Ear infections in babies
How can I tell if my baby has an ear infection?
The easiest way to tell if your baby has an ear infection – or any other illness, for that matter – is a change in his mood.
If your baby turns fussy, or starts crying more than usual, be on the lookout for a problem. If he develops a fever (whether slight or high) you have another big clue. Ear infections tend to strike after a common cold or sinus infection, so keep that in mind too.
You may also notice the following symptoms:
- Your baby pulls, grabs, or tugs at his ears. This may be a sign he's in pain. (Babies do pull on their ears for all kinds of reasons or for no reason at all, however, so if your baby seems fine otherwise, he probably doesn't have an ear infection.)
- Diarrhea or vomiting. The bug that causes the ear infection can also affect the gastrointestinal tract.
- Reduced appetite. Ear infections can cause gastrointestinal upset. They can also make it painful for your baby to swallow and chew. You may notice your baby pull away from the breast or bottle after he takes the first few sips.
- A yellow or whitish fluid draining from the ear. This doesn't happen to most babies, but it's a sure sign of infection. It also signals that a small hole has developed in the eardrum. Don't worry – this will heal once the infection is treated.
- Unpleasant smell. You may detect a foul odor emanating from the ear.
- Difficulty sleeping. Lying down can make an ear infection more painful.
How common are ear infections?Ear infections are the second most commonly diagnosed illness in children in the United States (after the common cold). About half of babies have at least one ear infection by the time they turn 1 year old, and three out of four have at least one ear infection before their third birthday.
What causes ear infections?An ear infection can be caused by bacteria or a virus. It happens when fluid builds up in the area behind your baby's eardrum and then becomes infected.
Normally any fluid that enters this area leaves pretty quickly through the eustachian tube, which connects the middle ear to the back of the nose and throat. But if the eustachian tube is blocked – as often happens during colds, sinus infections, even allergy season – the fluid gets trapped in the middle ear.
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