External otitis (Pediatrics - PEDS)

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It is a very common condition in childhood characterized by inflammation of the outer ear caused by a bacterial infection. Contributing factors include: using cotton buds or frequently swimming in swimming pools or the sea (swimmer's ear). It manifests with ear pain that is exacerbated by pulling the pinna or applying pressure to the innermost part of the ear (tragus). It tends to present redness, narrowing and even discharge. It is diagnosed by clinical questioning and examining the ear. Treatment consists of common painkillers and topical antibiotic treatment.
Bibliographic references
  1. David Greenes, MD. Evaluation of earache in children. UpToDate. Julio 2016
  2. Laura A Goguen. External otitis: Pathogenesis, clinical features, and diagnosis. UpToDate. Septiembre 2014
  3. Stone KE. Otitis externa. Pediatr Rev 2007; 28:77.
  4. Beers SL. Otitis externa review. Pediatr Emerg Care 2004; 20:250.
  5. Michael A. Rubin. Faringitis, otalgia y síntomas de la porción superior de las vías respiratorias. Harrison. Principios de Medicina Interna, 19e. Capítulo 44
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Pain when the inner part of the ear is pressed


    Pain worsens when the ear moves


    Ear pain


    Itchy ear


    Discharge of fluid from the ear

Symptoms to watch out for

Reddening of the ear
High fever (102.2 ºF or more)

Self-care

Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Keep the ears dry.
Increase ear hygiene.
Avoid using cotton swabs.
Consult your doctor about the prescription of antifungals and/or antibiotics.