Acute Otitis Media (AOM)
Acute Otitis Media (AOM) is a bacterial or viral infection of the middle ear that leads to inflammation and a build-up of fluid or pus behind the eardrum. This causes increased pressure and pain.
It often develops following a cold, sore throat, or upper respiratory tract infection, which causes the eustachian tube to swell and block. AOM is especially common in young children due to their shorter, more horizontal eustachian tubes and underdeveloped immune systems.
Symptoms
- Earache
- Loss of hearing
- Feeling of fullness
- Allergies or sinus infections
- Child pulling at ears
- Increased crying in children
- Fever of 38°C or higher
- Loss of appetite
- Sudden relief of pain (may indicate a ruptured eardrum)
Treatment
- Prescribed oral antibiotics such as Amoxicillin for 5–10 days depending on age.
- If the cause is viral, antibiotics will not be effective and supportive care is needed.
- Avoid swimming or diving until the infection has completely cleared.
FAQs
AOM is caused by a bacterial or viral infection, commonly following a cold or sinus infection.
The infection causes fluid or pus to accumulate in the middle ear, creating pressure on the eardrum and causing pain due to blocked eustachian tubes.
OME (Otitis Media with Effusion or Glue Ear) involves fluid without infection. AOM (Acute Otitis Media) is an infection, most often bacterial, in the middle ear.
Oral antibiotics like Amoxicillin are commonly prescribed, depending on age and severity of symptoms.
It may not resolve on its own. If fluid builds and cannot drain, the eardrum may rupture. Seek medical help if symptoms worsen or do not improve.
Young children may need a 10-day antibiotic course. Older children and adults typically take 5–7 days. If symptoms persist after treatment, consult your doctor.
