How is an ear infection assessed?

The clinician considers where the pain is felt, how quickly it began, fever or recent respiratory illness, discharge, hearing change and any history of ear disease. Examination of the ear canal and eardrum helps distinguish possible causes and determine whether testing or a specific treatment is needed.

Treatment varies by the type and severity of infection and by age and medical history. Avoid putting objects or unprescribed drops into the ear, especially if there may be a perforated eardrum.

What to tell the clinician

  • When pain or discharge started and whether it is getting worse
  • Any fever, hearing reduction, dizziness or swelling around the ear
  • Recent swimming, cleaning, ear devices or respiratory illness
  • Previous ear infections, surgery or eardrum perforation
When prompt care is important

Severe pain, swelling behind the ear, facial weakness, significant dizziness or serious illness needs prompt medical assessment. Sudden hearing loss should be treated as urgent.

This information is general and does not replace an individual medical assessment.