Earache is common, especially in young children, and isn't usually serious
Most earaches in children are caused by an ear infection, improving within a few days
Painkillers and a warm flannel can help ease discomfort
Get medical help if symptoms don't improve within 2 to 3 days
A pharmacist can advise on treatment, including for some ear infections in children
About Earache
Earache and ear pain are common, particularly in young children, and while painful, they're not usually a sign of anything serious. How long earache lasts depends on the cause — most earaches in children are due to an ear infection, which typically starts improving within a few days.
Signs in Babies and Young Children
A young child may have earache if they rub or pull at their ear, don't react to certain sounds, have a temperature of 38C or above, seem irritable or restless, go off their food, or keep losing their balance. Earache can affect one or both ears.
Treating Earache Yourself
Most earaches improve on their own, but get medical help if symptoms haven't improved within 2 to 3 days, or sooner if you're worried about other symptoms such as a high temperature or fluid leaking from the ear. Painkillers such as paracetamol or ibuprofen can help (children under 16 shouldn't take aspirin), and a warm flannel held against the ear can also ease discomfort. Avoid putting anything inside the ear, such as cotton buds, don't try to remove earwax yourself, and try to keep water out of the ear. Some painkillers aren't suitable for everyone, such as during pregnancy, so always check the leaflet or ask for advice before taking them.
Getting Advice from a Pharmacist
A pharmacist can advise on self-care for earache, whether anything such as eardrops might help, and whether you need to see a GP. They can also treat a middle ear infection in children aged 1 to 17 directly, without needing a GP visit first.
Page last reviewed: 6 March 2024 · Next review due: 6 March 2027
Earache · Getting Help
When to Get Help
? 4 min readReviewed: March 2024
Seeing a GP
See a GP if you or your child keep getting earache.
?? Ask for an urgent GP appointment or get help from 111 if you or your child have earache and:
It's lasted more than 2 to 3 days; you or your child have become generally unwell; there's a very high temperature, or feeling hot, cold or shivery; there's swelling around the ear; fluid is coming from the ear; there's hearing loss or a change in hearing; something is stuck in the ear; or your child is under 2 with earache in both ears. Call 111 for advice if your child is under 5.
Page last reviewed: 6 March 2024 · Next review due: 6 March 2027
Earache · Possible Causes
What Causes Earache
? 4 min readReviewed: March 2024
Common Causes
Earache is often caused by an ear infection, but there are many possible causes, so it's best not to try to diagnose the cause yourself. Ear pain alongside toothache can suggest teething in children, or a dental abscess. Ear pain with a change in hearing can point to glue ear, a build-up of earwax, an object stuck in the ear (never try to remove this yourself — see a GP), or a perforated eardrum, particularly after a loud noise or accident. Ear pain with difficulty swallowing can suggest a sore throat, tonsillitis, or quinsy (a complication of tonsillitis). Ear pain alongside a fever can point to an ear infection, flu, or a cold.
Page last reviewed: 6 March 2024 · Next review due: 6 March 2027