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SymptomsHead, eyes, ears, nose and throat

Earache: which doctor should I see?

Earache is common in children, but adults have it too. It can be dull or stabbing and often follows a cold. Here you will learn what may be behind it, when it is urgent and which specialist to see.

Book a specialist

When it is urgent

  • Blood or clear fluid comes out of the ear after a blow to the head.
  • There is swelling, redness and pain behind the ear, and the ear is pushed forward.
  • Severe pain with a high fever, a stiff neck or a severe headache.
  • Sudden hearing loss or severe dizziness.
  • A baby under three months has a fever.
  • A child with a fever is very drowsy and hard to wake, has a fit, or has a rash that does not fade when a glass is pressed on it.

With these signs, seek emergency help — call 112 or go to the nearest emergency department.

Call 112

What it may mean

  • A middle-ear infection — pain, muffled hearing and fever, often after a runny nose.
  • An infection of the ear canal — pain when the ear is touched, often after swimming.
  • Earwax — muffled hearing and a blocked feeling.
  • Pain coming from the teeth, the jaw or the throat — felt in the ear, but the cause is elsewhere.

Which specialist

How to prepare for the visit

Note when the pain started and whether there is a fever or discharge from the ear. For a child, note whether there was a runny nose and how they sleep and eat. Bring a list of the medicines you take or give the child.

A specialist visit paid by НЗОК (NHIF) usually needs a referral from your GP; a referral is valid for 30 days. A paid visit is possible without one.

Frequently asked questions

Should I put drops in the ear before the visit?

Not without a doctor's advice — some drops are unsuitable if the eardrum is torn.

Can I clean the ear with a cotton bud?

Better not. A cotton bud can push the earwax deeper and hurt the canal.

ENT doctor or paediatrician?

For a young child the first doctor is usually the paediatrician. With frequent infections or reduced hearing, an ENT doctor. Book a visit without delay if pus or fluid comes out of the ear, there is swelling or redness behind the ear, or you have a high fever, diabetes or a weakened immune system.

This information does not replace a visit to a doctor.