How to prepare for a video visit about Ear Infection (Otitis Media) - Triage

Audience: pediatric

Ear infections, also called otitis media, are common in children and can cause ear pain, fever, and irritability. A video visit with a healthcare provider can help assess symptoms and decide if your child needs treatment or further care. Preparing for the visit helps make the most of the time and ensures important details are shared. During the video visit, the provider may ask about your child's symptoms, medical history, and may request to see the child's ear with a camera if possible. While many ear infections improve on their own, some may need medicines or in-person evaluation. This guide helps families prepare for a telemedicine visit about ear infections, understand when to seek urgent care, and what to expect after the visit. Remember, telemedicine is a helpful tool but does not replace in-person care when needed.

Red flags — go in person / ER

• Severe or worsening ear pain not relieved by pain medicine — seek urgent care.
• High fever above 39°C (102.2°F) lasting more than 2 days — seek urgent care.
• Fluid or pus draining from the ear — seek urgent care immediately.

What telemedicine can do

• Initial assessment of ear infection symptoms in children.
• Providing guidance on symptom management and home care.
• Determining if in-person evaluation or treatment is needed.
• Answering general questions about ear infections and prevention.

What telemedicine cannot do

• Performing a physical examination with specialized instruments like an otoscope.
• Diagnosing complicated or severe ear infections requiring immediate intervention.
• Prescribing certain medications that require in-person evaluation.
• Treating complications such as hearing loss or facial paralysis.

What is an Ear Infection (Otitis Media)?

An ear infection happens when the middle part of the ear becomes inflamed, often due to a virus or bacteria. It is common in children and can cause symptoms like ear pain, trouble hearing, fever, and fussiness. Sometimes fluid builds up behind the eardrum, which may cause discomfort or pressure.

How to Prepare for Your Child's Video Visit

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What to Expect During the Video Visit

The healthcare provider will ask about your child's symptoms and may guide you to show the child's ear using the camera. They will assess whether your child needs medicine, further tests, or an in-person exam. They may give advice on pain relief and home care.

When to Seek Urgent In-Person Care

If your child has any of the following, seek emergency care immediately:

After the Video Visit: What to Do Next

Follow the provider's advice carefully. This may include giving medicines, watching for changes, or scheduling a follow-up visit. Keep your child comfortable and monitor symptoms. If symptoms worsen or new concerns develop, contact your healthcare provider promptly.

How to prepare for your tele-visit

• Choose a quiet, well-lit room for the video call.
• Have your child's medical history and current symptoms noted.
• Prepare a flashlight or device camera to show the child's ear if possible.
• Write down any questions or concerns you want to discuss.
• Ensure your internet connection and device are working properly.

After your tele-visit

• Follow the healthcare provider's instructions on medication and care.
• Monitor your child's symptoms closely for improvement or worsening.
• Schedule a follow-up visit if recommended.
• Seek in-person care if red flag symptoms develop.
• Keep your child comfortable and hydrated.

FAQs

Can I show my child's ear during the video visit?

Yes, if your device has a camera and good lighting, the healthcare provider may ask you to show your child's ear to help assess the situation. However, this does not replace a full in-person exam.

How long does an ear infection usually last?

Many ear infections improve within a few days to a week, especially with proper care. Some may take longer or need treatment with antibiotics if bacterial infection is suspected.

When should I give my child pain medicine?

Pain medicine like acetaminophen or ibuprofen can help relieve ear pain and fever. Follow dosing instructions carefully and consult your healthcare provider during the video visit for specific advice.

Can ear infections be prevented?

While not all ear infections can be prevented, good hygiene, avoiding exposure to smoke, breastfeeding infants, and keeping up with vaccinations may reduce risk.

Sources

1. Ear Infection (Middle Ear) — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Otitis Media — Centers for Disease Control and Prevention (CDC).
3. Ear Infection (Otitis Media) — Mayo Clinic.
4. Otitis Media in Children — American Academy of Pediatrics (AAP).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child has severe symptoms or you are concerned, seek immediate medical attention.