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Ear Infection in Babies

Does your baby seem to be crying for no reason? Ear infection may be the cause. Ear infections are very common in babies and it is quite easy to confuse all that crying and fussing for colic or some other discomfort.

The cause

If your baby has a cold, it will cause the middle ear to become swollen. This swelling in the middle ear has the tendency to trap fluid inside the ear and this creates an ideal environment for bacteria and viruses to spread – warm and wet.

As a bacterial infection sets in, pus develops, placing pressure on your baby’s eardrum while causing it to bulge and become inflamed. Your baby may then get a fever – the body’s natural mechanism to fight the infection. This type of ear infection is called acute otitis media.

Take your baby to the doctor if you think there is an ear infection. Many ear infections get better on their own, but your doctor may prescribe antibiotics. Your baby’s ear should start to improve in three or four days, with or without antibiotics.

Signs your baby may be having an ear infection

It may be quite challenging to determine the cause of a baby’s wailings if nothing seems to be wrong, so how can one tell if baby is having an infection?

Firstly, if your baby had a bout of cough or runny nose and suddenly develops a fever three to five days later, an ear infection is quite likely to follow. Check to see if your little one is pulling at his ear. Apart from that, he may also seem unwell and quieter than usual, (when he’s not crying!). You may also find that your baby may not be responding when you call him, due to the fact that he may not be able to hear well. Baby’s cries may also be louder than usual.

Lastly, as sucking and swallowing can also hurt, baby may start to feed and then pull away from your breast or a bottle because of the pain.

Short Middle Tube

A baby may also be susceptible to ear infections if the tube in the middle ear is short and horizontal while it’s still at a developing stage. As baby grows up, the tube will triple in length from 1.25cm to 3.8cm and become more vertical, reducing the chances of infection.

How can I comfort my baby?

Follow these steps to keep your baby comfortable and speed up recovery:

  • Make sure your baby gets plenty of rest.
  • If it is painful for your baby to eat or drink, give small amounts regularly to keep energy up and prevent dehydration.
  • You can give your baby a dose of infant fever medication if he has a fever over 38.5 degrees Celcius. This will help to reduce the fever, and ease the pain and discomfort.
  • Take a baby under three months old to the doctor on the first day of a fever.
  • Babies six months and younger should be seen by a doctor for a fever.
  • Always check the dosage information on medication bottles, or ask your doctor or pharmacist if you’re unsure about how much to give your baby.

Pus oozing out of baby’s ear

Pus or bloody-yellowish fluid coming out of your baby’s ear means a small hole has developed in the eardrum. This should heal by itself within about two weeks, but call your doctor to get it checked out.

Preventing ear infection in babies and young children

There are some things you can do to help prevent your baby getting an ear infection:

  • Be prompt about baby’s vaccinations. The Hib B and the Pneumococcal vaccines are especially important for preventing ear infections.
  • Hold your baby up during a feed (not flat on the back).
  • Breastfeed your baby often! Breast-milk is full of antibodies that can help baby fight infections.
  • Don’t smoke or allow anyone else to smoke around your baby.
  • Try not to leave your infant in a daycare till he or she is at least one year old. Daycare centres can expose a baby to other kids’ coughs and colds, which can lead to more ear infections.

What to do if there’s no improvement

If your baby’s ear infection hasn’t improved after four days, ask your docor to take a closer look. Your baby could have a more serious ear infection that can break the ear drum and flood the ear canal. Sometimes this can lead to problems such as hearing impairment.

Note: If your baby gets recurring ear infections, it may, although rarely, lead to hearing loss and scarring inside the affected the ear. It’s important to treat a baby’s ear infection early to stop it from getting worse.

 

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