NHS funded
Earache
Painful middle-ear infection in children and teenagers aged 1 to 17.
Acute otitis media is an infection of the middle ear, the space behind the eardrum. It is common in children, often follows a cold, and causes earache, a high temperature, and sometimes fluid from the ear. Most cases settle within three days without antibiotics.
Under Pharmacy First we can see children and young people aged 1 to 17. The pharmacist will look inside the ear with an otoscope, ask about symptoms, and advise on pain relief. Antibiotics are supplied where the pathway says they are likely to help — for example if the infection is severe, affects both ears in a very young child, or is not improving after three days.
Two things to know
- The consultation is free on the NHS. If the pharmacist supplies a treatment, you pay the standard NHS prescription charge for it, unless you are exempt from prescription charges.
- If this service is not suitable for you — because of your age, your symptoms, or something in your medical history — the pharmacist will not send you away empty-handed. We will signpost you to the right care provider, whether that is your GP practice, NHS 111 or urgent care.
Who this service is for
- Children and young people aged 1 to 17. Babies under 1 and adults should see their GP.
- Earache from a middle-ear infection. Other causes of ear pain — a blocked ear, an infection of the ear canal, or wax — are not part of this pathway, though our private ear examination service may help.
- Children who get ear infections repeatedly, or who have grommets or other ear problems, will be referred to their GP.
Looking after yourself
- Children’s paracetamol or ibuprofen for pain and fever, following the dose on the pack.
- Rest, plenty to drink, and a warm or cold flannel against the ear can help.
- Do not put cotton buds, oil or drops into the ear unless told to.
Get help straight away if
- Your child is very unwell, floppy, unusually drowsy, or has a rash that does not fade under a glass.
- There is swelling, redness or pain behind the ear, or the ear sticks out.
- Your child has a stiff neck or a severe headache.