hello laytonsancarlos A double ear infection is when both the inner and the middle ear become infected. A double ear infection can either be viral or bacteria A double ear infection will cause severe pain in and around the ear, plus fever, chills, fluid discharge from the ear and headache Double ear infections can be prevented by maintaining a healthy immune system--eating a well-balanced diet, drinking at least six 8-ounce glasses of water daily and getting eight hours of sleep a night. Hand washing will also stop the spread of harmful bacteria and viruses that cause double ear infections. your ear infection may be came with respiratory infection so avoid cold and oily food, according to me you can use cefpodoxime 200 mg tablet twice daily for 5days and any anti-inflammatory drug like nimuslide plus paracetamol combination