Written & medically reviewed by Dr. Sanjay Anbu, MBBS· Last reviewed
Middle-ear infections are very common in young children, often after a cold. Many settle on their own with pain relief, and antibiotics are not always needed — but some situations do need a doctor.
Signs: ear pain, tugging at the ear, fever, irritability, poor sleep
A baby may just be unsettled, feed poorly or have a fever after a cold
Pain relief with paracetamol or ibuprofen (by weight) is the mainstay
Most improve within a few days without antibiotics
Keep the ear dry; do not put anything (or oil) into the ear canal
When to see a doctor urgently
Fluid or pus draining from the ear
Swelling, redness or tenderness behind the ear
A stiff neck, severe headache, or a very unwell child
Symptoms in a baby under 6 months, or lasting more than 2–3 days
Hearing concerns after repeated infections
Antibiotics are not always needed. Many ear infections are viral or self-limiting, so pain relief is first-line and antibiotics are used selectively. MedDroid gives general information, not a diagnosis — see a doctor for the warning signs.
Frequently asked questions
How do I know if my child has an ear infection?
Ear pain or tugging, fever, irritability and poor sleep after a cold are common signs. A doctor confirms by looking in the ear.
Does my child need antibiotics for an ear infection?
Often not — many settle with pain relief in a few days. Antibiotics are used for young babies, severe cases, or if it is not improving. A doctor decides.
How can I ease my child’s ear pain?
Weight-based paracetamol or ibuprofen is the main relief. Do not put oil or objects in the ear. See a doctor if there is discharge or it worsens.
Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.