Possible diagnosis: Otitis media (Middle ear infection), Otitis externa ( swimmers ears),  Meniere’s disease 

Introduction: Ear pain is a common symptom of many illnesses including middle ear infections, external ear infections or swimmer’s ears, eustachian tube dysfunction, sunburn, and dermatitis. 

Middle ear infections are common in children due to several factors including immature immune systems, and smaller eustachian tubes in the ear which have a higher risk of becoming blocked with fluid. Viral illnesses like common colds, and allergy flares can cause fluid to build up behind the eardrum which can eventually become infected. If ear infections go untreated they can lead to hearing problems which can cause further issues with language and speech.

Swimmer’s ear refers to a skin infection of the outer ear canal. Usually, this ear canal is protected by the natural formation of ear wax. In some cases, moisture caught in the ear canal or a slight injury in the ear canal can lead to infection. 

It is best to seek advice for a medical professional to determine the cause of the ear pain and what treatment should be recommended. To learn more or to speak to one of our licensed doctors from the comfort of your home, click here. 

Symptoms: Most ear complaints present with the following symptoms:

• Fever
• Sharp ear pain – in infants and children may be exhibited by pulling on the ear. 
• Trouble hearing
• Drainage from ear
• Dizziness
• Balance issues
• Loss of appetite
• Vomiting or diarrhea

Infants and young children may have other symptoms: diarrhea, vomiting, irritability, trouble sleeping. 

Testing: The American Academy of Pediatrics recommends all pediatric patients up to age 21 have an examination. However, in most  cases we can treat those aged 13 and over without an ear exam if certain criteria is met. It is based on the specific clinical scenario and the discretion of the provider to decide what testing is needed. 

Treatment: Depending on the cause and severity of the infection, the treatment plan may include:

• A warm compress
• Over-the-counter anti-inflammatory medications like ibuprofen or Tylenol for pain or fever
• Ear drops
• Ear wax removal
• A prescription for antibiotics
• A referral to a specialist