Hello, I'm Dr. Emily, a board-certified otolaryngologist (ear, nose, and throat doctor). I specialize in the diagnosis and treatment of ear, nose, and throat conditions, including ear infections.

It's a common question: can an ear infection in adults go away on its own? The answer isn't always clear-cut. It depends on a few factors, including:

* The type of ear infection: There are two main types of ear infections in adults:
* Acute otitis media (AOM): This is the most common type, and it's caused by a bacterial or viral infection in the middle ear. AOM often causes pain, fever, and hearing loss.
* Otitis externa (OE): This is an infection of the outer ear canal, often caused by bacteria or fungi. It usually causes pain, itching, and swelling.
* The severity of the infection: Mild ear infections may resolve on their own, while more severe infections may require treatment.
* The individual's overall health: People with weakened immune systems or other health conditions may be more likely to experience complications from an ear infection, so it's important to seek medical advice.

**Here's a breakdown of what to expect based on the type of infection:**

Acute Otitis Media (AOM)

While AOM is often caused by bacteria, it can sometimes be caused by a virus. In some cases, the infection can resolve on its own, especially if it's mild. However, this is not always the case. Here's why:

* Bacteria: Bacterial infections can sometimes spread and worsen, potentially leading to complications like:
* Hearing loss: If the infection isn't treated, it can damage the tiny bones in the middle ear, leading to hearing loss.
* Mastoiditis: This is an infection of the mastoid bone, located behind the ear. It can cause severe pain, swelling, and drainage.
* Meningitis: This is a serious infection of the membranes surrounding the brain and spinal cord. It can cause fever, headache, stiff neck, and confusion.

* Viruses: Viral infections usually don't require antibiotics, as antibiotics are ineffective against viruses. However, they can still cause pain and discomfort. It's important to note that while the body's immune system can usually fight off viral infections, it's essential to consult a doctor for proper diagnosis and management.

Otitis Externa (OE)

OE is typically caused by water getting trapped in the ear canal, creating a moist environment where bacteria or fungi can thrive. In some cases, OE can resolve on its own, particularly if it's mild. However, it's essential to keep the ear canal dry and clean to prevent the infection from worsening. If OE is severe, it can cause:

* Severe pain: The pain can be so intense that it's difficult to sleep or move your head.
* Swelling: The swelling can block the ear canal, leading to hearing loss.
* Drainage: The ear canal may drain pus or fluid, which can be foul-smelling.

**What to do if you think you have an ear infection:**

* See a doctor: It's essential to see a doctor for a proper diagnosis and treatment.
* Don't self-medicate: Using over-the-counter ear drops without a doctor's advice can actually worsen the infection.
* Keep your ears clean and dry: This is especially important for OE.

Treatment for ear infections:

Treatment for ear infections depends on the type of infection and its severity.

* AOM:
* Antibiotics: For bacterial infections, antibiotics are often prescribed.
* Pain relievers: Over-the-counter pain relievers can help to relieve pain.
* Ear drops: Ear drops can help to reduce inflammation and pain.
* OE:
* Ear drops: Ear drops that contain antibiotics or antifungals are often prescribed.
* Pain relievers: Over-the-counter pain relievers can help to relieve pain.
* Steroid drops: Steroid drops can help to reduce inflammation.

In Conclusion:

While some ear infections can resolve on their own, it's essential to see a doctor for a proper diagnosis and treatment. Left untreated, ear infections can lead to serious complications. By seeking medical advice and following your doctor's instructions, you can effectively manage your ear infection and prevent any further complications.
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The treatment of a middle ear infection depends on how bad the symptoms are and what's causing the infection. Many infections will go away on their own and the only treatment necessary is medication for pain. Up to 80% of ear infections may go away without antibiotics.read more >>