Ear infections in babies

Dr P. Marazzi / Science Source

How can I tell if my baby has an ear infection?

It can be difficult to tell if your baby has an infection. If she has a cough or runny nose and suddenly develops a fever three to five days later, she may have an ear infection (CKS 2009). She may tug at her ear or be out of sorts. You may find that she isn’t hearing as well, for example she may not be responding when you call her or she may be quieter than usual. Finally, you may notice that she is louder than usual.


How common are ear infections?


What has caused my baby's ear infection?

Your baby probably has a cold, which has caused her middle ear to become swollen (NHS 2010). The swelling has trapped fluid inside her ear. This creates a warm, wet environment where bacteria and viruses can spread.



How can my baby's ear infection be treated?

Take your baby to the doctor if your think she has an ear infection. Many ear infections get better on their own, but your doctor may prescribe antibiotics. Your baby's ear should start to improve in three or four days, with or without antibiotics.

You can also give your baby infant acetaminophen if she is three months or older. Take a baby under three month old to the doctor at the first signs of illness. The acetaminophen will reduce the pain and fever. Also offer her plenty of breastfeeds to keep her hydrated. If your baby is formula-fed or on solids you can offer her extra water.

Read our article on treating ear infections for more information.

Why is pus oozing from my baby's ear canal?


My baby's ear hasn't improved. What should I do?




  • Make sure that she gets all of her vaccinations. The Hib B and the Pneumococcal vaccine are especially important for preventing ear infections.
  • Try to breastfeed your baby. Breast milk is full of antibodies that can help her to fight infections.
  • If your baby uses a soother, only give it to her when you're settling her to sleep.
  • If possible, try not to put your baby in a daycare when she is less than a year old. Daycare can expose her to more coughs and colds, which can lead to more ear infections.
    (CKS 2009, NHS 2010, Niemela et al 2000)


CKS. 2009. Clinical topic: Otitis media – acute. NHS Clinical Knowledge Summaries. www.cks.nhs.uk [Accessed February 2011]

NHS. 2010. Otitis media. NHS Choices, Health A-Z. www.nhs.uk [Accessed February 2011]

Katie MacGuire

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