Ear Infections in Children — Ireland Parent Guide
When ear infections need antibiotics, what helps at home, and when to escalate.
What is otitis media?
Otitis media is a middle-ear infection. It is one of the most common reasons children present with fever and crying. Most cases are viral and resolve without antibiotics.
Symptoms
- Ear pain, ear pulling in babies
- Fever, irritability, poor sleep
- Reduced hearing
- Discharge if the eardrum perforates (often relieves pain)
When antibiotics help
Most children improve in 2–3 days without antibiotics. Antibiotics are recommended for:
- Children under 2 with bilateral acute otitis media
- Severe symptoms — high fever, vomiting, very unwell
- Otorrhoea (ear discharge)
- No improvement after 48–72 hours of watchful waiting
What helps at home
- Paracetamol or ibuprofen for pain (weight-based)
- Warm compress over the affected ear
- Encourage fluids; let your child rest
- Avoid cotton buds; do not put oils or drops in unless prescribed
When to attend ED
Same-day in-person care if:
- Severe pain or discharge with high fever
- Swelling or redness behind the ear (mastoiditis)
- Stiff neck, severe headache, very drowsy or floppy child
- Baby under 3 months with any fever
FAQs
Will an Online Doctor prescribe antibiotics?
For children meeting criteria — yes. Many cases are managed conservatively.
How long does the pain last?
Usually 24–72 hours, with or without antibiotics.
Will my child need grommets?
Only if recurrent (3+ in 6 months or 4+ per year) — ENT referral via your usual treating doctor.
Is swimming OK?
During an active infection, no. After recovery, yes.
Cost?
€34.99.
Speak to an Online Doctor
Same-day video and phone consultations across Ireland, €34.99.