Childhood Ear Infections

Ear infections are one of the most common illnesses in children. Acute otitis media (AOM) is defined as an infection of the middle ear and is the second most common pediatric diagnosis in the emergency department following upper respiratory infections. Although acute otitis media can occur at any age, it is most commonly seen between the ages of 6 to 24 months. Approximately 80% of all children will experience a case of otitis media during their lifetime, and between 80% and 90% of all children will have otitis media with an effusion before school age(Danishyar et al, 2023, Acute Otitis Media, Statpearls publishing, National Library of Medicine) Although they can be uncomfortable and sometimes painful, understanding the causes, symptoms, and treatment options can help parents effectively manage these infections.

When your child has a sore throat, cold, or an upper respiratory infection, bacteria can spread to the middle ear through the eustachian tubes (the channels that connect the middle ear to the throat). In response to the infection, fluid builds up behind the eardrum.

Ear Infections can cause sore ears.

Recognizing the Symptoms

Infected Eardrum
Identifying the symptoms of an ear infection is crucial for early detection and treatment. Some common signs in children include:


1. Ear Pain: Children may complain of ear pain or pull at their ears. This can be caused by the pressure buildup behind the eardrum.


2. Fever: Ear infections often lead to fevers, especially in younger children.


3. Trouble Sleeping: Discomfort and pain can make it challenging for children to sleep peacefully.


4. Irritability and Crying: Children might become irritable or excessively fussy due to the discomfort caused by the infection.


5. Difficulty Hearing: Temporary hearing loss or muffled hearing is also a common symptom. Children might have trouble following instructions or responding to sounds.

If you are still worried about your child’s hearing then make an appointment with a Paediatric Audiologist. This will help to determine if the fluid behind the eardrum is persisting and a hearing test can be carried out to determine the degree of hearing loss for your child.

Seeking Medical Attention and Treatment Options

If you suspect your child has an ear infection, it is important to consult your GP for an accurate diagnosis. They will examine the eardrum using an otoscope, a device that allows them to visualize the middle ear and discuss possible treatment options eg. pain relief, antibiotics if the ear infection is bacterial and observation.


In conclusion, understanding ear infections in children is essential for early detection and effective management. By recognizing the symptoms and seeking medical attention when necessary, parents can help their children overcome ear infections and promote healthy hearing.

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