Having an ear infection can be painful. And if you haven’t dealt with the discomfort of an ear infection since you were a child, you may be unsure about the best course of action. Doctor-recommended ear infection remedies include things like OTC pain relievers and rest. That said, if these remedies don’t make you feel better relatively quickly, experts say you should see a doctor ASAP.
Meet the Experts: Hamid Djalilian, M.D., an otolaryngologist with UCI Health; Elliott Kozin, M.D., an otolaryngologist at Mass Eye and Ear; Arashdeep Litt, M.D., an internal medicine physician at Spectrum Health; and Omid Mehdizadeh, M.D., an otolaryngologist and laryngologist at Providence Saint John’s Health Center.
Ear infections are more common in children than in adults, according to Cedars-Sinai. This is because children have smaller eustachian tubes (which connect the middle ear to the nose and throat) than adults, so it’s harder for fluid to drain. However, people of all ages can get ear infections in both the outer ear and the middle ear.
Below, doctors explain what exactly causes ear infections in adults, home remedies that can relieve ear infection pain, and symptoms that mean it’s time to see a doctor.
First, what is an ear infection?
At a very basic level, an ear infection is an infection in some part of your ear. A middle ear infection is an infection of your middle ear (the air-filled space behind your eardrum), while an infection of your outer ear canal is usually called swimmer’s ear, according to the Centers for Disease Control and Prevention (CDC).
What causes ear infections?
It depends. An ear infection can be caused by bacteria or a virus. If you have a bacterial ear infection, it’s likely caused by Streptococcus pneumoniae or Haemophilus influenzae, the CDC says. If your ear infection is viral, it can be caused by the viruses that cause the common cold or flu. Meaning, you could develop an ear infection along with your cold or flu symptoms.
There’s also some research to suggest that SARS-CoV-2, the virus that causes COVID-19, can infect the ear as well. Hamid Djalilian, M.D., an otolaryngologist with UCI Health, explains that because the respiratory tract of the nose is connected with the lining of the ear through the Eustachian tube, patients who acquire COVID-19 can get fluid behind the eardrum from the viral infection. “It would be rare that somebody needs an antibiotic for an infection of the ear caused by COVID-19, but they may have decreased hearing and fullness in the ear as a result of the fluid accumulation behind the eardrum,” he says.
Keep in mind that it can be tough to figure out upfront what kind of ear infection you have. “We often do not know if an infection is due to a bacteria or virus unless specific cultures are taken,” says Elliott Kozin, M.D., an otolaryngologist at Mass Eye and Ear.
What are the symptoms of an ear infection?
Ear infections usually aren’t comfortable, and Dr. Kozin says they can cause a range of symptoms. Those include:
- Ear pain
- Ear drainage
- Hearing loss
- Feeling like your ear is full or underwater
- Ringing in your ear
- Dizziness
How are ear infections diagnosed?
Your doctor will usually want to inspect your ears to make a proper diagnosis. That includes using a tool called a pneumatic otoscope, which allows your doctor to look at your ear and see if there’s fluid behind your eardrum, the Mayo Clinic explains. When your doctor uses this, they gently puff air against your eardrum. If your ear is healthy, it should move; if it’s filled with fluid, your doctor will see little to no movement, the Mayo Clinic explains.
How can you treat an ear infection at home?
There are a few things you can try to get relief from your pain:
- Use OTC pain medication. Acetaminophen (aka Tylenol) can help with the pain, Dr. Kozin says.
- Get rest. Rest allows your body’s immune system energy to do its job and try to help you heal, says Arashdeep Litt, M.D., an internal medicine physician at Spectrum Health.
- Drink plenty of liquids. “Drinking a lot of water can help thin the secretions in your ear rather than keeping them thick,” says Omid Mehdizadeh, M.D., an otolaryngologist and laryngologist at Providence Saint John’s Health Center in Santa Monica, Calif. “That will help drain mucus in your ear.”
- Lie down with the affected ear up. This can help any excess fluid that’s behind your eardrum drain through your Eustachian tubes and down your throat, Dr. Mehdizadeh says.
- Use a warm compress. While this won’t necessarily help with drainage, it may lessen your pain, Dr. Mehdizadeh says.
It can be tempting to use a cotton swab to see if that will help you get relief, but Dr. Kozin recommends against doing this. “One should never put anything in the ear if concerned for an ear infection, such as a cotton tip, as manipulation of the ear can make the infection worse,” he warns.
When should you see a doctor for an ear infection?
You don’t want to sit with ear pain for long. If you’ve tried at-home remedies, you’re not getting relief, or your symptoms have gotten worse, Dr. Kozin says it’s time to talk to your doctor immediately. You’ll also definitely want to see someone if you have drainage from your ear, hearing loss, ringing in your ears, or dizziness, he says.
Additionally, you may want to see a doctor if you frequently get ear infections as an adult. “The people who have problems with acquiring ear infections in adulthood are usually people who have a long history of eustachian tube dysfunction,” explains Dr. Djalilan.
What other treatment options are available?
Depending on your symptoms and how severe your ear pain is, your doctor may recommend a wait-and-see approach. Your body’s immune system can usually fight off middle ear infections on its own, and you may not need to take anything, the Mayo Clinic says. It also depends on the cause of your infection, Dr. Litt says. “Viruses don’t get better with antibiotics,” she points out.
But, if you have a more severe ear infection or your pain has lasted longer than two to three days, your doctor may recommend that you are treated with antibiotics to get relief. “Ear infections are typically treated by antibiotics based on the location,” Dr. Kozin says. “If the infection is located in the outer part of the ear—the ear canal—topical antibiotics drops may be used. If the ear infection is behind the eardrum, oral antibiotics are generally used.”
Read the full article here
