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Ear Congestion

Description / Symptoms

  • Sudden onset of muffled hearing
  • Crackling or popping noises in the ear
  • A stuffy, full sensation in the ear
  • No ear pain
  • Unusual complaint until after age 4 or 5 years

Cause

Blockage of ear tube (eustachian tube) during nose allergies, a cold or airplane/mountain travel.

See More Appropriate Topic (instead of this one)

When to Call Your Doctor for Ear Congestion

Call Your Doctor Now If:

  • See other columns for appropriate advice.

Call Your Doctor Within 24 Hours If:

  • You think your child needs to be seen
  • Earache
  • Possible foreign body in ear canal
  • Ear congestion lasts > 48 hours

Call Your Doctor During Weekday Hours If:

  • You have other questions or concerns

Home Care (Read "Call Your Doctor…" first):

More Chewing and Swallowing

Swallow water or other fluid while the nose is pinched closed. After age 4, can also use chewing gum.

Decongestant Nasal Spray

If chewing doesn't help after 1 or 2 hours, use a long-acting decongestant nasal spray. You can ask your pharmacist to recommend a brand. Don't use more than 5 days.

Antihistamines

If your child has hay fever or other allergies, give an antihistamine.

Expected Course

The symptoms usually clear within 2 days (48 hours) with treatment. It’s safe for your child to swim.

Prevention for Airplane / Mountain Travel

  • Swallow during descent using a pacifier or fluids
  • Children > age 4 can chew on gum during descent
  • Yawning also can open the middle ear

Call Your Doctor If:

  • Ear congestion lasts > 48 hours
  • Ear pain occurs
  • Your child becomes worse or develops any of the "Call Your Doctor…" symptoms

Parent Care for Pediatric Symptoms. Copyright 2000-2006.