Tablets from otitis

The most effective anti-otitis media

Otitis is a serious ENT disease, localized in different parts of the ear. As a rule, medications for otitis should be prescribed by an otolaryngologist. Given the fact that people of any age and with different health conditions are affected by the disease, it is the doctor who determines the methods of treatment, the form of the drugs and their dosage.Often, complex therapy is used to cure otitis, which includes taking antibiotics, using ear drops and warming compresses.

Drops for use in otitis media

Modern pharmaceuticals offer many medications for instillation in the ears. If we consider drops, then they are divided into 3 groups and can be:

• antibacterial (Normaks, Tsipromed, Otofa, Fugentin, etc.);
• anti-inflammatory drugs based on nonsteroidal agents (Otipax, Otinum, etc.);
• combined on the basis of glucocorticoid hormones (Anauran, Dexona, Sofrax, etc.).

Drops of combined action are prescribed for otitis, located in the outer or middle ear. Can be used in both adults and babies. But due to the presence of many side effects, glucocorticoid-based drugs are prescribed for children only in extremely difficult cases.

Antibacterial drugs are used in the case of development of purulent or chronic otitis, located in the middle ear.

Like any antibiotic, drops of this group can cause allergic reactions, which are manifested by rashes on the skin, itching or burning in the ear canal and even Quinck's swelling.

In recent years, new antibacterial agents have been developed. Since the likelihood of developing allergies in their use is extremely small, they are assigned to children of any age.

Use of antibiotics for otitis

In order for the treatment process to be carried out as efficiently as possible, complex therapy includes the administration of antibiotics. In acute otitis media, the doctor may prescribe the following medicines:

1. Ampicillin is a semi-synthetic penicillin, available in the form of capsules, powder or tablets. It is not recommended for people who suffer from liver failure, pregnant or lactating women. Often accompanied by side effects, the main among which: dysbacteriosis, allergic reactions, headache, diarrhea, anaphylactic shock.
2. Amoxicillin is a preparation of antibacterial and bactericidal properties, manufactured in the form of capsules. As side effects, allergies and superinfections may occur.

If the patient is diagnosed with chronic otitis media of the middle ear, the doctor may prescribe the following medicines:

1. Nethylmicin is a drug from the aminoglycoside group in the form of ear drops. Side effects occur extremely rarely, despite this, it is contraindicated for the elderly, newborns, pregnant and lactating women.
2. Ciprofloxacin is an antibiotic belonging to the group of fluoroquinolones and having a wide spectrum of action. Reception can be accompanied by such side effects as insomnia, candidiasis, tachycardia, diarrhea, dizziness and nausea. It is used as the main drug in the treatment of otitis media in many European countries, but it is contraindicated in pregnant and lactating women and children under 18 years of age.

Children should be treated with extreme caution when taking antibiotics, strictly following all recommendations and appointment of a doctor, as uncontrolled treatment can bring serious harm to a fragile body.

Compresses for otitis

Most often, compresses are used in complex therapy in the treatment of children. The main thing here is to remember that compresses can be done only if the child does not have a fever.

As a compress can serve as a fleece, moistened with heated boric alcohol and inserted into the ear canal of the diseased ear. In addition, you can use vodka or vaseline oil, heated to body temperature.

To make this warming compress, take 3-4 gauze wipes and put them on top of each other. Then in the center of the napkins a hole the size of the auricle is cut. The cloth is wetted with a small amount of camphor oil or with alcohol, in equal proportions diluted with water, and superimposed on the ear so that the auricle passes through the opening. Preliminary, the ear area should be greased with a fat cream or vegetable oil. On top of the napkins lay cellophane or waxed paper for compresses, then a piece of cotton wool and everything is fixed with a handkerchief or scarf.

Typically, alcohol compresses are used 2 times a day: during the day for 3-4 hours and for the whole night.

The herbal compress, which can be prepared from basil, sweet potato and camomile chamomile, has the same healing effect. It is necessary to mix all herbs in equal proportions, then take 3 tbsp. l. raw and pour 1 cup of boiling water. The mixture is infused for 0.5 hours, then filtered. Subsequent actions are similar to those that are performed when an alcohol compress is applied.

You can also prepare a mint compress. It perfectly removes pain, so it will be especially good for treating babies. For the manufacture of compresses, it is necessary to squeeze out fresh leaves of narrow-leaved spray and peppermint for 1 hour. l. juice, which is diluted with 500 ml of hot water. Then 1 h is added to the solution. l. honey. In the liquid, moisten the napkin and apply a compress.

Traditional medicine

As a remedy for otitis media, preparations made at home according to the recipes of traditional medicine have proved to be very good. So, the hare fat has an excellent effect. It can be heated to liquid state and buried in the ear canals or moistened with napkins and used as compresses.

To treat otitis use alcoholic infusion of wormwood flowers. It should take 1 hour. l. raw and pour 70 ml of medical alcohol. Then the liquid is put in a dark place and infused for 10 days. From time to time tincture must be shaken. When the product is ready, the cotton wool is wetted in it and placed overnight in the ear canal of the diseased ear. A few days later the otitis should pass.

In the event that the otitis manifests itself as a worsening of the hearing, but there is no soreness, juice from the baked onion should be used. The medicine is made in the following way: from the large bulb the middle is cut out, the hole is laid for 1 hour. l. powdered cumin seeds. Then the hole is covered with a lid from the cut out part and the bulb is placed in the oven. Once the bulb is baked, it must be extracted and squeezed out the juice. Still warm juice is buried in a sick ear in an amount of 6 drops (for the child 3 drops are used) and is covered with cotton wool. The procedure should be repeated 2 times a day until the pus leaves and the condition improves.

http://www.youtube.com/watc? =H7239xJg3YE

When otitis is very good use of mummies. You can use two recipes based on this substance:

1. Take the mummy and butter. 0.5 h. l. mummy mixed with 50 g of heated oil, instill 1 drop into the sore ear in the morning and before going to bed.
2. Take the mummy, milk and honey. Mix 1 cup milk, 1 hour. l. honey and 0.5 h. lmumie. The mixture takes 1 glass a day. The medicine removes inflammation and pain.

If the apartment is growing aloe and Kalanchoe, then for healing you can take advantage of their medicinal properties. It is necessary to take 2 leaves of plants (preferably equal in size), thoroughly crushed and put in gauze. From gauze should make a tampon, at night to attach to a sick ear and fastened with a scarf or handkerchief.

Also, a medicine for otitis can be prepared from laurel leaves, which is in the house of every mistress. It should take 2 leaves of the laurel, chop them and pour into a glass of steep boiling water. The mixture is infused for 2 hours, then filtered. The finished medicine is buried in the ear canal before going to sleep for 4 drops.

http://www.youtube.com/watc? =kSZZVWucCq0

Very simple but effective remedies when used in complex therapy with medications prescribed by a doctor will help to eliminate otitis media and prevent its complications. They will remove the inflammation, pain and clear the ear from the pus.

lor03.ru

Symptoms and treatment of otitis in adults

Content:

• Ear anatomy
• Causes of otitis media
• Pathogens of the disease
• The clinical picture is the symptoms of otitis
• General principles of diagnosis
• Treatment of external otitis media
• Treatment of otitis media and labyrinthitis in adults
• Prevention of otitis

Otitis is an ear inflammation, a general term for any infectious processes in the hearing organ. Depending on the affected area of ​​the ear, the outer, middle and inner otitis (labyrinthitis) are secreted. Otitis occurs frequently. Ten per cent of the world's population suffered from external otitis during their lifetime.

Annually in the world 709 million new cases of acute otitis media are registered. More than half of these episodes occur in children under 5 years of age, but adults also suffer from inflammation of the middle ear. Labyrinthitis, as a rule, is a complication of otitis media and is relatively rare.

Ear anatomy

For a better understanding of the subject, it is necessary to briefly recall the anatomy of the organ of hearing.
The components of the outer ear are the auricle and auditory canal. The role of the external ear is to trap the sound wave and carry it to the eardrum.

The middle ear is the tympanic membrane, the drum cavity containing the chain of auditory ossicles, and the auditory tube.

In the tympanic cavity, there is an increase in the sound vibrations, after which the sound wave follows the inner ear. The function of the auditory tube connecting the nasopharynx and the middle ear is the ventilation of the tympanum.

The inner ear contains the so-called "cochlea" - a complex sensory organ in which sound vibrations are converted into an electrical signal. An electrical impulse follows the auditory nerve into the brain, carrying coded information about the sound.

External otitis media

Otitis externa is an inflammation of the auditory canal. It can be diffuse, and can proceed in the form of a furuncle. When diffuse external otitis affects the skin of the entire ear canal. Furuncle is a limited inflammation of the skin of the external ear.

Average otitis media

With an average otitis inflammation occurs in the tympanum. There are many forms and variants of the course of this disease. It can be catarrhal and purulent, perforative and non-perforative, acute and chronic. When otitis can develop complications.

The most common complications of otitis media include mastoiditis (inflammation of the occipital bone of the temporal bone), meningitis (inflammation of the brain membranes), abscess (abscess) of the brain, labyrinthitis.

Labyrinthite

Internal otitis almost never is an independent disease. Almost always it is a complication of the inflammation of the middle ear. Unlike other types of otitis, its main symptom is not pain, but hearing loss and dizziness.

Causes of otitis media

• After getting contaminated water - most often the external otitis occurs after the ingestion of water containing the causative agent of the disease into the ear. That is why the second name of this disease is "swimmer's ear".
• Injury of the skin of the external auditory canal - in addition to the presence of infection in the water, there must also be local conditions predisposing to development inflammation: microcracks of the skin, etc. Otherwise, every contact with unboiled water would result in the development of inflammation in the ear.
• Complication of SARS, sinusitis - in this case, the causative agent of middle otitis penetrates into the tympanum completely from the other side, the so-called rhinotubar path, that is, through the auditory tube. Usually, the infection gets into the ear from the nose, when a person is sick with ARVI, runny nose or sinusitis. In case of a serious inflammation of the middle ear, the infection can spread to the inner ear.
• With infectious diseases, kidney diseases, diabetes mellitus, hypothermia against a background of reduced immunity, the risk of inflammation in the middle ear increases. Bruising through 2 nostrils (wrong), coughing and sneezing increase the pressure in the nasopharynx, which leads to the ingress of infected mucus into the middle ear cavity.
• Mechanical removal of earwax - it is a protective barrier against infections.
• High air temperature and high humidity.
• Contact with foreign objects in the ear.
• Use of hearing aids.
• Such diseases as seborrheic dermatitis on the face, eczema, psoriasis.
• The causes of development of acute otitis media are also genetic location, immunodeficiency states, HIV infection.

Pathogens of the disease

Pathogens of external otitis can be bacteria or fungi. Especially often found in the ear canal are microorganisms such as Pseudomonas aeruginosa and staphylococcus aureus. For the fungi of the genus Candida and Aspergillus, the skin of the ear canal is one of the favorite places in the body: it's dark, and after bathing it's still wet.

The causative agents of otitis media, and therefore internal, can be viruses and bacteria. Fungal infection of the middle ear is also found, but much less often than the external one. The most common bacterial pathogens of otitis media are pneumococcus, hemophilic rod, moraxella.

The clinical picture is the symptoms of otitis

• Pain is the main symptom of otitis media. The intensity of pain can be different:
  • from barely perceptible to unbearable
  • character - pulsing, shooting

  It is very difficult, it is often impossible to independently distinguish painful sensations with external otitis from painful sensations with inflammation of the middle ear. The only clue can be the fact that with external otitis pain should be felt when touching the skin at the entrance to the ear canal.

• Hearing loss is a fickle symptom. It can be present with both external otitis media, and with an average, may be absent in both these forms of ear inflammation.
• Increase in temperature - most often there is an increase in body temperature, however, this is also an optional feature.
• Discharge from the ear with external otitis occur almost always. After all, nothing prevents the inflammatory fluid from escaping outward.

With the average otitis, if the perforation (hole) is not formed in the tympanic membrane, there is no secretion of their ear. The suppuration from the ear canal begins after the appearance of a communication between the middle ear and the auditory meatus.

I emphasize that perforation can not be formed even with purulent otitis. Patients suffering from otitis media often ask where pus will go if it does not break out. It's very simple - he will go out through the auditory tube.

• Ear noise (see Fig. causes of noise in the ears), ear congestion is possible with any form of the disease.
• When the inflammation of the inner ear develops, dizziness (causes) may appear.

Acute otitis media occurs in 3 stages:

Acute catarrhal otitis - the patient experiences severe pain, which increases by night, when coughing, sneezing, she can give in the temple, teeth, be stabbing, pulsating, drilling, hearing loss, appetite, weakness and high temperature up to 39C.

Acute purulent otitis - there is accumulation of pus in the middle ear cavity, followed by perforation and suppuration, which may be on day 2-3 of the disease. In this period, the temperature drops, the pain decreases, the doctor can make a small puncture (paracentesis), if there is no independent rupture of the tympanic membrane.

Restorative stage - suppuration stops, the defect of the tympanic membrane closes (fusion of the edges), the hearing is restored within 2-3 weeks.

General principles of diagnosis

In most cases, the diagnosis of acute otitis media does not cause difficulties. High-tech research methods are needed infrequently, the ear is well visible to the eye. The doctor examines the tympanic membrane with a head reflector (a mirror with a hole in the middle) through the ear funnel or a special optical device - the otoscope.

An interesting device for the diagnosis of otitis was developed by the famous corporation Apple. It is an oscopic attachment for the camera phone. It is assumed that with the help of this gadget, parents will be able to photograph the baby's eardrum (or their own) and send photos for consultation to their doctor.

Diagnosis of external otitis media

Examining the ear of a patient suffering from external otitis, the doctor sees redness of the skin, narrowing of the auditory canal and the presence of liquid secretions in its lumen. The degree of narrowing of the ear canal is such that the tympanic membrane is not visible at all. When inflammation of the external ear of other examinations except for the inspection is usually not necessary.

Diagnosis of otitis media and labyrinthitis

In acute inflammation of the middle ear, the main way to establish a diagnosis is also an examination. The main signs that make it possible to diagnose "acute otitis media" are reddening of the tympanic membrane, limitation of its mobility, and the presence of perforation.

• How is the mobility of the tympanic membrane checked?

People are asked to inflate their cheeks without opening their mouths, that is, "blowing their ears". This reception is called the maneuver of Valsalva, named after the Italian anatomist, who lived at the turn of the 17th and 18th centuries. It is widely used by divers and divers to equalize the pressure in the drum cavity in deep water descent.

When a jet of air enters the middle ear cavity, the eardrum moves slightly and this is noticeable with the eye. If the drum cavity is filled with inflammatory fluid, no air will enter it and the eardrum will not move. After the appearance of suppuration from the ear, the doctor can observe the presence of perforation in the tympanic membrane.

• Audiometry

Sometimes to determine the nature of the disease may need audiometry (hearing on the apparatus) or tympanometry (measurement of pressure inside the ear). However, these methods of hearing tests are more often used in chronic otitis media.

The diagnosis of the labyrinthitis is usually made when the acuteness of the middle otitis suddenly sharply decreases acuteness of the hearing and dizziness appears. Audiometry in this situation is mandatory. You also need an examination of a neurologist and an oculist.

• CT and X-ray

The need for X-ray studies occurs when there is a suspicion of complications of the disease - mastoiditis or intracranial infection. Fortunately, such cases are rare. In a situation where complications are suspected, a computer tomography of the temporal bones and brain is usually performed.

• Bacterial sowing

Do I need a smear to determine the bacterial flora? A unequivocal answer to this question is not easy. The problem is that, due to the peculiarities of bacterial culture, the response of this examination will be received 6-7 days after the removal of the smear, that is, by the time when the otitis is almost gone. Moreover, with a medium otitis without a perforation, a smear is useless, since the microbes are behind the tympanic membrane.

And yet a smear is better to do. In the event that the application of the first-line drug does not bring recovery, after receiving the results of a bacterial study, treatment can be adjusted.

Treatment of external otitis media

The main treatment for external otitis media in adults is ear drops. If a person does not have immunodeficiency (HIV infection, diabetes mellitus), antibiotics in tablets are usually not needed.

Ear drops can contain only an antibacterial drug or be combined - have an antibiotic and an anti-inflammatory substance. The course of treatment takes 5-7 days. Most often for the therapy of external otitis media apply:

Antibiotics:

• Ciprofarm (Ukraine, ciprofloxacin hydrochloride)
• Normax (100-140 rubles, norfloxacin)
• Otofa (170-220 rubles, rifamycin)

Corticosteroids + antibiotics:

• Sophradex (170-220 rub., Dexamethasone, Framicetin, gramicidin)
• Candybiotic (210-280 rub., Beclomethasone, lidocaine, clotrimazole, Chloramphenicol)

Antiseptic:

• Miramistin (250-280 rubles, with a nebulizer)

The last two drugs also have antifungal properties. If the external otitis has a fungal origin, antifungal ointments are actively used: clotrimazole (Candide), natamycin (Pimafucin, Pimafucort).

In addition to ear drops, the doctor can recommend an ointment with the active substance Mupirocin (Bactroban 500-600 rub, Supirocin 300 rubles) for the treatment of external otitis media. It is important that the drug does not have a negative effect on the normal skin microflora, and there are data on the activity of mupirocin against fungi.

Treatment of otitis media and labyrinthitis in adults

Antibiotic therapy

The main treatment for middle otitis media is an antibiotic. However, the treatment of otitis antibiotics in adults is another controversial issue of modern medicine. The fact is that with this disease is very high percentage of self-recovery - more than 90%.

There was a period of time in the late 20th century, when on a wave of enthusiasm antibiotics were prescribed to almost all patients with otitis. However, it is now considered permissible the first two days after the onset of pain to dispense with antibiotics. If after two days there is no tendency to improve, then an antibacterial drug is already prescribed. For all types of otitis media may be required for oral administration.

In this case, of course, the patient must be under medical supervision. The decision on the need for antibiotics is very responsible and should only be taken by a doctor. On the scales on the one hand, the possible side effects of antibiotic therapy, on the other - the fact that every year in the world of complications of otitis deaths of 28 thousand people.

The main antibiotics, which are used in the treatment of otitis media in adults:

• Amoxicillin - Ospamox, Flemoxin, Amosin, Ecobol, Flemoxin solute
• Aamoxicillin with clavulanic acid - Augmentin, Flemoclav, Ecoclav
• Cefuroxime - Zinnat, Aksetin, Zinacef, Cefurus and other drugs.

The course of antibiotic therapy should be 7-10 days.

Ear drops

Ear drops are also widely prescribed for inflammation of the middle ear. It is important to remember that there is a fundamental difference between drops, which are prescribed before the perforation of the tympanic membrane and after its appearance. Let me remind you, the sign of perforation is the appearance of suppuration.

Before the appearance of perforation, droplets with an analgesic effect are prescribed. These include drugs such as:

• Otinum - (150-190 rub) - choline salicylate
• Otipaks (220 rubles), Otirelaks (140 rubles) - lidocaine and phenazone
• Otizol - phenazone, benzocaine, phenylephrine hydrochloride

Drops with an antibiotic does not make any sense to dig in this phase, as the inflammation goes behind the impenetrable eardrum for them.

After the appearance of the perforation, the pain passes and it is no longer possible to drip painkillers, as they can damage the sensitive cells of the cochlea. When a perforation occurs, access for drops inside the middle ear appears, so you can instill drops containing an antibiotic. However, ototoxic antibiotics (gentamicin, Framicetinum, Neomycin, Polymyxin B), preparations containing phenazone, alcohols or choline salicylate can not be used.

Drops with an antibiotic, the use of which is acceptable in the treatment of otitis in adults: "Tsiprofarm", "Normaks", "Otofa", "Miramistin" and others.

Paracentesis or tympanotomy

In some situations with inflammation of the middle ear may need a small surgical intervention - paracentesis (or tympanotomy) of the tympanic membrane. It is believed that the need for paracentesis arises, if the background of antibiotic therapy for three days, the pain still continues to bother the person. Paracentesis is performed under local anesthesia: a special incision in the tympanic membrane makes a small incision through which pus begins to exit. This incision is beautifully overgrown after the cessation of suppuration.

Treatment of labyrinthitis is a complex medical problem and is conducted in a hospital under the control of an ENT doctor and neurologist. In addition to antibiotic therapy, funds are needed to improve microcirculation inside the cochlea, neuroprotective drugs (protecting the nervous tissue from damage).

Prevention of otitis

Preventive measures for external otitis are the thorough drying of the ear canal after bathing. Also, avoid traumatizing the ear canal - do not use keys and pins as an ear instrument.

For people who often suffer from inflammation of the external ear, there are drops based on olive oil, which protect the skin when swimming in a pond, for example, "Vaxol".

Prevention of otitis media consists of general strengthening measures - hardening, vitamin therapy, administration of immunomodulators (drugs that improve immunity). It is also important to treat diseases of the nose in a timely manner, which are the main causative factor in inflammation of the middle ear.

zdravotvet.ru

How to properly treat otitis with antibiotics: a list of effective drugs

Otitis in an adult has an infectious nature, this is the main criterion in choosing a therapy. Antibacterial drugs are prescribed on the basis of the results of the sowing tank, their choice is formed based on the age of the patient, the stage of the disease, its localization. The main goal of such treatment is to eliminate the cause of inflammation, to prevent irreversible changes in the hearing organs, to exclude the spread of pathogenic microflora in the body.

Otitis: types and symptoms

Zalozhennost and noise in the ears - the characteristic signs of otitis

Inflammatory processes, localized in any of the structures of the ear, have a common name - otitis. It can occur in the outer, middle or inner part of the organ, have an acute or chronic stage.

• External otitis can be independent or be a consequence of chronic purulent inflammation of the middle ear. The outer auditory canal is affected, the furuncle is often observed. Pain occurs when the jaw is stressed - chewing, talking.
• The cause of inflammation of the middle ear are bacteria, by penetration for which the nasopharynx serves. Less often the cause of infection is the rupture of the tympanic membrane.The acute stage of the disease begins with congestion, sensation of noise in the ears.When the symptoms of acute otitis increase, there is a sharp pain, the body temperature rises. The pain continues to intensify, gives in the teeth, jaw, neck. By this time, blood tests show obvious signs of inflammation. Perforation of the tympanic membrane occurs and the suppuration of their ear begins.
• Labyrinth occurs as a result of a bacterial infection or micro-injury. Its characteristic features include dizziness, imbalance. Hearing is reduced strongly, until complete deafness.

Any pain in the ear is an occasion to visit the doctor. Do not engage in self-medication at home, as most otitis require specific antibiotic therapy.

How to cure purulent otitis in babies, you can understand reading the article.

Any foreign matter introduced into the auditory can lead to an exacerbation of the disease, making the bacteria immune to the drug.

Use of antibiotics

Treatment of otitis media is always a complex of measures. In the presence of exudate or purulent separable hygienic ENT procedures are required. External inflammation is treated with alcohol compresses, ear drops.

Types of drugs

Antibiotics have a different form of release. In some cases, inflammation can be eliminated by applying only external means - drops and ointments. Ease of use allows for outpatient treatment.

The tablet form of medications for the treatment of otitis is justified when the condition of the patient is of medium severity, he can adequately take medicines, has no serious problems with the gastrointestinal tract, chronic somatic diseases.

Reception of antibiotics in the form of injections is prescribed at a severe stage of the disease, when it is necessary quickly and effectively to stop the inflammatory process, and also to minimize the side effects of drugs.

The choice of the form of the medicine is carried out by the attending physician! Only on the basis of anamnesis and laboratory studies can you judge the effectiveness of a particular remedy.

After reading this article, you can understand how to effectively treat otitis media and what medicines need to be taken.

The most popular antibiotics

The standard of medical care recommends:

• amoxicillin;
• ceftriaxone;
• cefuroxime;
• azithromycin.

Azithromycin is one of the most frequently prescribed antibiotics for otitis

If the otitis is accompanied by a fever, marked by an inflammatory process, staphylococci or streptococci are detected in bacteriological culture, and first-line preparations are prescribed - penicillins.They kill bacteria, affecting their shell. Trade names: Amoxicillin, EcoBall, Hiconcil, Flemoxin, Gonoform. If the otitis is chronic or the treatment does not bring results, amoxicillin together with clavulanic acid is prescribed (Augmentin, Amoxiclav).

What are the symptoms of acute otitis media, you can understand by reading this article.

When the action of penicillins is unsatisfactory, cephalosporins with a similar mechanism of action on bacteria are used. From this group of antibiotics for the treatment of otitis take drugs II and III generation, since IV and V are "heavy artillery", used for very persistent infections. Trade names: Ceftriaxone, Azaran, Biotrakson, Mediakson, Rocefin, Zinacef, Zinnat, Ketocef, Proxim.

Macrolides are used either when the listed drugs have not helped, or in combination with them.Drugs affect the proteins of microorganisms, stopping their reproduction. Trade names of medicines: Azithromycin, Azitral, Azitrox, Sumamed, Sumamox.

As a means for external use a solution of antibiotics (Levomycetin, Normaks, Tsipromed), combined preparations containing glucocorticoids (Garazon, Anauran) are used.

How is treated bilateral acute catarrhal otitis media, you can learn from this article.

Do not use antibiotics without a doctor's recommendation! It is important to consider the patient's allergic sensitivity to the action of the drug. Systemic antibacterial agents are used only when it is impossible to establish an agent of otitis media.

Indications for use

With external otitis antibiotics may not be necessary. If the boil is opened in time and the infection does not get inside, you can limit yourself to compresses and ointments.In most cases, the intake of antibiotics is limited to instillation of the ears.The same measures can be taken in the case of a slight otitis media of the middle ear. But if the patient has weak immunity, there are serious chronic diseases that contribute to the long course of the disease, then antibiotic therapy is indispensable.

In the case of pregnancy or lactation, a thorough weighing of benefit and harm is practiced. If there is a threat of spread of infection, the onset of critical consequences, then taking antibacterial drugs is necessary. All of them penetrate the placental barrier and enter the breast milk, so in each specific case the most effective and safe preparation is selected.

How the external otitis treatment is treated with drops and which ones specifically, you can learn from this article.

Rules for the use of antibacterial drugs

The antibiotic of any group has instructions for use, which must be followed impeccably!

The dosage of the drug is determined by the attending physician. It depends on the causative agent of the disease, its severity, weight, height and age of the patient. A "shock dose" is prescribed only in the first 72 hours. If there was no relief, then you should change the form of the introduction. The duration of the medication is determined by clinical analysis, only with the onset of a stable remission is possible a change in the tactics of treatment. Most often, antibiotics are used for 7-10 days.

During treatment, you should carefully monitor the manifestation of side effects. If they arise, inform the doctor about it. Often they are minor and do not require a change of treatment, but in some cases, a dose adjustment or a change of the drug is required. It is important to monitor liver and kidney function.When changing in laboratory tests, it is urgent to change the tactics of treatment.

The article lists the names of ear drops in otitis, which are the most effective.

Antibiotics belong to a group of conflict medications, so you need to carefully study what they do not combine. Instructions for use contain a list of medications that should be limited or excluded. But there is often no indication of taking antibiotics and alcohol, dairy products and some juices.All penicillins are "afraid" of milk. Their joint reception leads to the fact that calcium does not allow the pills to "open up" in time and they pass through the digestive tract, without providing the required action.All antibacterial drugs are afraid of acid. Juices, vinegar and dry wine are destructive to them.

Consequences and complications of the disease

Otitis requires serious attitude. Not only is the disease itself unpleasant, it makes a person incapacitated for at least 10 days, so it still has a lot of negative consequences.

Deafness is the number one cause of complications.The ear has a complex structure with a multitude of cavities and transitions, the inflammatory processes in which lead to a disturbance in the perception of sounds. Inadequate treatment, the refusal to take antibiotics can develop mastoiditis (inflammation in the temporal bone), which often affects the jaw and salivary glands.

The most dangerous consequence of otitis occurs when an untreated infection penetrates the meninges, causing meningitis, hydrocephalus, and encephalitis.

How the treatment of Adhesive otitis with folk remedies can be understood by reading the article.

Video

When should the otitis be treated with antibiotics? Detailed answer in the video:

What antibiotics for otitis media are most often used in children in the article.

To antibacterial therapy in otitis should be treated as inevitable. These are the same medicines as many others. Under the supervision of a doctor, given the indications and contraindications, you can choose a suitable tool that will successfully cope with the problem and not harm the body.Taking antibiotics "not on business", as well as not treating otitis at all - is the way to serious complications.

ProLor.ru

Otitis of the ear: types of otitis and causes of development

• Otitis in children
• Otitis in adults
• Treatment

Ear Otitis is an ENT disease of the hearing organ, characterized by an inflammation of one of the ear sections connected together.

The reasons for the development of otitis media can be very different, ranging from mechanical damage and improper conduct personal hygiene, to serious complications that have arisen against the background of acute respiratory infections, flu and colds.

Few people know, but even a common runny nose in neglected form can become the beginning not only of maxillary sinusitis, but also of otitis media.

Let us consider in more detail what otitis media are and what types of this disease are encountered.

The structure of the human ear is divided into three interconnected parts, which bear the following names:

• external ear;
• middle ear;
• inner ear.

Depending on the specific part of the body the inflammatory process is taking place, in medicine it is customary to distinguish three types of otitis:

• outer;
• average;
• interior.

Ear canitis: symptoms of the disease in children

Otitis in children (see the photo on the left) occurs much more often than otitis in adults whose symptoms are identical. First of all, this is due to the not fully developed structure of individual tissues and parts of the hearing organ.

Also, the symptoms of otitis media (also called inflammation of the middle ear) are observed in children with reduced immunity or due to complications of viral, colds, flu.

As already noted above, the disease is divided into three types. For each type of otitis, adults and children have their own symptoms and signs.

Whenexternal otitis media, the causes of which are often violations of the rules of personal hygiene of the child, microtrauma of the shell of the ear, internal boils, observed:

• elevated body temperature (up to 39 ° C);
• chills;
• the child's refusal to eat;
• capriciousness and irritability;
• poor sleep;
• unreasonable crying;
• puffiness and redness of the auricle;
• the appearance of small bubbles on the skin around the ear;
• pain in ear is constant or when touching;
• an increase in parotid lymph nodes.

Medication

Amoxicillin Otipax Ceftriaxone Azithromycin Dioxydin Protargol Polidexa Dimexide Levomecol Flemoxin Solutab Sumamed Otofa Miramistin Otipax

Whenaverage otitis, which most often occurs against the background of acute respiratory viral infections, as well as in children with low immunity, the following symptomatic pattern is observed:

• earache;
• continuous crying;
• lack of sleep;
• the child's desire to rub or scratch his ear (rub on the pillow);
• refusal of food;
• painful reaction when pressing on the tragus (outer cartilage of the auricle);
• elevated temperature;
• lethargy;
• vomiting;
• diarrhea;
• purulent discharge from the ear, possibly with an admixture of blood (with a purulent form of acute otitis media).

Wheninternal otitis, manifested much less frequently than the two previous forms, but at the same time being much more dangerous as a result of complications otitis media, or against the background of a general serious infectious disease are characterized by the following symptoms:

• elevated temperature;
• noise in ears;
• dizziness;
• nausea;
• vomiting;
• loss of balance;
• hearing loss.

Diagnosis of the symptoms of the disease will be helped by the characteristic symptoms of otitis of the ear, but this does not give the right to self-medicate. At the first manifestations of inflammation of the middle ear, it is necessary to seek help from an otolaryngologist, who, based on a real clinical picture, will prescribe the right treatment.

Symptoms of a cold in the ear in adults

Unlike children, otic otitis, the symptoms of which are known to many of us since childhood, in adulthood happen much less often and is mainly due to hypothermia, violations of personal hygiene rules and complications after previous viral colds.

Species of otitis

Middle ear External Sharp Bilateral Allergic Outward diffuse Perforating Inside Child Eustachyte

It is much easier to diagnose an individual's disease in an adult than a child in the first place, because he can describe in detail the whole picture, including the power of pain in the ears. This will help determine the severity of the disease.

However, only the doctor can make a final verdict and prescribe the appropriate treatment for otitis media of the middle ear, after having undergone proper examination with the help of special ENT instruments.

Characterize the adult otitis as a cold of the ear, its symptoms are similar to children's:

• congestion of the ears and hearing loss;
• acute or aching pain in the ears;
• elevated temperature (not mandatory);
• headaches and dizziness;
• pains that give to the neck, teeth, whiskey, forehead;
• weakness and general malaise;
• nausea and vomiting.

In order to avoid the occurrence of such diseases of the ear, proper preventive maintenance should be carried out, and then the pain in the ears will not bother you or your children.

How and how to treat otitis media - doctor's prescriptions and recipes of folk medicine

How to treat an otitis of an ear the doctor the otolaryngologist defines, having established a kind and a degree of disease.

Treatment of otitis media

Treatment of otitis externa Treatment of otitis media of the middle ear Treatment of purulent otitis Ear drops Ear pills Antibiotics Ear wax Ear candles In adults In children In pregnant women

In any case, first of all, drug therapy is aimed at the destruction of bacteria that contribute to the development of otitis media. This is done with the help of antibiotics, and selected such drugs that can not only eliminate bacterial damage to the body, but also easily penetrate into the ear drum cavity to the very focus of the disease.

The most commonly used antibiotics for the treatment of otitis media- Tsifran, Flemoklav, Solyutab.

As a local treatment, special ear drops-antiseptics are used, most often in the ENT practice, the old-fashioned method uses a solution of boric acid.

However, there are a number of other similar drugs of a new generation that can easily cope with infections.

In addition, such drops often include anesthesia, which helps to significantly reduce and eliminate pain.

Some of the best ear drops from otitis are Sophradex, Otipax, Otinum, Garazon.

In combination with ear drops in otitis media, otolaryngologists often prescribe vasoconstrictive drops in the nose (Naphthyzine, Nazol, Galazolin, Otryvin, etc.) thanks to which it is possible to remove puffiness of the mucosa of the Eustachian tube and thereby reduce the load on the eardrum.

In addition to drops in the nose in the complex can be appointed and antihistamines (antiallergic) funds, pursuing the same goal - removing the edema of the mucosa. These can be tablets of Suprastin, Diazolinum, Loratadina, etc.

In the presence of an increased body temperature, which often causes otitis media, mandatory prescribe antipyretic drugs, which are also able to partially relieve or reduce pain in the ears. The most safe and effective remedy for temperature is Paracetamol.

Attention!

All of the above drugs used to treat otitis media can not be regarded as a guide to action. The question, than to treat an ear otitis independently, should not stand at all. The treatment of this disease, like most others, should take place exclusively under the guidance of a qualified physician.

With a timely visit to the otolaryngologist and the exact observance of all prescriptions, the ear otitis passes quickly enough without leaving any consequences.

How to treat otitis with folk remedies

In addition to drug therapy, there are many ways of alternative treatment of otitis media. I must say that such methods are acceptable for use and are mostly of an auxiliary nature. However, it should not be forgotten that people's prescriptions can be used only after consulting a doctor and in no case should they self-medicate to avoid complications and irreversible consequences.

Folk remedies

Treatment with folk remedies Home treatment Camphor alcohol Geranium Hydrogen peroxide Tincture of propolis Tincture of calendula Furacil Alcohol Washing the Ear Aloe Boric Acid Warming Up the Compress on the Ear Blowing the Hearing Pipes

Depending on the form and degree of the disease, otitis symptoms are accompanied by different symptoms, on the basis of which various recipes of folk medicine are applied.

Recipe number 1.For example, to reduce tinnitus and prevent the development of otitis, it is recommended to chew buds of fragrant cloves or cook them based on the broth, observing the proportions of 15 grams of cloves 100 grams of hot water and take it on a teaspoon 2-3 times throughout the day.

Recipe number 2.With hearing loss after otitis, it is recommended to brew and drink tea from rose petals (red) for two weeks, which will help restore hearing in a short time.

Recipe number 3.To cure otitis externa, one should take the root of elecampane, incinerate it on fire, and then grind it in a coffee grinder and mix it with a small amount of lamb fat. Lubricate the prepared earwax with otitis shell to complete recovery.

Recipe number 4.To reduce the symptoms of acute otitis will help tincture of nightshade sweet and bitter. To make it, you need to take 2 tablespoons of chopped grass and pour 100 grams of vodka. Insist for a week, then inject into your ear soaked in a means of cotton turuns 2-3 times a day.

You can also cook the infusion. To do this, pour a tablespoon of herbs with a glass of boiling water. Insist for an hour and apply as in the case of tincture, in the form of embedded turundas.

Recipe number 5.To reduce severe pain in the ears with otitis will help glycerin with alcohol. It is necessary to combine the two ingredients in equal proportions (1: 1), moisten the turunda in this mixture and lay it in the diseased ear.

The recipe number 6.When asked how and how to treat ear inflammation, many will give an unambiguous answer - dry heat.

This is really an effective method for acute otitis, which is widely used in medicine (blue lamp, UHF).

It can also be used in the home if the ear is inflamed. To do this, take ordinary table salt, heat it in a clean dry frying pan and fill it in a linen bag.

Through an additional folded in several times the tissue, the patient's ear should be heated for 30 minutes.

It is important to know

You can not heat your ears with the help of dry heat at an elevated body temperature and purulent secretions from the auricles.

gajmorit.com

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