While we commonly hear of the dreaded cold and infamous viral fevers, ear infections in children are another reason for those ridiculously high temperatures that your child might be running.
Remember moms, if your child has a high fever that goes on for over 5 days, there's definitely more to it. A fever is often a sign that something out of the ordinary is going on and your body is trying to fight it off.
What is an ear infection?
Firstly, what are ear infections in children all about? Ear infections usually occur in the middle ear, and are caused by bacteria occurring from the fluid that builds up behind the eardrum. In medical terms, ear infections are referred to as Otitis Media (OM).
Commonality of ear infections in children
Otitis media or middle ear infections are possibly common in children just like colds. Additionally, ear infection can be most common in children from age 6 months to 2 years old. And, this can also be common up until 8 years of age.
In some cases, ear infections are not just common in children but in teenagers and adults, too. However, they are not as often possible as to younger children.
Why do ear infections happen in children rather than adults?
There are several reasons why ear infection happen most commonly in children than adults. It can be inferred that the eustachian tubes in the ear of an infant to enforce the formation of fluid behind the eardrum. Also, the aging children has a yet-to-develop immune system, so infections in the body can normally form.
Additionally, because of a not well-developed immunity, they might catch sickness from other children, or from adults around them.
Types of ear infections in children
There are three types of ear infections in children.
1. Acute otitis media
This is the most common ear infections in children. It is when parts of the middle ear are infected and swollen and fluid is trapped behind the eardrum. Children get earaches and fever as a result.
2. Otitis media with effusion
This is sometimes an after-effect of a regular ear infection. It happens when fluid continues to be trapped behind the eardrum after an ear infection. This is tricky because it doesn't typically cause symptoms and can only be diagnosed by a doctor inspecting your child's ear using a specific instrument.
3. Chronic otitis media with effusion
This happens when fluid remains in the middle ear for an extended period or returns again and again even without an infection. This condition makes it difficult for children to fight new infections and can damage their hearing.
What causes ear infection in babies
As always, bacteria and viruses are the culprits. Often after your child has a sore throat, cold, or any other upper respiratory infection, the bacteria may spread to the middle ear.
Also, fluid that enters the area usually drains quickly through the eustachian tubes which connect the middle ear to the back of the nose and throat. But when colds, sinus infections, and allergies occur, these tubes get blocked and fluid ends up trapped in the middle ear.
Wet, warm places are breeding grounds for germs so a fluid-filled middle ear naturally paves the way for an infection to occur.
Ear infections in children are also more common than in adults because their eustachian tubes are smaller and more level than adults. This makes it harder for fluid to drain out of the ear (even in normal conditions).
On another note, a child's immune system is not as developed and effective as an adult's and this makes it harder for him to fight infection.
Risk factors for ear infections in children
There are primary and secondary risk factors for ear infections in children.
Primary risk factors
- Age (children below three years old are most susceptible)
- Children with weak immune systems
- Family history of ear infections
- Sleeping or lying down with a milk bottle in the mouth
Secondary risk factors
- Recurrent colds and upper respiratory infections
- Exposure to cigarette smoke
- Being in a childcare center with other children
Ear infections symptoms baby
- Pain in the ear
- Fever
- Yellow or whitish fluid draining from the ear
- Trouble sleeping (lying down makes an ear infection more painful)
- Reduced appetite (painful to chew and swallow)
- Unpleasant smell or foul odor from the ear
- Trouble hearing sounds
- Difficulty with balance
- Fussiness and crying
- Tugging or pulling of the ears
How is an ear infection diagnosed
An otoscope will be used by your healthcare practitioner to examine your or your child's ear. The hue of a healthy eardrum is pinkish gray and transparent (clear). The eardrum may be inflamed, enlarged, or red if an infection is present.
A pneumatic otoscope, which blows a small amount of air at the eardrum, can also be used to look for fluid in the middle ear. The eardrum should shift back and forth as a result of this. If there is fluid inside the ear, the eardrum will not move as freely.
Tympanometry is another test that uses air pressure to look for fluid in the middle ear. This is not a hearing test. If you or your kid has had long-term or recurrent ear infections, or fluid in the middle ears that is not draining, your healthcare practitioner may arrange a hearing test by an audiologist to detect probable hearing loss.
Your healthcare practitioner will also use a stethoscope to listen to your breathing and inspect your throat and nasal tract for symptoms of upper respiratory infections.
Signs of an infant having an ear infection
These are the following signs that you can notice your baby might be showing when they have an ear infection.
- rubbing or tugging their ears
- being fussy, or cries more often
- having a fever ranging from 38 to 40 degrees Celcius
- baby has an increased snoring or doing a mouth breathing (the mouth breathing is also a sign of enlarged adenoids or tissues above your throat and behind your nose, near the eustachian tube of the ear)
Infant and children ear infections treatment
If it's just a case of an outer ear infection, or there is no infection, doctors may treat it with ear drops. However, for middle ear infections, it's likely he will prescribe your child a dose of antibiotics that will last for seven to ten days.
This is usually given with other medication such as Ibuprofen to treat your child's fever. While other medications do not have to be completed, it's extremely important that you complete the course of antibiotics.
In the case of frequently recurring ear infections in children, doctors might recommend a surgical procedure that places a small ventilation tube in the eardrum to improve airflow and prevent the building up of fluid.
Don't be alarmed if the doctor performs a hearing test on your child. The fluid in the ear can cause temporary mild loss of hearing that should get better once the infection resolves.
Baby ear infection vs teething
Teething pain in a baby can resemble an ear infection. Because the nerves surrounding the teeth and mouth extend all the way to the ears, this is the case. An ear infection is distinct in that it usually occurs during or shortly after your child has a cold or the flu, and it may be accompanied by a fever.
An ear infection fever will probably be a lot higher and quite stubborn to treat.
So, whereas a teething baby might have a slight fever at bedtime, a baby with an ear infection might need fever medicine for a few days, because their temperature keeps rising again when one dose wears off.
How to prevent ear infections in babies
- As far as possible, keep your child away from other children who are sick
- Get the appropriate vaccines such as pneumococcal and Haemophilus vaccines to prevent pneumonia and meningitis
- Frequent washing of hands
- Keep your child away from tobacco and secondhand smoke
- Don't put your baby down for a nap or to bed, with a bottle
Are ear infections in children a serious problem?
Yes, they can become a serious problem. If left untreated or if the infection is severe, it can rupture your child's ear drum.
Repeated ear infections in children can lead to hearing loss and scarring. In very rare cases, untreated ear infections can lead to mastoiditis (a skull infection) or meningitis.
So moms, remember, if your child has a persistent fever, try to get to the root of the problem. If you find yourself pumping him with dose after dose of paracetamol only to have the fever returning with a vengeance, it's best that you get medical attention.
Republished with permission from theAsianParent Singapore
Additional information by Margaux Dolores
Singhealth, National Institute of Deafness and Other Communication Disorders, Healthline, Peanut App, Cleveland Clinic
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