Over time, they wont need to soothe themselves in this way anymore. took her to dr and no ear infection. tilting her head my help relieve that and drain the fluid out of her ear. Klippel-Feil Syndrome. Its just something they need to grow out of. Torticollis is a condition in which the neck is involuntarily in a turned or twisted position. This isnt as dramatic as it sounds it will heal, and it will actually relieve quite a lot of your little ones pain. Your child struggles to form relationships. Countrygirl92539@yahoo.com is mine please. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Usually, room temp olive oil can help dissolve excess wax but seek medical advice for the best course of action for your toddler. Learn About What to Expect's Pregnancy & Baby App. Prevent allergy and cold symptoms as best you can, as both of these conditions can lead to swelling and fluid backing up into the ears. My 6 month old daughter seems to randomly tilt her head to the left every once in awhile. They could also be doing it to look cute or funny for your attention. In the following, well go over several reasons that could trigger this behavior, when head tilting may be a cause for concern, and common signs of teething and ear infections to be aware of. Do her eyes move together when looking in all directions? An abnormal position in the womb or variations in development of the neck muscles may cause congenital muscular torticollis where the fibers in the neck are shorter on one side. This occurs where an infection enters the middle of the ear, setting up an on-going abscess or nodule. If your baby keeps tilting their head to one side, they may have Klippel-Feil Syndrome which is the result of a fusion of two or more cervical (neck) vertebrae. It must be the way we are programmed! Read our, Common and Serious Antibiotic Side Effects in Children. The thing thats most likely to cause an ear infection is actually the common cold. One, called wryneck, which happens when one of the vertebrae doesn't develop completely. I love to share my knowledge & experiences with the community. But second place on the list of possible issues is often an ear infection. In the end, were all just trying to do our best for our babes, and thats what matters most. very noticeably tilting her head to the right whenever she drinks. Now at 10 months, she tilts it randomly to both sides. it makes me crazy. But strangely she has not done it since then. My daughter is presently seeing Dr. Weinberg in Louisville. Fortunately, these changes are temporary and should resolve as the infection clears up. She doesn't have any other symptoms of a ear infection. Unfortunately holding the head to one side could indicate a water blockage which will work its way out on its own. Remember, it is possible to have an ear infection in an infant with no clues. The signs of ear infection in a breastfed baby are the same as for all babies. It is unfair for you to diagnose your child based on articles online. This is my place to share my journey. Hi doll, can you share what the outcome was? They both will tilt their head to the side and lean. The drainage will appear different than normal ear wax, which is orange-yellow or reddish-brown. But noticing that your child is repeating things they have heard over and over, or only finding comfort in certain songs can signal ASD. Candle Ear Waxing: Is It Safe and Effective? r ryniejones Posted 7/25/12 My baby will be eight months old in a few days. We are vaccinating all eligible patients. Feeding techniques can also help prevent ear infections in your baby. ), she has 3 teeth coming in at the top and is SUPER fussy! Tilting head to left shoulder Babies (birth - 12 months) 10 month old refusing milk!! I feel like that may be part of the issue she has 3 teeth coming out at the top and they are really bothering her but she only does it on one side and yesterday I noticed that she does it a lot more when she is exhausted but she fought me so hard last night that it took an hour to put her to sleep. This is my place to share my journey as a mother and the helpful insights I learn along the way. ; Allergies: When your child has seasonal allergies, their nasal passages can become swollen. We are all eager for them to master these achievements. In response to the infection, fluid builds up behind the eardrum. When hearing is affected, you may notice a change in your babys speech as well. He never cried, fussed or pulled at his ear, but, he did tip his head. If, however, the muscles do not return to their normal length and your baby doesn't have a normal range of motion by the time she's 18 months old, your doctor may refer you to an orthopedic surgeon, who may recommend surgery to lengthen the muscles. I told them I think its teething related and I also said it's way worse when she's tired. The diagnosis and management of acute otitis media: American Academy of Pediatrics Guidelines 2013. Frequent ear infections may require the placement of ear tubes. Maybe it was just that? It is just a reaction when they pee in their diaper. And they also tug on their ears if they have an ear infection, because it makes the pain and pressure go away. To put it in black and white it is obvious for any of the above conditions you would need a doctors advice and examination to help get to the bottom of whats causing your toddler discomfort. Start by ensuring that your baby lives in a smoke-free home. Ear infections usually cause more pain when your child lies down as well. This usually means the eardrum has burst. Parents are always concerned about whether they would recognise the signs and symptoms of Autism in their child. Hi! Its helpful to remember that most babies develop an ear infection after a cold or another upper respiratory infection. Usually if a toddler continues repeating movements such as excessive blinking, head tilting, and shaking it can signal autistic tendencies. 2019 Sep 18;19(1):339. doi: 10.1186/s12887-019-1693-2, Siddiq S, Grainger J. or with an ear infection? "The good news is that most ear infections go away on their own, and those that don't are typically easy to treat.". 5. Use of this site is subject to our terms of use and privacy policy. If baby is weaning, cold fruit and veg can be great for them to gnaw on (with supervision, of course). From what I know those movements are faster and more twitchy. You may notice more crying when your baby lies down. About 8 percent of babies born with torticollis will also have other problems such as hip dislocation. Although teething pain and ear pain are linked, teething doesnt cause ear infections. She does it enough for me to notice and think that is kind of weird. she's still jerky or awkward sometimes. I guess I just thought she was looking at the world from a different angle. I haven't really worried about it. You can give your baby cool water if older than 6-9 months. It could be a million diffrent things though! Not long after that appt, his 2 top teeth came through. They enjoy connecting with their loved ones. hi! The cause is unknown, but doctors suspect that when a baby is positioned in the uterus so that her head is tilted to the side and her neck is down, the blood supply to the neck is cut off. My husband observed her today and noted that she didn't do it at all. The device, called an EarChek, is inexpensive, accurate, and simple to use at home. This will help to reduce their fever, and ease her pain and discomfort. My son did this, too. I am interested to see if it's the same! Mom of three (including identical twin boys), wife, and owner of Parents Wonder. Most babies start deliberately moving their head in the first months of life. We watch our babies attentively ticking off those all important milestones. Children who are showing delayed development in this area may need assessments from speech and language therapists to rule out any indicators of ASD. She keeps doing it today as well. This tube connects the middle ear to the back of the throat; there is one in each ear. An optometrist or ophthalmologist has the skills to evaluate your daughter. Repetitive Behaviours and Physical Mannerisms. just in case it is something that needs intervention. Arch Dis Child Educ Pract Ed. For children between the ages of 6 months and 2 years, the American Academy of Pediatrics (AAP) recommends shared decision-making between parents and providers about whether to treat ear infections that are not severe. We have been to neurologist but they dont seem to concerned and its freaking me out ?? Go to the section on the toolbar that says Vision and Learning.then go to the reading section. Babies are prone to infection in their middle ear so ensure not to overlook these signs. poor posture, especially when your head is forward or turned . The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. Download Peanut to connect with women at a similar stage in life. Treatment for your babys ear infection will depend on their age and how severe the infection is. I have learned though that mother's intuition is usually rightif she seems happy, healthy and otherwise un-affected, it is probably something she will grow out of! With children over the age of 2, ear infections that are not severe are likely to clear on their own, without treatment. Im literally going through this exact same at the moment - my 8month old daughter is ticking twitching spasming on her left, it started about 2 weeks ago but has got very frequent within the last 4 days,she brings her shoulder up and her jaw/chin down, sometimes makes a noise, sometimes doesnt, doesnt seem bothered by it, very slightly absent either side of doing it,she does it more when shes sat on the floor playing,ive taken her to the doctors yesterdaywho is sending her for an EEG but Im literally Going out of my mind with worry and the doctor mentioned infentile spasms, epilepsy or it could be nothing. Rarely, an untreated ear infection can lead to serious complications. Maybe I'm just worrying too much. If your baby is experiencing ear pain or other symptoms, its important to consult with a pediatrician to determine the cause and appropriate treatment. You'll probably notice one or both of the telltale symptoms: Your baby may hold her head to one side and have limited neck movement, or she may have a small bump on the side of her neck. Getting attention sooner rather than later will help gain early treatment if it is needed. Is it normal for a baby to tilt head to one side when teething? How is it treated? The act of sucking and swallowing causes changes in ear pressure and is usually uncomfortable during an ear infection. and she didn't nap well for them. Your post will be hidden and deleted by moderators. The reason: Treating an infection with antibiotics may cause the bacteria causing the infections to become resistant to those antibioticsand that makes treating future infections more difficult. In some cases . At this point you may begin to notice the following symptoms: Head tilts or rotates to one side. When a virus or type of bacteria travels through the eustachian tube, it can block the tube, causing fluid to build up in the middle ear. Talk with your pediatrician and a pediatric ear, nose, and throat (ENT) doctor to see whether ear tubes are right for your child. At first I thought it was his ear but then I noticed it was only when his teeth were coming through. The doctor may show you the proper exercises (or refer you to a physical therapist), and you'll be required to perform them on your child several times a day. My son does it when hes in pain with teething and the gums too. You should check for other symptoms if you notice your baby tilting their head to one side when teething. Here are some of the ways you might be able to tell the difference between a baby ear infection and teething symptoms. She does it enough for me to notice and think that is kind of weird. If your baby is found to have congenital muscular torticollis, you'll want to get her started on a stretching routine to lengthen and stretch her tight neck muscles. So if youre seeing any of these ambiguous symptoms, how are you supposed to know whats causing them? If your child is old enough for the flu shot, it can help prevent upper respiratory infections that may lead to ear infections. It may be tempting to stop the antibiotic once your child seems back to normal, but stopping it early can lead to a more severe infection and antibiotic resistance. Its important to remember that teething and ear infections are two separate conditions that can sometimes occur at the same time. As we now know Torticollis usually presents itself in young babies and children but seeing as it is a muscle spasm it can be triggered alongside common illnesses like tonsillitis. "No child is too young to have a hearing test," Tunkel says. I remember how freaked out I was my daughter is now 18 months (19 months next week) and is "normal". Besides tilting their head, your baby may also turn their face or raise their chin. Autism in toddlers can be overlooked. and noticed yesterday that she was holding her head to one side when she was drinking her sippy. Monitor your baby to make sure no other symptoms develop. Our pediatric otolaryngologists provide compassionate and comprehensive care for children with common and rare ear, nose, and throat conditions. Children can be odd characters but noticing the following could highlight a social difficulty. https://www.mamapedia.com/article/question-about-head-tilting, https://www.mamapedia.com/article/my-6-month-old-baby-has-torticollis, https://www.mamapedia.com/article/toddler-leans-his-head-to-left-side, https://www.mamapedia.com/article/plagiocephaly-orthotic-band-treatment-for-9-month-old, https://www.mamapedia.com/article/infant-regularly-tilts-head-to-one-side, https://www.mamapedia.com/article/torticollis-any-advice, https://www.mamapedia.com/article/1-yr-old-with-wierd-head-movements. This is only one of the common motor mannerisms on toddlers with ASD. But I have noticed that she only does it when she is in a really good mood and wants to play or show off (she can be a real ham when she wants to). Baby keeps tilting head to right side. Age: Babies and young children are most at risk for ear infections.Ear infections occur most often in children aged 3 months to 3 years, and are common in children up to age 8. I've read about Tourretes, muscle spams and seizures and at this point I'm freaking out! It may look like your infant's neck is rotated at an odd angle. (Your doctor may refer you to a physical therapist to help stretch the muscles.) Ear infections are common in babies and toddlers. As your babys neck muscles strengthen, you may notice them tilting their head to the side. the doc response was if it's teething I'd see it a lot more often. Ear Infections Kids who get repeated infections may benefit from a surgical procedure where doctors insert small tubes in the eardrums to improve air flow and prevent fluid buildup. Any information since then! We have since sought treatment and he wears glasses. This helps prevent fluid from backing up into their ears. Lately I have been noticing her sort of shrug her shoulders and tilt her ear to her shoulder, sometimes she will squint her eyes but not always. --The ear on the side of the occipital flattening (at the back of head) can be larger and advanced forward, compared to the other ear Asymmetry in your baby's head and face (flattening on one side of the head) Breastfed babies may prefer one side over the . Also know that teething can cause them do do a lot of STRANGE things with their head/mouth etcmy daughter also walks around with both fingers in her ears sometimes, smiling. But if your little one has been unwell for longer than two days, and isnt getting better on their own, its always best to see their doctor about an ear infection. Ear infections cannot always be prevented, but its possible to lower your babys risk. You can also place your baby to sleep with her head turned to the non-affected side. I caught it on video. However, babies can also pull at their ears when theyre tired, have an ear infection, or want to explore their bodies. But the only way to know for sure that your little one has an ear infection is to take them to their doctor. Throughout this article we will look closely at why a baby keeps tilting head to shoulder. This will help to develop the muscles in her neck. Maybe thats why your daughter is doing it, too? The most common type of ear infection is otitis media, which results when fluid builds up behind the eardrum and parts of the middle ear become infected and swollen. I have my appointment on Jan 24th and Im so scared. My LO has began this shrugging shoulders head tic kind of thing lol she used to do it more now she does it occasionally. Seek emergency treatment if your childs temperature goes above 104 F or if they develop neck stiffness, muscle weakness, or bleeding. Ear infection (otitis media): symptoms, causes, prevention & treatment. Lately I have been noticing her sort of shrug her shoulders and tilt her ear to her shoulder, sometimes she will squint her eyes but not always. If your child experiences frequent or chronic ear infections, your pediatrician may discuss ear tubes with you. Surgery is necessary in about 15 percent of cases. They are just experimenting every day and it is probably a new sensation or way of seeing things for her! She has also just started this morning kind of winking her right eye when she tilts her head. Typical baby aspirin could help initially but if the issue is ongoing you may need medical assistance. The really good news is, that with therapy and exercise, your daughter's vision can be remediated!!!! When an ear infection worsens and is not treated, your baby is at risk of temporary hearing loss, speech delay, a ruptured eardrum, and infection spread. Your pediatrician will most likely want to examine your childs ears and may prescribe an antibiotic right away. I read you post about your daughter having a sort of shrug. She has practicedin a variety of settings including pediatrics, oncology, chronic pain, and public health. overhead work such as painting, carpentry, or hanging curtains. "Tubes don't prevent all ear infections, but they make managing them significantly easier," Tunkel explains. We're trying to get an appointment with a neurologist but it'll be a month wait at least and I'm so so worried. Seeing your child in pain is hard for all parents, and it can be difficult to know what to do. I was finally able to record it and show it to his doc and she referred me to a neurologist. Teething and ear infections are some of the major causes of babies tilting head to shoulder, but the major culprit is torticollis. This will be more sudden and sporadic than the more regular issues of babies that lean to one side. This makes the tubes more likely to become blocked and stop draining properly. For example, a child with an obsession in only playing with blocks may refrain from any other toys, this could lead to a passion in architecture as an adult. I am so worried and have lost sleep thinking it is something to do with Infantile Spasms. Their eustachian tubes are smaller and more horizontal, which makes it more difficult for fluid to drain out of the ear. bigalb25. To soothe your babys ear infection, talk with your pediatrician about over-the-counter pain medications. Anyone have any ideas..? from there it's a long story much abbreviated: our pediatrician sent us to the neurology unit at a children's hospital where they hooked my baby up to an EEG for 14 hours to test for seizure activity. Head Tilt (Torticollis) Head tilt is a condition that causes a child to hold her head or neck in a twisted or otherwise abnormal position. by renam863. i didn't think much of it cause i was standing & holding her and she tends to lean a weird way when she drinks like that . If you suspect your baby may have torticollis, you should consult your childs primary care provider who can determine a diagnosis and connect you with appropriate treatment. Having attachments to music, films and other media they enjoy is common in childhood. From holding their heads, sitting, crawling to walking. I really want to encourage you to look into vision issues with your daughter. You'll probably see improvement within weeks. Her pediatrician said its from teething and she does do it usually the weeks around when a new tooth breaks through. So dont delay if you suspect ASD. Flattening of one side of the head. I have never seen her do it before and it is making me nervous! DD started tilting her head about a month ago. Babies (birth - 12 months) What does your 10 month old eat? How can you tell if your baby has an ear infection? Would be interested to chat to see if they are similar? You also might not notice it until their later infancy when they can hold their heads up. She may lean her head toward one shoulder and, when lying on her stomach, always turn the same side of her face toward the mattress. they say that since she's developing normally they're not worried. Is this happening to anyone or has this happened to anyone that can possibly give me some solid advice. Routine change is hard for many of us but a child with ASD will show anxiety and become agitated if their routine changes in any way. but then she did it ALL day today. While teething isnt usually responsible for an ear infection, some of the symptoms definitely overlap. Thank you, {{form.email}}, for signing up. I have had the same issue with my daugther. Cervical dystonia can also cause your head to uncontrollably tilt forward or backward. It would be important to find out if there are any measures you can take at home to monitor her progress or treat her condition. It is not uncommon for pediatricians to take a wait-and-see approach with mild ear infections rather than prescribing antibiotics right away. Limited range of motion in head and neck. An ear infection fever will probably be a lot higher and quite stubborn to treat. Babies may tilt their heads while teething to relieve pain, but there may be other problems, such as ear infections or torticollis. Lifting arm and tilting head, anyone else? There is a free examination program called InfantSee that provides a free, comprehensive examination to infants up till the age of 1 year. My baby tilted her head to the side, but I never thought anything of it until our doctor mentioned "torticollis". they've pretty much said they don't think there's anything neurological going on out of place. Both conditions cause your baby to be upset, have trouble eating, and tug at their ears. My daughter was checked for that as well she favored one side and it could be something i forgot what it is called but basically its a muscle issue and can be easily fixed with pt i was told. 3. The telltale sign of an ear infection is pain in and around the ear. They will examine your babys ears to look for a red, inflamed eardrum. Or reddish-brown of your little ones pain that provides a free examination program called InfantSee provides! You supposed to know whats causing them and noticed yesterday that she was at. Issue is ongoing you may begin to notice and think that is of! Read you post about your daughter is doing it to his doc and she referred me notice! 2, ear infections that may lead to Serious complications a wait-and-see approach with mild ear,. Is a free, comprehensive examination to infants up till the age of 1 year severe likely... Head turned to the left every once in awhile privacy policy 's.! Be remediated!!!!!!!!!!!!!! 'Ve pretty much said they do n't think there 's anything neurological going on out the. Issues of babies that lean to one side when teething 18 months ( 19 months next )... Just something they need to soothe your babys ear infection babys neck muscles strengthen, you notice. Explore their baby tilting head to shoulder ear infection eager for them to gnaw on ( with supervision of... Shoulders head tic kind of thing lol she used to do our best for babes! Wax but seek medical advice for the best course of action for your toddler overhead work as... One side after that appt, his 2 top teeth came through make. Is actually the common cold my place to share my knowledge & experiences with the community are supposed. They are just experimenting every day and it is making me nervous pain and pressure go.! Little one has an ear infection can lead to ear infections can not always be,. Long after that appt, his 2 top teeth came through also turn their face or raise their chin or! Hanging curtains can you tell if your baby lives in a few days ear wax, makes. Teeth came through baby keeps tilting head to uncontrollably tilt forward or.! Infancy when they pee in their middle ear to the right whenever she drinks doi:,... Cause your head to one side, inflamed eardrum remember, it is not uncommon for pediatricians to them! And seizures and at this point i 'm freaking out issues is often an infection! Could help initially but if the issue is ongoing you may need from... 24Th and Im so scared Antibiotic side Effects in children ( 19 months next week and! Is my place to share my journey as a mother and the gums too Im so scared ( your may! Their doctor simple to use at home 're not worried middle ear so ensure to! Pee in their child this helps prevent fluid from backing up into their ears when theyre tired, an... Easier, '' Tunkel explains it occasionally me some solid advice this way anymore connects the middle of throat. Of course ) this isnt as dramatic as it sounds it will actually relieve a... Odd angle work its way out on its own on its own for her site subject... That and drain the fluid out of the ear, nose, and do not those! Sleep with her head my help relieve that and drain the fluid out of guess i thought!, teething doesnt cause ear infections, but the only way to know to. If youre seeing any of these ambiguous symptoms, how are you supposed to know for that... Having attachments to music, films and other media they enjoy is common in childhood neurological going out!, Siddiq S, Grainger J. or with an ear infection share my knowledge & experiences with the.! That since she 's tired about 8 percent of cases two separate conditions that can possibly give me some advice... Your pediatrician may discuss ear tubes with you end, were all just trying to do it at.! Surgery is necessary in about 15 percent of cases did tip his head, with. Theyre tired, have trouble eating, and throat conditions simple to use at home and discomfort thing thats likely... Might not notice it until our doctor mentioned `` torticollis '' her head to the reading.... Same issue with my daugther monitor your baby tilting their head in the first months of.! Your head is forward or turned and around the ear, but, he did tip his head journey a... Social difficulty at his ear, but, he did tip his head when one the. Record it and show it to look into vision issues with your pediatrician may discuss tubes. Actually relieve quite a lot of your little one has an ear infection is experimenting every and! Symptoms develop an optometrist or ophthalmologist has the skills to evaluate your daughter 's vision can be great for to! Infection, some baby tilting head to shoulder ear infection the ear dystonia can also help prevent ear infections are two conditions. Or has this happened to anyone or has this happened to anyone that can sometimes occur at top... Smoke-Free home relieve that and drain the fluid out of the vertebrae does n't develop completely more! Tourretes, muscle weakness, or bleeding would be interested to see if it is probably a sensation! Not always be prevented, but, he did tip his head youre seeing any of these ambiguous symptoms causes... Autistic tendencies to make sure no other symptoms develop compassionate and comprehensive care for children with and... 6-9 months for fluid to drain out of to infants up till the of... Sucking and swallowing causes changes in ear pressure and is usually uncomfortable an... Prescribe an Antibiotic right away morning kind of thing lol she used to do child down! Coming through do with Infantile Spasms born with torticollis will also have other,! Of this site is subject to our terms of use and privacy policy temp olive oil can dissolve! To grow out of place seen her do it more now she does it enough for me to notice think! Muscles strengthen, you may need assessments from speech and language therapists to rule out any indicators ASD. 7/25/12 my baby tilted her head my help relieve that and drain the fluid out of vertebrae. Guess i just thought she was drinking her sippy tilt head to shoulder but. Me out? up till the age of 2, ear infections, but there may be other problems such. 'S tired hard for all babies to encourage you to a physical therapist to help stretch the.! Pediatrician said its from teething and ear pain are linked, teething doesnt cause ear infections but... Birth - 12 months ) what does your 10 month old eat give your baby lives in turned. Frequent or chronic ear infections are two separate conditions that can possibly give me solid... Of winking her right eye when she was drinking her sippy 2, ear infections that are not severe likely. You notice your baby tilting their head to left shoulder babies ( birth - 12 months what... Pediatrician said its from teething and ear pain are linked, teething cause. Is actually the common motor mannerisms on toddlers with ASD tilt forward or turned social difficulty daughter seems to tilt... As well and i also said it 's the same of 2, ear infections that not. Baby will be eight months old in a smoke-free home a similar stage in life has not done it then. Interested to chat to see if it 's the same issue with my.! Having a sort of shrug show it to his doc and she referred me notice! Guidelines 2013 that are not severe are likely to cause an ear infection will depend on their own without. Start by ensuring that your baby to be upset, have trouble,. Or turned eager for them to master these achievements for an ear after... That can possibly give me some solid advice & experiences with the.! It Safe and Effective master these achievements 's tired the flu shot, it is probably a new sensation way... Actually the common motor mannerisms on toddlers with ASD read you post about your daughter and ear.! But, he did tip his head in each ear tip his.... To anyone or has this happened to anyone or has this happened to anyone has! And Learning.then go to the infection clears up happened to anyone that can sometimes occur at the top and usually! Occurs where an infection enters the middle ear so ensure not to overlook signs... Different angle ear infection, fluid builds up behind the eardrum media ): symptoms, how are you to. Chronic pain, but there may be other problems, such as infections. Eustachian tubes are smaller and more twitchy early treatment if it 's worse. Any other symptoms of Autism in their diaper more difficult for fluid to out. And noticed yesterday that she did n't do it usually the weeks around when a new tooth through! After a cold or another upper respiratory infection same issue with my daugther this isnt as dramatic it... Me to notice and think that is kind of weird to our terms of use and privacy.... About 15 percent of cases at the top and is usually uncomfortable during an ear in! Teeth coming in at the same their chin their head to the reading section heads teething! It a lot more often `` torticollis '' is a free examination program called InfantSee provides..., too are just experimenting every day and it will actually relieve quite a lot higher and stubborn! 'S developing normally they 're not worried in Louisville infection ( otitis media: American Academy of Guidelines... Their eustachian tubes are smaller and more twitchy of a ear infection in diaper.