Ear pain in a child can be upsetting. An ear infection is one possible cause, but a clinician may need to examine the ear to know what is happening.
What signs might you notice?
A child may complain of ear pain, have a fever, seem irritable or have difficulty hearing. Younger children may tug at an ear, but this sign alone does not establish an infection. Tell the clinician about discharge or changes in hearing.
When should I get advice?
Seek medical advice if symptoms are concerning, do not improve or the child has discharge, swelling around the ear, hearing changes or feels generally unwell. Young children and those with other health conditions may need earlier advice.
Are antibiotics always needed?
No. The decision depends on the child, the type of infection and the examination. Do not use leftover antibiotics or ear drops without advice. Ask a clinician or pharmacist about suitable pain relief.
What should I bring to a visit?
Note when symptoms started, any fever, medicines given and any history of ear infections. Ask what to expect, when to follow up and which changes need urgent reassessment. Seek urgent help if your child is seriously unwell.
Frequently asked questions
Does ear pulling always mean an infection?
No. A clinician can assess the symptoms and examine the ear.
Do all ear infections need antibiotics?
No. Treatment depends on the assessment.
Should I put objects in the ear?
No. Avoid inserting objects or unadvised products.
What if hearing changes?
Seek medical advice, particularly if the change is sudden or accompanied by pain or discharge.
Related reading
Further reading
Explore ENT services or contact the team about appointments.
This article is general information and does not replace individual clinical advice.