How effective is GP consultation for middle ear infection?

A middle ear infection, also called otitis media, can cause ear pain, reduced hearing, fever, irritability or fluid behind the eardrum. A GP will ask about the pattern of symptoms and examine the ear with an otoscope. They may also check the throat, nose and nearby lymph nodes, particularly when a cold or congestion is present.

The examination helps distinguish infection from trapped fluid, an outer-ear problem or another cause of pain. Some infections improve with observation and pain relief, while others need prescribed treatment based on age, severity, duration and examination findings. A consultation also helps identify a damaged eardrum or infection spreading beyond the ear.

Describe when the pain began, whether hearing changed, any fever or discharge, and what has already been tried. Use medicines only as directed and do not put cotton buds, oil or unprescribed drops into the ear. Keep the ear dry if discharge is present. If symptoms are mild, the GP may recommend monitoring with clear instructions for review.

Arrange prompt medical review for severe pain, new hearing loss, fluid or pus from the ear, symptoms that are worsening or a child who seems unusually sleepy or unwell. Seek urgent help for swelling or redness behind the ear, facial weakness, severe dizziness, confusion or a very unwell appearance. These signs can indicate a complication requiring rapid assessment.

Ask: Does the eardrum show infection or fluid? Is pain relief enough for now? What would make antibiotics appropriate? How long should hearing changes last? When should the ear be rechecked?