QUESTION
4 What would you do in this case, and what would you do if an adult who had a cold told you that he also had earache?

ANSWER

4 Earache in children should always be referred, as otitis media (infection of the middle ear) is fairly common and repeated attacks can lead to permanent damage if not managed properly. Use of an oral analgesic can be advised until a doctor can be seen. In adults, earache may sometimes be associated with an upper respiratory tract infection and, as long as the pain is not severe, can be treated with oral analgesics for up to 48 hours, before referral if the condition does not improve.