Look out for middle ear infections

Most children will have at least one attack of this painful infection by the age of two but it is often difficult for parents to know when to suspect it. 

Middle ear infections often begin after two or three days of a “head cold” and frequently start at night. 

Infants may have fever, irritability, unexplained crying, vomiting or pulling of the ears. In the older child, there may be pain and fever. Sometimes, a discharge from the ear from a ruptured eardrum may be the first sign.

Many of these symptoms can also be caused by other conditions, eg  teething, so it can be hard for parents to tell if an ear infection is present. Don’t hesitate to have your child examined if you are at all concerned.

Fortunately, infections occur less often with age and are quite uncommon after about the age of seven.

Treatment usually very effective

Antibiotics are usually prescribed for middle ear infections and should be taken for the whole course. Give your child paracetamol for pain relief and fever every four hours. Raising the head of the bed at night can be helpful.

Most children are much improved within 48 hours. However, if your child still has an earache or a high fever after two or three days you should return for a checkup. 

Most middle ear infections heal fully, although sometimes a sticky fluid remains in the ear and can cause hearing difficulties (“glue ear”). Have your child’s ear inspected  a month or two after the infection, especially if the child seems hard of hearing.

Disclaimer:
 
Please note this information was correct at time of printing.
For up to date information, speak to your doctor.


Source: Autumn 1998 Edition | Page 4

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