Understanding the Seriousness of Ear Infections in Babies
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caringforkids.cps.ca/handouts/health-conditions-and-treatments/ear_infectionsEar infections. (2022). .
cdc.gov/healthywater/swimming/swimmers/rwi/ear-infections.htmlEar infections in children. (2022). .
nidcd.nih.gov/health/ear-infections-childrenHanafin S, et al. (2002). Does pacifier use cause ear infections in young children?
pubmed.ncbi.nlm.nih.gov/11979200/Nadal LF, et al. (2017). Investigation of maternal practices of breastfeeding and their relation with the infection of the upper airways and otitis media.
scielo.br/j/rcefac/a/M9jzzbGvXJJMvJSx4nHDRXm/?lang=ptOur experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Current Version Sep 28, 2022 By Catherine Crider Edited By Debbie Nurmi Medically Reviewed By Karen Richardson Gill, MD Copy Edited By Sara Giusti Share this articleMedically reviewed by Karen Gill, M.D. — By Catherine Crider on September 28, 2022
Do You Need to Worry When Your Baby Has an Ear Infection
Medically reviewed by Karen Gill, M.D. — By Catherine Crider on September 28, 2022Share on PinterestWestend61/Getty ImagesTiny fingers. Tiny toes. Tiny ears. Everything about your little bundle of joy is, well, little. Unfortunately, their tiny ears can experience frequent infections. While ear infections are fairly common in young children, they can become serious. If you’re wondering when you should be concerned about ear infections, the common signs of an ear infection, and even whether pacifier use could be leaving your child more likely to get an ear infection, you’ve come to the right place.What is an ear infection
An ear infection is inflammation of the middle ear caused by bacteria or viruses when fluids build up behind the eardrum. Otitis media (OM) is the scientific name for an ear infection. There are three main types of OM:Acute otitis media (AOM): This is the most common ear infection type. Parts of the middle ear are infected and swollen, and some fluid is trapped behind the eardrum.Otitis media with effusion (OME): This can sometimes occur when an ear infection has run its course, but liquid still remains behind the eardrum.Chronic otitis media with effusion (COME): This happens when fluid remains in the middle ear for a long time or keeps returning even when there is no infection.When is an ear infection in an infant serious
While not common, some ear infections can lead to serious health conditions, like:loss of hearinga cyst in the middle eardamage to the bones and tissues of the earfacial paralysis To help prevent these complications, you can visit your child’s doctor if pain persists or certain symptoms develop.When to call your pediatrician if your child has an ear infection
Contact your child’s pediatrician or another healthcare professional if your child:is crying nonstopis taking antibiotics and still has a fever after 2 daysseems to have ear pain that seems worse or constantstill seems to have ear pain after 3 days of antibioticshas the same or worse ear discharge after 3 days on antibioticsWhat are the signs and symptoms of ear infections in infants
If your child isn’t old enough to tell you that their ear hurts, you’ll want to keep an eye out for:crying or fussinessdifficulty sleepingfeverfluid draining from the eartrouble hearing soft soundsother signs of illnessWhat causes ear infections in infants
Ear infections are usually the result of bacteria that develop when fluid builds up behind the eardrum. Viruses can also cause ear infections. Ear infections often begin when a child has a cold, cough, or other upper respiratory infection. The same viruses responsible for these illnesses can cause an ear infection. A bacterial ear infection can develop during a cold or cough, too.How are ear infections diagnosed in infants
Your child’s pediatrician can diagnose an ear infection. To make a diagnosis, they will use a light called an otoscope to look for fluid in the middle ear and to monitor pressure. The pediatrician will also use the otoscope to look at the color and position of the eardrum.Can you prevent ear infections in infants
The best thing you can do to prevent ear infections in your little one is to reduce the risk of getting ear infections in the first place. This can include doing things like:vaccinating your baby against the flu and pneumococcal diseasewashing your hands frequently as well as anything that goes in your baby’s mouthavoiding areas with cigarette smokelimiting your child’s exposure to other children or adults who are sicknever laying your baby down with a bottle in their mouthWhat are the risk factors for ear infections in infants
Children under the age of 5 years have an increased risk of ear infection because of their shorter eustachian tubes. Additionally, children with Down syndrome are more likely to have ear infections due to their facial structure. Those of First Nations and Inuit descent also have a higher risk of ear infections, though doctors don’t fully know why yet. Other risk factors for ear infections in young children include:having allergiesnot being breastfedattending day careexposure to cigarette smokehaving a cleft palateWhat s the outlook for infants who have ear infections
Occasional ear infections are very common in young children. Research estimates that 5 out of 6 children will have at least one ear infection by the time they turn 3 years old. If there’s no high fever and much pain, doctors may recommend waiting a few days to see whether things improve before prescribing antibiotics. When antibiotics are prescribed, they are typically taken for 5 to 10 days. However, pain relief may be felt as early as the first day of taking them. It’s important to take the entire prescribed amount, even if your child starts feeling better. Your child’s pediatrician may wish to see your child after the antibiotics to make sure that everything has cleared up. Fluid may remain without inflammation for a few weeks. Some children experience ear infections more frequently than others. If a child experiences frequent ear infections or has trouble hearing because of fluid in the middle ear, their doctor may discuss surgically placing a tube in their ear. The tube can help drain fluids and normalize pressure on both sides of the eardrum.Frequently asked questions
Does using a pacifier increase the risk of an ear infection
Research has indicated that the risk of ear infection may be up to three times higher in children who use a pacifier. Additionally, children who use a pacifier continuously may be more at risk of an ear infection than those who only use it occasionally. However, using a pacifier is a personal choice. In some cases, using a pacifier is recommended. Talk with your pediatrician if you have questions about pacifier use, especially if your baby has frequent ear infections.Does side-lying while breastfeeding increase the risk of an ear infection
At least one study has shown that an infant’s position during breastfeeding is not related to ear infections. This may be because breast milk is generally less irritating than formula, and breastfed babies are less prone to allergies and respiratory infections.Can bath or pool water cause ear infections
Bath water usually won’t get past the eardrum to reach the middle ear. Swimmer’s ear, which can develop from water that stays in the outer ear canal for too long, is not the same as a middle ear infection despite the potential for similar symptoms. Drying ears thoroughly after swimming or bathing can help reduce the risk of ear infection.Bottom line
Fussiness and fever can indicate that your little one has developed an ear infection. While this is a common issue for kids, you’ll want to talk with their pediatrician if it persists or doesn’t get better with medication. The earlier you can start treatment, the more you can help prevent complications from developing. Last medically reviewed on September 28, 2022ParenthoodBabyChild06 Months06 Months 1 YearHow we vetted this article
SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Ear infections. (2022). .caringforkids.cps.ca/handouts/health-conditions-and-treatments/ear_infectionsEar infections. (2022). .
cdc.gov/healthywater/swimming/swimmers/rwi/ear-infections.htmlEar infections in children. (2022). .
nidcd.nih.gov/health/ear-infections-childrenHanafin S, et al. (2002). Does pacifier use cause ear infections in young children?
pubmed.ncbi.nlm.nih.gov/11979200/Nadal LF, et al. (2017). Investigation of maternal practices of breastfeeding and their relation with the infection of the upper airways and otitis media.
scielo.br/j/rcefac/a/M9jzzbGvXJJMvJSx4nHDRXm/?lang=ptOur experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Current Version Sep 28, 2022 By Catherine Crider Edited By Debbie Nurmi Medically Reviewed By Karen Richardson Gill, MD Copy Edited By Sara Giusti Share this articleMedically reviewed by Karen Gill, M.D. — By Catherine Crider on September 28, 2022