Ear Infections 101: What’s Urgent and What’s Not

If you’ve ever been woken up by a crying child clutching their ear, you know how stressful it can be. Ear infections are incredibly common, especially in young children, and they often show up right after a cold. The good news? Most aren’t serious — and many clear up on their own.

Knowing what’s urgent and what’s not can save you unnecessary worry (and a late-night trip to urgent care).

Why kids get ear infections‍

Children’s ear tubes are shorter and more horizontal than adults’, which makes it easier for fluid to get trapped behind the eardrum. That trapped fluid can turn into an infection when bacteria or viruses move in after a cold or sinus infection.

You might notice:

• Ear pulling or rubbing
• Trouble sleeping or more nighttime fussiness
• Fever or irritability
• Decreased appetite or trouble feeding (pressure in the ear can make swallowing uncomfortable)

Sometimes the only clue is a sudden change in mood or sleep — especially in babies and toddlers who can’t describe the pain.

When to Watch and Wait

Not every ear infection needs antibiotics — many mild cases clear on their own. While waiting can feel stressful, Blueberry’s app makes it easier by helping you monitor symptoms and message a doctor anytime.

It’s often okay to watch and wait for a day or two if:

• Your child is older than 2
• Pain is mild and fever is low
• Symptoms improve with pain medication

To help ease discomfort during this time:

• Pain relief: Use acetaminophen or ibuprofen as directed by your pediatrician.
• Warm compresses: A warm washcloth over the ear can be soothing.
• Extra rest and hydration: Supports faster recovery.

If symptoms don’t start improving after 48–72 hours, it’s a good idea to check in.

When to call a pediatrician right away‍

Some ear infections do need medical attention, especially if there’s significant pain or other concerning signs. Contact a pediatrician if:

• The pain is severe or sudden and not responding to pain medication
• There’s drainage or fluid coming from the ear
• Fever is over 102°F (38.9°C)
• Your child seems unusually tired, dizzy, or unsteady
• Symptoms last longer than three days without improving
  
  

If your child has frequent ear infections (three or more in six months), your pediatrician may discuss other options like ear tube placement.

Ear infections can be uncomfortable, but most are manageable at home with rest, fluids, and pain relief. Trust your instincts — you know your child best.

If you’re unsure whether your child’s ear pain needs a visit, chat with a Blueberry pediatrician anytime. We’re here 24/7 to help you decide what’s urgent and what can safely wait.

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