Earaches in Children — Acme Corp Wellness

An earache is when the ear hurts. Children get earaches a lot. They get them most often between 6 months and 2 years old. But earaches can be a problem up to age 10. The pain can be minor or very bad.

Causes

Earaches are a sign that something is wrong. The most common cause of an earache is plugged Eustachian tubes. These tubes go from the back of the throat to the middle ear. Most earaches in children come from infections in the middle ear. They happen a lot after a cold or other infection in the head or throat. Here are some other things that can cause earaches:

Changes in air pressure on a plane
Something stuck in the ear, including hard ear wax
Tooth problems. Ear injuries.
Allergies

Your child’s doctor should treat very bad ear pain. They may tell you to give your child acetaminophen or ibuprofen. Make sure you give the right kind and dose for your child’s weight. The doctor may also have you give your child medicines to dry up or clear a blocked ear. Let the doctor decide if an antibiotic is needed.

You can use self-care on your child if the pain isn’t bad, and if there are no other symptoms. One example is a mild case of “swimmer’s ear.”

Prevention

Don’t put things in your child’s ears like cotton swabs, bobby pins, or your fingers. You can hurt the eardrums.
Don’t smoke. Don’t let your child smoke. Keep your child away from secondhand smoke.
Make sure your child gets in the habit of washing their hands, especially after playing around other kids.
Avoid giving a bottle to a baby when they are lying down.

Triage Questions

Question 1

With the earache, does your child also have 1 or more of these signs of meningitis?

Fever. Very bad headache.
Stiff neck
Acts very sleepy and/or strange
Purple or red, bumpy skin rash that does not fade when you press on the skin

Self-Care

Help with Pain

Put a warm washcloth next to the sore ear. Or put an ice bag or ice in a wet washcloth over the ear for 20 minutes.
Give your child acetaminophen or ibuprofen. Make sure you give the right kind and dose for your child’s weight. (Note: Do not give aspirin. Aspirin and other medicines that have salicylates have been linked to Reye’s Syndrome.)

Open Up Eustachian Tubes

Sleep with head raised
Yawn. Yawning moves the muscles that open the tubes.
Hold nose closed and have your child blow gently through the nose until they hear a pop. This can be done many times a day.