Q: I gave 10ml of ibuprofen to my 7-year-old (30kg) for sudden ear pain. Is this dosage correct, and how much should I give next?
- Myeongchan Kim, MD

- Jul 2
- 2 min read
Updated: Jul 8
Medically reviewed by Sang Hyun Ahn, MD
Content edited by Myeongchan Kim, MD
This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

Question:
My 7-year-old child (weighing 30kg) suddenly complained of ear pain, so I gave them 10ml of ibuprofen. They do not have a fever, but I am worried that 10ml might be too much. If they complain of pain again, how many milliliters should I give them for the next dose?
Answer:
Let me clarify the appropriate ibuprofen dosage for a 7-year-old weighing 30kg.
[Dosage Calculation]
• For a 30kg child, the recommended dose is 150-300mg (5-10mg per kg of body weight).
• To determine if the 10ml you administered was appropriate, you need to check the concentration on your ibuprofen bottle:
If it is a 20mg/ml product (standard syrup): 10ml equals 200mg, which is an appropriate dose.
If it is a 40mg/ml product (concentrated): 10ml equals 400mg, which is a slightly high dose.
[For Additional Doses]
• If using a 20mg/ml product: You can give 7.5 to 10ml per dose.
• If using a 40mg/ml product: Please reduce the dose to 4 to 5ml.
• Always wait at least 6 hours between doses, and do not exceed 4 doses in a day.
[Managing Ear Pain at Home]
• Apply a warm compress (like a warm, damp towel) to the affected ear.
• Elevate the child's head using a pillow.
• Encourage them to drink water frequently, as the swallowing action helps relieve pressure in the ear.
[When to See a Doctor]
Please visit a clinic if you notice any of the following:
• The pain persists or worsens.
• There is discharge coming from the ear.
• Your child experiences a decrease in hearing.
• A fever develops.
Sudden ear pain is often a sign of a middle ear infection (otitis media). Therefore, it is highly recommended that you take your child to an ENT (Ear, Nose, and Throat) specialist or a pediatrician for a proper examination tomorrow.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.




