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Ear infection in a baby or child: what helps, and when to call
For anyone looking after a baby or child whose ear hurts, or who may have an ear infection: a parent, a grandparent, a sitter. This page passes on, by name, what one page of the Centers for Disease Control and Prevention (CDC) and one page of the National Institute on Deafness and Other Communication Disorders (NIDCD) say: the signs in a child too young to talk, what is different for a baby in the first months, easing the pain at home, why a doctor may wait before giving an antibiotic, what happens when ear infections keep coming back, and the signs that mean a call. It builds the questions to ask. Take only what you need today.
Right now
- A baby under 3 months old with a fever of 100.4°F (38°C) or higher? CDC says to talk to a healthcare provider right away.
- Seek medical care for a fever of 102.2°F (39°C) or higher; pus, discharge, or fluid coming from the ear; worsening symptoms; symptoms of a middle ear infection that last for more than 2–3 days; or hearing loss. That list is CDC’s. CDC says it is not all-inclusive, and to see a healthcare provider for any symptom that is severe or concerning.
- Nothing in a draining ear before you ask. That line is ours.
- Never give aspirin to children. CDC says so. NIDCD says a child who has a fever or other flu-like symptoms should not be given aspirin unless instructed to by your doctor.
- A baby under 6 months? CDC’s line on pain relievers is not the same for this age as for older children. Ask the provider or a pharmacist before giving anything: that second sentence is ours.
- The pages we read give no list of signs for 911 for an ear infection.
If you cannot reach a provider and you are frightened for your child, go to an emergency room or call 911. That line is ours. This page is not for emergencies.
Changed on October 9, 2026. This box first gave a line at 6 months and a longer list of signs. They came from two articles we may not reuse, and are out; what is here now is CDC’s and NIDCD’s. More under “When to call the doctor” below.
More help
- A fever with it: Fever in a baby or child: when to call, and what helps.
- A baby who will not stop crying: Crying baby: when the crying won’t stop.
- Throwing up or diarrhea: Vomiting and diarrhea in a baby or child: fluids, and when to call. Constipation: Constipation in a baby or child.
- Writing down what happened and when: Symptom diary. Feeds, diapers and sleep: Baby log.
- Hearing: When it gets hard to hear. Smoke at home: When you want to quit smoking.
- For a visit: Get ready for your appointment. No insurance: When you need a doctor and can’t pay.
- A newborn at home: Pregnant, or with a new baby.
- All our free tools.
Looking after a baby or child? The pages on this site for a baby or child, on one list.
This page and its wording were written with AI (Claude) for Scarlet Beast (our AI policy). No doctor, nurse or pharmacist has reviewed it. The facts were read on October 9, 2026 on two government websites, each page in English and in Spanish. On cdc.gov, the website of the Centers for Disease Control and Prevention, one page: Ear Infection Basics, which says it was reviewed on April 17, 2024. On nidcd.nih.gov, the website of the National Institute on Deafness and Other Communication Disorders, one page: Ear Infections in Children; its text is dated March 2013 and the page says it was last updated March 16, 2022, so it is older than CDC’s. The page says whose words it is passing on, and what is marked “ours” is our own. Changed on October 9, 2026. When this guide was first published, earlier the same day, it also passed on two articles from a medical encyclopedia. Those articles belong to a company whose notice does not allow its text to be reused, and we should not have used them. We took out every line that came from them: a line at 6 months for when a baby should be seen and treated; two more lists of signs; lists of what raises the chances and a second list of what lowers them; things to try at home (heat, cold, chewing, sitting up, a flight) and when ear drops may be used; when an antibiotic is more likely, and the unwanted effects of antibiotics; counts of ear infections for ear tubes; what was said about hearing and speech afterwards; rare complications; and two lists of reasons to contact a provider, which named swelling near the ear, strong pain that stops all at once, and new headache, dizziness or changes in the face. We have not found those last signs on a page we may pass on; the guide says so, and says to call if you see them. CDC’s page was read for this change and is new to the guide. The pages give no signs for calling 911 for an ear infection, and this page does not make any up; the one 911 line is ours and says so. Where the sources differ, the page gives each: NIDCD, in 2013, says many doctors will prescribe an antibiotic, and CDC, in 2024, says many ear infections can get better without antibiotics; NIDCD speaks of waiting a day or two, and CDC of 2 to 3 days; NIDCD names one version of a vaccine and CDC does not; and CDC’s list of what lowers the chances has breastfeeding where NIDCD’s has not going to sleep with a bottle. Numbers: 100.4°F (38°C) under 3 months, 102.2°F (39°C), the 2 to 3 days, and the ages of 6 months and 4 years for medicines are CDC’s own; 48 to 72 hours, three to six weeks, six to nine months, five or six a year, and “five out of six children” are NIDCD’s. What we left out or did not read: the name of every medicine but aspirin (the pages name two pain relievers and one antibiotic), the names of the bacteria, and the name of the vaccine version on NIDCD’s page; the amount of any medicine, which the pages do not give either; NIDCD’s paragraphs on the parts of the ear, on research, and on which groups of children get more ear infections; swimmer’s ear, except one line; and CDC’s print version and the other pages it links to, which we did not read. We called no number. It saves nothing and loads no tracking.