An ear infection (sometimes called acute otitis media) is an infection of the middle ear, the air-filled space behind the eardrum that contains the small vibrating bones of the ear. Children are more likely to get an ear infection than adults. Because ear infections usually go away on their own, treatment can begin with pain control and monitoring of the problem. Sometimes antibiotics are used to kill the infection. Some people are prone to multiple ear infections. This can cause hearing problems and other serious complications.

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General description
An ear infection (sometimes called acute otitis media) is an infection of the middle ear,
the air-filled space behind the eardrum that contains the small vibrating bones of the
ear. Children are more likely to get an ear infection than adults.
Because ear infections usually go away on their own, treatment can begin with pain
control and monitoring of the problem. Sometimes antibiotics are used to kill the
infection. Some people are prone to multiple ear infections. This can cause hearing
problems and other serious complications.
Symptoms
The appearance of signs and symptoms of ear infection is usually rapid.
Children
Common signs and symptoms in children include the following:
● Ear pain, especially when lying down
● Pulling or pulling of an ear
● Sleep disorders

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● Crying more than normal
● Restlessness
● Difficulty hearing or responding to sounds
● Loss of balance
● A fever of 100 ° F (38 ° C) or higher
● Fluid discharge from the ear
● Headache
● Loss of appetite
Adults
Here are some of the common signs and symptoms in adults:
● Earache
● Fluid discharge from the ear
● Difficulty hearing
When to see a doctor
Signs and symptoms of an ear infection can indicate a number of conditions. It is
important to obtain an accurate and timely diagnosis, as well as the appropriate
treatment. Call your child's doctor in the following cases:

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● Symptoms last more than a day
● Symptoms are present in a child younger than 6 months
● The earache is severe
● Your baby or toddler is unable to sleep or is irritable after a cold or other
upper respiratory infection
● You notice a discharge of fluid, pus, or bloody fluid from the ear

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Causes

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Middle ear
Open pop-up dialog box
An ear infection is caused by bacteria or a virus in the middle ear. This infection is often
the result of another illness — cold, flu, or allergy — that causes congestion and
swelling of the nasal passages, throat, and Eustachian tubes.
Role of the Eustachian tubes
The Eustachian tubes are a pair of narrow tubes that run from the middle ear to the
upper back of the throat, behind the nasal passages. The end of the tubes in the throat
opens and closes for the following:
● Regulate air pressure in the middle ear
● Renew the air in the ear
● Drain normal secretions from the middle ear
Inflamed Eustachian tubes can become blocked and cause fluid to collect in the middle
ear. This fluid can become infected and cause the symptoms of an ear infection.

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In children, the Eustachian tubes are narrower and horizontal, making them harder to
drain and more likely to become blocked.
Adenoid function
Adenoids are two small pads of tissue at the back of the nose that are believed to play a
role in the activity of the immune system.
Because the adenoids are close to the opening of the Eustachian tubes, inflammation of
the adenoids can block the tubes. This can lead to a middle ear infection. Inflammation
and irritation of the adenoids are more likely to contribute to ear infections in children
because children have relatively larger adenoids compared to adults.
Related conditions
Middle ear conditions that could be related to otitis or cause middle ear problems
include the following:
● Otitis media with effusion,​ or swelling and accumulation of fluid (effusion)
in the middle ear without bacterial or viral infection. This can happen

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because fluid build-up persists even after the ear infection improves. It can also
happen due to noninfectious Eustachian tube dysfunction or blockage.
● The ​otitis media with effusion​ occurs when fluid remains in the middle ear
and back continuously without bacterial or viral infection. This makes
children susceptible to new ear infections and could affect hearing.
● Chronic suppurative otitis media,​ an ear infection that does not go away
with the usual treatments. This can cause a hole in the eardrum:
Risk factor's
Some of the risk factors for ear infections are:
● Age. ​Children between the ages of 6 months and 2 years are more
susceptible to ear infections because of the size and shape of their
Eustachian tubes and because their immune systems are still developing.
● Group child care. ​Group-cared children are more likely to get colds and ear
infections than children who stay at home. Children in group settings are
exposed to more infections, such as the common cold.
● Infant feeding. ​Infants who drink from a bottle, especially when lying down,
tend to have more ear infections than babies who are breastfed.

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● Seasonal factors. ​Ear infections are most common during the fall and
winter. People with seasonal allergies may be at higher risk for ear
infections when pollen counts are high.
● Poor air quality. ​Exposure to tobacco smoke or high levels of air pollution
can increase the risk of ear infections.
● Alaska Indian heritage. ​Ear infections are more common among Alaska
Natives.
● Cleft palate. ​Differences in bone structure and muscles in children with cleft
palate can make it difficult for the Eustachian tube to drain.
Complications
Most ear infections do not cause long-term complications. Ear infections that happen
over and over can lead to serious complications:
● Hearing impairment. ​Mild hearing loss that comes and goes is fairly
common with an ear infection, but usually improves once the infection
clears. Over and over again ear infections, or fluid in the middle ear, can
lead to increasingly significant hearing loss. If there is any permanent
damage to the eardrum or other structures in the middle ear, there may be
permanent hearing loss.

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● Speech or developmental delays. ​If hearing is temporarily or permanently
affected in infants and young children, they may experience delays in
speech, social skills, and development.
● Spread of infection. ​Infections that are not treated or that do not respond
well to treatment can spread to nearby tissues. Infection of the mastoid, the
bony bump behind the ear, is known as mastoiditis. This infection can result
in bone damage and the formation of pus-filled cysts. In rare cases, serious
middle ear infections spread to other tissues in the skull, including the brain
or surrounding membranes (meningitis).
● Tear of the eardrum. ​Most tears in the eardrum heal within 72 hours. In
some cases, a surgical repair is needed.
Prevention
The following tips can help you reduce your risk of ear infections:
● Prevent common colds and other illnesses. ​Teach your children to wash
their hands frequently and thoroughly, and not to share eating and drinking
utensils. Teach your kids to cough or sneeze into the arm. If possible, limit
the time your child spends in group care centers. A child care place with
fewer children can serve. Try not to take your child to daycare or school
when they are sick.

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● Avoid passive smoking. ​Make sure no one smokes in your home. When
you are away from home, stay in smoke-free environments.
● Breastfeed your baby. ​If possible, breastfeed your baby for at least six
months. Breast milk contains antibodies that can protect the baby from ear
infections.
● If you are bottle feeding your baby, hold it upright. ​Don't give him a
bottle when he's lying down. Do not put bottles in the crib next to the baby.
● Talk to your doctor about vaccinations. ​Ask your doctor which vaccines
are appropriate for your child. Seasonal vaccines against the flu,
pneumococcus, and other bacteria can prevent ear infections.

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