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Ears, Pulling at or Itchy

Description / Symptoms

A child repeatedly pulls, tugs, pokes or itches the outer ear or ear canal.

Most younger children (under age 2 or 3) who pull or poke at the ear are unable to confirm or deny the presence of an earache.

Dr. Ray Baker examined 100 children with ear-pulling as the chief complaint. The main conclusion was that simple ear-pulling without other symptoms of an illness or infection was never associated with ear infections.

Cause

Infants: normal touching and pulling with discovery of ears. This behavior is usually not seen before 4 months of age.

Older children with mild swimmer's ear from:

  1. Water accumulation during swimming or showers
  2. Soap or shampoo retention
  3. Canal irritation from cotton-tipped swabs.

When to Call Your Doctor for Ears, Pulling at or Itchy

Call Your Doctor Now If:

  • Your child looks or acts very sick
  • Fever > 104°F (40°C)
  • Age < 12 weeks with fever >100.4°F (38.0°C) rectally

Call Your Doctor Within 24 Hours If:

  • You think your child needs to be seen
  • Seems to be in pain or crying without an obvious reason
  • Starts awakening from sleep
  • Fever or symptoms of a cold are present
  • Drainage from the ear canal
  • Constant digging inside 1 ear canal

Call Your Doctor During Weekday Hours If:

  • You have other questions or concerns

Home Care (Read "Call Your Doctor…" first):

Habit

If touching the ear is a new habit, ignore it (prevent doing it for attention).

White Vinegar Eardrops

Use ½ strength white vinegar by diluting it with equal parts water. Place 2 drops in each ear canal daily for three days. (Reason: restore the normal acid pH). (Exception: ear drainage, ear tubes or hole in eardrum).

Avoid Soap

Keep soap and shampoo out of the ear canal.

Avoid Cotton Swabs

Cotton swabs remove the earwax that normally protects the lining of the ear canal, and this leads to itching and irritation.

Expected Course

With this treatment, most itching is gone in 2 or 3 days.

Call Your Doctor If:

  • Pulling at the ear continues > 3 days
  • Itching continues > 1 week
  • Your child becomes worse or develops any of the "Call Your Doctor…" symptoms

Related Health & Safety Information

Parent Care for Pediatric Symptoms. Copyright 2000-2006.