Ear Infection (Otitis Media / Otitis Externa)

What Is It?

Otitis media: infection of the middle ear, common in adults after URI. Otitis externa (swimmer ear): infection of the ear canal. Both cause ear pain, pressure, and hearing changes.

How Is It Diagnosed?

Otoscopy (erythema, bulging TM for OM; canal edema/discharge for OE). Tympanometry for middle ear effusion.

How Is It Treated?

Otitis media: amoxicillin 5-7 days (most adults). Pain management. Otitis externa: topical antibiotic-corticosteroid ear drops (ciprofloxacin-dexamethasone). Keep ear dry.

Tests and Imaging Typically Needed

Clinical otoscopy exam primarily. Audiometry if hearing loss persists.

Approximate Self-Pay Costs

Office visit: $95-$150. Ear drops (OE): $20-$60. Amoxicillin: $5-$10.

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