Q&A: Ears are a bother
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My baby is seven months old, and she keeps on pulling her ear. There also appears to be a lot of wax in that ear. Should I take her to the paed? What are the symptoms of an ear infection, and what causes it?
DR MARETHA COMBRINK ANSWERS: Ear infections (otitis media) go hand in hand with the symptoms of upper respiratory tract infections like a runny nose and fever. Your baby could lose her appetite and be unusually tearful, especially when you lay her down. Older children could appear clumsy and off balance when they walk or run.
The infection can have a bacterial or a viral cause. During the infection or even during an allergic episode, the Eustachian tube, which connects the middle ear with the nose and mouth cavity, can swell and get clogged up. This can let moisture build up behind the middle ear, causing pain and infection. If the pressure builds up a lot, this can result in a little hole in the eardrum, and watery fluid or pus could run from the ear.
Babies and children have shorter Eustachian tubes than adults, and they are more horizontal too. This, combined with the fact that children lie down more than adults, is why ear infections are more common in babies than in adults. If you suspect that your baby has an ear infection, it is important to see a doctor to have the diagnosis confirmed. Medication could include something for pain relief. If the cause is bacterial, antibiotics will be prescribed.
In the case of repeated ear infections it would be useful to get the opinion of an ear, nose and throat specialist in order to decide whether grommets – small tubes inserted in the eardrums to air out the middle ear – are necessary. ●