10/27/2025
Ear infection of the middle ear, is an infection behind the eardrum. The middle ear is the air-filled space behind the eardrum that contains the small bones of the ear.
Signs and symptoms common in children include:
-Ear pain, especially when lying down
-Tugging or pulling at an ear
-Trouble sleeping
-Crying more than usual
-Fussiness
-Trouble hearing or responding to sounds
-Loss of balance
-Fever of 100 F (38 C) or higher
-Drainage of fluid from the ear
-Headache
-Loss of appetite
Common signs and symptoms in adults include:
-Ear pain
-Drainage of fluid from the ear
-Trouble hearing
The cause of ear infection is a virus or bacteria in the middle ear. The infection is usually results from another illness, such as the cold or flu, that causes congestion and swelling of nasal passages, throat, and eustachian tubes.
Conditions of the middle ear that may be related to an ear infection or result in similar middle ear problems include:
-Otitis media with effusion, or swelling and fluid buildup (effusion) in the middle ear without bacterial or viral infection. This may occur because the fluid buildup persists after an ear infection has gotten better. It may also occur because of some dysfunction or noninfectious blockage of the eustachian tubes.
-Chronic otitis media with effusion, occurs when fluid remains in the middle ear and continues to return without bacterial or viral infection. This makes children susceptible to new ear infections and may affect hearing.
-Chronic suppurative otitis media, an ear infection that doesn't go away with the usual treatments. This can lead to a hole in the eardrum.
Risk factors for ear infections include:
-Age. Children between the ages of 6 months and 2 years are more susceptible to ear infections because of the size and shape of their eustachian tubes and because their immune systems are still developing.
-Group child care. Children cared for in group settings are more likely to get colds and ear infections than are children who stay home. The children in group settings are exposed to more infections, such as the common cold.
-Infant feeding. Babies who drink from a bottle, especially while lying down, tend to have more ear infections than do babies who are breast-fed.
-Seasonal factors. Ear infections are most common during the fall and winter. People with seasonal allergies may have a greater risk of ear infections when pollen counts are high.
-Poor air quality. Exposure to tobacco smoke or high levels of air pollution can increase the risk of ear infections.
-Cleft palate. Differences in the bone structure and muscles in children who have cleft palates may make it more difficult for the eustachian tube to drain.
The following tips may reduce the risk of developing ear infections:
-Prevent common colds and other illnesses. Teach your children to wash their hands frequently and thoroughly and to not share eating and drinking utensils. Teach your children to cough or sneeze into their elbow. If possible, limit the time your child spends in group child care. A child care setting with fewer children may help. Try to keep your child home from child care or school when ill.
-Avoid secondhand smoke. Make sure that no one smokes in your home. Away from home, stay in smoke-free environments.
-Breast-feed your baby. If possible, breast-feed your baby for at least six months. Breast milk contains antibodies that may offer protection from ear infections.
-If you bottle-feed, hold your baby in an upright position. Avoid propping a bottle in your baby's mouth while he or she is lying down. Don't put bottles in the crib with your baby.
-Talk to your doctor about vaccinations. Ask your doctor about what vaccinations are appropriate for your child. Seasonal flu shots, pneumococcal and other bacterial vaccines may help prevent ear infections
Treatment for Ear Infection:
-Wait and See approach: most of the time ear infections will clear up on their own
-Antibiotics: treatment with antibiotics might be helpful for certain children with ear infections. On the other hand, using antibiotics too often can cause bacteria to become resistant to the medicine.
-Ear Tubes: a surgeon cuts a hole in the eardrum and inserts a small tube to aid in draining fluid.
Chiropractic Care for Ear Infection:
-Correcting misalignment issues and subluxations that may be preventing natural fluid drainage could help to drastically improve ear health and function in a way that treats and prevents childhood ear infections.