Otitis externa - symptoms, treatment, acute otitis externaBeing in the risk group at times increases the likelihood of the disease with external otitis media. In this case, it is worth taking care of those who are engaged in swimming and people with low levels of immunity, suffering from chronic diseases. With external otitis, disability decreases, both the state of health and the patient's quality of life deteriorates.
Do not self-medicate. Timely appeal to the otolaryngologist will help the speedy resumption of a full-fledged life.
Typical symptoms of external otitis media
If the ear constantly hurts, and the pain sensations are amplified by movements and probing, sipping the ear shell and its cartilage, located in front of the ear aperture, it is possible to suspect this disease. Irradiation in the eye or neck, teeth, and possibly the spread of pain on the whole head is typical. Typical are unilateral pain. Also, itching and swelling of the auditory canal is often observed, it is possible to enlarge and compact nearby lymph nodes. Cases of purulent discharge, congestion, and a short-term decrease in the auditory function are not uncommon.
In the limited form of this ailment, first of all, patients complain of pulsating painful sensations. And they are clearly amplified by chewing food. The hearing is not disturbed until the ripening furuncle overrides the ear canal. After opening the boil and the accumulation of pus accumulated, the auditory function is quickly restored.
Diffuse form is accompanied not only by pain, but also by obvious itching. The body temperature may rise slightly. Hearing loss coincides with a large swelling and redness of the affected area. Characteristic are colorless discharge.
Attention: acute otitis externa
The duration of the course of the disease divides it into two types. If the illness worries the patient for a whole month, repeated several times a year (more than four), then it is a chronic nature of otitis.
Sharp external otitis can be both limited and diffuse. In this case, a limited form usually arises from infection with staphylococcus. The path of infection is often created by the patient himself, "diligently cleaning" the ear with any metal object. Diffuse form most often provokes incorrectly or not timely treated otitis media. At the same time, purulent masses released from the ear provoke the development of an external disease.
Effective treatment of external otitis media
It involves, first of all, an immediate visit to the doctor. Only a good otolaryngologist can make an accurate diagnosis. Do not start the inflammatory process, it can cause a subsequent chronic illness.
Usually after some time, the furuncle present in the ear canal is opened without external intervention. However, if the process of its aging is delayed or the discomfort caused by it finally exhausts the patient, then an autopsy is appointed. This procedure should be performed by a doctor, this ensures that the correctly made cut does not entail the spread of purulent masses under the skin to the temples.
A competent specialist, having determined the cause of the inflammation, will prescribe adequate drug therapy. If the disease has arisen through the fault of fungi (usually the causative agent may act representatives of the family Candida), then it will be correctly treated with an appropriate antifungal drug. A drop containing antibiotics (such as norfloxacin or neomycin) is indicated in the bacterial source of external otitis media.
A variety of warming compresses are also very effective. It should be noted that the appointed turundas injected into the ear are best done without using boric acid and alcohol. Although they have a warming and bactericidal effect, but the discomfort and pain in their use is sometimes unbearable. A good analog for wetting turunda are modern antifungal and antibacterial ointments made without the use of alcohol. They are quickly absorbed, and their action is sufficiently prolonged.
To properly put turunda, you need to pre-clean the ear of pus, sulfur secretions, dead skin cells. It is worth making a soaked in a solution of hydrogen peroxide or an ordinary furatsilina cotton wool. It is necessary to clean the ear canal by about a centimeter. Carry out cleansing best twice a day. Then in the inflamed ear lays lubricated with therapeutic ointment turunda.
An important aspect of treatment is vitamin therapy. So the use of B vitamins will help a speedy recovery. Also, it is necessary to saturate the patient's diet with vitamins A and E, add zinc and Omega-3 acids. To enhance the protective functions of the body, it is advisable to use Echinacea preparations.
Folk healers recommend the drug mummy. Turundas, moistened with an aqueous solution of this miracle cure, almost instantly take away the pain. And soon they can effectively cope with the inflammatory process.
It should be said in conclusion that otitis externa is an unpleasant disease. And from such a disease you need to try to protect yourself in advance. It is necessary to limit the use of cotton buds for cleaning the earbuds. It's no secret that their use can lead to microtrauma of the skin of the ear. Also it is necessary to protect the hearing aid from "unauthorized" water procedures. Often it is not too pure liquid that gets into the ear, causes inflammation.
External diffuse otitis in acute and chronic formExternal diffuse otitis is a diffuse inflammatory process localized in the external auditory canal and proceeding in a chronic or acute form. It is accompanied by severe pain and a feeling of raspiraniya in the ear, the appearance of a serous, later purulent discharge. External diffuse otitis is a fairly common disease and occurs in patients of different age groups. The risk group includes people with weakened immunity and multiple chronic diseases, and persons who are engaged in any water sports, for example, swimmers, divers, synchronists, etc. As a rule, external diffuse otitis does not give serious complications, but this unpleasant disease significantly reduces the quality of life, reduces the ability to work and complicates communication.
Causes of diffuse otitis
Diffuse otitis is characterized by a significant area of inflammation in the ear canal. Most often, the cause of the disease is streptococci, as well as other bacteria that penetrated the human wound and microcracks, which often remain after cleaning the ears. The main provoking factors are:
- propensity to form sulfur plugs;
- chemical or thermal burns;
- violation of metabolic processes in the body.
Too careful and incorrect hygiene of the ears is also capable of provoking the development of the disease, since during such cleaning there is a movement of sulfur inside the ear, its compaction and gluing into a single lump, as a result, a cork is formed.
Symptoms of diffuse otitis of the external earDiffuse otitis of the external ear is manifested by a sensation of bursting inside the diseased organ, itching appears and the temperature in it rises. Then the pain syndrome develops, accompanied by the irradiation of pain in the head. At the same time, painful sensations, greatly enhanced by swallowing and chewing. Often acute diffuse otitis externa leads to a worsening of the general well-being of the patient due to sleep disturbances and anorexia due to the inability to chew and swallow food.
The following characteristic symptoms are also observed:
- a decrease in hearing, which is due to the fact that puffiness of the inflamed auditory canal leads to its narrowing and diminishing of the lumen;
- presence first serous, and subsequently purulent discharge from the ear;
- an increase in regional lymph nodes.
As a rule, diffuse otitis of the external ear, the photo of symptoms and manifestations of which can be seen above, takes about two weeks in acute form. Then there is a significant improvement in the condition, and the patient quickly goes on to recover.
Sometimes the symptoms of diffuse external otitis are mildly expressed and remain unnoticed especially inattentive to their health people. In this case, the disease takes a long time and eventually changes into a chronic form, accompanied by the appearance of scars, which reduce the lumen and cause persistent hearing loss.
Diagnosis of external diffuse otitis media
If there is a suspicion of diffuse external otitis, the photo of which is presented above, various diagnostic methods are used. When palpation of the sore ear is markedly pronounced soreness, especially when pulling the auricle or pressing on the tragus. When performing otoscopy, total swelling and reddening of the skin, which lines the auditory canal, as well as the presence of erosion and serous discharge are detected.
If an examination of the ear is carried out in a later period, occlusion of the auditory canal is detected, cracks and ulcers are visible, a clearly distinguishable greenish-yellow pus. Audiometry of the inflamed ear testifies to the development of hearing loss of a conductive type.
Assigned for any inflammatory processes, bacteriological study allows verifying the pathogen in order to establish its sensitivity to the main antibacterial drugs.
Treatment of acute diffuse otitis of the external ear
Treatment of external diffuse otitis media is performed using antibiotics, multivitamins and antihistamines, which are taken in the system. If necessary, immunocorrective therapy is performed. For local treatment of diffuse otitis of the outer ear, yellow mercury ointment, Burov's liquid, hormonal antibacterial ointments injected into the auditory canal with the help of turunda are used. The passage is also dripped with antibiotic drops.
Treatment of acute diffuse external otitis media can often be performed only in hospital settings. When the purulent character of the ear canal is separated, the ear is washed with an antibiotic solution. External otitis, caused by fungi, is treated with antifungal preparations of local and systemic use.
To prevent infection of the skin of the auditory canal and the development of diseases, one should avoid combing and injuring the auricle, as well as the ingress of small foreign bodies into the ears.
When bathing in the shower and even more so in the sea, it is necessary to protect the ear from getting water into it. If there is a foreign body in the ear, you should not even try to get it yourself, it's best to entrust this work to a specialist.
It is important to remember that the secretion of sulfur from the ear is a natural barrier to microbes and bacteria and its too zealous removal reduces ear protection and increases the risk of inflammation. Independent cleaning of the auditory canals should be performed with a special ear stick (not ordinary cotton wool!) To a depth of no more than 0.5-1.0 cm for purely aesthetic purposes.
Than to treat an external otitis in house conditionsWith such a disease as external otitis people face more often than they think. It is a focus of inflammation located in the cavity of the external ear or auditory canal (passage). Often this disease falls under the definition of "pain in the ear," which is written off for changes in atmospheric pressure, a strong wind "puffed in the ear," a runny nose, etc. However, the true causes of the development of the inflammatory process differ somewhat from these concepts.
The essence of the disease is inflammation of the skin of the external ear and auditory canal, which can be caused by bacteria or fungi, less often by viruses. Outer otitis occurs in people of different ages, but most often the disease develops in children. Treatment of external otitis media at home, with drugs selected and prescribed by a doctor in most of cases, is a very effective measure and allows you to quickly get rid of the disease. How to treat external ear otitis and avoid complications?
Medicines for the treatment of external otitis media in the home
What can I do to treat external otitis, what drugs will be needed for this? Treatment of the disease is carried out using modern anti-inflammatory drugs based on steroids, as well as antibiotics. Preparations are issued in several dosage forms. It can be ointment when otitis external ear or drops, depending on the extent and location of the inflammation focus.
Among the medications frequently used for external otitis media are "Sofradex" and "Garazon", which can be prescribed only by a doctor.
In addition to taking antibiotics for external otitis in adults in children, treatment involves the carrying out of hygienic procedures according to a special scheme. They help to cleanse the skin and accelerate recovery.
It is important to understand that when using cotton buds incorrectly, earwax is rammed and corks are formed that injure the skin in the ear.
Treatment of external ear otitis by antibiotics
Antibiotics for external otitis are used to kill the foci of infection and gradually reduce pain, since most ear drops also contain painkillers. In this case, their use will be more effective, since after suppression of microbial activity by an antibiotic, the steroid reduces the inflammatory process and the pain decreases and then disappears.
What exactly is the treatment of otitis externa, and according to which scheme to take the drug can only be determined by a doctor. In the event that the antibiotic is selected incorrectly, serious complications may occur. Sometimes, when using antibiotics, there are side effects in the form of partial or complete hearing loss, as well as a decrease in overall performance and worsening of well-being.
Treatment of external otitis with antibiotics should be performed under the strict supervision of a physician with a regular evaluation of the effectiveness therapy, in the absence of improvements in time to replace the drug and prevent the transition of the disease into a chronic form.
The recommended ways to treat external otitis media, which can quickly and effectively cope with the disease, are:
- passing the full course of antibiotics, the type and dose of which is prescribed by the doctor;
- use of warm compresses;
- treatment of rhinitis;
- reception of vitamin complexes, which increase the body's defenses.
How to treat external ear otitis in folk ways
The first and most important stage of treatment, of course, is radical therapy with the use of antibiotics and hormonal topical agents. Further, to accelerate the recovery process, you can use folk methods to combat this ailment in addition to drug therapy.
The effectiveness of otitis treatment is enhanced by the use of such medicinal plants as:
- flowers of calendula;
- yarrow herb;
- buds of pine;
- leaves of eucalyptus and plantain;
- liquorice root.
All these ingredients are mixed in equal proportions and brewed with hot water (for each tablespoon of a mixture of herbs you need 0.5 liters of water). The resulting composition is infused under a closed lid for 30 minutes, then filtered and taken inside at 100-150 ml before meals 3-4 times a day. The remaining cake can be used for a warm compress on the sore ear.
Ointments for the treatment of external otitis media: tetracycline and LevomecolOintments with external otitis are used very often, since they are easy to use and tested for years. One of them is the ointment of levomecola with external otitis, which has pronounced anti-inflammatory and antibacterial properties. The main active ingredients of the drug are the antibiotic levomitsetin, methyluracil, responsible for the regeneration of tissues and the production of interferon. The auxiliary component of levomekol - ethylene glycol, it provides absorbing properties of the drug.
Also often used tetracycline ointment with external otitis, which is a broad-spectrum antibiotic. The active substance of the drug inhibits the synthesis of protein bacteria and promotes the speedy recovery and healing of inflamed skin.
Ointment for the treatment of external otitis should be applied with a sterile cotton swab, gently laying it on the affected area. For each procedure it is necessary to take a new cotton "tool". How many times to apply ointment, and in what quantities determines the attending physician based on the severity of lesions.
Risk factors for external otitis media
In order not to provoke the development of this disease, it is necessary to exclude all risk factors and provide your body with adequate protection.
The main risk factors for the development of external otitis media are:
- The presence of minor erosion on the skin of the auditory canals, resulting from improper hygiene of the ears;
- Sulfuric plugs, traumatizing the skin of auditory courses;
- Narrow passageways and the presence of otitis media of chronic course;
- Diseases, accompanied by a decrease in body immunity (HIV, diabetes).
In addition, frequent ingress of water into the auricle due to swimming in open water can lead to the development of external otitis media, therefore, after similar water procedures it is recommended for the prevention of burying ears with antibacterial ear drops.