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What can you take for an earache. Ear Infection Treatment: Diagnosis, Remedies, and Pain Management Options

How is an ear infection diagnosed. What are the best treatments for ear infections. When should antibiotics be used for ear infections. How can you manage ear pain at home. What are the risks of untreated ear infections.

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Diagnosing Ear Infections: Tools and Techniques

Ear infections, particularly middle ear infections (otitis media), are common ailments that can cause significant discomfort. Proper diagnosis is crucial for effective treatment. Doctors typically use a combination of physical examination and specialized tools to identify ear infections.

The Otoscope: A Crucial Diagnostic Tool

The primary instrument used in diagnosing ear infections is the otoscope. This lighted device allows doctors to examine the ear canal and eardrum. What does an otoscope reveal? It helps physicians observe signs of infection, such as redness, swelling, or fluid buildup behind the eardrum.

Pneumatic Otoscope: Assessing Eardrum Mobility

An advanced version of the standard otoscope, the pneumatic otoscope, provides additional diagnostic capabilities. How does a pneumatic otoscope work? It gently puffs air against the eardrum, allowing the doctor to observe its movement. In a healthy ear, the eardrum should move freely. If there’s fluid in the middle ear, the eardrum’s movement will be limited or absent.

Additional Diagnostic Tests

In some cases, further testing may be necessary to confirm a diagnosis or assess the severity of an ear infection. These additional tests may include:

  • Tympanometry: Measures eardrum movement and middle ear pressure
  • Acoustic reflectometry: Evaluates fluid presence by measuring sound reflection from the eardrum
  • Tympanocentesis: A rare procedure involving fluid extraction from the middle ear for testing

Types of Ear Infections: Understanding the Diagnosis

Ear infections can be classified into different types based on their characteristics and duration. Understanding these distinctions is crucial for appropriate treatment.

Acute Otitis Media (AOM)

Acute otitis media is the most common type of ear infection. What are the hallmarks of AOM? It typically involves sudden onset of symptoms, signs of middle ear fluid, and indications of an active infection.

Otitis Media with Effusion (OME)

OME differs from AOM in that it involves fluid in the middle ear without active signs of infection. How long can OME persist? This condition can last for weeks or even months, potentially affecting hearing if left untreated.

Chronic Suppurative Otitis Media (CSOM)

CSOM is a long-term condition resulting from a persistent ear infection. What characterizes CSOM? It often involves a perforated eardrum and ongoing drainage of pus from the ear.

Treatment Approaches: From Wait-and-See to Antibiotics

The treatment of ear infections varies depending on several factors, including the patient’s age, severity of symptoms, and type of infection. In many cases, a conservative approach may be recommended initially.

The Wait-and-See Approach

Many ear infections, particularly in older children and adults, resolve without antibiotic treatment. When is a wait-and-see approach appropriate? The American Academy of Pediatrics and the American Academy of Family Physicians suggest this approach for:

  • Children 6 to 23 months with mild ear pain in one ear for less than 48 hours and a temperature below 102.2°F (39°C)
  • Children 24 months and older with mild ear pain in one or both ears for less than 48 hours and a temperature below 102.2°F (39°C)

Antibiotic Therapy: When It’s Necessary

While many ear infections clear up without antibiotics, there are situations where these medications are necessary. When should antibiotics be prescribed for ear infections? Doctors may recommend antibiotics for:

  • Severe symptoms or high fever
  • Children under 6 months of age
  • Infections that persist or worsen after 48-72 hours
  • Patients with certain medical conditions or a history of recurrent infections

It’s important to note that overuse of antibiotics can lead to antibiotic resistance, making future infections harder to treat. Therefore, judicious use of these medications is crucial.

Managing Ear Pain: Home Remedies and Over-the-Counter Solutions

Ear pain can be distressing, especially for children. Fortunately, there are several ways to manage discomfort associated with ear infections.

Over-the-Counter Pain Relievers

What are safe pain relief options for ear infections? Acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) are commonly recommended for pain management. These medications can help reduce pain and fever associated with ear infections.

Is aspirin safe for children with ear infections? Caution is advised when giving aspirin to children or teenagers, especially those recovering from chickenpox or flu-like symptoms, due to the risk of Reye’s syndrome. Always consult with a healthcare provider before administering any medication to children.

Anesthetic Ear Drops

In some cases, doctors may recommend anesthetic ear drops to alleviate pain. How do anesthetic ear drops work? These drops contain pain-relieving medications that can provide local relief. However, they should only be used if the eardrum is intact and under a doctor’s guidance.

Home Remedies for Ear Pain

Several home remedies can help alleviate ear pain. What are some effective home remedies for ear infections?

  • Warm compress: Applying a warm, damp washcloth to the affected ear can help reduce pain
  • Elevation: Sleeping with the head elevated can help drain fluid from the ear
  • Hydration: Encouraging fluid intake can help thin mucus and promote drainage
  • Chewing or yawning: These actions can help equalize pressure in the ears

Complications of Untreated Ear Infections

While many ear infections resolve on their own, untreated or recurrent infections can lead to serious complications. Understanding these risks underscores the importance of proper medical attention.

Hearing Loss

One of the most common complications of chronic ear infections is hearing loss. How does an ear infection affect hearing? Fluid buildup in the middle ear can interfere with the transmission of sound, leading to temporary hearing loss. In severe cases, repeated infections can cause permanent damage to the eardrum or other structures in the ear, resulting in long-term hearing impairment.

Speech and Developmental Delays

In young children, hearing loss from chronic ear infections can potentially impact speech and language development. Why are children particularly vulnerable to these effects? During critical periods of development, children rely heavily on their hearing to learn language and communication skills. Prolonged or recurrent hearing loss can interfere with this process, potentially leading to delays in speech, language, and even cognitive development.

Spread of Infection

In rare cases, untreated ear infections can lead to more serious conditions. What are the risks of spreading ear infections? The infection can potentially spread to nearby structures, including:

  • Mastoiditis: Infection of the mastoid bone behind the ear
  • Meningitis: Inflammation of the membranes surrounding the brain and spinal cord
  • Brain abscess: A rare but serious complication involving a collection of pus in the brain

These complications, while uncommon, underscore the importance of proper medical evaluation and treatment of persistent ear infections.

Prevention Strategies: Reducing the Risk of Ear Infections

While not all ear infections can be prevented, certain strategies can help reduce their frequency and severity. Implementing these preventive measures can contribute to overall ear health and potentially decrease the need for medical interventions.

Vaccination

Certain vaccinations can play a role in preventing ear infections. How do vaccines help prevent ear infections? Some vaccines, such as the pneumococcal vaccine and the influenza vaccine, can reduce the risk of infections that often lead to ear infections. Keeping up-to-date with recommended vaccination schedules is an important preventive measure.

Breastfeeding

For infants, breastfeeding can provide protection against ear infections. Why does breastfeeding help prevent ear infections? Breast milk contains antibodies that can help boost the baby’s immune system, potentially reducing the risk of various infections, including those affecting the ears.

Avoiding Secondhand Smoke

Exposure to secondhand smoke has been linked to an increased risk of ear infections in children. How does smoke exposure affect ear health? Smoke can irritate the Eustachian tubes, making them more susceptible to swelling and blockage, which can lead to ear infections.

Proper Hygiene

Good hygiene practices can help prevent the spread of infections that may lead to ear problems. What hygiene measures can help prevent ear infections?

  • Regular handwashing, especially during cold and flu season
  • Avoiding sharing utensils or personal items that come into contact with the mouth or nose
  • Proper cleaning and care of hearing aids or other devices inserted into the ear

When to Seek Medical Attention for Ear Infections

While many ear infections resolve on their own, there are situations where prompt medical attention is necessary. Recognizing these signs can help ensure timely and appropriate treatment.

Severe or Persistent Symptoms

When should you see a doctor for an ear infection? Seek medical attention if you or your child experience:

  • Severe ear pain that doesn’t improve with over-the-counter pain relievers
  • Symptoms lasting more than 2-3 days
  • High fever (102.2°F or higher)
  • Discharge from the ear, especially if it’s bloody or pus-like

Signs of Complications

Certain symptoms may indicate potential complications of ear infections. What are warning signs that require immediate medical attention?

  • Swelling or redness behind the ear
  • Stiff neck or severe headache
  • Dizziness or loss of balance
  • Facial weakness or drooping

These symptoms could indicate more serious conditions and should be evaluated by a healthcare provider as soon as possible.

Recurrent Infections

If you or your child experience frequent ear infections, it’s important to consult with a healthcare provider. How many ear infections are too many? While there’s no strict rule, generally, having three or more ear infections within a six-month period, or four or more in a year, may warrant further evaluation. Recurrent infections could indicate underlying issues that need to be addressed, such as anatomical factors or immune system concerns.

Long-Term Management of Chronic Ear Infections

For individuals who suffer from recurrent or chronic ear infections, long-term management strategies may be necessary. These approaches aim to reduce the frequency and severity of infections and prevent potential complications.

Tympanostomy Tubes

In some cases, especially for children with recurrent infections, doctors may recommend the insertion of tympanostomy tubes. What are tympanostomy tubes and how do they help? These small tubes are surgically inserted into the eardrum to allow fluid drainage and equalize pressure in the middle ear. They can help reduce the frequency of infections and improve hearing in cases where fluid buildup is a persistent problem.

Adenoidectomy

For some children, removal of the adenoids (adenoidectomy) may be recommended. How does adenoid removal help with ear infections? The adenoids, located near the back of the nasal cavity, can sometimes become enlarged and interfere with the function of the Eustachian tubes. Removing them can potentially reduce the frequency of ear infections in some cases.

Ongoing Monitoring

Regular check-ups with a healthcare provider are important for individuals with a history of chronic ear infections. What should be monitored in patients with recurrent ear infections?

  • Hearing function: Regular hearing tests to detect any changes or impairments
  • Speech and language development in children: Ensuring that recurrent infections aren’t impacting communication skills
  • Overall ear health: Checking for any structural changes or persistent fluid buildup

By staying vigilant and working closely with healthcare providers, individuals with chronic ear infections can minimize their impact and maintain optimal ear health.

Ear infection (middle ear) – Diagnosis & treatment

Diagnosis

Your doctor can usually diagnose an ear infection or another condition based on the symptoms you describe and an exam. The doctor will likely use a lighted instrument (an otoscope) to look at the ears, throat and nasal passage. He or she will also likely listen to your child breathe with a stethoscope.

Pneumatic otoscope

An instrument called a pneumatic otoscope is often the only specialized tool a doctor needs to diagnose an ear infection. This instrument enables the doctor to look in the ear and judge whether there is fluid behind the eardrum. With the pneumatic otoscope, the doctor gently puffs air against the eardrum. Normally, this puff of air would cause the eardrum to move. If the middle ear is filled with fluid, your doctor will observe little to no movement of the eardrum.

Additional tests

Your doctor may perform other tests if there is any doubt about a diagnosis, if the condition hasn’t responded to previous treatments, or if there are other long-term or serious problems.

  • Tympanometry. This test measures the movement of the eardrum. The device, which seals off the ear canal, adjusts air pressure in the canal, which causes the eardrum to move. The device measures how well the eardrum moves and provides an indirect measure of pressure within the middle ear.
  • Acoustic reflectometry. This test measures how much sound is reflected back from the eardrum — an indirect measure of fluids in the middle ear. Normally, the eardrum absorbs most of the sound. However, the more pressure there is from fluid in the middle ear, the more sound the eardrum will reflect.
  • Tympanocentesis. Rarely, a doctor may use a tiny tube that pierces the eardrum to drain fluid from the middle ear — a procedure called tympanocentesis. The fluid is tested for viruses and bacteria. This can be helpful if an infection hasn’t responded well to previous treatments.
  • Other tests. If your child has had multiple ear infections or fluid buildup in the middle ear, your doctor may refer you to a hearing specialist (audiologist), speech therapist or developmental therapist for tests of hearing, speech skills, language comprehension or developmental abilities.

What a diagnosis means

  • Acute otitis media. The diagnosis of “ear infection” is generally shorthand for acute otitis media. Your doctor likely makes this diagnosis if he or she sees signs of fluid in the middle ear, if there are signs or symptoms of an infection, and if symptoms started relatively suddenly.
  • Otitis media with effusion. If the diagnosis is otitis media with effusion, the doctor has found evidence of fluid in the middle ear, but there are presently no signs or symptoms of infection.
  • Chronic suppurative otitis media. If the doctor makes a diagnosis of chronic suppurative otitis media, he or she has found that a long-term ear infection resulted in tearing of the eardrum. This is usually associated with pus draining from the ear.

Treatment

Some ear infections resolve without antibiotic treatment. What’s best for your child depends on many factors, including your child’s age and the severity of symptoms.

A wait-and-see approach

Symptoms of ear infections usually improve within the first couple of days, and most infections clear up on their own within one to two weeks without any treatment. The American Academy of Pediatrics and the American Academy of Family Physicians recommend a wait-and-see approach as one option for:

  • Children 6 to 23 months with mild middle ear pain in one ear for less than 48 hours and a temperature less than 102.2 F (39 C)
  • Children 24 months and older with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102.2 F (39 C)

Some evidence suggests that treatment with antibiotics might be helpful for certain children with ear infections. On the other hand, using antibiotics too often can cause bacteria to become resistant to the medicine. Talk with your doctor about the potential benefits and risks of using antibiotics.

Managing pain

Your doctor will advise you on treatments to lessen pain from an ear infection. These may include the following:

  • Pain medication. Your doctor may advise the use of over-the-counter acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others) to relieve pain. Use the drugs as directed on the label. Use caution when giving aspirin to children or teenagers. Children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin because aspirin has been linked with Reye’s syndrome. Talk to your doctor if you have concerns.
  • Anesthetic drops. These may be used to relieve pain if the eardrum doesn’t have a hole or tear in it.

Antibiotic therapy

After an initial observation period, your doctor may recommend antibiotic treatment for an ear infection in the following situations:

  • Children 6 months and older with moderate to severe ear pain in one or both ears for at least 48 hours or a temperature of 102.2 F (39 C) or higher
  • Children 6 to 23 months with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102. 2 F (39 C)
  • Children 24 months and older with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102.2 F (39 C)

Children younger than 6 months of age with confirmed acute otitis media are more likely to be treated with antibiotics without the initial observational waiting time.

Even after symptoms have improved, be sure to use the antibiotic as directed. Failing to take all the medicine can lead to recurring infection and resistance of bacteria to antibiotic medications. Talk with your doctor or pharmacist about what to do if you accidentally miss a dose.

Ear tubes

If your child has certain conditions, your child’s doctor may recommend a procedure to drain fluid from the middle ear. If your child has repeated, long-term ear infections (chronic otitis media) or continuous fluid buildup in the ear after an infection cleared up (otitis media with effusion), your child’s doctor may suggest this procedure.

During an outpatient surgical procedure called a myringotomy, a surgeon creates a tiny hole in the eardrum that enables him or her to suction fluids out of the middle ear. A tiny tube (tympanostomy tube) is placed in the opening to help ventilate the middle ear and prevent the buildup of more fluids. Some tubes are intended to stay in place for four to 18 months and then fall out on their own. Other tubes are designed to stay in longer and may need to be surgically removed.

The eardrum usually closes up again after the tube falls out or is removed.

Tympanostomy tubes

Ear tubes (tympanostomy tubes, ventilation tubes, pressure equalization tubes) are tiny cylinders, usually made of plastic or metal, that are surgically inserted into the eardrum. An ear tube creates an airway that ventilates the middle ear and prevents the accumulation of fluids behind the eardrum.

Treatment for chronic suppurative otitis media

Chronic infection that results in a hole or tear in the eardrum — called chronic suppurative otitis media — is difficult to treat. It’s often treated with antibiotics administered as drops. You may receive instructions on how to suction fluids out through the ear canal before administering drops.

Monitoring

Children who have frequent infections or who have persistent fluid in the middle ear will need to be monitored closely. Talk to your doctor about how often you should schedule follow-up appointments. Your doctor may recommend regular hearing and language tests.

More Information

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.

Preparing for your appointment

You’ll likely begin by seeing your family doctor or your child’s pediatrician. You may be referred to a specialist in ear, nose and throat (ENT) disorders if the problem has persisted for some time, is not responding to treatment or has occurred frequently.

If your child is old enough to respond, before your appointment talk to the child about questions the doctor may ask and be prepared to answer questions on behalf of your child. Questions for adults will address most of the same issues.

  • What signs or symptoms have you noticed?
  • When did the symptoms begin?
  • Is there ear pain? How would you describe the pain — mild, moderate or severe?
  • Have you observed possible signs of pain in your infant or toddler, such as ear pulling, difficulty sleeping or unusual irritability?
  • Has your child had a fever?
  • Has there been any discharge from the ear? Is the discharge clear, cloudy or bloody?
  • Have you observed any hearing impairment? Does your child respond to quiet sounds? Does your older child ask “What?” frequently?
  • Has your child recently had a cold, flu or other respiratory symptoms?
  • Does your child have seasonal allergies?
  • Has your child had an ear infection in the past? When?
  • Is your child allergic to any medication, such as amoxicillin?

Ear Infection Treatments, Antibiotics, & Medications

Written by WebMD Editorial Contributors

  • What Is My Doctor Looking For?
  • Treatments
  • Pain Relief
  • Antibiotics
  • Drainage
  • Natural Remedies
  • More

If you care for children, you likely know already how often they come down with earaches. Adults get them, too, but youngsters have them much more often. That’s because they don’t fight off viruses and bacteria as well, and their little ears aren’t good at draining fluids yet.

You or your child may have a sore throat, stuffy nose, or fever along with an earache. These are signs of a possible infection.

Call your doctor so she can find out for sure what’s going on. If it is an infection, she can recommend the best treatment for your case.

Your doctor will ask you about any symptoms you’ve had. Be sure to come to the office with any notes you might need and questions on your mind.

She will look at the eardrum with an instrument called an otoscope for signs of infection. This is a tough task with a fussy infant, so be ready to help calm the little one if it’s your child with the earache.

Signs of infection include a red eardrum or a bulging eardrum with fluid behind it. The fluid may be thin like during a cold, or thick like pus. It is located in the middle ear, just behind the ear drum. Otitis media means inflammation of the middle ear. A puffer attached to the otoscope blows air to see if your thin eardrum moves. With fluid in the middle ear, the eardrum is more rigid and doesn’t move back and forth.

She might also look for signs of infection with another instrument. It’s called a tympanometer, and it uses sound and air pressure to check for fluid in the middle ear.

Often, a virus causes an ear infection, in which case antibiotics won’t help. If, based on the history, your doctor suspects that bacteria may have caused the infection, she may prescribe an antibiotic.

You may also talk to your doctor about things you can do at home.

If a virus or bacteria are causing the infection and you have to wait for it to get better, you don’t need to live with the pain.

Your doctor may recommend a pain reliever, typically acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), which also helps reduce a fever. Aspirin should be avoided in children because of the threat of Reye’s syndrome, a rare condition that can cause swelling in the brain or liver.

Pain can also be reduced by using low heat from a heating pad. Be very careful using a heating pad with children.

If your doctor decides to go with antibiotics, follow all the instructions. Take all of the doses even if you or your child are feeling better. Call your doctor or pharmacist if you skip a dose or feel sick from the medicine.

If you don’t take the whole course, your infection could come back and become resistant to more treatments.

If an infection causes serious complications, fluid remains in the ear for a long time, or your child has ear infections that keep coming back, your doctor might want to do a procedure called a myringotomy.

She creates a small hole in the eardrum so fluids such as water, blood, or pus can drain out. In many cases, she will put in a tube so it won’t get backed up again.

The tube, which will usually fall out on its own in about 6 to 18 months, lets the fluid out and air flow through to keep the middle ear dry. Tubes also:

  • Reduce pain
  • Improve hearing
  • Cut down on the number of infections your child may have

When younger children get these ear tubes, it’s surgery. They will need to go to the hospital and take something to sleep during the procedure, which usually lasts about 15 minutes.

Older children and adults can have it done while they’re awake. For them, it can be done in their doctor’s office.

This surgery rarely leads to infection or scarring and usually prevents long-term symptoms. If the tubes come out and the infections return, talk to your doctor about more treatments.

Doctors generally don’t consider the removal of tonsils helpful for ear infections.

You can do things at home to ease your symptoms. Talk to your doctor first about these tips:

Warmth: You may find a heated compress brings comfort.

Feedings: If you feed your baby with a bottle, do it standing up. Don’t put your infant to bed with one. Try to take your child off it as soon as the doctor thinks he’s ready.

Gargling: In older children or adults, salt water helps soothe a raw throat and may help clear the Eustachian tubes.

Stand tall: Holding your head erect can help drain your middle ear.

Fresh air: Smokers should refrain from smoking inside the house or anywhere near your child.

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Help for ear pain

Contents

  • Causes of ear pain
  • Otitis media as a common cause of ear pain
  • First aid for ear pain
  • First aid for ear pain 900 06

Acute pain in the ear always causes severe discomfort. Until you get to the otolaryngologist for an appointment, and the drugs prescribed by him begin to work, you will need reliable and safe ways to eliminate the painful symptom. What is the first aid for ear pain?

Contents

Causes of ear pain

Both the course of treatment prescribed by an otolaryngologist and first aid methods for ear pain will depend on what disease caused the painful symptom. The following pathological conditions can cause pain in the organ of hearing:

  1. Pressure drops. If the auditory tube does not perform its function well, then during pressure drops (when diving and ascent, takeoff and landing, traveling by car or train), unpleasant sensations arise in the organ of hearing. The eardrum retracts inward, causing ear pain, pressure, and congestion.
  2. Inflammatory processes of different locations. Otitis and inflammatory processes in all parts of the organ of hearing can lead to the occurrence of painful symptoms. So, boils, erysipelas and eczema may appear in the outer ear; on average – different forms of otitis, in the internal – labyrinthitis.
  3. Acute pain in the ear may occur after trauma to various parts of the hearing organ. Painful symptoms can manifest themselves due to improper hygiene of the auditory canal, the ingress of foreign bodies into it and the shocks suffered.
  4. Inflammation of the parotid gland. The close location of this gland to the organ of hearing in the event of an abscess leads to the fact that patients begin to complain of severe pain in the ear.
  5. Mastoiditis. One of the sections of the middle ear – the mastoid process of the temporal bone – can also undergo an inflammatory process that has become a complication of otitis media. During the course of the disease, patients complain of very intense ear pain.

Ear pain is not always associated with diseases and inflammatory processes in the organ of hearing.

Pathological conditions in other parts of the human body can provoke the manifestation of unpleasant symptoms:

  • osteoarthritis that has developed in the jaw joint can also cause ear pain;
  • ear pain that occurs when chewing or turning the head sharply, may indicate neuralgia – inflammation and pinching of the nerves;
  • Lymphadenitis can also lead to pain in the ear – inflammation of the lymph nodes located near the auricle;
  • osteochondrosis and various injuries of the cervical spine can also provoke ear pain;
  • since all organs of the ENT system are interconnected, including nerve fibers, ear pain can lead to throat diseases – pharyngitis and tonsillitis;
  • pain in the ear may appear on the background of sinusitis, in which purulent masses press on the nerve receptors that transmit signals to the organ of hearing.
  • See also: By what signs can you understand that the baby has an earache?

    Since a painful symptom can indicate various diseases related to different areas, only a specialist can establish the correct diagnosis and prescribe the correct treatment for the underlying pathology. If the otolaryngologist does not find the “ear” cause of the appeared pain in your hearing organ, he will redirect you to other narrow specialists – a dentist, neurologist, surgeon or therapist.

    Otitis as a common cause of ear pain

    Otitis is the most common cause of ear pain. These inflammatory processes can be localized in different parts of the organ of hearing, and then the nature of the pain and its accompanying symptoms will also differ.

    Otitis externa

    Inflammation of the external part of the ear develops mainly under the skin of the auricle or auditory canal. This otitis media usually leads to water entering the passage or when the integument is injured.

    Ear pain in otitis externa is usually located closer to the exit of the auditory canal. As purulent masses accumulate under the skin, patients also note the appearance of itching, a feeling of pressure inside the hearing organ. If the tissues of the ear canal swell strongly and the lumen of the canal overlaps, there is also a feeling of stuffiness in the ear.

    Otitis media

    An acute inflammatory process affecting the tympanic cavity is always accompanied by excruciating sharp and shooting pain in the ear. Due to the fact that the mucous membrane of the middle ear is densely lined with nerve endings, the painful symptom becomes the very first signal that speaks of the development of the pathological process.

    The disease, in addition to pain in the ear, is accompanied by increasing hearing loss, a feeling of congestion and pressure deep inside the organ.

    Pain increases at rest, usually at night – this is due to an increase in exudate pressure on the mucous membrane of the tympanic cavity.

    Pain in the ear with otitis in acute form, as a rule, instantly disappears after the rupture of the eardrum under the pressure of purulent masses. But relief of symptoms does not mean the end of the disease – if at this stage the need for antibiotic therapy is ignored, the pathology can develop into a chronic form.

    See also: Hearing aid for the elderly: selection rules

    First aid for ear pain

    First aid for ear pain will be different depending on what pathological condition caused the appearance of this unpleasant symptom.

    Pressure Drop First Aid

    Earache caused by pressure drop can be relieved by simple techniques to reposition the eardrum:

    • Chew gum;
    • swallow saliva several times;
    • close the nostrils, close the lips tightly and exhale smoothly through the nose;
    • Press the tragus against the entrance to the ear canal.

    Toothache First Aid

    If you are sure that your earache was caused by a toothache, then you should take painkillers to relieve symptoms and make an appointment with your dentist.

    First aid for sinusitis

    For ear pain caused by sinusitis, a series of relief measures can help you:

    1. First of all, the nasal passages should be washed from accumulated mucous masses with saline solution.
    2. To thin the mucus, ensure optimal humidity in the room, drink more fluids and take special preparations, such as sinupret.
    3. To eliminate swelling, vasoconstrictor drugs should be dripped into the nasal passages.

    First Aid for Otitis Pain

    How you deal with ear pain from otitis media will depend on your symptoms. If you have a fever and discomfort increases in a horizontal position, it is better not to take risks and, after taking a painkiller, wait for the consultation of an otolaryngologist.

    The fact is that if the nature of the disease is unclear, one cannot self-medicate and use folk methods based on heating. Heat will temporarily eliminate the pain in the ear, but it can also accelerate the development of pathogenic flora in purulent otitis media and lead to serious complications.

    Painkiller

    Taking an analgesic will help you fall asleep and calmly wait for an appointment with an otolaryngologist. Paracetamol, Novigan or ibuprofen can help you with ear pain. The last drug, in addition to eliminating the painful symptom, is able to slightly restrain the development of the inflammatory process. To enhance the action of analgesics during the day, you can drink a little coffee or strong tea.

    Ear drops

    Ear drops should only be used if you are sure of the nature of your condition. So, patients suffering from chronic forms of otitis media, without waiting for the consultation of an otolaryngologist, usually begin topical use of analgesic drugs. Otipax and Otinum effectively relieve ear pain, while they do not have an antibacterial effect, which means that when you visit an otolaryngologist, he will be able to freely choose the optimal treatment program for the disease for you.

    See also: Prevention of otitis in adults and children

    Dry heat

    Applying warm salt bags to the sore ear or using a blue lamp due to the action of heat will quickly relieve pain. But the use of such a method in some cases is fraught with negative consequences. So, if the pain in the ear is caused by purulent processes in the tissues of the organ of hearing, dry heat will only provoke the development of pathogenic flora and increased exudate release.

    Therefore, before consulting an otolaryngologist, it is better not to apply dry heat in order to eliminate in the ear.

    Camphor compress

    This is another way to relieve ear pain based on the effect of heating. You can use it only in situations where you are sure that there is no purulent process in your organ of hearing.

    1. To make a warming compress to relieve ear pain, you should prepare gauze, fold it into 4 layers and cut a hole in the middle for the auricle.
    2. According to the size of the bandage, you need to cut the same pattern from polyethylene.
    3. Soak the created dressing in slightly warmed camphor oil and put it on the affected ear through the hole.
    4. Polyethylene is applied on top of the bandage, the entire compress is fixed with a bandage and covered with a towel to keep warm.

    The compress is done for 5-6 hours. After this time, gauze and polyethylene are removed, and the ear canal is closed with a cotton ball. To preserve the effect, you should put on a knitted cap covering your ears on your head.

    Phyto-candles

    Ear phyto-funnels are tubules impregnated with a special medicinal composition. The action of candles is based on the soft heating of the ear canal and the evaporation of natural essential oils.

    Phytocandles are usually used to facilitate the release of sulfuric plugs, so if you are sure that the pain in the ear is caused by the accumulation of masses in the auditory canal, you can safely use this method.

    Phyto-funnels, by gently warming the ear tissues, contribute to the fact that severe pain goes away, and due to the action of essential oils and other natural components (propolis, beeswax) they suppress the growth of pathogenic flora.

    What not to do if your ear hurts

    What not to do if your ear hurts – Polyclinic News

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    October 15, 2020

    Ear pain is considered one of the most unpleasant and excruciating pains. It can completely disrupt night sleep and significantly worsen the quality of life.

    The main causes of ear pain are infections and injuries (improper cleaning of the ear canal, various bumps and injuries can lead to an inflammatory process).

    If the lesion is in the outer section, then you will feel itching in the auricle, pain (most often acute). As for the middle ear, here diseases can “come” from the nasopharynx. Most often, we experience shooting pain in the ear, a sensation of throbbing, hearing loss, a strong and unusual perception of our own voice. With damage to the inner ear, pain is extremely rare. Symptoms such as incoordination, nausea, noise are characteristic.

    Sometimes excruciating pain can occur due to diseases in neighboring organs (dental disease, trigeminal neuralgia, inflammation in the throat, nose or paranasal sinuses, diseases of the esophagus, cardiovascular pathologies, etc.). In this case, the pain simply “gives” to the ears.

    Causes of ear pain can be caused by both infections and injuries

    Do’s and Don’ts for ear pain:

    • Warm up the ear. If the cause of the problem is not established (and it is very difficult to do it yourself), then you can seriously harm yourself. In the inflammatory process, the risk of spreading the lesion is high.
    • Apply antibiotics. Antibacterial drops, at best, may be ineffective (with fungal otitis), at worst (in some pathologies they have a toxic effect on the nerve endings) – they can lead to deafness.


    If there is no purulent discharge from the ear cavity, and the body temperature remains normal, you can take an anesthetic drug. Vasoconstrictor drops in the nose will also help. They reduce internal pressure on the membrane and thereby significantly reduce pain.

    The best thing, of course, is not to get sick! So be sure to take care of your ears. Always wear a hat in the winter, carefully clean your ears from wax and do not start the disease.