The treatment of earaches in children can be anything from conservative (hot and cold compresses) to moderately unusual (olive oil and garlic oil in the swollen eardrum) to downright radical—as in cholesteatoma surgery. However, there are always workable solutions and patients are never told what to do by doctors. They are merely given the facts to make an informed medical decision.
Of course, the best way to protect a child from the intense pain of an earache (and to save yourself plenty of stress) is to spend a little time educating your child on proper hygiene and proper ear care. Therefore, if your child is lucky enough to have avoided the dreaded ear ache, or if he or she has just recovered from an episode, make sure to emphasize these prevention points.
Tips on Avoiding Earaches
First, try to feed infant children in an upright position. One of the most common causes of earaches is the accidental spilling of fluid inside the ear. This means constant supervision as well as the prevention of a baby falling asleep with a bottle. If you are traveling in a plane, be sure to feed an infant during landing or taking off in order to prevent ears popping.
Obviously, you want to educate your child on the importance of avoiding others who have colds, since children are not instinctively protective of their own health. Train boys and girls to be hygienic and to regularly wash their hands and apply sanitizer after physical contact or touching various foreign objects. Children who blow their nose harshly may slowly but surely damage parts of their ears, so this behavior should be discouraged.
Environmental Issues and Earwax Removal
Consider the importance of environment. A child will never have adequate ear health if he or she is surrounded by second hand smoke. Furthermore, don’t be content with the dry air in a room; if possible, use a vaporizer or humidifier to keep things moist in the house. In addition to smoke, pet dander pollen and other airborne pollutants can make matters worse. Antihistamines can also minimize the chance of an ear-aching allergy attack.
What about the problem of earwax? Earwax buildup can be a difficult experience if you have to seek a doctor’s help. However, you can minimize the threat of blockage by performing weekly irrigations on a young one. First off, do not shove a Q-tip inside the lad’s ear as this could be potentially dangerous. Instead, clean the outer ear and use very gentle liquids to loosen the blockage, such as baby oil, OTC drops, hydrogen peroxide or even mineral oil.
You can also use regular water (at room temperature) with a syringe. After applying (with the child holding his head upright, and you straightening the ear canal), tip the head slightly so that the water can drain. Repeat as needed. Afterward, be sure to dry the area. Alcohol drops or even the use of a hairdryer is effective in this case.
In some cases, particularly if the blockage is too much, a doctor might have to assist a child by performing irrigation, or perhaps even using a special device for ear wax removal, such as a suction device, a curette, or the guided help of a microscope.
While earaches are not “fatal” per say, it is nonetheless vital that you seek medical treatment if the situation persists beyond a few days. Untreated ear problems could result in hearing loss or speech problems. For more information on hearing loss, earaches and possibly treatment methods that do not involve painful procedures or surgery, be sure to talk to an ENT doctor regarding your options.
Dr. Michael Barakate is a paediatric and adult otolaryngologist located in Sydney, Australia. For more information on ENT surgery and
ENT disorders, visit
ENT-Surgery.com.au.