Ear Infection: How Long Does It Last? When Should You See a Doctor?

An ear infection—also called acute otitis media—is a common condition, especially in children. These infections affect the middle ear, causing pain, inflammation, and sometimes fluid buildup behind the eardrum. While some infections clear up on their own, others require medical treatment.

So how long does an ear infection last, and when should you see a doctor? Let’s break it down.

What Causes an Ear Infection?

Ear infections are typically viral or bacterial. They occur when the eustachian tubes—which connect your middle ear to your upper throat—become blocked or swollen. This leads to trapped fluid and creates the perfect environment for infection.

Common causes include:

• Colds or the flu
• Allergies
• Sinus infections
• Upper respiratory illnesses

Young children are more prone to ear infections because their eustachian tubes are shorter and more easily blocked.

How Long Do Ear Infections Last?

Most ear infections last about 3 to 7 days. Some go away without treatment, especially in adults. However, children may experience longer or more severe symptoms.

You may have an acute ear infection (a one-time issue) or a chronic infection that returns frequently. Chronic infections can lead to hearing loss or permanent damage if left untreated.

When Should You See a Doctor?

You should contact your doctor if:

• Ear pain lasts more than 2 days
• You notice fluid draining from the ear
• Hearing problems or muffled sounds develop
• You or your child experiences high fever
• Symptoms are severe or getting worse
• You’ve had repeated ear infections

Don’t wait for symptoms to go away if they’re intense or affecting your daily life.

How Are Ear Infections Diagnosed?

Your doctor will use an otoscope (a lighted magnifying tool) to examine your ear. They’ll check for:

• Redness or swelling
• Fluid buildup
• A bulging or ruptured eardrum

In some cases, hearing tests or follow-up visits may be necessary.

Ear Infection Treatment Options

Depending on your diagnosis and age, your doctor may recommend:

• Over-the-counter medications like acetaminophen or ibuprofen
• Warm compresses for pain relief
• Prescription antibiotics (for bacterial infections)
• Ear drops for pain and inflammation

Children under age 2 are more likely to be prescribed antibiotics for faster relief and to prevent complications.

When It Might Be Serious

While most ear infections resolve with time or basic treatment, chronic ear infections may require additional care. In rare cases, untreated infections can spread or cause long-term hearing damage.

Get Expert Ear Infection Care at BASS Medical Group

If you or your child is dealing with ear pain, drainage, or persistent symptoms, our providers at BASS Medical Group are here to help. We offer fast, effective treatment and expert care for patients of all ages.

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