Doctor insights on:
Ear Infection Not Responding To Antibiotics
I have a chronic ear infection responding to no antibiotic yet. What's going to happen? I'm nervous.
See an ENT doctor: Have you been diagnosed with a middle ear infection (otitis media) or an external infection (otitis externa)? Google these terms to understand the differences. Or do you have water in your ear (serous otitis media)? Ask your doctor for a referral to an ENT doctor, or get a second opinion. ...Read more
There are three different types of ear infections that affect different areas of the ear. Outer ear infection (Otitis externa) affects the ear canal and the outside part of the ear. Middle ear infection (Otitis media) affects the middle ear and leads to fluid accumulation behind the ear drum. Inner ear infection (Otitis interna) is a less common inflammation of the inner ear that causes vertigo, ...Read more
My son doesn't respond well to amoxicillin for ear infections/strep, what would be the best antibiotic for him to take?
Hard to say: The strep germ is universally sensitive to any penicillin drug, so any perceived failure to amoxicillin is likely a reinfection or a strep carrier problem. The 1st drug tried for an otitis fails about 10% of the time regardless of drug used. The drug that will work depends on the sensitivity of the germ, that changes with each infection, so there is no perfect choice. Luckily we have several ...Read more
I have had an ear infection for more then a week and it’s a sharp pain. Do I get an antibiotic or ear drops and which brand?
Ear infection: It is not a good idea to treat infections without a diagnosis--and a doctor--managing it. Many folks find some "old" antibiotics laying around and take them for what they feel is their diagnosis. Then for whatever reason if they don't get better, they try to switch, again without a good exam and a diagnosis. Lots of things cause ear pain, and antibiotics aren't the answer for all. ...Read more
If I am already on a antibiotic for a cold is there any chance that I could develop a ear infection bc my head is already hurting?
Common cold: Is due to viral infection, so antibiotics won't be of value unless a secondary bacterial infection sets in, so you are allowed to have viral infection of your middle ears or your sinuses despite being on antibiotics, if it is really bothersome see your doctor, meanwhile, saline nasal wash and salt water gargles would help ...Read more
Usually have 1 elderberry gummy a day, right now on an antibiotic for an ear infection, can I continue with the gummies or the elderberry syrup?
Either sounds ok: Very little, if any, research is done on most supplement products sold. That means nobody truly knows what's really in such products, and nobody truly knows the full actions, interactions, and side effects of such products. That said, there should be no noticeable effect of either the gummy or the syrup on a person's antibiotic use or her ear infection. ...Read more
On ear infection, how long it will take for antibiotic to start working and see an improvement on the infection?
48-72hrs: If longer with no improvement at all, may require dose and/or frequency adjustment along with change in medication potentially ...Read more
See below: A h percentage of ear infections will resolve on their own. If your child is over the age of 2 years, you can treat the pain with tylenol, (acetaminophen) motrin, or warm drops of olive oil in the ear that hurts. If the pain is not gone after 3 days, then your child should be seen. ...Read more
See your doctor: There is new data out there about not giving antibiotics for aom. Would discuss with your doctor. ...Read more
I have an ear infection I cant gear a thing. I have been to my gp 5 times in thr ladt 3weeks. If been on antibiotic nothing is working?
Be patient/recheck: To have a middle ear infection you must accumulate mucus behind the ear drum that feeds the germs involved. Mucus reduces hearing sensitivity by 40-50%. It is trapped there because the Eustachian tube to the throat has not been functioning well to drain it. You can kill off the germs in a week, but the fluid may take a month or more to drain. If the fluid is no longer "hot" on exam, needs time ...Read more
I took my 3 year old grandson to Dr this am & he has an ear infection? First time, how could this happen? I bought the antibiotic. He never gets ill?
Several days: Pain should resolve quickly, but blocked feeling may persist for many weeks. If blocked feeling does not resolve in 3-4 weeks, should see ENT doctor. ...Read more
24-48 hours: You should notice a substantial improvement in your symptoms within 24-48 hours, mainly in the reduction of pain. ...Read more
No.: Antibiotic ointments will just stick to the outside of where you apply. Outer ear infections produce debris and secretions that make antibiotic drops a more effective delivery mechanism. The drops might contain steroids to decrease the inflammation to improve the pain also. See your doctor. ...Read more
External otitis: The most common disease of the ear associated with pseudomonas is external otitis and is not as serious as some doctors think. It may be the result of contaminated water getting into the ear or the excessive use of q-tips. A topical antibiotic with both a quinolone and a steroid is the treatment of choice. ...Read more
I have very strong ear infection in his right ear. I take the antibiotic. What can I do more to alleviate pain?
Decongestant: Either irrigation of the nasal passageway with saline using a neti-pot, using a decongestant like Pseudoephedrine or oxymetozaline, or possibly steroid nasal spray may help to alleviate the pain. If not, use aspirin, tylenol (acetaminophen) or Ibuprofen and go see a doctor again. Hope you get better soon. ...Read more
My one year old got checked out for ear infection. She's been on antibiotic for 5 days. Still crying a lot. What should I do now?
If it is possible I have mastoiditis and I was given antibiotic ear drops for an ear infection, would that alone likely solve the problem?
I have an ear infection and am on antibiotic and have been for 4 days. My ear seems to be worse, and now seeping pinkish fluid. Is this normal?
Not easy to answer: Often people say they have an ear infection, but it could be middle ear infection or an outer ear infection (one is treated with antibiotic pills the other with antibiotic drops) if one has significant drainage and still hears perfectly well, it most likely is outer and needs drops. But if your hearing has been muffled --more likely middle ear infection. Either way - get in to see an ent. ...Read more
I have ear infection for 3 days now. I have been to a dr. I'm on antibiotic, ear drop & pain meds but my condition is not improved. What can I do
Return visit: You should return to your doctor for reevaluation and perhaps change of medicine. ...Read more
I've been on omnicef (cefdinir) for 5 days for an ear infection and just got an antibiotic shot as well. The infection seems to be getting worse. What is wrong?
Drops: If your infection is an external ear infection, rather than a middle ear infection, it will not respond to oral antibiotics. External ear infections must be treated topically (with ear drops), and the ear must be carefully cleaned of debris. You should see an otolaryngologist to make sure you are on the right treatment. ...Read more
My daughter was given zpak for R ear infection on Friday by Saturday night L ear now also hurts bad. Is antibiotic earning? She's 11 should I wait or take her back to be seen again
Call your MD: You should call your MD right away. Does your daughter have a penicillin allergy? Studies show that macrocodes like azithromycin has limited activity against Haemophilus influenzae and Streptococcus pneumoniae. The physician should also treat her pain. You can use children's tylenol (acetaminophen) and contact your pediatrician to make sure your daughter improves. Good luck. ...Read more
Metronidazole: Metronidazole is not typically used for ear infections. First line treatment is usually amoxicillin, however some patients respond better to amoxicillin/clavulonate, or a cephalosporin. Antibiotic allergy must also be considered when choosing, but Metronidazole is usually not among the choices. ...Read more
Antibiotics: Often, prior to a rectal operation, you will have to do a bowel prep, which includes antibiotics, but these are usually not the same antibiotics that you would necessarily use for an ear infection. Best to check with the surgeon who is doing the surgery to see if there might be any other issues or if the ear infection is better. ...Read more
Have an ear infection taking antibiotic drops but the ear has had drainage nonstop for four days how long will drainage last is this normal?
That depends: You don't say if you have a swimmer's ear (external otitis) or otitis media with a ruptured ear drum. An external otitis is treated with ear drops alone, and the drainage should have noticeably lessened by now. In otitis media with a ruptured ear drum the drops won't be enough unless the hole in the ear drum is large, or you have a tube in your ear. ...Read more
Can you tell me how long does it take for an ear infection to go away after antibiotic treatment?
Many issues: If the abx is effective the middle ear pus should be sterilized within 3-4 days. Fever should be down also. The fluid that is trapped with the infection may persist for 4-6 weeks. Fever persisting > 3 d should prompt a call to the treating physician. All infants should have a followup visit after 3-4 wks to monitor the progress of treatment. Adults clear sooner, followup if hearing impaired > 4wks. ...Read more
My 1 year old has been sick for 2 weeks and on an antibiotic for an ear infection for 3 days and has just now started getting fevers over 102. Why?
Call your doc: Shouldn't be getting fevers from ear infection 3 days after antibiotics if they're the right antibiotics at the right dose. You should call your doctor about it. Without more info (any other symptoms, ear or nasal drainage, sinus pressure, nausea, vomiting, rash, etc) and without examining your child, it's impossible to say exactly what's going on, but it's possible you need different antibiotics. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
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