Inner Ear Infection: Symptoms & Treatment

Published Jan 24, 2025

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Updated Jan 23, 2025

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Est. reading time: 4 minutes

Key points

  • Inner ear infections, or otitis media, can affect balance, hearing, and overall well-being, often caused by viral or bacterial infections, allergies, or certain medical conditions.
  • The two main types of inner ear infections are labyrinthitis, which impacts both hearing and balance, and vestibular neuritis, which primarily affects balance.
  • Symptoms of inner ear infections in adults include vertigo, tinnitus, headaches, earaches, nausea, balance problems, hearing loss, sensitivity to sound, and fatigue.
  • Treatment for inner ear infections depends on the type and cause, with antibiotics for bacterial infections, symptom management for viral infections, and potentially physical therapy for persistent balance issues.

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Inner Ear Infection: Symptoms & Treatment

What is an inner ear infection?

An inner ear infection is an inflammation of the inner ear structures, primarily affecting the labyrinth, which is responsible for balance and hearing, according to the CDC. They explain that this condition can disrupt the normal functioning of the inner ear, leading to symptoms such as dizziness, vertigo, hearing loss, and balance issues.

There are two main types of inner ear infections: labyrinthitis and vestibular neuritis. Labyrinthitis involves inflammation of both the cochlea and the vestibular system, often resulting in both auditory and balance-related symptoms. In contrast, vestibular neuritis primarily affects the vestibular nerve, leading to significant balance disturbances without impacting hearing.

What Are the Symptoms of an Inner Ear Infection in Adults?

The symptoms of an inner ear infection in adults can vary in intensity and may include the following according to the CDC:

  • Vertigo – A sensation of spinning or dizziness that can be severe and debilitating.

  • Ringing in the ear (tinnitus) – A persistent noise in the ear, often described as a ringing, buzzing, or hissing sound.

  • Headaches – Frequent or intense headaches that may accompany other symptoms.

  • Earaches – Discomfort or pain in the ear, which can range from mild to severe.

  • Nausea – Feelings of sickness that may lead to vomiting, often triggered by balance issues.

  • Balance problems – Difficulty maintaining balance or a feeling of unsteadiness.

  • Hearing loss – A decrease in hearing ability, which may be temporary or permanent.

  • Sensitivity to sound – Increased sensitivity to loud noises or certain frequencies.

  • Fatigue – General tiredness or exhaustion, often resulting from the strain of coping with other symptoms.

9 Symptoms of an Inner Ear Infection in Children

The symptoms of an inner ear infection in children can manifest differently than in adults, according to the CDC. They note a list of common signs to look out for include:

  • Trouble sleeping – Difficulty falling or staying asleep, often due to discomfort or pain.

  • Constant crying – Increased fussiness or crying, which may indicate discomfort or distress.

  • Loss of balance – Difficulty maintaining balance or coordination, leading to frequent stumbling or falls.

  • Fever – Elevated body temperature, which can be a sign of infection.

  • Fluid coming from the ear – Discharge or drainage from the ear, which may be clear, yellow, or bloody.

  • Ear pain – Discomfort or pain in the ear, which can be persistent or intermittent.

  • Headache – Complaints of headaches, which may accompany other symptoms.

  • Irritability – Increased irritability or mood changes, often due to discomfort.

  • Loss of appetite – Decreased interest in eating or drinking, potentially due to pain or discomfort in the ear.

How to Treat an Inner Ear Infection?

Treating an inner ear infection typically depends on the type of infection and its underlying cause, according to the CDC. For bacterial inner ear infections, doctors may prescribe antibiotics to eliminate the bacteria responsible for the infection. In cases where the infection is viral, antibiotics will not be effective, and treatment may focus on managing symptoms instead.

In addition to antibiotics, healthcare providers may recommend medications to help control nausea and vomiting, which are common symptoms associated with inner ear infections. Over-the-counter pain relievers can also be suggested to alleviate ear pain and discomfort. In some instances, physical therapy may be beneficial, especially if balance issues persist.

When to See a Doctor?

The CDC recommends that you seek professional medical care for inner ear infections if you experience any of the following signs:

  • Persistent symptoms – If symptoms such as dizziness, ear pain, or hearing loss continue for more than a few days without improvement, it's essential to consult a doctor.

  • Symptoms in a child less than 6 months old – Infants and young children with signs of an inner ear infection, such as fever or irritability, should be evaluated by a healthcare professional promptly.

  • Severe ear pain – Intense or worsening ear pain that is not relieved by over-the-counter pain medications warrants immediate medical attention.

  • High fever – A fever over 102°F (39°C) in conjunction with ear symptoms can indicate a more serious infection and should be assessed by a doctor.

  • Fluid drainage from the ear – If there is significant fluid or pus coming from the ear, especially if it is accompanied by other concerning symptoms, it's crucial to seek medical advice.

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FAQs

What is an inner ear infection and what causes it?

An inner ear infection, also known as otitis media, labyrinthitis or vestibular neuritis, is an inflammation of the inner ear structures, primarily affecting the labyrinth which is responsible for balance and hearing. It can be caused by various factors including viral or bacterial infections, allergies, and certain medical conditions.

What are the common symptoms of an inner ear infection in adults?

Symptoms of an inner ear infection in adults can include vertigo, ringing in the ear, headaches, earaches, nausea, balance problems, hearing loss, sensitivity to sound, and fatigue.

How do the symptoms of an inner ear infection differ in children?

In children, symptoms can manifest differently and may include trouble sleeping, constant crying, loss of balance, fever, fluid coming from the ear, ear pain, headache, irritability, and loss of appetite.

How is an inner ear infection treated?

The treatment for an inner ear infection depends on the type and cause of the infection. For bacterial infections, doctors may prescribe antibiotics. If the infection is viral, treatment may focus on managing symptoms. Medications to control nausea and vomiting, over-the-counter pain relievers, and in some cases, physical therapy may be recommended.

When should one seek medical attention for an inner ear infection?

Medical attention should be sought if symptoms such as dizziness, ear pain, or hearing loss persist for more than a few days without improvement, if symptoms are observed in a child less than 6 months old, if there is severe ear pain, a high fever over 102°F (39°C), or significant fluid or pus coming from the ear.

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Dr. Justin Bowles is a Board-Certified Family Medicine physician with expertise in urgent care, wilderness medicine, and medical education. He is affiliated with MultiCare Health System and Indigo Urgent Care in Washington.

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Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Topics in this article

Primary CareAllergiesIllnessEar Infection
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