Davidson County Health Department HEALTH TO YOU A – Z INFORMATION SHEET Ear Infection or Otitis Media What is an Ear Infection? A sudden infection that causes earaches is called Otitis Media. Children may complain of pain in their jaw, ear, or even teeth. Younger children may tug on their ears, babies may be irritable or cry more often. Ear infections may also be accompanied by a fever, runny nose, cough, pus draining from the ear, or diarrhea. Ear infections can also cause a temporary hearing loss. Fluid build-up in the middle ear without the previous symptoms can occur called Otitis media with effusion. Swimmer’s ear is an infection of the ear and or the outer ear canal. This causes the ear to be red or swollen and the pressure causes the ear to be very painful. Pus can also drain from the ear. Untreated ear infections can lead to permanent hearing loss. What causes an ear infection? Bacteria or viruses that enter the ear canal can cause the infection in Otitis Media. Fluid may build up in the middle ear from a cold just as fluid builds up in the nose. Sometimes bacteria can grow in the fluid and cause infection. How is ear infections treated? If you suspect your child has a ear infection, see the medical provider. An antibiotic may or may not be prescribed. If an antibiotic is prescribed, please give according to the directions and give the medication until all of it is gone even if the child feels better. Never save antibiotic to give at a later time unless the medical provider has told you to do this. Over the counter pain/fever medications can be given for ear pain and fever if your medical provider has instructed you to do so. Never give this type of medication to mask the pain so that an infection can be ignored. This can lead to more serious infection and permanent hearing loss. Give your child extra liquids to drink and allow him to eat what he feels like. Never smoke in your child’s presence or in the room where your child sleeps. Tobacco smoke may increase the risk of ear infections and colds. Always keep the return appointment with the medical provider. The ears will be checked to make sure the infection has been cleared. Hearing may also be checked to make sure any loss was temporary. Sometimes tubes that are surgically implanted in the ear and are needed when the child has repeated or chronic ear infections. This allows the fluid in the middle ear to drain. When can my child return to school? Usually children can return to school 24 hours after begininning antibiotic and/or 24 hours after the child’s temperature returns to normal and the ear pain has decreased. PO Box 439, Lexington, NC 27293 (336) 242-2300 www.dchdnc.com