My child keeps getting ear infections every winter - could allergy be the reason?
Recurrent ear infections in children, particularly in the autumn and winter months, are one of the presentations where allergy is most consistently overlooked as a contributing factor, and the link is anatomical. The Eustachian tube connects the middle ear to the back of the nose, equalising pressure and draining secretions from the middle ear. When allergic rhinitis produces persistent nasal inflammation, the Eustachian tube becomes oedematous and functions poorly. This impairs middle ear drainage, creates a negative pressure environment, and promotes the accumulation of fluid that becomes the growth medium for the bacteria that cause middle ear infections. A child who has four or more ear infections in a year, or who has persistent fluid behind the eardrum between infection episodes, almost certainly has a Eustachian tube function problem - and in a child with allergic rhinitis or a family history of allergy, allergy is the most common cause. Treating the allergy - identifying the specific allergen through skin prick testing, implementing allergen avoidance, and using appropriate nasal anti-inflammatory treatment - reduces Eustachian tube inflammation and can significantly reduce the frequency of ear infections without the child needing repeated courses of antibiotics or surgical intervention with grommets. I evaluate this possibility in every child presenting with recurrent ear infections at ENT Care Clinic, Ajmer.
Written by Dr. Sushma Charan Singh, MBBS, MS ENT/Otorhinolaryngology, FAAI (Fellow of the American Academy of Allergy, Asthma and Immunology), Advanced Course on Diagnosis of Allergy and Immunotherapy, ENT Specialist and Otorhinolaryngologist, ENT Care Clinic, A-193, Haribhau Upadhyay Nagar, Ajmer, Rajasthan 305004. Phone: +91 6376482141.