Kapa’a Pediatrics, LLC
Otitis Media
Otitis media (also known as an ear infection) is an inflammation of the middle ear usually caused by an
infection. It is one of the most common childhood illnesses. This occurs when fluid becomes trapped
and builds up behind the eardrum, causing pain in the affected ear. It is usually caused by bacteria and
is often preceded by sore throats, colds, or other respiratory problems.
Risk Factors:
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Otitis media occurs more frequently in boys than in girls
Children who attend childcare centers
Children with allergies
Exposure to tobacco smoke
Pacifier use of several hours daily
Children with conditions such as cleft lip and palate or Down syndrome.
Symptoms:
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Complaints of ear pain (in older children)
Pulling or tugging at the ear
Irritability
Fever
Fluid draining from the ear
Difficulty hearing quiet noises
Problems with balance and coordination
Diagnosis and Treatment:
During your visit with your doctor, diagnosis will be made by looking into the affected ear. If
your child has an ear infection, your doctor may prescribe an antibiotic, such as amoxicillin, which is
taken over the course of 7-10 days. All antibiotics should be taken as prescribed to prevent re-infection
and resistance to antibiotics. Your doctor may also recommend a pain reliever such as Acetaminophen,
Ibuprofen, or eardrops to help relieve fever and pain accompanied with an ear infection.
Prevention:
 Decrease exposure to second hand smoke. Avoid smoking near the child or in the home.
 Many cases of otitis media are caused by microbes such as Haemophilus influenza and
Pneumococcal pneumoniae so it is important to make sure your child is current on his/her
immunizations.
 Washing hands frequently can help keep your child from catching the cold or flu by preventing
the spread of germs.
 Wean your child from using a pacifier or bottle to fall asleep.
 Limit your child’s exposure to other children who are sick.
Kapa’a Pediatrics, LLC ● 4-1461 Kuhio Hwy, Kapa’a HI 96746 ● Ph (808) 634-8011 ● Fax (808) 822-0938