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Ask Dr. Universe immune system

How do people get ear infections? – Lydia, 9, Illinois

Dear Lydia,

Ear infections aren’t fun. They can make your ears hot, itchy or painful. They can cause lots of pressure or make it harder to hear. Sometimes fluid leaks out of your ear.

I asked my friend Bevan Briggs why that happens. He’s a nurse practitioner and professor at Washington State University.

He told me people usually get outer ear or middle ear infections.

Your outer ear includes the flappy part attached to your head—called the auricle or pinna. It also includes the ear canal. That’s the tunnel that goes into your head. At the end of the ear canal, there’s a thin, flexible barrier of tissue called the eardrum. That’s the boundary between your outer ear and your middle ear.

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Why do we get rashes on our skin? – Claire, 9, Virginia

Dear Claire,

I’ve been allergic to fleas ever since I was a kitten. Flea bites give me an itchy, red rash.

I talked about why that happens with my friend Bevan Briggs. He’s a nurse practitioner and professor at Washington State University. Nurse practitioners are nurses with advanced training. They diagnose illnesses, order tests and prescribe medicine.

Briggs told me that often rashes happen when the immune system gets turned on. The immune system is the body’s defense system.

“It's the way our body tries to protect us from germs and poisons,” he said. “Rashes happen because your immune system identifies something as foreign—either an infective agent or some kind of toxin.”

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What is the difference between B cells and T cells in the immune system? – Tanveer, 11, California

Dear Tanveer,

Everyone who heard your question agreed that it’s a sophisticated one. To get my paws around the answer, I talked with my friend Phil Mixter. He’s an immunology professor at Washington State University.

He told me all living things need to protect themselves from microbes that could make them sick. These are called pathogens. They can be bacteria, viruses, fungi or parasites.

“Almost every organism I can think of—from plants to animals and beyond—has a defense system to handle the possibility that another organism might sneak in,” Mixter said.

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