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Ear Pain in Kids: Causes, Warning Signs & Right Treatment

By Dr. Prof. Vishal Pathania, ENT Specialist, Gurgaon

Ear pain (earache) is one of the most common reasons why parents rush their child to an ENT clinic. Children may cry, pull at their ears, become irritable, or refuse to eat or sleep. While some causes are mild, others need urgent medical attention.

Understanding the reason behind ear pain is the first step toward proper treatment.

Common Causes of Ear Pain in Children
1. Middle Ear Infection (Otitis Media)

This is the most common cause of ear pain in kids, especially between 6 months and 5 years of age.
It often follows a cold, cough, or throat infection.

Symptoms:

Severe ear pain

Fever

Crying, especially at night

Reduced hearing

Ear discharge (in some cases)

2. Outer Ear Infection (Swimmer’s Ear)

Caused by moisture trapped in the ear after swimming or bathing.

Symptoms:

Pain while touching or pulling the ear

Swelling or redness of ear canal

Itching or discharge

3. Ear Wax Blockage

Excessive or hard ear wax can cause pain, heaviness, and hearing difficulty.

⚠️ Never attempt ear cleaning at home using pins, buds, or oil without medical advice.

4. Throat, Tonsil, or Dental Infection
Ear pain can sometimes be referred pain from:

Tonsillitis

Sore throat

Teething (in infants)

Dental caries

5. Foreign Body in Ear

Small children may insert beads, seeds, or small toys into the ear, causing pain and infection.

Warning Signs Parents Should Not Ignore

Seek immediate ENT consultation if your child has:

High fever with ear pain

Ear discharge (especially foul-smelling or bloody)

Persistent crying or irritability

Hearing loss

Swelling behind the ear

Recurrent ear pain episodes

These may indicate a serious ear infection or complications.

What Should Parents Do at Home?

✔️ Give prescribed pain relief medicine (only after doctor’s advice)
✔️ Keep the ear dry
✔️ Ensure adequate hydration
❌ Do NOT put oil, garlic, drops, or home remedies
❌ Do NOT attempt ear cleaning
❌ Do NOT ignore recurring pain

Treatment of Ear Pain in Kids

Treatment depends on the exact cause, which is confirmed by otoscopic examination.

At Pathania ENT Clinic, treatment may include:

Child-safe antibiotics (only if needed)

Pain and fever control

Ear drops for outer ear infection

Professional ear wax removal

Treatment of underlying throat or nasal infection

Follow-up hearing evaluation if required

Early treatment prevents hearing loss and complications.

Can Ear Pain Be Prevented?

Yes, to a large extent:

Treat cold and cough early

Avoid bottle feeding while lying down

Keep ears dry after bathing/swimming

Regular ENT check-ups for recurrent infections

Vaccinations as advised

When to Consult an ENT Specialist?

If your child has:

Repeated ear pain

Ear discharge

Speech delay

Hearing issues

Fever with ear symptoms

👉 Early ENT evaluation can save hearing and prevent surgery.

Expert Care for Your Child’s Ears

Dr. Prof. Vishal Pathania is a senior ENT specialist in Gurgaon with vast experience in managing pediatric ear disorders using safe, evidence-based treatment.

📍 Pathania ENT Clinic, Gurgaon
👶 Gentle care | Accurate diagnosis | Child-friendly treatment