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Information on Ear Infections

The ear is responsible for hearing and balance and is made up of three parts - the outer ear, middle ear, and inner ear. Hearing begins when sound waves that travel through the air reach the outer ear, or pinna, which is the part of the ear you can see. The sound waves then travel from the pinna through the ear canal to the middle ear, which includes the eardrum (a thin layer of tissue) and three tiny bones called ossicles. When the eardrum vibrates, the ossicles amplify these vibrations and carry them to the inner ear.

Though adults are not affected as frequently as children, it is important for adults to be aware of how adult ear infection can affect them. Adult ear infection is caused by infection in the Eustachian tube, near the inner ear. The Eustachian tube connects the inner ear to the nasal passages in order to drain fluid from the ears and equalize pressure between outside and inside of the body, but when fluid or mucous builds up in the Eustachian tube, it is an easy target for infection.

Ear infections are the most common illnesses in babies and young children. Most often, the infection affects the middle ear and is called otitis media. The tubes inside the ears become clogged with fluid and mucus. This can affect hearing, because sound cannot get through all that fluid.

Bacteria reach the middle ear through the lining or the passageway of the eustachian tube and can then produce infection, which causes swelling of the lining of the middle ear, blocking of the eustachian tube, and migration of white cells from the bloodstream to help fight the infection. In this process the white cells accumulate, often killing bacteria and dying themselves, leading to the formation of pus, a thick yellowish-white fluid in the middle ear. As the fluid increases, the child may have trouble hearing because the eardrum and middle ear bones are unable to move as freely as they should. As the infection worsens, many children also experience severe ear pain.

Most ear infections go away on their own. You can treat your child at home with an over-the-counter pain reliever like acetaminophen (such as Tylenol or Tempra), a warm washcloth or heating pad on the ear, and rest. Do not give aspirin to anyone younger than 20. Your doctor may give you eardrops that can help your child's pain.

Middle ear infections are one of the most common childhood problems. Let's start by talking about infections. An infection (say: in-fek-shun) happens when germs like bacteria and viruses get inside the body and cause trouble. Germs can get into your ears. The ear is divided into three parts: outer, middle, and inner. When the germs bother your outer ear, it's called swimmer's ear.

The main symptom is an earache. It can be mild, or it can hurt a lot. Babies and young children may be fussy. They may pull at their ears and cry. They may have trouble sleeping. They may also have a fever.

Although ear infections worry parents and make children uncomfortable, take heart. Most ear infections clear up on their own within a few days, and most children stop having ear infections once they reach school age.

Viral infections are more complicated to treat and may necessitate a myringotomy, which is a minor surgery in which a small plastic tube is inserted into the eardrum. This acts as a vent to relieve the pressure of the buildup or infection. It also drains the fluid remaining in the ear. This little tube is not permanent; it falls out automatically after a short time.

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