[29F] Experiencing severe ear pain and high fever

Patient Description

A 29-year-old female reports severe ear pain that is exacerbated by touch, along with a high fever. She also describes a strong pulse in her neck, loss of appetite, and extreme fatigue. These symptoms have been present for approximately two days, with the strong pulse sensation developing over the last hour. The patient has no recent ear injuries, discharge, dizziness, balance problems, neck stiffness, hearing trouble, or rashes. She has no known pre-existing conditions or chronic illnesses but is allergic to amoxicillin. She is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described for your son, the most likely cause could be:

  • Acute Otitis Media: This is an infection of the middle ear, which is common in children. It can cause severe ear pain, fever, and sometimes a feeling of fullness or pressure in the ear (which might explain the strong pulse you mentioned). Loss of appetite and fatigue are also common symptoms in children who are feeling unwell.
    • Treatment typically involves antibiotics to clear the infection, and over-the-counter pain relievers to help with the ear pain and fever.

Please remember that while this is a likely explanation, other conditions could also cause these symptoms, and it's important to get a proper diagnosis from a healthcare provider.

What you can do

Here are some steps you can take to help your son feel better:

  1. Over-the-counter pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), can help reduce the ear pain and fever. Be sure to follow the dosing instructions on the package.
  2. Encourage your son to drink plenty of fluids. This can help prevent dehydration, especially if he has a fever.
  3. Try to keep your son comfortable and let him rest as much as possible.

What you should look out for

Please seek immediate medical attention if your son:

  • Has a fever higher than 104°F (40°C)
  • Seems unusually sleepy or difficult to wake up
  • Has severe pain or swelling behind or around the ear
  • Develops a stiff neck or sensitivity to light
  • Has difficulty hearing or experiences sudden hearing loss

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are the common symptoms of acute otitis media?

Common symptoms of acute otitis media include severe ear pain, fever, a feeling of fullness or pressure in the ear, loss of appetite, and fatigue. In some cases, there may also be ear discharge or temporary hearing loss.


How can I manage ear pain and fever at home?

To manage ear pain and fever at home, you can use over-the-counter pain relievers such as acetaminophen or ibuprofen, following the dosing instructions. Keeping hydrated and ensuring plenty of rest can also help alleviate symptoms.


When should I seek immediate medical attention for ear pain?

You should seek immediate medical attention if there is a fever higher than 104°F (40°C), severe pain or swelling around the ear, unusual sleepiness or difficulty waking up, a stiff neck, sensitivity to light, or sudden hearing loss.


Are there any risks associated with untreated ear infections?

Untreated ear infections can lead to complications such as hearing loss, the spread of infection to nearby tissues, or the development of chronic ear infections. It's important to consult a healthcare provider for proper diagnosis and treatment.


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