Frequent ear infections in children: what to know

Written in association with: Mr Michael Kuo
Published: | Updated: 11/09/2024
Edited by: Conor Lynch

Frequent ear infections in children can be distressing for both the child and the parents. Ear infections, or otitis media, occur when the middle ear becomes inflamed, often due to bacteria or viruses. While most children experience an ear infection at some point, repeated infections can lead to discomfort, hearing issues, and concern about long-term effects. Here's what you can do if your child seems to be getting ear infections too often.

Understand the causes

Children are more prone to ear infections than adults due to the anatomy of their Eustachian tubes, which are shorter and more horizontal. This makes it easier for bacteria and viruses to reach the middle ear from the throat.

 

Allergies, colds, sinus infections, and exposure to secondhand smoke can increase the likelihood of ear infections. Understanding these causes is the first step in managing the condition.

 

Seek medical advice

If your child experiences frequent ear infections (more than three in six months or four in a year), it's essential to consult a paediatrician or ENT specialist. The doctor may recommend a hearing test or imaging studies to check for any underlying issues. In some cases, the specialist might suggest inserting ear tubes, tiny cylinders placed through the eardrum to ventilate the middle ear and prevent fluid buildup.

 

Consider preventive measures

Taking preventive steps can reduce the frequency of ear infections. Ensure your child is vaccinated, especially with the pneumococcal and flu vaccines, which can protect against some of the infections that lead to ear problems. Practice good hygiene, like regular handwashing, to prevent colds and flu. Breastfeeding for at least six months can also offer some protection due to the antibodies in breast milk.

 

Manage environmental factors

Avoid exposing your child to secondhand smoke, which can irritate the Eustachian tubes and increase infection risk. If allergies are a concern, work with your doctor to manage them effectively, as untreated allergies can contribute to frequent ear infections.

 

Monitor symptoms

Keep track of your child's symptoms and any treatments. Note how often infections occur, how long they last, and what treatments were effective. This information can help your doctor tailor a treatment plan and decide if further interventions, like ear tubes, are necessary.

By Mr Michael Kuo
Otolaryngology / ENT

Mr Michael Kuo is an esteemed and experienced ear, nose, and throat surgeon with a special interest in children’s ENT disorders, particularly in paediatric head and neck diseases, thyroid swellings, voice disorders, breathing problems, and hearing disorders

Mr Kuo graduated from the University of Birmingham. He trained in the West Midlands Higher Surgical Training Programme in otolaryngology and also trained at the University of Hong Kong. He spent three years pursuing molecular biology research as a Medical Research Council and Royal College of Surgeons Fellow, which lead to a PhD. 

Throughout his career, Mr Kuo has held important positions in numerous ENT organisations. He provides clinical teaching at both undergraduate and postgraduate level. He has chaired the education committee of the European Society for Paediatric Otolaryngology and also been a member of the European Examination Board in Otorhinolaryngology

Mr Kuo has published numerous original research papers, review articles, and book chapters. He serves as the only UK member of the editorial board of The Laryngoscope, which is one of the industry's most important references for advances in diagnosis and treatment. For the Royal Society of Medicine, Mr Kuo is the president-elect of the section of Laryngology and Rhinology.  

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