Earache
Alternative names:
otalgia; pain in the ear
Home care:
A vaporizer can help by adding moisture and humidity that can keep the mucus thin.
Over-the-counter analgesics can provide partial pain relief for adults with an earache.
Opening the Eustachian tube can help. Antihistamines, decongestants, or nose drops decrease the amount of nasal secretion and shrink the mucus membranes. Use these products for only a few days; if symptoms last longer than this you should consult your health care provider.
Ear pain caused by rapidly descending from high altitudes can be relieved by swallowing, chewing gum, or other methods. Allowing infants to suck on a bottle during descent can help.
Pediatric home care: - Give the child pain-relieving tablet or liquid (acetaminophen - oral or ibuprofen). Follow the dosage recommended on the package label.
- Avoid cigarette smoke near the child (possible increased risk of infection).
- If previously prescribed by the doctor, give the child eardrops for pain.
- Apply a warm heating pad or warm water bottle to the ear to reduce discomfort.
- If the child is uncomfortable lying down, resting in an upright position may help reduce pressure in the middle ear.
- Avoid the use of aspirin in teenagers or children who might have the flu or chicken pox because of the risk of Reye's syndrome, which is a serious problem of the brain and liver.
Call your health care provider if:
- a child has an earache and discomfort is severe or lasts for longer than 2 days. All ear infections, even mild ones, require treatment.
What to expect at your health care provider's office:
The medical history will be obtained and a physical examination performed.
Medical history questions documenting ear pain in detail may include: - time pattern
- When did it begin?
- Is it getting better, worse, or staying the same?
- Is the pain constant?
- other
Physical examination may include examination of the ear, nose, mastoid (bony part behind the ear), and throat. Pain, tenderness, or redness of the mastoid often indicates a serious infection.
Possible diagnostic tests include blood culture and sensitivity studies (if there is discharge).
Intervention:
Antibiotics and medications (such as decongestants and antihistamines) to open the Eustachian tube(s) are often prescribed. It is important to take ALL of the prescribed antibiotic on schedule.
The insertion of ear tubes may be recommended for children who have persistent otitis media in order to reestablish proper functioning of the middle ear. Inserting ear tubes is a simple and very effective procedure.
After seeing your health care provider:
If a diagnosis was made by your health care provider related to an earache, you may want to note that diagnosis in your personal medical record.
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