Ear - Congestion

1. More Chewing and Swallowing: Swallow water or other fluid while the nose is pinched closed. (Reason: creates a vacuum in the nose that helps the Eustachian tube to open up.) After age 6, can also use chewing gum.

2. Decongestant Nasal Spray (Age 12 years or older):

   • If chewing doesn't help after 1 or 2 hours, use a long-acting decongestant nasal spray. You can ask your pharmacist to recommend a brand.

   • Dosage: 1 spay per side, 2 times per day as needed.

   • Don't use more than 5 days. (Reason: rebound swelling)

   • An oral decongestant (e.g., pseudoephedrine) may help if the nasal spray is not available (See Dosage table).

3. Antihistamines:

   • Nasal allergies can cause ear congestion.

   • If your child has hay fever or other allergies, give an oral antihistamine such as Benadryl (See Dosage table).

   • See Hay Fever topic for details.

4. Expected Course: The symptoms usually clear within 2 days (48 hours) with treatment. It's safe for your child to swim.

5. Prevention for Airplane/Mountain Travel:

   • Swallow during descent using a pacifier or fluids

   • Children over age 6 can chew on gum during descent

   • Yawning also can open the middle ear

6. Call Your Doctor If:

   • Ear pain occurs

   • Ear congestion lasts over 48 hours

   • Your child becomes worse

And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.