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Ear Infections

Woman in pain holding her ears due to ear infection

The image shows a woman pressing her hands to her ears, reflecting discomfort often associated with ear infections

Ear Infections

Ear infections are common conditions that affect the middle, outer, or inner ear. They are especially frequent in children but can affect people of all ages. These infections typically cause pain, hearing difficulties, and sometimes fever or fluid discharge. Most are caused by bacteria or viruses and may follow a cold, sinus infection, or allergies.

The most common type is middle infection (otitis media), which occurs when fluid builds up behind the eardrum. This fluid becomes infected, leading to inflammation and discomfort. Outer infections (otitis externa), also known as swimmer’s ear, affect the canal and are usually caused by bacteria entering through water or injury. Inner infections are less common but more serious, often affecting balance and hearing.

Children are more prone to infections because their eustachian tubes—small passages that connect the middle ear to the back of the throat—are shorter and more horizontal. These tubes can become easily blocked, trapping bacteria or viruses inside the ear. Frequent colds, allergies, bottle feeding while lying down, and exposure to smoke increase the risk.

Ear Infections

In South Africa, ear infections are a leading cause of childhood visits to the clinic. In rural and low-income areas, delayed treatment or limited access to antibiotics can result in chronic infections and even hearing loss. Public health education, vaccination (such as for pneumococcus and influenza), and prompt care are essential for reducing complications.

Most infections clear up on their own within a few days, but some may require antibiotics, especially if symptoms are severe or last longer than 48 hours. Warm compresses, pain relief medication, and keeping the ear dry are common parts of home care.

Understanding ear infections and acting quickly when symptoms arise helps prevent hearing damage and other long-term effects. Early diagnosis and treatment are especially important for young children, as persistent hearing problems can affect speech and learning.

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