Otitis Media (Middle Ear Infection) in Adults
What is otitis media (ear infection)?
Otitis media is infection or inflammation in the middle ear. Most kids have at least
one ear infection by the time they are 3 years old. But, adults can also get ear infections.
What causes ear infections?
Inflammation in the middle ear most often starts after you’ve had a sore throat, cold,
or other upper respiratory problem. The infection spreads to the middle ear and causes
fluid buildup behind the eardrum.
What are the symptoms of ear infection?
These are the most common symptoms of ear infections in adults:
- Ear pain
- Feeling of fullness in the hear
- Fluid draining from the ear(s)
- Hearing loss
These symptoms may look like other conditions or health problems. Always talk with
your healthcare provider for a diagnosis.
How is ear infection diagnosed?
Your healthcare provider will review your health history and do a physical exam. He
or she will check the outer ear(s) and the eardrum(s) using an otoscope. The otoscope
is a lighted tool that lets the healthcare provider see inside the ear. A pneumatic
otoscope blows a puff of air into the ear to test eardrum movement. When there is
fluid or infection in the middle ear, movement is decreased.
Your provider may also do a tympanometry. This is a test that directs air and sound
to the middle ear.
If you have ear infections often, your healthcare provider may suggest having a hearing
How is an ear infection treated?
Your healthcare provider will figure out the best treatment based on:
- How old you are
- Your overall health and health history
- How sick you are
- How well you can handle specific medicines, procedures, or therapies
- How long the condition is expected to last
- Your opinion or preference
Treatment may include:
- Pain relievers
- Insertion of small tubes in the eardrum for chronic ear infections
What are the complications of an ear infection?
Untreated ear infections can lead to:
- Infection in other parts of the head
- Permanent hearing loss
- Problems with speech and language
Can ear infections be prevented?
Cold and allergy medicines do not appear to prevent ear infections. And, currently,
there is no vaccine that can prevent the disease. However, do check with your healthcare provider
and make sure your vaccines are up-to-date. Living in a home where cigarettes are
smoked can increase the chances of ear infections.
Key points about otitis media
- Ear infections can affect both children and adults.
- Pain and fever can be the most common symptoms.
- Without treatment, permanent hearing loss may happen.
- Take antibiotics as prescribed and finish all of the prescription. This can help prevent
antibiotic resistant infections or incomplete treatment with the infection returning.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also
know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that
- Know how you can contact your provider if you have questions.