Treatment FAQ

ear infection treatment when antibiotics don't work

by Antonina Aufderhar Published 3 years ago Updated 2 years ago
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Some ways to feel better—whether or not antibiotics are needed for an ear infection:

  • Rest.
  • Drink extra water or other fluids.
  • Take acetaminophen or ibuprofen to relieve pain or fever. Ask your doctor or pharmacist about over-the-counter medicines...

When you need them—and when you don't
Antibiotics are strong medicines that can kill bacteria. For ear infections, doctors often prescribe oral antibiotics that you swallow in pill or liquid form. However, eardrops can sometimes be safer and more effective than oral medicines.

Full Answer

What does it mean if antibiotics are not working?

Oct 29, 2021 · According to Jason (Jay) H. Homme, M.D., a Mayo Clinic pediatrician in Rochester, Minnesota, treatment at home for 2 to 3 days with acetaminophen (Tylenol) or ibuprofen (Advil, Motrin, others) is fine for older kids who are otherwise healthy and don’t have a history of frequent or complicated ear infections.

What should I take for my ear infection Besides antibiotics?

Aug 02, 2017 · Why don’t antibiotics work for these kids with chronic ear infections? “Unfortunately, all available medical treatments for otitis media with effusion such as antibiotics, antihistamines, decongestants and intranasal steroids are ineffective and have unwanted effects, and therefore cannot be recommended,” said co-author Dr. Ian Williamson from Primary Care …

Can ear infections get better without antibiotics?

Sep 23, 2021 · Ear infections usually go away on their own, but if they don't, you may need antibiotics to treat them. Your doctor may prescribe an oral antibiotic or an antibiotic ear drop to treat your ear infection. It's important to complete the course of antibiotics prescribed to make sure your ear infection is treated completely and won't come back.

What is the strongest antibiotic for ear infections?

Sep 22, 2021 · Antibiotic ear drops are often prescribed for the treatment of outer ear infections. Some prescribed ear drops, such as Ciprodex (ciprofloxacin and dexamethasone), combine an antibiotic and a steroid medication to help with inflammation. Ear drops should be used exactly as prescribed and for the correct length of time.

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How to prevent ear infections?

You can help prevent ear infections by doing your best to stay healthy and keep others healthy, including: Receive recommended vaccines, such as flu vaccine and pneumococcal vaccine. Pneumococcal vaccine protects against a common cause of middle ear infections, Streptococcus pneumonia. Clean your hands.

How long does a middle ear infection last?

Pus, discharge, or fluid coming from the ear. Worsening symptoms. Symptoms of a middle ear infection that last for more than 2–3 days. Hearing loss. This list is not all-inclusive. Please see a doctor for any symptom that is severe or concerning.

What is the name of the condition that affects the middle ear?

There are different types of ear infections. Middle ear infection (acute otitis media) is an infection in the middle ear. Another condition that affects the middle ear is called otitis media with effusion. It occurs when fluid builds up in the middle ear without being infected and without causing fever, ear pain, or pus build-up in the middle ear.

What causes a middle ear infection?

Causes. A middle ear infection may be caused by: Bacteria, like Streptococcus pneumoniae and Haemophilus influenzae (nontypeable) —the two most common bacterial causes. Viruses, like those that cause colds or flu.

What is it called when fluid builds up in the middle ear?

When the outer ear canal is infected, the condition is called swimmer’ s ear, which is different from a middle ear infection. For more information, visit “Swimmer’s Ear” (Otitis Externa).

How old do you have to be to give a child cough medicine?

Children 4 years or older: discuss with your child’s doctor if over-the-counter cough and cold medicines are safe to give to your child for temporary symptom relief. Be sure to ask your doctor or pharmacist about the right dosage of over-the-counter medicines for your child’s age and size.

How long does it take for a child to feel better after antibiotics?

This gives the immune system time to fight off the infection. If your child doesn’t feel better after 2–3 days of rest, extra fluids, and pain relievers, the doctor may write a prescription for an antibiotic.

Diagnosis of Ear Infections

Your physician will look into your ear with an otoscope, a medical instrument with a light on one end designed to get a better view inside the ear. Your doctor will look for the visual signs of ear infection, such as redness and inflammation.

Do You Need Antibiotics?

Your physician may recommend a watch-and-see approach rather than prescribing antibiotics right away. Typically, you will keep an eye on symptoms for three days to see if they improve. This approach usually is used for children whose ear infections cannot be definitively diagnosed or who are under the age of 2. 5

Oral Antibiotics

In many cases, oral antibiotics come in liquid form for children and pill or capsule form for adults. First-line antibiotics are Amoxil ( amoxicillin) and Penicillin VK ( penicillin ). If a person is allergic to penicillins, they will likely be treated with Omnicef (cefdinir), Ceftin (cefuroxime), or Biaxin (clarithromycin). 1

How to Take Oral Antibiotics

It’s important to always take your antibiotics as prescribed. It may be tempting to combine the doses, but they will not be as effective and could lead to adverse side effects, such as stomach upset.

Antibiotic Ear Drops

Antibiotics can also come in the form of ear drops. Since they do not go into the bloodstream, more medication reaches the infection in a shorter amount of time. Because of this, antibiotic ear drops can kill bacteria faster than oral antibiotics.

Summary

Ear infections usually go away on their own, but if they don't, you may need antibiotics to treat them. Your doctor may prescribe an oral antibiotic or an antibiotic ear drop to treat your ear infection. It's important to complete the course of antibiotics prescribed to make sure your ear infection is treated completely and won't come back.

A Word From Verywell

Ear infections are incredibly common, and while you may want to get medication as soon as possible, it is not always needed. The best way to cope with an ear infection is to reduce symptoms using over-the-counter pain relievers and see a doctor for prescription medication only when you need it.

Anatomy of an Ear Infection

The ear is divided into the outer ear, middle ear, and inner ear. Infection can occur in any of these areas, but bacterial infections of the inner ear are extremely rare.

Outer Ear Infections

Outer ear infections are sometimes called swimmer's ear, or otitis externa . This is an infection of the ear canal, the portion of the ear that leads from the outside and stops at the eardrum. The opening of this part of the ear is external and visible. 1

Middle Ear Infections

The middle ear is internal. It starts behind the eardrum and goes to the oval window (the area between the middle ear and inner ear). It contains three tiny bones, called the ossicles, that are necessary for hearing function.

Inner Ear Infections

The inner ear is located next to the middle ear within the temporal bone. The inner ear contains the semicircular canals, which are essential to balance and equilibrium. 7

A Word From Verywell

Having an ear infection can be painful and interfere with your ability to function. It's important to remember that almost all ear infections can be cured with prompt treatment. If you have symptoms of an ear infection, meet with a healthcare professional to discuss your condition.

How long does ibuprofen stay in your ear?

Your doctor may ask you to come in for a follow-up visit to ensure that the infection has completely cleared. Fluid may remain in your ear for several weeks after the infection is gone. If you have hearing or balance problems, see your doctor.

What are the symptoms of ear infection in infants?

sleeping difficulties. problems with hearing. lack of response to sounds (especially in infants) verbal complaints about ear pain. balance issues and/or clumsiness . If your child has recently had a cold, you should be on the lookout for signs or symptoms of an ear infection.

What is the name of the swelling in the middle of the ear?

An ear infection (otitis media) occurs when fluid builds up behind your eardrum in the middle part of your ear and causes swelling (inflammation). This can lead to significant pain and discomfort. Since most ear infections are caused by bacteria, it’s typically best to treat individual cases with antibiotics.

Can you get an ear infection and a cough?

cough. If an upper respiratory infection is caused by bacteria, then it’s possible to have an ear infection at the same time. An ear infection occurs when bacteria gets trapped in your middle ear. Bacteria known as Hemophilus influenza and Streptococcus pneumoniae are the most common bacterial culprits.

Can antibiotics help with ear infections?

Antibiotics can help treat an ear infection. But doctors are increasingly reserving them for severe cases only. This can help decrease the occurrence of antibiotic resistance. Whether you take antibiotics or not, stay in touch with your doctor regarding your condition.

Can you take herbal medicine for ear infection?

Herbal remedies. Some herbal remedies may interact with medications, so be sure to talk to your doctor before trying to use them to treat an ear infection. Never take herbal remedies by mouth for an ear infection, and avoid such remedies in children.

Can fluid be stuck in the middle of the ear?

The infection has cleared up, but fluid may still be stuck in the middle ear. Chronic otitis media with effusion (COME). Fluid continues to build up on a recurring basis despite the lack of infection. This chronic condition can lead to serious side effects, such as hearing loss (especially in children).

How long do you have to wait to start antibiotics for a tympanostomy tube?

To minimize antibiotic side effects, AAP guidelines recommend parents with children meeting select criteria let children fight the infection on their own for 48 to 72 hours, then start antibiotics if they do not improve.

When do middle ear infections go down?

In kids, the incidence of middle ear infections goes down by age 7 or 8 as the eustachian tube and immune system matures. It is also less common in infants six months of age and younger. Ear infections may be caused by viruses, bacteria or both.

How does a eustachian tube work?

How it works. “A small incision is made in the ear drum, maintained by an implanted tube that acts as an artificial eustachian tube , allowing the middle ear space to remain aerated,” says Dr. Petchenik.

What are the two types of middle ear infections?

Middle ear infections. There are two categories of middle ear infections, requiring different treatments: Acute Otitis Media and Otitis Media with Effusion – middle ear fluid. “One-third of kids will have a middle ear infection by the age of three,” says Dr.

Does topical ear drops help with ear infections?

This procedure automatically helps reduce the fre quency of ear infections and hearing is immediately restored , often improving speech and language development. “If an occasional infection develops once tubes are in place, topical drops then usually take care of the problem, often avoiding the need for oral antibiotics,” says Dr. Petchenik.

Can antibiotics be given for ear infections?

Ear infection? Antibiotics may not be the answer. Before asking your child’s healthcare provider for antibiotics, consider seeing an ear, nose and throat (ENT) specialist to better understand treatment options for recurring ear infections.

How much does it cost to take antibiotics?

You may also miss work. Treatment of a severe infection that is antibiotic-resistant can cost more than $25,000.

What is swimmer's ear?

People with Swimmer’s Ear, an infection caused by water in the ear. Children who have tubes in their ears. The tubes prevent most infections behind the eardrum—an area known as the middle ear. If there is an infection, antibiotic eardrops can be given right through the tube.

Can antibiotics kill bacteria?

DOWNLOAD PDF. Antibiotics are strong medicines that can kill bacteria. For ear infections, doctors often prescribe oral antibiotics that you swallow in pill or liquid form. However, eardrops can sometimes be safer and more effective than oral medicines. Here’s why:

Can you use ear drops on swimmers ears?

Over-the-counter eardrops can often be effective for Swimmer’s Ear. People who have a hole or tube in the eardrum should check with their doctor before using any kind of eardrops. The drops may cause pain, infection, or even damage hearing.

Do ear drops kill bacteria?

Antibiotic eardrops kill the bacteria faster and more completely than oral antibiotics. Drops don ’t go into the bloodstream, so more medicine reaches the infection.

Do antibiotics work in the ear?

Oral antibiotics are more likely to cause resistant bacteria outside the ear. When that happens, these medicines will not work as well in the future. Illnesses will be harder to cure and more costly to treat. Antibiotic eardrops kill the bacteria faster and more completely than oral antibiotics. Drops don’t go into the bloodstream, so more medicine ...

How long does it take for a middle ear to be sterilized?

Many issues: If the abx is effective the middle ear pus should be sterilized within 3-4 days. Fever should be down also. The fluid that is trapped with the infecti ... Read More

Is it a good idea to treat ear infections without a diagnosis?

Ear infection: It is not a good idea to treat infections without a diagnosis-- and a doctor--managing it. Many folks find some "old" antibiotics laying around and tak ... Read More

Can antibiotics cause a cold?

Common cold: Is due to viral infection, so antibiotics won't be of value unless a secondary bacterial infection sets in, so you are allowed to have viral infection ... Read More

How to prevent ear infections?

You may be able to prevent ear some ear infections if you: Use earplugs when swimming or diving. Dry ears thoroughly after swimming. Never use cotton swabs inside the ear canal. Wash hands properly to prevent the spread of viruses. Use soap and warm water and wash for at least 20 seconds.

What is the best medicine for ear infections?

Medications used to treat ear infections include: Oral antibiotics for infections of the middle ear (otitis media), and severe infections of the outer ear. For mild cases of ear infection, doctors often recommend watching and waiting before starting use of antibiotics, as many cases will go away on their own.

What is the name of the infection in the middle of the ear?

Middle ear infection (otitis media) is usually caused by: Infections of the ear canal (otitis externa, also called “swimmer’s ear ”) are usually caused by water that remains in the outer ear canal for an extended period of time, which, when combined with the earwax and debris already present in the ear canal, provided a moist environment ...

How to diagnose ear infection?

Ear infections are diagnosed with a medical history and a physical exam. A healthcare provider uses an otoscope (an instrument that is a light with a cone at the tip) to look inside the ear canal and determine if an ear infection is present, and whether the infection affects the middle ear or ear canal.

What is the name of the antibiotic that is used to treat otitis externa?

Ciprofloxacin otic. Steroid ear drops for infections of the ear canal (otitis externa) Hydrocortisone (Cortisporin, Otocort, Poly Otic) Oral antibiotics for infections of the middle ear (otitis media), and severe infections of the outer ear.

What are the symptoms of ear infections in infants?

Nausea. Vomiting. Spinning sensation ( vertigo) Additional signs of ear infections in young children and infants may also include: Pulling on the ear/rubbing the ear. Fussiness. Irritability. Restless sleep. Decreased activity.

What is the name of the virus that causes ear infections?

Common cold viruses. Respiratory syncytial virus (RSV) Flu ( influenza ) Infections of the ear canal (otitis externa, also called “swimmer’s ear”) are usually caused by water that remains in the outer ear canal for an extended period of time, which, when combined with the earwax and debris already present in the ear canal, ...

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What Is An Ear Infection?

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There are different types of ear infections. Middle ear infection(acute otitis media) is an infection in the middle ear. Another condition that affects the middle ear is called otitis media with effusion. It occurs when fluid builds up in the middle ear withoutbeing infected and without causing fever, ear pain, or pus build-up in the m…
See more on cdc.gov

Causes

  • A middle ear infection may be caused by: 1. Bacteria, like Streptococcus pneumoniae and Haemophilus influenzae(nontypeable)—the two most common bacterial causes 2. Viruses, like those that cause colds or flu
See more on cdc.gov

Symptoms

  • Common symptoms of middle ear infection in children can include: 1. Ear pain 2. Fever 3. Fussiness or irritability 4. Rubbing or tugging at an ear 5. Difficulty sleeping
See more on cdc.gov

When to Seek Medical Care

  • See a doctor if your child has: 1. A fever of 102.2°F (39°C) or higher 2. Pus, discharge, or fluid coming from the ear 3. Worsening symptoms 4. Symptoms of a middle ear infection that last for more than 2–3 days 5. Hearing loss This list is not all-inclusive. Please see a doctor for any symptom that is severe or concerning.
See more on cdc.gov

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