Children who have glue ear often feel pressure inside their ear, but rarely experience pain. Glue ear can cause hearing loss, which may delay speech and language development. […] Complications following an acute middle ear infection are very rare. Rare complications include mastoiditis, meningitis, and damage to the inner ear. […] The main symptom of mastoiditis is pain behind the ear, sometimes accompanied by swelling and fever too.
  • #66 Ear Infection (Otitis Media): Symptoms, Causes, and Treatment
    https://patient.info/ears-nose-throat-mouth/earache-ear-pain/ear-infection-otitis-media
    An ear infection normally presents with pain and fever. […] Most ear infections get better without any treatment. Recovery usually takes place within three days but can take up to a week. […] Hearing loss causes by fluid (mucus) remaining behind the eardrum after the infection clears. […] If the eardrum bursts (perforates) then it usually heals over within a few weeks once the infection clears. […] If a child is normally healthy then the risk of other serious complications developing from an ear infection is very small. Rarely, a serious infection of the bone behind the ear develops from an ear infection. This is called mastoiditis. […] Very rarely, the infection spreads deeper into the inner ear, brain or other nearby tissues. This can cause various symptoms that can affect the brain and nearby nerves, including abscess and meningitis.
  • #67 Ear infection – chronic – UF Health
    https://ufhealth.org/conditions-and-treatments/ear-infection-chronic
    Chronic ear infections are not life threatening. However, they can be uncomfortable and may result in hearing loss and other serious complications. […] A chronic ear infection may cause permanent changes to the ear and nearby bones, including: Infection of the mastoid bone behind the ear (mastoiditis), Ongoing drainage from a hole in the eardrum that does not heal, or after ear tubes are inserted, Cyst in the middle ear (cholesteatoma), Hardening of the tissue in the middle ear (tympanosclerosis), Damage to, or wearing away of the bones of the middle ear, which help with hearing, Paralysis of the face, Inflammation around the brain (epidural abscess) or in the brain, Damage to the part of the ear that helps with balance. […] Hearing loss from damage to the middle ear may slow language and speech development. This is more likely if both ears are affected. […] Permanent hearing loss is rare, but the risk increases with the number and length of infections.
  • #68 Ear Infection (Otitis Media): Symptoms, Causes, and Treatment
    https://patient.info/ears-nose-throat-mouth/earache-ear-pain/ear-infection-otitis-media
    Ear infection is very common in children although it can occur in people of any age. The main symptoms are earache and feeling unwell. Painkillers are the main treatment. Antibiotics are not usually helpful but are prescribed in some cases. The infection usually clears within a few days. […] Ear pain (earache) is common but does not always occur. It is caused by having a tense, inflamed eardrum. […] High temperature (fever) is common. […] Children may feel sick or be sick (vomit) and be generally unwell. […] Young babies may be hot and irritable. A hot, crying baby may have an ear infection. […] Sometimes the eardrum bursts (perforates). This lets out the infected fluid (mucus) and often relieves pain quite suddenly. The ear becomes runny, sometimes for a few days. Most perforations are small. A perforated eardrum usually heals within a few weeks after the infection clears.
  • #69 Ear infections | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ear-infections
    The symptoms of an ear infection depend on the type, but may include: earache, mild deafness or the sensation that sound is muffled, ear discharge, fever, headache, loss of appetite, itchiness of the outer ear, blisters on the outer ear or along the ear canal, noises in the ear such as buzzing or humming, vertigo (loss of balance). […] Otitis media is an infection of the middle ear, which can be either acute or chronic. Children are most commonly affected by acute otitis media because it is caused by colds and blocked Eustachian tubes both typical ailments of childhood. […] Frequent bouts of acute otitis media or one lingering attack can lead to chronic otitis media. Without medical intervention, the chronic infection can burst the eardrum or damage the delicate structures within the middle ear. Other possible complications of untreated chronic otitis media include meningitis, infection of the balance organs within the ear (labyrinthitis), sensorineural deafness (permanent hearing loss) and paralysis of the face.
  • #70 Ear Infection Questions
    https://www.seattlechildrens.org/conditions/a-z/ear-infection-questions/
    The main symptom is an earache. […] Younger children will cry, act fussy or have trouble sleeping because of pain. […] About 50% of children with an ear infection will have a fever. […] Complication: In 5% to 10% of children, the eardrum will develop a small tear. This is from the pressure in the middle ear. The ear then drains cloudy fluid or pus. This small hole most often heals over in 2 or 3 days. […] Ear infections peak at age 6 months to 2 years. They are a common problem until age 8. […] The onset of ear infections is often on day 3 of a cold. […] 90% of children have at least 1 ear infection. Frequent ear infections occur in 20% of children. Ear infections are the most common bacterial infection of young children. […] Most ear infections are not cured after the first dose of antibiotic.
  • #71 Ear infection (middle ear) – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/ear-infections/diagnosis-treatment/drc-20351622
    A healthcare professional can often diagnose an ear infection based on symptoms and an exam. The exam likely includes looking inside the child’s ears with a lighted instrument known as an otoscope. If the eardrum is red and bulging, there’s likely an infection. […] Symptoms of ear infections usually get better in a couple of days. Most ear infections clear up in a week or two without treatment. […] Children 6 months and older with moderate to severe ear pain in one or both ears for at least 48 hours or a temperature of 102.2 F (39 C) or higher. […] Children younger than 6 months who have acute otitis media are more likely to be treated with antibiotics without the watch-and-wait time. […] Chronic infection that causes a tear in the eardrum, called chronic suppurative otitis media, is hard to treat. Antibiotics drops put into the ear might treat the condition.