Chronic Ear Infections

Chronic ear infections are recurrent or lingering infections that affect the middle ear and can significantly impact ear health and overall well-being. This condition can be particularly challenging, leading to persistent discomfort, pain, and fever. It can also result in hearing issues and potential complications if left untreated. 

At Kimball Health Services, our team of primary care providers and ENT specialist, Dr. William O. Dickey, are committed to providing comprehensive treatment for chronic ear infections in both adults and children. 

Chronic ear infections refer to persistent or recurrent infections affecting the middle ear. Unlike acute infections, chronic cases can be more challenging to manage, leading to prolonged discomfort, potential hearing issues, and an increased risk of complications.

Ear infections occur when the middle ear, the space behind the eardrum, becomes inflamed due to the presence of bacteria, viruses, or other pathogens. Several factors contribute to the development of chronic ear infections:

• Blocked Eustachian tubes: The Eustachian tube links the middle ear to the back of the throat, helping to equalize pressure and drain fluids. If these tubes become blocked due to respiratory infections or allergies, it can lead to fluid buildup in the middle ear, creating an environment conducive to infection.
• Respiratory infections: Common colds, flu, or other respiratory infections can contribute to the development of ear infections. The close proximity of the ears to the respiratory system allows pathogens to travel easily through the Eustachian tubes.
• Anatomical factors: Structural issues, such as unusually shaped Eustachian tubes or a cleft palate, can hinder proper drainage and ventilation of the middle ear, increasing the risk of infections.
• Allergies: Conditions like allergies can cause inflammation in the Eustachian tubes, damaging their functioning and leading to fluid accumulation in the middle ear.
• Exposure to Irritants: Smoke, air pollution, and exposure to secondhand smoke can inflame or irritate the respiratory tract and contribute to the development of ear infections.

Prompt treatment and addressing underlying causes can help reduce the risk of chronic or recurrent infections.

Symptoms of chronic ear infection include:

• Persistent or recurrent pain in the affected ear
• Fluid or pus drainage from the ear
• Gradual or sudden hearing loss
• Fever in the case of an infection

If you or your child experiences these symptoms regularly, seeking prompt medical attention is crucial for an accurate diagnosis and appropriate treatment.

Children are more prone to chronic ear infections than adults due to several anatomical and physiological factors:

1. In children, the Eustachian tubes are shorter, narrower, and more horizontal than in adults. This makes it easy for bacteria and viruses to cross from the throat to the middle ear, leading to infections.
2. Children have evolving immune systems, making them more susceptible to infections. Their immune responses may be less robust in fighting off pathogens that can cause ear infections.
3. Children often spend time in group settings such as daycare, preschool, or school, where infections can spread easily from one child to another. Close proximity and shared spaces increase the likelihood of exposure to infectious agents.
4. The adenoids, located near the Eustachian tubes, are part of the immune system and play a role in preventing infections. In children, adenoids are relatively larger than in adults, and their size can contribute to blockage of the Eustachian tubes.
5. The nasopharynx, the upper part of the throat that sits behind the nose, is smaller in children. This can lead to increased congestion and difficulty in drainage, creating a conducive environment for infections.
6. Children may be more prone to allergies, which can cause inflammation and blockage in the Eustachian tubes, promoting the development of ear infections.

Our experienced ENT specialists use a thorough diagnostic approach involving:

• Understanding your symptoms and medical background
• Examining the ear and surrounding structures
• Using imaging techniques if necessary

Treatment options for chronic ear infections may vary depending on the severity, frequency, and underlying causes. Common approaches include:

• Antibiotics for bacterial infections
• Over-the-counter pain relievers to alleviate pain and discomfort
• Medicated ear drops to help manage symptoms and address infections

Identifying and addressing underlying factors contributing to chronic ear infections is crucial. This may involve managing allergies, treating sinus issues, or addressing immune system concerns.

Our team at Kimball Health Services, including our primary care providers and ENT surgeon Dr. William O. Dickey, are committed to working with you to develop a personalized treatment plan to help you manage chronic ear infections for you and your child. 

As one of the top critical access hospitals in the nation, we pride ourselves on delivering high-quality, patient-centered care. 

In case of an emergency, call 911 or walk into our emergency department anytime. For appointments, call us at 308-235-1966 or request an appointment online. We're here for you whenever you need us.