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Common Illnesses

Ear Infections (Otitis Media)

Ear infections are very common in babies (peak 6-15 months) because Eustachian tubes are short and horizontal. Often follow colds when fluid builds up behind eardrum and gets infected.

Symptoms: pulling/tugging at ears, crying (especially when lying down), fever, trouble sleeping, fluid draining from ear, fussiness, loss of appetite, trouble hearing.

Not all ear infections need antibiotics - many resolve on their own.

What to Do

  • Call doctor for evaluation - they'll look in ears with otoscope to diagnose
  • Give pain medication (acetaminophen/ibuprofen) as doctor recommends
  • Warm compress on ear can help with pain (test on your wrist first - not too hot)
  • Keep baby upright during and after feedings to help Eustachian tubes drain
  • Continue breastfeeding if possible - breast milk has antibodies that help fight infection
  • If doctor prescribes antibiotics, give full course even if baby seems better
  • DO NOT put oil, drops, or anything in ear without doctor approval
  • DO NOT give decongestants or antihistamines (don't help ear infections)
  • Watch for signs antibiotic isn't working: fever continues after 48-72 hours
  • Prevent ear infections: Breastfeed, avoid secondhand smoke, keep up-to-date on vaccines

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