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Published on March 03, 2025

This Is One of the Most Common Illnesses in Kids

photo of a girl who has ear pain

Here’s why ear infections are so prevalent in young children.

Approximately five out of six kids have at least one ear infection before they are old enough to start preschool, and many experience more than one. This makes it one of the most common ailments in young children. Although ear infections are not contagious, they often occur after a child has a contagious illness, such as a cold or the flu.

Why are young children more likely to get ear infections?

“Young children are more prone to ear infections because their eustachian tubes are smaller and positioned more horizontally than in older children or adults,” according to Marlon Maducdoc MD, PIH Health ear, nose and throat specialist. “This makes it harder for the tubes to drain fluid effectively, leading to a buildup of bacteria and subsequent infection.”

Dr. Maducdoc explains that this issue can arise during an illness like a cold but emphasizes, “Ear infections can occur even when a child isn’t sick—simply because their anatomy makes them more vulnerable.”

Can I treat my child’s ear infection at home?

“Many ear infections clear up on their own,” says Dr. Maducdoc. “Parents can focus on managing their child’s discomfort using over-the-counter pain relievers and warm or cold compresses on the affected ear.” However, he cautions parents to monitor symptoms closely.

When should I take my child to the doctor for an ear infection?

“If your child’s symptoms worsen after a few days, the pain becomes severe, or they develop a high fever, it’s time to seek medical attention,” says Dr. Maducdoc. He notes that while antibiotics are sometimes necessary, they are not always the first line of treatment. “Frequent use of antibiotics can lead to antibiotic resistance and affect gut health, so doctors carefully evaluate whether they are truly needed.”

For children who experience repeated ear infections, Dr. Maducdoc explains, “Ear tubes can be a game changer. These small tubes allow fluid to drain properly and reduce the risk of infections significantly.

What is the best way to prevent ear infections?

The best way to protect your child from ear infections is by preventing contagious illnesses, such as colds and flu. Dr. Maducdoc recommends:

  • Proper handwashing: “Teaching kids to wash their hands often and thoroughly is one of the simplest ways to reduce the risk of infections.”

  • Avoiding sick individuals: “While this can be tricky in school or daycare settings, it’s important to minimize exposure whenever possible.”

  • Staying up to date on vaccinations: “Vaccinations not only protect against severe illness but also reduce the likelihood of complications like ear infections.”

  • Feeding children upright: “Feeding your child in an upright position can help reduce the chances of fluid getting trapped in the middle ear.”

The good news? “Most children outgrow frequent ear infections by the age of five, as their eustachian tubes mature and their immune systems strengthen,” says Dr. Maducdoc.

If your child is experiencing frequent ear infections or other ear-related issues, finding the right doctor is important. Visit PIHHealth.org/Doctors

The information in Healthy Living Online is for educational purposes only.  It is not intended nor implied to be a substitute for professional medical advice.  The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation, or if they have any questions regarding a medical condition or treatment plan.

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