How to prepare for a telemedicine visit about Ear Pulling (Child)

Audience: adult

Ear pulling in children can be a sign of discomfort or an underlying ear problem such as infection or irritation. Preparing well for a telemedicine visit helps caregivers provide clear information to the healthcare provider, which can improve care. During the visit, the provider will ask about symptoms, observe the child's ear if possible, and suggest next steps. Telemedicine can be a convenient way to assess mild symptoms and decide if in-person care is needed. However, some signs require urgent attention and cannot be fully evaluated remotely. This guide helps caregivers understand how to prepare, what to expect, and when to seek immediate medical care for a child who is pulling their ear.

Red flags — go in person / ER

• Child has a high fever (above 39°C or 102°F) with ear pulling — seek immediate medical care.
• There is pus, blood, or continuous fluid draining from the ear — get urgent in-person evaluation.
• Child shows signs of severe pain, swelling around the ear, or difficulty hearing — seek emergency care.

What telemedicine can do

• Initial assessment of mild ear pulling and related symptoms.
• Providing advice on symptom management and home care.
• Determining if in-person evaluation is needed.

What telemedicine cannot do

• Performing a physical examination requiring instruments like an otoscope.
• Diagnosing severe infections or complications needing urgent treatment.
• Providing prescriptions for controlled substances or urgent interventions.

Understanding Ear Pulling in Children

Ear pulling is common in young children and may indicate discomfort. It can be caused by ear infections, teething, or irritation from allergies or dryness. Sometimes children pull their ears simply out of habit or curiosity. Observing other symptoms like fever, irritability, or fluid from the ear can help identify if medical attention is needed.

When to Use Telemedicine for Ear Pulling

Telemedicine is useful for initial assessments when symptoms are mild or unclear. It allows healthcare providers to ask questions, view the child's ear via video if possible, and recommend home care or further evaluation. Telemedicine can save time and reduce exposure to illness in clinics.

Preparing for the Telemedicine Visit

Before the visit, gather information about the child's symptoms, including when the ear pulling started, any fever, changes in hearing or behavior, and any other health issues. Have a quiet space with good lighting and a device with a camera ready. If possible, have someone help hold the child and show the ear to the camera.

What to Expect During the Visit

The healthcare provider will ask about the child's symptoms and medical history. They may request to see the ear through the camera. Based on the information, they will advise if home care is appropriate or if an in-person exam is needed. They will also provide guidance on symptom management and follow-up.

When to Seek In-Person Care Immediately

If the child has severe ear pain, high fever, swelling around the ear, fluid or blood draining from the ear, difficulty hearing, or signs of serious illness, seek emergency or in-person care promptly. These signs may indicate a more serious infection or complication.

How to prepare for your tele-visit

• Note when the ear pulling started and any other symptoms (fever, irritability, fluid from ear).
• Find a quiet, well-lit area for the telemedicine visit.
• Ensure your device (phone, tablet, or computer) has a working camera and microphone.
• Have someone available to help hold the child and show the ear if needed.
• Prepare a list of questions or concerns to discuss with the healthcare provider.

After your tele-visit

• Follow the healthcare provider's advice on home care and symptom monitoring.
• Use recommended medications or remedies as directed.
• Watch for any worsening symptoms or red flags and seek in-person care if they occur.
• Schedule follow-up appointments if advised.
• Keep a record of symptoms and treatments for future reference.

FAQs

Can ear pulling always mean an ear infection?

No, ear pulling can have many causes including teething, irritation, or habit. An ear infection is one possible cause, especially if accompanied by fever or ear pain.

How can I help my child during the telemedicine visit?

Try to keep your child calm and comfortable. Have someone assist you in gently holding the child and positioning the ear toward the camera for the provider to see.

What if I cannot show the child's ear clearly on camera?

Describe the symptoms as best as you can. The provider may still give advice or recommend an in-person visit if needed.

When should I take my child to the emergency room for ear pulling?

If your child has a high fever, severe pain, swelling around the ear, fluid draining from the ear, or difficulty hearing, seek emergency care immediately.

Can telemedicine provide prescriptions for ear infections?

Telemedicine providers may prescribe medications if appropriate, but some treatments require an in-person exam. Follow the provider's guidance.

Sources

1. Ear Infection in Children — MedlinePlus, U.S. National Library of Medicine.
2. Otitis Media (Middle Ear Infection) — Centers for Disease Control and Prevention (CDC).
3. Ear Pain in Children — Mayo Clinic.
4. Telemedicine: What You Need to Know — American Academy of Pediatrics (AAP).

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