Treating Middle Ear Infections

 

Key Information

  • Usually Viral: Most middle ear infections are caused by viruses, not bacteria.
  • Antibiotics Often Unnecessary: Antibiotics do not work on viruses and usually make little difference to recovery in children over two.
  • Natural Recovery: Earache typically improves within about 3 days on its own.

The Best Treatment: Pain Relief

Since the body fights the infection naturally, the main goal is comfort.

  • Action: Give paracetamol or ibuprofen (check the label for correct dosing).
  • Benefit: This reduces pain and fever, helping your child feel much more comfortable.
  • The Risk of Unnecessary Antibiotics: Antibiotics can cause side effects such as rashes or diarrhoea.

When Do We Prescribe Antibiotics?

There are specific situations where antibiotics may be appropriate:

  • Severity: Your child has discharge from the ear and appears particularly unwell.
  • Age/Extent: Your child is under two years old and has infections in both ears.

What Happens Next?

Start with pain relief and plenty of comfort.

If symptoms do not improve after 7 days, or your child seems to be getting more unwell, please contact us.

Discuss Your Child’s Symptoms

Further Information

Middle Ear Infections

Outer Ear Infection: Causes and Care

For more advice on preventing and treating ear infections, please visit the NHS website.

Learn more about ear infections

Last reviewed: 31 December 2025
Next review due: 31 December 2028

Providing NHS Services

Telephone: 01727 853107

© Tree View Designs Ltd. All rights reserved.

Facebook Twitter Instagram