How to treat or cure otitis media

Most ear infections get better, but the right care depends on age, severity and type.

Acute otitis media

• Pain relief is the first step for everyone
• Watchful waiting for 48 to 72 hours is an option for healthy children over 6 months with mild illness in one ear, provided a follow-up plan is clear
• Antibiotics are given for babies under 6 months, severe illness, high fever, both ears affected, ear discharge, or if symptoms do not improve
• Review if there is no improvement in 2 to 3 days

Otitis media with effusion

Often watched for about 3 months. A hearing test is advised if fluid persists. Grommets may be offered if hearing is affected, speech is delayed or fluid keeps returning.

Chronic suppurative otitis media

• Aural toilet: a doctor cleans the ear
• Antibiotic drops prescribed for discharge
• Keep the ear dry
• Surgery (tympanoplasty or mastoidectomy) to repair the drum or remove disease, including cholesteatoma

Ayurvedic support

Some families add Ayurvedic care for general well-being. Evidence is limited and ear oils and drops can be unsafe with a perforated eardrum. Use only after a doctor has checked the ear, and never in babies without advice.

See a doctor if there is swelling behind the ear, facial weakness, a stiff neck, or hearing loss.