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Q: Ear infections and head injuries
asked by: DoctorQuestion on July 16th, 2009
Hi,

My 3 year old daughter has been complaining originally of ear pain then upper neck pain on and off for the last couple of days. We have gone to her pediatrician and a walk-in clinic and she has been cleared with and the pediatrician said that it was probably her new pillow. We just remembered that she banged the back of her head about a week and a half ago on a dresser. She cried for about 5 minutes and everything was ok with no cuts or bruises. What we just realized today that the next day after the injury she had a few outbursts wanting her mother for the next 4 days. She didn't start to complain about her ear and upper neck pain until a week and a half later. Do you think this could be related and should we ask for a CT scan? She has been acting normal except for the complaint of the pain every once in a while. She is not crying. What do you recommend?

Thanks,

Orsolya


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Dr. Goce Aleksovski , MD
replied on August 22nd, 2009
Infants Answer A7104


According to the symptoms you reported (ear pain and pain in the neck, banged the back of the head about week and a half ago), your daughter might be experiencing an ear infection. Ear infection is not uncommon in infants and is easily spread via the Eustachian tube to the throat and the tonsils.


Inflammation of the tonsils as well as affection of certain of the neck lymph nodes might have caused the pain in the neck. The infection might be originating from the throat or tonsils and then spread to the middle ear.


You might want to visit your pediatrician for a follow up or ask for another opinion about the throat and tonsils condition as well as possible ear infection. If one is detected then antibiotics should be able to treat the condition.


The hitting might have caused minor damage to the head or the cervical part of the spine, although the pain should have been persistent. However, you might want to have an RTG or CT scan of the head or other imaging method. Visiting a neurologist to check for any neurological problems might be a good idea.




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