Ear Pain

Ear Pain  

***If ear tubes are in place use Ear Tubes Follow-up Call 

Pain Or Fever Medicine 

    - For pain relief or fever above 102 F (39 C), give acetaminophen (e.g., Tylenol) every 4 hours or ibuprofen (e.g., Advil) every 6 hours as needed. 

    - Ibuprofen may be more effective for this type of pain. 


Cold or Hot Pack for Ear Pain 

    - Apply a cold pack or a cold wet washcloth to outer ear for 20 minutes to reduce pain while medicine takes effect. 

    - Note: Some children prefer local heat for 20 minutes. 


Olive Oil Eardrops for Persistent Pain 

    - Exception: Avoid ear drops if ear discharge, ear tubes or hole in eardrumAlso, during the day, do not use any eardrops if the child will be seen later that day. Reason: May make it difficult to visualize the eardrums. It is okay to use at night to help the child get back to sleep. 


    - For severe earache unresponsive to oral pain medicine, recommend 3 drops of plain olive oil into the ear canal. Another option is plain mineral oil (baby oil). 

    - Repeat once in 4 hours, if needed. 

    - Reason ear drops work: They cover the raw, painful surface of the eardrum. 


* Ear Discharge Treatment (without ear tubes) 

    - If pus or cloudy fluid is draining from the ear canal, this means the eardrum has a small tear in it caused by the pressure. 

    - This usually heals nicely after the ear infection is treated. 

    - Wipe the discharge away as it appears. 

    - Avoid plugging with cotton. (Reason: retained pus can cause infection of the lining of the ear canal.) 


Reasons To Call Back 

    - Severe pain persists over 2 hours after analgesic eardrops and oral pain medicine. 

    - Your child becomes worse 

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