A very rare and serious complication of a middle ear infection is meningitis. This can occur if the infection spreads to the protective outer layer of the brain and spinal cord (the meninges). Symptoms of meningitis can include: severe headache.
There are three main types of ear infections: acute otitis media (AOM), otitis media with effusion (OME), and otitis externa, also known as swimmer's ear. The symptoms of these ear infections are very similar and can include: Earache. Fever.
It's important to talk with your health care provider if you think you have a middle-ear infection. If you have a high fever, severe pain behind your ear, or paralysis in your face, see your provider as soon as you can.
The otoscope will allow the provider to look at the surface of the eardrum. A healthy eardrum looks pinkish-gray. An infection of the middle ear, or an ear with otitis media, looks red, bulging, and there may be clear, yellow, or even greenish hued drainage.
Seek emergency care if you have any of the following symptoms: Pain in an ear with or without fever. Itching of the ear or ear canal. Loss of hearing or difficulty hearing in one or both ears.
Other things that you should avoid heading to the ER for: ear infections, minor allergic reactions, toothaches, back pain and minor headache. “The important question to ask yourself is, can it wait until tomorrow?” said Jared Friedman, MD, Avera Medical Group emergency medicine physician.
But there are a few signs to be on the lookout for. Pain that continues to get worse, changes in your mental state, or a very high spiking fever (for instance, jumping from 102 back to 98 to 104 to 99) are all indications there's potentially something serious going on, Chandrasekhar says.
Resting in an upright position instead of lying down can reduce pressure in the middle ear. Over-the-counter ear drops can be used to relieve pain, as long as the eardrum has not ruptured. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can provide relief for children and adults with an earache.
Unusual symptoms: If your clogged ear is accompanied by strange or alarming symptoms like blood or pus draining from the ear canal, severe pain, or an unusually high fever, seek medical attention immediately.
Fortunately, there are a few things you can do to drain fluid from your middle ear at home. Such home remedies include applying a warm compress, inhaling steam, popping your ears, and a technique known as the Valsalva maneuver. Over-the-counter medicines may also help.
If you're an adult with a middle ear infection, elevating the affected ear makes it easier for the infection to drain out. So, sleep on your other side or tuck a few extra pillows under your head if sleeping on your back. If you have an outer ear infection, keep blankets and hair away from your ear.
If the infection does NOT go away, on its own or with treatment, the doctor may recommend ear tube surgery. In this procedure, a tiny tube is inserted into the eardrum to drain the fluid. The tube will usually fall out on its own. Ear infections are very treatable, but they may come back again.
Ear infections that happen again and again, or fluid in the middle ear, may lead to more-significant hearing loss. If there is some permanent damage to the eardrum or other middle ear structures, permanent hearing loss may occur. Speech or developmental delays.
If your ear pain is severe, doesn't go away within a few days of home treatment, or comes with a high fever or sore throat, or you get a new rash, visit your doctor right away for treatment and to rule out something more serious.
Sleep position
How you sleep can affect ear pain. Rest with your head on two or more pillows, so your affected ear is higher than the rest of your body. Or if your left ear has an infection, sleep on your right side. Less pressure equals less ear pain.
The average person experiences a middle ear infection for about 3 days, with symptoms sometimes lasting for a week. As mentioned earlier, ear infections will occasionally go away on their own in a couple of days. When Should You See A Doctor?
An untreated infection can spread to other nearby tissue in and around the ear, and in rare cases even into the skull, resulting in meningitis. Infections will more commonly spread to the mastoid, just behind the ear, which can damage the bone and form pus-filled cysts.
If you have mastoiditis, you'll be treated by an ear specialist in hospital. The main treatment is antibiotics. These are given directly into a vein through a drip (intravenously). You'll usually need to stay in hospital for 1 or 2 days to make sure the antibiotics are working.
Fluid in the ear (serous otitis)
This can be due to an acute infection or general congestion seen with viral infections or allergies. Generally, this resolves on its own with time, though sometimes surgical drainage with ear tube placement (myringotomy with tympanostomy) may be needed. Antibiotics do not help.
An ear infection is generally a non-serious condition, with complications being rare. In some cases, however, minor complications can occur. These may include: Rupture of the eardrum: Also known as a tympanic membrane rupture, this is one of the most common ear infection complications.
History of pain, active drainage, or bleeding from an ear. Search for “pain,” “discomfort,” “pressure,” “fullness,” “otalgia,” “drain/drainage,” “blood,” “bleeding,” “pus,” or “otorrhea.” Sudden onset or rapidly progressive hearing loss.
The middle ear fills with pus or infected fluid. The pus pushes on the eardrum, which can be very painful. Middle ear infections are caused by swelling in one or both of the Eustachian tubes.
Sleeping upright is a great help when it comes to resting with ear infection symptoms. Sleeping sitting up can allow fluid in your ear to drain easier, as well as easing pressure and pain in your middle ear – the likely source of the infection itself.