Treatment FAQ

what happens if you don't get treatment for a middle ear infection

by Kyra Reinger Published 2 years ago Updated 2 years ago
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In some cases, a middle ear infection may disappear without treatment. While antibiotics are only sometimes necessary to fight the infection, pain-relievers are commonly prescribed to lessen the pain caused by the condition. Further treatment options are available for recurrent middle ear infections.

Ear infections that happen again and again, or fluid in the middle ear, may lead to more-significant hearing loss. If there is some permanent damage to the eardrum or other middle ear structures, permanent hearing loss may occur. Speech or developmental delays.Jun 23, 2021

Full Answer

What happens if you don't treat an ear infection?

Usually gets better: Most ear infection will resolve by themselves, so not treating an occasional ear infection may not cause a proble. However, if pain continues to increase for more than 48 hours or infections are recurrent, then examination and treatment is necessary. Many things: The infection could clear by itself, about 25% do in 48 hours.

What is the treatment for a middle ear infection?

A middle-ear infection may be treated with: Your health care provider may also have you try autoinsufflation. This helps adjust the air pressure in your ear. For this, you pinch your nose and gently exhale. This forces air back through the eustachian tube. The exact treatment for your ear infection will depend on the type of infection you have.

What are the symptoms of a middle ear infection?

This middle-ear infection occurs suddenly. It causes swelling and redness. Fluid and mucus become trapped inside the ear. You can have a fever and ear pain. Otitis media with effusion.

Can a middle-ear infection affect your hearing?

Fluid (effusion) remains in the middle ear for a long time. Or it builds up again and again, even though there is no infection. This type of middle-ear infection may be hard to treat. It may also affect your hearing. Who is more likely to get a middle-ear infection? You are more likely to get an ear infection if you:

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What happens if you don't treat middle ear infection?

An untreated infection can spread to other nearby tissue in and around the ear, and in rare cases even into the skull, resulting in meningitis. Infections will more commonly spread to the mastoid, just behind the ear, which can damage the bone and form pus-filled cysts.

How long does middle ear infection last without treatment?

Symptoms of ear infections usually improve within the first couple of days, and most infections clear up on their own within one to two weeks without any treatment.

Will a middle ear infection go away without antibiotics?

Middle ear infections often go away on their own within 2 or 3 days, even without any specific treatment. In some cases, an infection can last longer (with fluid in the middle ear for 6 weeks or longer), even after antibiotic treatment.

How do you know if an ear infection has spread to the brain?

The deadliest complication of otitis media is a brain abscess, an accumulation of pus in the brain due to an infection. The most common symptoms are headache, fever, nausea, vomiting, neurologic deficits and altered consciousness.

Can an ear infection spread to your neck?

What causes a neck abscess? A neck abscess occurs during or just after a bacterial or viral infection in the head or neck such as a cold, tonsillitis, sinus infection, or otitis media (ear infection). As an infection worsens, it can spread down into the deep tissue spaces in the neck or behind the throat.

Can a middle ear infection last for months?

Otitis media with effusion- Fluid (effusion) and mucus build up in the middle ear after an infection goes away. You may feel like your middle ear is full. This can continue for months and may affect your hearing. This is also sometimes called serous otitis media.

Can you get sepsis from an ear infection?

When you have a simple infection, like an ear infection or an upper respiratory infection, it can cause a chain reaction within your body if it is left untreated for long enough period of time. When left unaddressed, the infection can get into your blood causing you to go into sepsis.

How long does a middle ear infection last?

Treating middle ear infections Most middle ear infections (otitis media) clear up within three to five days and don't need any specific treatment. You can relieve any pain and a high temperature using over the counter painkillers such as paracetamol and ibuprofen.

How do you drain fluid from middle ear naturally?

If water gets trapped in your ear, you can try several at-home remedies for relief:Jiggle your earlobe. This first method may shake the water out of your ear right away. ... Make gravity do the work. ... Create a vacuum. ... Use a blow dryer. ... Try alcohol and vinegar eardrops. ... Use hydrogen peroxide eardrops. ... Try olive oil. ... Try more water.More items...

Can an untreated ear infection cause brain damage?

Ear infections can lead to meningitis, brain abscess and other neurological complications. Summary: While antibiotics have greatly reduced the dangers of ear infections, serious neurological complications, including hearing loss, facial paralysis, meningitis and brain abscess still occur.

When does an ear infection become serious?

Usually, ear infections last fewer than 3 days, but they can persist for up to a week. Children younger than 6 months who have a fever or other ear infection symptoms should see a doctor. Seek medical attention if your child has a fever higher than 102°F (39°C) or severe ear pain.

How do you know if an infection has gone to your brain?

Symptoms of a brain abscess headache – which is often severe, located in a single section of the head and cannot be relieved with painkillers. changes in mental state – such as confusion or irritability. problems with nerve function – such as muscle weakness, slurred speech or paralysis on one side of the body.

How long can a middle ear infection last?

Treating middle ear infections Most middle ear infections (otitis media) clear up within three to five days and don't need any specific treatment. You can relieve any pain and a high temperature using over the counter painkillers such as paracetamol and ibuprofen.

How long do middle ear infections last in adults?

Most ear infections clear up within 3 days, although sometimes symptoms can last up to a week.

Will an inner ear infection go away by itself?

Inner ear infections will usually clear up by themselves within a few weeks, although some can last for six weeks or more. If the symptoms are severe or they don't start to improve within a few days, then you should see a doctor.

Can ear infection go away on its own in adults?

Ear infections are less common in grown children and adults, but they can still happen. Ear infections often go away on their own and don't need medical attention.

How do you know if you have a middle ear infection?

Common symptoms of a middle-ear infection in adults are: Pain in 1 or both ears. Drainage from the ear. Muffled hearing. Sore throat. You may also have a fever. Rarely, your balance can be affected. These symptoms may be the same as for other conditions.

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

Otitis media is another name for a middle-ear infection. It means an infection behind your eardrum. This kind of ear infection can happen after any condition that keeps fluid from draining from the middle ear. These conditions include allergies, a cold, a sore throat, or a respiratory infection.

Why does my middle ear feel full?

You may feel like your middle ear is full. This can continue for months and may affect your hearing. Chronic otitis media with effusion. Fluid (effusion) remains in the middle ear for a long time. Or it builds up again and again, even though there is no infection.

What is the test to check if your eardrum is working?

If you eardrum doesn’t move well, it may mean you have fluid behind it. Your provider may also do a test called tympanometry. This test tells how well the middle ear is working.

What causes swelling in the middle of the ear?

Infections can affect the middle ear in several ways. They are: Acute otitis media. This middle-ear infection occurs suddenly. It causes swelling and redness. Fluid and mucus become trapped inside the ear. You can have a fever and ear pain. Otitis media with effusion.

How to help your ear hear better?

In this case, your health care provider may suggest that a small tube be placed in your ear. The tube is put at the opening of the eardrum. The tube keeps fluid from building up and relieves pressure in the middle ear. It can also help you hear better. This surgery is called myringotomy.

Why does my ear swell?

A cold or allergy can irritate the tube or cause the area around it to swell. This can keep fluid from draining from the middle ear. The fluid builds up behind the eardrum. Bacteria and viruses can grow in this fluid. The bacteria and viruses cause the middle-ear infection.

How to prevent ear infections?

The best ways to prevent ear infections involve the steps we take as adults to prevent the common cold and boost our immune systems. Wash your hands frequently, don’t sneeze or cough out into the air, and be careful when interacting with those who show symptoms of a virus (something we have become even more keenly aware of in the age of COVID-19). Avoid smoking and secondhand smoke and eat plenty of fruits and vegetables to keep your resistance up .

What are the symptoms of ear infections?

Trouble hearing. Fluid leaking out of the ears. These symptoms may have been all too common when we were kids, but as an adult, the signs of an ear infection are probably something you have not felt in quite some time. While ear infections—middle ear infections in particular—are more common in children, they are not unheard of in adults. ...

How to treat swimmer's ear?

Swimmer’s ear is typically treated with a thorough cleaning, ear drops, and over-the-counter pain medication as needed . A middle ear infection will more often than not be treated first by monitoring symptoms and possibly adding anesthetic drops if there are no signs of a tear in the eardrum. While antibiotics can also be used to treat middle ear infections, they are generally reserved for more extreme cases, so as not to build up unnecessary antibiotic resistance.

Why does my swimmer's ear hurt?

Swimmer’s ear, on the other hand, is an outer ear infection, typically caused by bacteria growing due to the presence of excess moisture in the ear or an abrasion to the lining of the ear canal.

Can ear infections cause hearing loss?

Due to swelling and/or fluid buildup, ear infections often cause mild hearing loss, however it usually clears up along with the infection. Extensive fluid in the middle ear due to chronic ear infections, however, can lead to more severe damage to the eardrum, resulting in a more permanent hearing impairment. Untreated chronic ear infections can ...

Can you get otitis externa from a shower?

This type of infection is much more common in adults, whether they regularly hit the pool or not. The excess moisture that causes otitis externa can also come from baths and showers, or the infection can grow out of an aggressive cotton swab or even irritation from beauty products or jewelry.

Can otitis media cause eustachian tubes to swell?

Otitis media is caused by either bacteria or viruses. A common cold, the flu, or allergy symptoms that cause congestion and swelling of the nasal passages, throat, and eustachian tubes can sometimes lead to an infection. Anything that makes the nose stuffy has a tendency to cause swelling and blockage of the eustachian tubes.

How long does it take for ear infections to go away?

However, if pain continues to increase for more than 48 hours or infections are recurrent, then examination and treatment is necessary.

How long does it take for a sinus infection to clear?

Many things: The infection could clear by itself, about 25% do in 48 hours. If left alone the infection could result in permenant hearing loss, bone infection, brain abscess or thrombosis of a large vein in the brain called the lateral venous sinus (sort of a stroke)- just to name a few complications.

Joy Victory Managing Editor Healthy Hearing

Joy Victory has extensive experience editing consumer health information. Her training in particular has focused on how to best communicate evidence-based medical guidelines and clinical trial results to the public. She strives to make health content accurate, accessible and engaging to the public. Read more about Joy.

Middle Ear Hearing Loss

Temporary hearing loss during a single ear infection is a common symptom that typically reverses when the infection clears. Just as with eardrum perforations, recurring infections interrupt the normal healing cycle. This may result in a buildup of scar tissue that interferes with sound reaching the auditory nerve.

Signs In Young Children

As babies are unable to communicate the source of their discomfort, it can be difficult to tell what’s wrong with them. Signs that a young child might have an ear infection include:

Abscess In The Brain And Skull Spaces

An abscess is a collection of pus and with otitis media it can arise in the brain tissue or the space in the skull and spinal bones. This is known as a brain abscess or epidural abscess respectively. A brain abscess may arise when the infection extends directly from the middle ear to the brain tissue, usually near the temporal bone.

Longer Term Effects Of Inner Ear Infections

Generally, the symptoms will clear up as soon as the infection is gone. However, the effects can sometimes last longer.

Symptoms Of Tooth Infection Spreading To The Body

Abscesses can burst on their own, and the pain may diminish. However, it is essential to seek dental treatment because the bacteria can still spread beyond the tooth.

Living With An Ear Infection

If your child suffers from several ear infections each year, youll want to look out for symptoms every time they have a stuffy nose or congestion.

How long does it take for ear infections to clear up?

Symptoms of ear infections usually improve within the first couple of days, and most infections clear up on their own within one to two weeks without any treatment . The American Academy of Pediatrics and the American Academy of Family Physicians recommend a wait-and-see approach as one option for:

What is the diagnosis of ear infection?

What a diagnosis means. Acute otitis media. The diagnosis of "ear infection" is generally shorthand for acute otitis media. Your doctor likely makes this diagnosis if he or she sees signs of fluid in the middle ear, if there are signs or symptoms of an infection, and if symptoms started relatively suddenly.

What is it called when you have a hole in your eardrum?

Chronic infection that results in a hole or tear in the eardrum — called chronic suppurative otitis media — is difficult to treat. It's often treated with antibiotics administered as drops. You may receive instructions on how to suction fluids out through the ear canal before administering drops.

What is the instrument used to diagnose ear infections?

An instrument called a pneumatic otoscope is often the only specialized tool a doctor needs to diagnose an ear infection. This instrument enables the doctor to look in the ear and judge whether there is fluid behind the eardrum. With the pneumatic otoscope , the doctor gently puffs air against the eardrum.

What is the procedure called when the eardrum absorbs the most sound?

However, the more pressure there is from fluid in the middle ear, the more sound the eardrum will reflect. Tympanocentesis. Rarely, a doctor may use a tiny tube that pierces the eardrum to drain fluid from the middle ear — a procedure called tympanocentesis.

What happens if you have a pneumatic otoscope?

With the pneumatic otoscope, the doctor gently puffs air against the eardrum. Normally, this puff of air would cause the eardrum to move. If the middle ear is filled with fluid, your doctor will observe little to no movement of the eardrum.

How long does it take for a child's ear to hurt?

Children 6 to 23 months with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102.2 F (39 C) Children 24 months and older with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102.2 F (39 C)

How to tell if ear infection is middle ear?

A doctor will be able to confirm the diagnosis by seeing signs of inflammation ( redness, bulging) of the eardrum on physical examination. If you or your child is treated for a middle ear infection, take note of when your doctor says you should have improvement.

How do you know if you have a middle ear infection?

The common signs and symptoms of a middle ear infection in adults and children include: Ear pain ( otalgia ), especially just in one ear or when lying down. Hearing loss: Sounds can be muffled as if you are wearing an earplug in the affected ear. A feeling of fullness in the ear.

What is the most common ear infection?

Infections of the middle ear are called otitis media and they are the most common type of ear infection individuals face. Discomfort, ear drainage, and muffled hearing are all common signs and symptoms, but less-specific ones (irritability, decreased appetite, and others) can also occur. These infections are usually easy to recognize in children ...

How long does it take for ear infections to go away?

Symptoms of a mild ear infection may improve on their own within two or three days. When your doctor prescribes an antibiotic, your symptoms should improve in a few days. If you or your child is still sick after several days, check with your doctor.

What to do if your ear doesn't respond to treatment?

If the ear doesn't respond to treatment, or if new symptoms are noted, call your doctor or pediatrician. Similarly, if any new symptoms are noted after treatment for otitis media with effusion, mention them to your doctor.

What happens if you get water in your ear?

These may include: Hearing loss. Chronic ear drainage. Drainage and swelling behind the ear.

How long does it take for a tear in the eardrum to heal?

A hole or a small tear develops in the eardrum (tympanic membrane). Usually, this will heal on its own in a few weeks without the need for medical treatment. 3  The spinning sensation you can have with a ruptured eardrum can produce nausea or vomiting. You should see a doctor to get appropriate treatment.

What is the middle ear infection?

Middle ear infection definition and facts. A middle ear infection includes the eardrum and tissues behind it. Middle ear infections (otitis media) are inflammation usually caused by infection of ear tissue, including the eardrum and tissues behind it, but not the ear canal.

How long does a fever last in the middle ear?

The person also may have a fever. Chronic middle ear infections are a persistent inflammation of the middle ear, typically for a minimum of three months. This is in distinction to an acute ear infection that usually lasts only several weeks.

What is the term for a bulging eardrum?

They typically are associated with fluid accumulation in the middle ear, signs or symptoms of infections in the ear, a bulging eardrum usually accompanied by pain or a perforated eardrum, and drainage of purulent material (pus, also termed suppurative otitis media ).

What is the inflammation of the middle ear called?

Middle ear inflammation is also called otitis media. Otitis media is inflammation of the middle ear; however, many doctors consider otitis media to be either inflammation or infection of the middle ear, the area inside the eardrum (tympanic membrane -- see illustration). "Otitis" means inflammation of the ear, and "media" means middle.

What causes ear pain and hearing loss?

Middle ear pus causes pain and temporary hearing loss. Rupture of the eardrum allows the pus and fluid to drain into the ear canal. Ear infections are treated with observation, antibiotics, or ear tubes. Routine childhood and yearly flu vaccinations may help prevent this type of infection.

What does it mean when your ear hurts?

Ear pain. A feeling of fullness in the ear. Young children will have these symptoms and signs as well as fussiness and feeding problems. The infection or inflammation causes fluid buildup in the middle ear. A cold or other respiratory infection can lead to ear infections or inflammation.

Can a cold cause ear infections?

A cold or other respiratory infection can lead to ear infections or inflammation. Those at a higher risk for middle ear infections are children exposed to other children's colds (as often occurs in daycare centers), and babies who are bottle-fed. Middle ear pus causes pain and temporary hearing loss.

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