Earache, Otitis Media (NHS)
Otitis Media is an infection of the middle ear that can cause pain, inflammation, and fluid behind the eardrum. It can affect people of all ages but is most commonly seen in children.
What to consider
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Acute otitis media is usually caused by a bacterial or viral infection that affects the middle ear. It often develops after a cold, flu, or upper respiratory infection, which can lead to fluid build up and inflammation behind the eardrum.
Children are more susceptible due to their shorter and narrower Eustachian tubes, which can make drainage more difficult.
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Sudden ear pain or discomfort
High temperature (fever)
Nausea or vomiting
Fatigue or low energy
Mild hearing difficulties from fluid buildup
Fluid or discharge from the ear
Feeling of pressure or fullness in the ear
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A pharmacist will assess your symptoms during a consultation. If appropriate and eligible under the NHS Pharmacy First service, treatment may be offered for your ear infection. Options can include:
Ear drops – to relieve pain and discomfort
Antibiotic tablets, capsules, or oral solution – to treat the infection
Prescription charges apply unless you qualify for free NHS prescriptions.
If you are not eligible for Pharmacy First treatment or the recommended options aren’t suitable, the pharmacist may suggest alternatives or refer you to another healthcare service.