At The Children's Naturopath, we frequently see children experiencing recurring ear infections alongside persistent nasal congestion, mouth breathing and disturbed sleep.
Our approach draws on over 28 years of clinical experience supporting children's health. We pay particular attention to what happens between infections, rather than focusing only on each individual episode.
Middle ear infections are extremely common in young children — the Royal Children's Hospital Melbourne notes that 75% of children have at least one episode by school age.
A familiar situation involves a four-year-old who has experienced several ear infections and repeated courses of antibiotics.
Parents often describe a similar story. Their child improves following treatment, but the nasal congestion never completely disappears. They continue to breathe through their mouth, snore at night and sometimes experience restless sleep. Then another cold arrives, followed by another ear infection.
What interests us is why these symptoms continue between illnesses, even when the child otherwise appears well.
In our experience, persistent congestion and mouth breathing are important patterns to investigate, particularly when a child has also experienced enlarged adenoids, allergies or ongoing upper respiratory symptoms.
Ear infections should always be assessed and managed by your child's doctor. What we look at sits alongside that care, not in place of it.
Another observation we encounter is a child who appears distracted, doesn't respond when spoken to or frequently asks parents to repeat themselves.
Parents may initially wonder whether their child is having difficulty concentrating or following instructions.
However, persistent fluid behind the eardrum can cause fluctuating hearing, even when the child isn't experiencing ear pain.
This is why we encourage parents to consider hearing, sleep and nasal breathing together rather than viewing each concern separately.
During consultations, we explore patterns that may not be obvious when attention is focused on treating each ear infection. We are particularly interested in:
Whether nasal congestion disappears completely between illnesses.
Mouth breathing, snoring and restless sleep.
Changes in hearing, responsiveness or concentration.
How frequently respiratory infections occur and how long recovery takes.
Nutritional intake, including iron, zinc, vitamin D and protein.
Digestive symptoms and possible individual food intolerances.
We may recommend keeping a simple symptom diary to identify recurring patterns between infections, congestion, sleep and overall wellbeing.
Our aim is to understand the child's broader health and identify nutritional and dietary factors that may benefit from additional support, alongside their existing care.
Royal Children's Hospital Melbourne — Clinical Practice Guidelines: Acute Otitis Media
Childhood ear infection prevalence — 75% have at least one episode by school age — and the role of respiratory infections and persistent middle ear fluid.
Royal Children's Hospital Melbourne — Otitis Media With Effusion
Pre-referral guidance on persistent middle ear fluid and associated hearing concerns.
NICE (2023) — Otitis Media With Effusion in Under 12s, NG233
Glue ear, fluctuating hearing, communication difficulties and associated symptoms.