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Symptoms
By Mayo Clinic staffThe onset of signs and symptoms of ear infection is usually rapid.
Children
Signs and symptoms common in children include:
- Ear pain, especially when lying down
- Tugging or pulling at an ear
- Difficulty sleeping
- Crying more than usual
- Acting more irritable than usual
- Difficulty hearing or responding to sounds
- Loss of balance
- Fever of 100 F (38 C) or higher
- Drainage of fluid from the ear
- Headache
- Loss of appetite
Adults
Common signs and symptoms in adults include:
- Ear pain
- Drainage of fluid from the ear
- Diminished hearing
When to see a doctor
Signs and symptoms of an ear infection can indicate a number of conditions. It's important to get an accurate diagnosis and prompt treatment. Call your child's doctor if:
- Symptoms last for more than a day
- Ear pain is severe
- Your infant or toddler is sleepless or irritable after a cold or other upper respiratory infection
- You observe a discharge of fluid, pus or bloody discharge from the ear
An adult with ear pain or discharge should see a doctor as soon as possible.
References
- Otitis media (ear infection). National Institute on Deafness and Other Communication Disorders. http://www.nidcd.nih.gov/health/hearing/pages/earinfections.aspx. Accessed Jan. 9, 2013.
- Lalwani AK. Current Diagnosis & Treatment in Otolaryngology -— Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=39. Accessed Jan. 9, 2013.
- Gould JM, et al. Otitis media. Pediatrics in Review. 2010;31:102.
- Ear tubes. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/Ear-Tubes.cfm. Accessed Jan. 9, 2013.
- Benzocaine topical products: Sprays, gels and liquids — risk of methemoglobinemia. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm250264.htm. Accessed Jan. 9, 2013.
- Hoberman A, et al. Treatment of acute otitis media in children under 2 years of age. New England Journal of Medicine. 2011;364:102.
- Tahtinen PA, et al. A placebo-controlled trial of antimicrobial treatment for acute otitis media. New England Journal of Medicine. 2011;364:116.
- Ear infections. Centers for Disease Control and Prevention. http://www.cdc.gov/getsmart/antibiotic-use/uri/ear-infection.html. Accessed Jan. 9, 2013.
- Coker TR, et al. Diagnosis, microbial epidemiology and antibiotic of acute otitis media in children. Journal of the American Medical Association. 2010;304:2161.
- American Academy of Pediatrics. The diagnosis and management of acute otitis media. Pediatrics. 2013;131:e964. http://pediatrics.aappublications.org/content/early/2013/02/20/peds.2012-3488
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