Dismiss Modal

Types

Middle Ear Infection (Adult)

Choose a preferred language

You have an infection of the middle ear, the space behind the eardrum. This is also called acute otitis media (AOM). Sometimes it's caused by the common cold. This is because congestion can block the internal passage (eustachian tube) that drains fluid from the middle ear. When the middle ear fills with fluid, bacteria can grow there and cause an infection. Oral antibiotics are used to treat this illness, not eardrops. Symptoms often start to improve within 1 to 2 days of treatment.


Home care

Here are some general care guidelines:

  • Finish all of the antibiotic medicine given, even though you may feel better after the first few days.

  • You may use over-the-counter medicine, such as acetaminophen or ibuprofen, to control pain and fever unless something else was prescribed. Talk with your healthcare provider before using these medicines if you have chronic liver or kidney disease. Also talk with your provider if you've had a stomach ulcer or digestive tract bleeding. Don't give aspirin to anyone under 18 years of age who is ill or has a fever. It may cause a severe illness called Reye syndrome, which may result in brain or liver damage. If not treated correctly, it may cause death.


Follow-up care

Follow up with your healthcare provider as advised. If all symptoms haven't gotten better, or if hearing doesn't go back to normal in 2 weeks, you may need further treatment.


When to get medical advice

Call your healthcare provider right away if any of these occur:

  • Ear pain gets worse or doesn't improve after 3 days of treatment

  • Abnormal drowsiness or confusion

  • Neck pain, stiff neck, or headache

  • Fluid or blood draining from the ear canal

  • Fever of 100.4°F (38°C) or higher, or as advised 

  • Seizure

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Find a doctor that's right for you.

From routine check-ups to groundbreaking treatments and beyond, Crestner Health is here to help you live your healthiest life.

Search our doctors
Related Articles
Read article
Ear, Nose, and Throat
Understanding Acute Rhinosinusitis

Acute rhinosinusitis is when the lining of the inside of the nose and the sinuses becomes irritated and swollen. It is also called sinusitis, or a sinus infection.

Read article
Ear, Nose, and Throat
Understanding Nasal Anatomy: Inside View

Learning the anatomy of the nose can help you better understand how the nose works.

Read article
Ear, Nose, and Throat
Nose Fracture, No X-Ray

Based on your exam today, you have a broken bone, or fracture, of the nose. Some fractures are obvious and an X-ray is not needed. A nose fracture will cause pain, swelling, nasal stuffiness, and sometimes bleeding from the nose.

Read article
Ear, Nose, and Throat
Understanding Sinus Problems

Sinus problems can cause uncomfortable symptoms. Read on to learn about how sinuses can get blocked and what the symptoms are.