Ear infection
Ear ache, blocked or discharging ear, reduced hearing. Common, especially in children.
In short
Ear infections are common, especially in children, and most settle with pain relief alone. A GP can tell the types apart, treat where needed, and spot the few cases that need urgent or specialist care.
Overview
What is ear infection?
An ear infection can affect the outer ear canal (otitis externa, often itchy and sore) or the middle ear behind the eardrum (otitis media, common in children after colds). Most are self-limiting and managed with pain relief; some need antibiotic drops or tablets. Persistent fluid in the middle ear (glue ear) can affect hearing.
Symptoms
Common symptoms
- Ear pain or ache
- A feeling of fullness or blockage
- Reduced hearing in the affected ear
- Discharge from the ear
- Itching (more typical of outer ear infections)
- Fever or feeling unwell, especially in children
When to act
When to see a doctor
Book a GP if ear pain is severe, there's discharge, hearing is affected, symptoms last more than a few days, or a child is very unwell. Seek urgent help for swelling or pain behind the ear, a stiff neck, confusion, or facial weakness.
When to seek urgent help
Seek urgent help if
- Swelling, redness, or pain behind the ear, or the ear sticking out (possible mastoiditis, seek urgent care)
- A severe headache, stiff neck, confusion, or drowsiness
- Facial weakness or dizziness with the ear symptoms
- A very unwell child with a high fever
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- An assessment of the type of ear infection (outer ear vs middle ear)
- Examination of the ear where the appointment is in person
- Advice on pain relief, which is the mainstay for most ear infections
- Antibiotic ear drops or tablets where clearly appropriate
- Guidance for parents on when a child's ear infection needs review
- Referral to ENT for recurrent infections or persistent hearing loss
What we don't do
- Ear syringing or micro-suction (offered by audiology or some pharmacies)
- Specialist ENT procedures and grommets (referred on)
Pricing
What it costs
An online consultation about an ear infection starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about ear infection
Do ear infections need antibiotics?
How do I relieve ear pain?
My child keeps getting ear infections, what can help?
Can you treat an ear infection online?
Ready to talk to a GP about an ear infection?
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