How can I reduce my child’s recurrent ear infections, and when is specialist review needed?
Avoiding tobacco smoke, keeping recommended vaccines up to date and handwashing can lower ear-infection risk. Breastfeeding may offer protection when feasible, but recurrence can occur despite good care. Referral or ear-tube decisions depend on episodes, examination and hearing.
Details
Feeding and safe sleep are different
Do not leave a baby sleeping with a bottle propped in the mouth. Holding position during feeding differs from sleeping position: babies should sleep on their backs on a firm flat surface without pillows. Do not incline the mattress to prevent ear infections.
Document recurrence and hearing
Record confirmed episodes and treatments and report reduced response to sound or speech delay. Fluid behind the eardrum is not always a new infection. Preventive antibiotics or surgery are not automatic solutions for every child.
When review should be faster
Discharge, swelling behind the ear, worsening pain or feeling very unwell needs prompt assessment. Fever of 38°C or more under three months of age is urgent. Avoid inserting cotton buds or oils into the ear.
Related reading: How can I reduce my child’s infections without isolation or unnecessary medicines?.