Ear Infections (Otitis Media)
Home Treatment
Rest and care at home may be all that is needed to treat ear infections. Up to 80% of ear infections get better without treatment.11 If your child does not feel very ill and home treatment relieves the earache, you may choose not to seek treatment for the ear infection. See the When to Call a Doctor section of this topic.
Some measures that can be used at home to treat ear infection include:
Analgesics. Pain relievers such as nonsteroidal anti-inflammatory medications (Advil, Motrin, Naproxen) and acetaminophen (Tylenol, Paracetamol) will help make your child more comfortable. A full dose of pain relievers before bedtime is especially important. Do not give aspirin to anyone under the age of 20 because its use in this age group has been linked to Reye's syndrome.
Applying heat to the ear, which may help relieve the earache. Use a warm washcloth or a heating pad. Do not allow your child to go to bed with a heating pad, because he or she could get burned. Use a heating pad only if your child is old enough to tell you if it is getting too hot.
Rest. Encourage your child to rest to let his or her body fight the infection. Arrange for quiet play activities.
Eardrops. Doctors often prescribe pain-relieving eardrops (Auralgan) for earache. Don't use eardrops without a health professional's advice, especially if your child has tubes. See the safest way to insert eardrops.
Decongestants, antihistamines, and other nonprescription cold remedies are not effective in treating or preventing otitis media. Antihistamines will dry up secretions and may actually make your child worse.
If your child with an ear infection has to take an airplane trip, talk with your doctor about what to do to decrease the child's ear pain during the trip.
If your child does not improve after a couple of days of home treatment, call your doctor.
If your child has a ruptured eardrum from otitis media, keep water from getting into the ear canal until your doctor indicates the hole in the eardrum has healed. Ear molds are recommended as an extra precaution when swimming or bathing. A child with a ruptured eardrum may take a shower or bathe as usual, although his or her head should not be immersed. Swimming in pools is allowed. Swimming in rivers, lakes, or ponds is discouraged, because there may be harmful bacteria present.