Contact Us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right. 

14893 Northwest Purvis Drive
Portland, OR, 97229
United States


Reliable source for medical, health and beauty products, medical review articles and business medicine services.


Quality medical content articles that can be republished in full without permission.

Ear Infections: Types, Causes, Diagnosis, Treatment, Prevention

Drotumdi O

Otumdi Omekara, MD., MPAHA - Member of Society of Physician Entrepreneurs


The two common types of otitis are otitis externa and otitis media 

Otitis Externa or Swimmer's Ear 

 -Infection of ear lobe, external ear canal, and ear drum 

 - Caused by bacteria and viruses that enter the ear during swimming 

-  Surface cells of the external ear are inflamed, swollen, itchy, and painful to touched 

- Makes kids irritable, cry a lot, and pull frequently on their ears 

- Kids may have fever, runny nose or stuffy nose 

- Adults may have no complaints other than ear irritation and mild ear ache or stuffiness 

- Earache usually controlled with mild analgesics like Tylenol and Ibuprofen 

- Tends to clear spontaneously, but some may need antibiotic ointment prescription by a care provide 


Otitis Media or Labrynthitis 

  - May be purulent or exudative 

Purulent otitis media 

- Results from either heavy external ear infections that rupture the eardrum and invade the middle ear 

- Or from the extension of upper respiratory tract infections through the eusthacian tube which connects the oral cavity to the ear 

- Infection affects the eardrum, ossicles, and labrynth 

- Offensive pus drains out of the external ear canal 

- Pus is cultured to determine the right antibiotic treatment 

- Stronger pain pills like vicodin may be needed to control the pain 

Exudative otitis media 

- Causes a sterile fluid to accumulate in the middle ear due to swelling and blockage of the eusthacian tube during an upper respiratory tract infection 

- Complete resolution of recurrent ear infections requires the expertise of an otolaryngologist (ear nose and throat specialist 


- Made through focused history taking, and physical exam 

- Otoscope is used to light up the ear canal and middle ear 

- May reveal inflammation, discharge, tympanic membrane rupture, or foreign body 

- Tuning fork is used to test for hearing by bone conduction, where there is the possibility of nerve deafness 

-  Audiometry (hearing evaluation) may be done if there is evidence of poor response to tuning fork test 


-         Spontaneous resolution of ear infection is common once the source of infection is identified and avoided 

-         Some cases of chronic otitis externa and otitis media require antibiotic ointments or drops 

-         Hydrogen peroxide drops have also been used to clean out was and debris from the external ear canal.  

-          ENT specialists also do eusthacian tube irrigation or insert plastic tubes to help keep the eusthacian tube    open 

-         Supportive treatments include pain pills and warm compress 


-    Avoiding dirty swimming pools 

-         Wearing ear plugs during swimming 

-         Avoiding ear picking with fingers of unsterile sticks 

-         Reporting ear symptoms early to the health care providers 

Author Contact:

Otumdi Omekara, MD, MPAHA

PO Box 91221 Portland OR 97291


Dr. Otumdi Omekara is a preventive/business medicine specialist and medical publisher with over two decades of clinical practice experience and over a decade of provider management experience. His passion for patient education drives his medical content article writing and publishing. He was a health educator at Oregon DHS Center for Disease Control from 2001 to 2002. Prior to that he volunteered at NE Portland Neighborhood Clinic as a health educator from 1997 to 2002. Since 2002 he has been the Medical Publisher at Drotumdio Health Publications (dHp). He can be reached at PO Box 91221 Portland Oregon 97291, or 9712085909