An infant with ear pain can be alarming to parents. However, if the child doesn't have a fever, you might wonder if it's an ear infection. There are two different types of ear infection: otitis media and otitis externa. Otitis media is usually accompanied by a high fever. So, if your child doesn't have a fever, it's unlikely he has this type of ear infection. However, a child might not have a fever with otitis extera, which is also called "swimmers ear."
Causes
Swimmer's ear is usually caused by bacteria that is found in water and soil. The outer ear canals have defenses that keep the ear clean and ward off infection. However, if your infant experiences heavy perspiration, it creates a warm environment, increasing risk for ear infection. Also, if your infant's ear gets scratched with a cotton ball or finger, the skin breaks and bacteria growth can occur.
Treatment
If you think your infant has an ear infection, contact her doctor. He'll confirm the diagnosis and prescribe eardrops. Depending on the severity of the ear infection, he might prescribe an acidic solution, steroid or antifungal medication. Follow your doctor's directions for administering the ear drops. Your infant may not like the ear drops, so you may need help holding her.
Prevention
Prevent future ear infections in your child by keeping his ears dry after swimming or bathing. Dry the outer ear, using a towel or cloth. You can also help your infant tip his head to the side, allowing ear fluids to drain. Also, clean your infant's ears carefully to avoid breaking the skin.
Medical Care
Swimmer's ear doesn't usually resolve on its own. Without treatment, the infection might get worse or spread. If your infant pulls at her face, neck or side of the head, seek medical attention. Also, if she has swelling of the outer ear or lymph node swelling, visit the emergency room. When in doubt, always contact your doctor about a potential ear infection. When left untreated, it can result in hearing issues.
