Overview
Ear infections may involve the outer ear canal (otitis externa) or the middle ear (otitis media). Correct diagnosis matters because treatment differs.
Common symptoms
- Ear pain, fullness/pressure, muffled hearing
- Discharge from the ear canal
- Fever (more common in children)
- Tenderness when touching or pulling the outer ear (otitis externa)
When to see an ENT
- Severe pain, high fever, swelling behind the ear
- Persistent discharge, symptoms not improving after initial treatment
- Recurrent infections or suspected eardrum perforation
- Sudden hearing loss or severe dizziness
What we do
- Otoscopy/microscopy to identify wax, canal infection, or middle ear fluid
- Safe ear toilet (microsuction) where needed
- Targeted medication plan and pain control
Tests (when appropriate)
- Tympanometry and hearing test if fluid or hearing change suspected
Treatment options
- Topical eardrops for canal infections; oral medicines if indicated
- Middle ear infections: observation vs medicines based on exam and age
- Advice on water precautions and recurrence prevention