If symptoms are severe (high fever, severe ear pain, swelling behind the ear, dizziness, facial weakness) or symptoms last more than 48–72 hours, seek urgent medical care
For mild pain:
Use acetaminophen or ibuprofen if appropriate for age and health conditions
Apply a warm compress to the outer ear
Do not put drops in the ear unless a clinician has confirmed the eardrum is intact
If there is ear drainage (possible eardrum perforation), avoid “drying” or non-prescribed ear drops and seek medical advice
If otitis externa (swimmer’s ear) is suspected (pain when pulling the ear, itching, ear canal swelling):
Use prescription ear drops as directed by a clinician
Keep the ear dry; avoid swimming
If otitis media (middle ear infection) is suspected:
Consider “watchful waiting” in some cases as advised by a clinician
Use antibiotics only if prescribed (depends on age, severity, and exam findings)
Avoid inserting cotton swabs, earbuds, or other objects into the ear
Manage contributing factors:
Treat allergies or nasal congestion if recommended by a clinician
Avoid smoke exposure
If you have tubes, chronic ear disease, or frequent infections:
Follow your clinician’s specific plan for drops/medication
Seek prompt care for new symptoms
Do not use leftover antibiotics or non-prescribed medications
If symptoms worsen or do not improve within 2–3 days, contact a clinician again