Inner Ear Infection

12 min read

An inner ear infection, also known as otitis interna, is an infection of the inner ear. It is caused by bacteria or viruses and can lead to hearing loss, dizziness, and balance problems. It is most common in children, but can affect adults as well.

Causes

Inner ear infections are usually caused by bacteria or viruses that enter the ear through the Eustachian tube. This tube connects the middle ear to the back of the nose and throat. When the tube is blocked, fluid can build up in the middle ear and become infected.

Risk Factors

Risk factors for inner ear infections include allergies, colds, and sinus infections. Children are more likely to get inner ear infections than adults because their Eustachian tubes are shorter and more easily blocked.

Diagnosis

Inner ear infections are usually diagnosed with a physical exam and a hearing test. The doctor may also use a special tool called an otoscope to look inside the ear.

Complications

Inner ear infections can lead to hearing loss, dizziness, and balance problems. If left untreated, the infection can spread to other parts of the body, such as the brain or the facial nerve.

Take the Inner Ear Infection Assessment

Symptoms

Common Symptoms

  • Earache
  • Hearing loss
  • Ringing in the ear (tinnitus)
  • Vertigo
  • Nausea
  • Vomiting
  • Fever
  • Headache
  • Fluid drainage from the ear

Less Common Symptoms

  • Facial paralysis
  • Loss of balance
  • Dizziness
  • Coughing
  • Sore throat
  • Pain in the neck, jaw, or face

If you experience any of these symptoms, it is important to seek medical attention as soon as possible. An inner ear infection can cause serious complications if left untreated.

Causes

Bacterial Infections

Bacterial infections are the most common cause of inner ear infections. Bacteria can enter the inner ear through the Eustachian tube, which connects the middle ear to the back of the throat. Bacteria can also enter the inner ear through the bloodstream. Common bacteria that can cause inner ear infections include Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.

Viral Infections

Viral infections are another common cause of inner ear infections. Viruses can enter the inner ear through the Eustachian tube or through the bloodstream. Common viruses that can cause inner ear infections include the flu, measles, mumps, and chickenpox.

Fungal Infections

Fungal infections are less common than bacterial and viral infections, but they can still cause inner ear infections. Fungi can enter the inner ear through the Eustachian tube or through the bloodstream. Common fungi that can cause inner ear infections include Aspergillus, Candida, and Cryptococcus.

Allergies

Allergies can also cause inner ear infections. Allergens, such as dust, pollen, and pet dander, can enter the inner ear through the Eustachian tube or through the bloodstream. Allergies can cause inflammation in the inner ear, which can lead to an infection.

Unknown Causes

In some cases, the cause of an inner ear infection is unknown. This is known as idiopathic inner ear infection. Idiopathic inner ear infections can be caused by a variety of factors, including genetics, environmental factors, and even stress.

Getting a Diagnosis

Medical History

Your doctor will ask about your symptoms and medical history. This includes questions about your current symptoms, such as when they started, how long they have been present, and how severe they are. Your doctor will also ask about any other medical conditions you have, any medications you are taking, and any allergies you may have.

Physical Examination

Your doctor will perform a physical examination to look for signs of an inner ear infection. This includes examining your ears, nose, and throat. Your doctor may also use a lighted instrument called an otoscope to look inside your ear. This can help them identify any inflammation, fluid buildup, or other signs of infection.

Additional Tests

In some cases, your doctor may order additional tests to confirm the diagnosis. This may include a hearing test, a CT scan, or an MRI. These tests can help your doctor identify any fluid buildup or other signs of infection in the inner ear.

Treatment

Once your doctor has diagnosed an inner ear infection, they will recommend a treatment plan. This may include medications to reduce inflammation and pain, as well as lifestyle changes to help reduce your risk of future infections. In some cases, surgery may be necessary to treat a severe inner ear infection.

Questions for Your Doctor

Medical History

Your doctor will likely ask you about your medical history, including any recent illnesses or injuries. They may also ask about any allergies you have, as well as any medications you are taking. This information can help your doctor determine the cause of your inner ear infection.

Symptoms

Your doctor will want to know about the symptoms you are experiencing. This includes any pain or discomfort in your ear, as well as any hearing loss or ringing in the ear. You should also tell your doctor if you have any dizziness, nausea, or vomiting.

Diagnostic Tests

Your doctor may order a variety of tests to diagnose your inner ear infection. This may include a physical exam, a hearing test, or imaging tests such as an MRI or CT scan. Your doctor may also take a sample of fluid from your ear to test for bacteria or viruses.

Treatment Options

Once your doctor has diagnosed your inner ear infection, they will discuss treatment options with you. This may include antibiotics, anti-inflammatory medications, or other medications to reduce pain and swelling. In some cases, surgery may be necessary to treat the infection.

Follow-Up Care

Your doctor will likely recommend follow-up care to ensure that your infection is healing properly. This may include regular check-ups or additional tests to monitor your progress. Your doctor may also recommend lifestyle changes, such as avoiding loud noises or taking steps to reduce stress.

Inner ear infections can be painful and uncomfortable, but discussing your symptoms with your doctor can help you get the treatment you need. Be sure to talk to your doctor about your medical history, symptoms, diagnostic tests, treatment options, and follow-up care.

Treatment

Antibiotics

Antibiotics are the most common treatment for inner ear infections. They work by killing the bacteria that cause the infection. Depending on the severity of the infection, antibiotics may be taken orally or injected directly into the ear. It is important to finish the entire course of antibiotics, even if the symptoms have improved, to ensure that the infection is completely gone.

Pain Relievers

Over-the-counter pain relievers such as ibuprofen or acetaminophen can help to reduce the pain and discomfort associated with inner ear infections. It is important to follow the instructions on the package and not take more than the recommended dose.

Ear Drops

Ear drops are another common treatment for inner ear infections. These drops contain antibiotics or other medications that can help to reduce inflammation and pain. Ear drops should be used as directed by your doctor.

Surgery

In some cases, surgery may be necessary to treat an inner ear infection. Surgery may be used to remove fluid or debris from the ear, or to repair any damage that has been caused by the infection. Surgery is usually only recommended if other treatments have not been successful.

Home Remedies

There are also a number of home remedies that can be used to help relieve the symptoms of an inner ear infection. These include applying a warm compress to the affected ear, using over-the-counter ear drops, and taking over-the-counter pain relievers. It is important to talk to your doctor before trying any home remedies.

Drugs & Medications

Antibiotics

Antibiotics are the most common treatment for bacterial inner ear infections. Commonly prescribed antibiotics include amoxicillin, cefuroxime, and cefpodoxime. These medications are usually taken for 7 to 10 days. In some cases, a longer course of antibiotics may be needed.

Antiviral Medications

Antiviral medications are used to treat viral inner ear infections. Commonly prescribed antiviral medications include acyclovir, famciclovir, and valacyclovir. These medications are usually taken for 7 to 10 days. In some cases, a longer course of antiviral medications may be needed.

Antifungal Medications

Antifungal medications are used to treat fungal inner ear infections. Commonly prescribed antifungal medications include fluconazole, itraconazole, and voriconazole. These medications are usually taken for 7 to 10 days. In some cases, a longer course of antifungal medications may be needed.

Other Medications

In some cases, other medications may be used to treat inner ear infections. These medications may include corticosteroids, antihistamines, and decongestants. These medications are usually taken for 7 to 10 days. In some cases, a longer course of these medications may be needed.

Conclusion

Inner ear infections can be caused by a variety of factors, including bacteria, viruses, and fungi. Treatment for inner ear infections typically involves antibiotics, antiviral medications, or antifungal medications, depending on the cause. In some cases, a combination of medications may be used. Other medications, such as corticosteroids, antihistamines, and decongestants, may also be used to treat inner ear infections.

Diet

Increase Fluid Intake

Increasing your fluid intake can help thin out mucus and reduce congestion in the inner ear. This can help reduce inflammation and pain associated with inner ear infections. Aim to drink at least 8 glasses of water per day, and consider adding other fluids such as herbal teas, vegetable juices, and broth-based soups.

Eat Anti-Inflammatory Foods

Certain foods can help reduce inflammation and pain associated with inner ear infections. These include foods high in omega-3 fatty acids, such as salmon, tuna, and flaxseed. Other anti-inflammatory foods include dark leafy greens, nuts, and seeds. Eating a diet rich in these foods can help reduce inflammation and pain.

Avoid Allergens

Allergens can trigger inflammation and worsen inner ear infections. Common allergens include dairy, eggs, wheat, soy, and peanuts. If you suspect you have an allergy to any of these foods, it is best to avoid them. Additionally, it is important to avoid processed foods, as they can contain hidden allergens.

Limit Sugar and Refined Carbs

Sugar and refined carbohydrates can cause inflammation and worsen inner ear infections. It is best to limit your intake of these foods and opt for complex carbohydrates such as whole grains, legumes, and starchy vegetables. Additionally, it is important to limit your intake of processed foods, as they can contain hidden sugars.

Conclusion

Inner ear infections can be painful and uncomfortable. While medications are typically used to treat inner ear infections, there are certain dietary changes that can help reduce symptoms and speed up recovery. Increasing your fluid intake, eating anti-inflammatory foods, avoiding allergens, and limiting sugar and refined carbs can all help manage inner ear infections.

Lifestyle

Stay Hydrated

Staying hydrated is essential for overall health, but it’s especially important when you’re dealing with an inner ear infection. Drinking plenty of fluids helps to thin out the mucus in your ear, which can help reduce inflammation and pain. Aim to drink at least 8 glasses of water a day.

Avoid Allergens

If you’re prone to inner ear infections, it’s important to avoid allergens that can trigger an infection. Common allergens include dust, pollen, pet dander, and mold. If you’re allergic to any of these, try to limit your exposure as much as possible. You may also want to consider using an air purifier in your home.

Get Plenty of Rest

Getting enough rest is essential for your body to heal and fight off infections. Aim to get at least 8 hours of sleep each night and take naps during the day if you need to. This will help your body to recover and reduce your risk of developing an inner ear infection.

Manage Stress

Stress can weaken your immune system and make you more susceptible to infections. Try to manage your stress levels by taking time for yourself each day. This could include activities like yoga, meditation, or simply taking a walk. Reducing your stress levels can help to reduce your risk of developing an inner ear infection.

Eat a Healthy Diet

Eating a healthy diet is important for overall health, but it’s especially important when you’re dealing with an inner ear infection. Eating a balanced diet that includes plenty of fruits, vegetables, and lean proteins can help to boost your immune system and reduce your risk of developing an infection. Avoiding sugary and processed foods can also help.

See Your Doctor

If you’re experiencing symptoms of an inner ear infection, it’s important to see your doctor as soon as possible. Your doctor can diagnose the infection and provide you with the appropriate treatment. They may also be able to provide you with additional lifestyle tips to help reduce your symptoms and prevent future infections.