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Otitis Media in Adults

WHAT YOU SHOULD KNOW

Otitis (o-TIE-tis) media (me-DEE-uh) is an infection of the middle ear (the area behind the eardrum). With treatment, you will feel better in a few days. However, if you are not treated, your eardrum could break or the infection could spread. You might also develop a permanent hearing loss.

Causes

Middle ear infections can be caused by a variety of viruses and bacteria. They often follow a cold. People who have allergy attacks and those with broken eardrums are especially prone to this type of infection. The ear infection is not contagious.

Signs/Symptoms

Likely symptoms include ear pain, plugged ears, diminished hearing, ringing in the ear, headache, and fever. You may feel dizzy and have trouble walking. Some people get an upset stomach and vomit or have diarrhea. If the eardrum breaks, you may notice fluid leaking from the ear.

Care

Antibiotics are often prescribed to treat a middle ear infection. You may also need medicine to reduce pain and fever. For severe infections, the doctor may recommend insertion of a pressure-equalizing tube through the eardrum.

WHAT YOU SHOULD DO

  • If your doctor has prescribed antibiotics, be sure to finish all the medication. If you stop treatment too soon, some bacteria may survive and cause a second infection.
  • A heating pad (set on low) or a warm water bottle on the ear may provide some relief. Do not lie on the heating pad.
  • You may also put an icebag or ice in a wet washcloth over the ear to ease the pain.
  • Do not put anything in your ear unless your doctor tells you to.
  • Over-the-counter drugs, such as acetaminophen and ibuprofen, are effective in relieving pain. Your doctor may also give you ear drops to ease your discomfort. Always take medicine exactly as directed.
  • You may return to school or work when your temperature is normal (98.6 degrees F or 37 degrees C).
  • Do not smoke or go swimming as long as you are taking antibiotics.
  • Cover your ears in cold weather.
  • Try to stay away from people with colds, and wash your hands if you touch someone who has this kind of infection.

Call Your Doctor If...

  • You do not feel better in a few hours.
  • You develop a high temperature, start vomiting, or have diarrhea
  • Your ear pain gets worse or you develop swelling around the ear.
  • You develop a rash, itching, or swelling after taking your medicine.
  • You get a really bad headache or pain near your ear.

Seek Care Immediately If...

  • You have a seizure, your facial muscles begin to twitch, or you pass out.
  • You become dizzy, develop a stiff neck, or cannot walk normally.

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