Viral otitis media

Bullous otitis as a kind of inflammation of the ear canal

The course of acute respiratory infections, influenza, ARVI and other infections often causes the development of acute otitis media. One of the types of inflammatory process that occurs in the ear cavity is bullous otitis. Recognize the development of this particular form of the disease will help the characteristic symptoms of ailment.

What is the difference between the disease?

This form of otitis is characterized by the formation on the mucosa of the auditory passage, the tympanic membrane or the auricle of peculiar blisters. The formations may be approximately the size of a millet grain or pea. In otolaryngology, such blisters are called bullae - hence the name of the disease. Influenza virus in the ear gets, most likely, hematogenous way.

The formations arising from inflammation are filled with hemorrhagic or transparent exudate. Usually the development of acute bullous otitis occurs against the background of the influenza. In the case where the blisters are filled with a transparent secret, the course of the disease is characterized by such signs:

• sharp pain in the area of ​​the ear canal;
• hearing loss;
• dizziness.

The patient is concerned about severe headaches, but at the same time, the general well-being of a person is significantly worsened. Clinically, influenza otitis has many similarities with acute otitis media. Against the background of the disease can develop paresis of the facial nerve. Otolaryngologists, when a paresis is detected, usually speak of the development of a herpes zoster, this symptom is confused by many patients with otitis media. Shingles are not a disease of the inner ear.

Bulls can spontaneously burst, because of this from the ear cavity appear bloody discharge. As a rule, 2-3 bullae form in the auditory canal, they are reddish-purple on the surface. Most often, the development of such a viral otitis is noted during the outbreak of the flu epidemic.

Flow features

In the absence of timely treatment, bullous otitis quickly passes into the acute form of this disease. Sometimes the inflammatory process affects the vestibular apparatus, then to the main symptoms is added nausea and vomiting, and the gait of the sick person becomes uncertain.

Inflammatory process, as a rule, is localized in the above-drum cavity of the ear and is characterized by the severity of the flow.

The danger of the disease lies in the fact that it can cause serious complications - go into the inner ear and even the cranial cavity, causing meningitis.

With the penetration of the virus into the human body, its protective properties are significantly weakened, for this reason a bacterial infection can join the disease. This feature of the flow of bullous otitis media is important to consider when prescribing treatment for the inflammatory process.

Diagnosis and treatment

The effectiveness of treatment of bullous otitis media depends on the accuracy of the diagnosis, as well as on its timeliness. The diagnosis is made based on the patient's complaints and the history of the otoscopic picture. In otolaryngology, also widely used are such methods of studying the state of the ear canal, as the determination of titres to the herpes virus of the first and second types, the study of the serum of the patient for the presence of the virus Epstein-Bara.

When carrying out such research methods as otoscopy, omicroscopy, videomicroroscopy, a specialist can clearly see that the blood vessels of the skin of the auditory canal are greatly expanded. This sign indicates the development of the inflammatory process.

Physiotherapy, used for bullous viral otitis in children and adults, is based on increasing the body's defenses against infection. Patients are prescribed antiviral drugs in combination with steroids and decongestants.

Local treatment means opening of bullae, after which special ear drops are prescribed to patients, preventing the development of infection. If secondary development of bullous otitis occurs, bacterial agents become unavoidable.

Surgical intervention is indicated only if there is pus on the ear lesion. If the purulent process does not develop, the operation becomes unreasonable, since at autopsy mastoid process, the expert will not find anything, except for expressed blood filling in the bone tissue and mucous membrane shell. In the treatment of influenza otitis media, it is necessary to constantly monitor the condition of the hearing. With defeat of the auditory nerve, the otolaryngologist concurrently with antiviral treatment appoints disintoxication and anti-edema therapy. It is also important to ensure the outflow of exudate from the ear cavity, after which it is washed with antibacterial and anti-inflammatory solutions. To prevent intoxication of the inner ear, it is important to prescribe as early as possible vitamins B, ATP, decongestion and detoxification therapy.

Treatment of patients diagnosed with bullous otitis media should be comprehensive and immediate. Only such an approach will help to eliminate all unpleasant symptoms at the initial stage of inflammatory process and prevent the occurrence of complications that are dangerous not only for health, but also for life patient.

NasmorkuNet.ru

Otitis - medium, acute, purulent, in children, symptoms and treatment

Otitis is an inflammation of the middle ear, which is the most common disease of ENT organs. At the heart of otitis is inflammatory processes in the mucosa that occur in the middle ear. In general, the outer ear consists of parts such as the auricle, external ear canal and tympanic membrane, which divides the outer ear with the middle ear. The middle ear is a tiny cavity where the bone mechanism is located, which transmits sound waves into the inner ear canal.

And the middle ear also transforms incoming sound waves into special nerve impulses that enter the brain. Otitis is external, that is, when there is inflammation of the auricle or inflammation of the ear canal. And also there is an average otitis, that is there is an inflammation of an average ear. Usually otitis media occurs after complications of infectious diseases such as influenza, tonsillitis and others.

Acute otitis media

Acute otitis is a common disease of the body, where the local manifestation are inflammatory-infectious processes, covering all three anatomical airborne components of the middle ear, this is the tympanum, auditory tube and mastoid outgrowth. According to the statistics, the average otitis occurs in 25-30% of people who have ear diseases and this indicates that acute otitis is a widespread disease. In the first place in terms of the frequency of acute otitis media are children under 5 years old, and elderly people are on the second place, and in the third place there are teenagers under 14 years old. Acute otitis does not have a specific pathogen, nor can it be caused by pathogenic microorganisms of different species, which include viruses, microbes and fungal flora or their associations.

The trigger mechanism for the development of acute otitis media is acute respiratory viral infections or influenza. In addition, the general assumptions and risk factors that favor the emergence and further development of acute otitis play a great role in the development of the disease.

Symptoms of otitis

It is worth noting that the easiest form of otitis is external otitis, but apart from it there is internal otitis and an otitis media of the middle ear. Concerning the symptoms of otitis, it is usually aching pain with a periodic

character, as well as possible swelling of the auricle and the temperature of the human body rises. The causes of external otitis may be mechanical damage to the tissue of the outer ear, that is, microtraumas with improper cleaning or trauma to the auricle. And the inflammation of the mucosa in the middle ear is called the otitis media of the middle ear. The danger of this type of otitis is that it leads to very serious consequences. For example, full or partial hearing loss may occur, and inflammation may spread further, even on the brain envelope.

In addition, the otitis media of the middle ear is usually accompanied by severe pain in the ear, a decrease in hearing, a sense of ear congestion, and noise from the transfusion water, and in severe forms of otitis is accompanied by secretions from the ear canal and an increase in body temperature, which may be more than 38 degrees. And if there is no wrong and untimely treatment of otitis media of the middle ear, then in the future it can lead to the development of internal otitis media.

Symptoms of internal otitis are very similar to the symptoms of otitis media of the middle ear, but in this case there is a large risk of complications, therefore hospitalization is necessary and even operative treatment of otitis in hospital. In addition, otitis, like many other diseases, can occur in chronic and acute forms.

If it is an acute form of otitis, then very quickly there is a strong pain, which with every hour or even minutes even more increases. If it is a chronic form of otitis, it proceeds more slowly, and its symptoms are less pronounced, like other forms, but this does not eliminate the danger after the onset of this disease.

Acute otitis media

As for acute otitis, it proceeds in stages. For example, first there is inflammation of the mucosa of the middle ear, then there is a suppuration and perforation of the tympanic membrane occurs. In general, acute otitis can take place quite easily, if there is no noticeable general reaction of the body. In some cases this form of otitis can take a severe course, which has sharp reactive phenomena on the part of the body. The causes of acute otitis media are penetrated into the tympanic cavity of infection. This can happen due to a sharp weakening or hypothermia of the body.

Even acute otitis media can occur again, and become a consequence of complications of infections and as a result of upper respiratory tract infection or after a transferred flu. In childhood, the disease can occur after suffering from scarlet fever, diphtheria, measles and other childhood infectious diseases. Another acute inflammation of the middle ear can occur after chronic or acute inflammation of the nose and pharynx. Depending on the severity of the course of the disease, there are general and local symptoms of otitis media of the middle ear. For example, with the usual course of acute otitis, recovery and complete restoration of auditory functions quite often occur. If there are unfavorable conditions of treatment, the course of the disease may acquire a prolonged languid character or it will pass into a chronic form.

With a typical course of acute purulent otitis, three periods of development are distinguished. For example, in the first period occurs the emergence and development of inflammatory processes in the middle ear. In this case, the pain in the ear is very strong and gradually increasing, and in more severe cases it becomes simply intolerable and painful, which can take away peace. Most often, the pain is felt in the depth of the ear, and by its nature it can be pulsating, vomiting, aching or shooting. Quite often, with acute otitis media, pain can be given to the teeth, the back of the head, to the temple or spread all over the head, and also increases with sneezing, sneezing, swallowing, with coughing, since in this case the pressure in the drum cavity.

At the next stage of development of otitis, the perforation of the tympanic membrane occurs and the result of inflammation is a purulence. Then, after suppuration, the temperature usually decreases, but this painful process can last 4-7 days. With inflammation, suppuration is first observed abundantly, and then significantly reduced and pus gets a thick consistency. If there is an average acute otitis in the ear, then pus in this case has no smell. If in this case there is no external otitis.

As for the third period of acute otitis media, a gradual cessation of inflammatory processes, then the suppuration disappears, the work of the middle ear normalizes and the perforation of the tympanic membrane recovers. And the duration of each of these periods can range from a few days to two weeks.

Acute catarrhal otitis

This form of otitis is accompanied by inflammation of the middle ear cavities, which cause streptococci, staphylococci and other pathogens. To provoke acute catarrhal otitis can lowered the body's resistance, diabetes, hypothermia, beriberi, kidney disease, rickets, various infectious diseases and so on. Most often, bacteria penetrate into the middle ear from the nasal cavity, through the auditory tube and this occurs when acute inflammation of the mucous membrane during acute rhinitis, acute respiratory infections, influenza, or acute Otitis.

Factors that accelerate the spread of infection are coughing, adenoid growths, sneezing or improper blowing, because it is necessary to clean each nostril in turn. Symptoms of ductal otitis media include ear noise, pain, a feeling of congestion, and hearing loss. And usually the pain in this case is growing, it can also give in the teeth, felt deep in the ear or give to the parietal-temporal or occipital area. In addition, they can observe unpleasant sensations when coughing, sneezing and swallowing, which very often deprives the patient of appetite and sleep. And when the disease occurs against the background of a common infectious disease, the temperature can rise sharply.

When the patient is examined, the doctor discovers the redness of the tympanic membrane, and touching it is very painful. Regarding treatment, then with catarrhal otitis, bed rest is necessary, and in case of complications, hospitalization is required. To eliminate pain, you need to instill carbolic glycerin and alcohol into the hearing aid by 70% for 5-6 drops in each ear. Next enter into each ear a cotton wick at night. In addition, physiotherapy, warmers and vodka compresses are used. And in the nose instilled vasoconstrictive and bactericidal drops. If the temperature is high, the doctor prescribes antipyretic drugs.

Acute exudative otitis media

This form of otitis is an inflammation of the middle ear with the formation of transudate and its long-term retention in the tympanic cavity. In its prevalence, acute exudative otitis in children is more common than in adults. A diagnosis of acute exudative otitis in 60% of children aged 3-7 years and 10% of children aged 12-15 years. The causes of exudative acute otitis are quite diverse and can be divided into local and general. For example, common causes include allergies, decreased overall immune reactivity, environmental factors, specific diseases that reduce immunity, as well as frequent infectious disease.

If these are local causes of exudative otitis media, then this may be a violation of the ventilation function of the auditory tube, as a result of hypertrophy of the pharyngeal tonsil, as well as a slow inflammatory-allergic process in the pharyngeal tonsil. In children, the clinical symptoms of this disease are not very pronounced. Quite often the main symptom in the disease is a decrease in hearing or a strong noise in the ear. But since children aged 2-5 years do not usually complain about hearing loss, exudative otitis media is more common and complicates in this case. And if a child with this form of otitis is not treated, then after 3-4 years he may develop persistent and irreversible hearing loss, which is caused by cicatricial adhesive process in the middle ear, formation of eardrums in the tympanic membrane, atrophy of the tympanic membrane or its perforation. In addition, the sound-receiving apparatus may suffer in part.

Acute purulent otitis media

This form of otitis is a purulent acute inflammation of the mucous membrane on the tympanic membrane. With this form of the disease, all parts of the middle ear are also involved in the catalytic inflammation. Acute purulent otitis is a widespread middle ear disease, which is very common proceeds in a mild form, and then it can develop violently and cause a severe inflammatory reaction organism. But in both cases quite often the acute purulent otitis leaves in the future an adhesive process, which is accompanied by a hard-to-treat deafness, and also can pass into a chronic and often progressive form, which leads to hearing loss and to other severe complications.

The most common acute purulent otitis occurs in children under 3 years old. And its distinctive feature is an acute onset and a rather lingering course, but in childhood increases the tendency to recurrence of the disease. The main factors that provoke this disease are a combination of a decrease in total and local resistance, as well as getting into the tympanic cavity of the infection. Quite often, through the auditory tube, a microflora directly enters the tympanic cavity, which saprophytes in the pharynx. But this can not cause inflammation if the general and local reactivity is normal. And if the supply of microflora was massive or the microflora was highly virulent, then in this case acute otitis media appears.

The main pathogens of acute otitis in children and adults are the main infections or associations of microorganisms. Most often, viral otitis is observed in epidemics of viral diseases.

The most frequent way to penetrate the infection is through the auditory tube. And since there is no flora with microbes in the middle ear cavity, the barrier function of the mucous membrane in the auditory tube comes into play. As a result, mucus is produced here, which has an antimicrobial effect. Inflammatory epithelium of the auditory tube moves the mucous secret to the nasopharynx. Therefore, with different common infectious diseases, with local acute exacerbations, and also with inflammatory, chronic diseases of the upper respiratory tract function of protecting the epithelium in the auditory tube is violated. As a result, the microflora immediately penetrates into the tympanum.

In some rare cases, the infection can enter the middle ear through a damaged eardrum during a trauma or through the wound of the mastoid process. In this case, there is a traumatic otitis media. The most rare way of penetrating infections in the middle ear is the hematogenous way. And it is possible if there are such infectious diseases as measles, influenza, scarlet fever, tuberculosis and others in the body. In extremely rare cases, acute purulent otitis can develop as a result of retrograde spread of infection directly from the cranial cavity or from the labyrinth.

Acute Otitis in Children

Usually acute otitis in children begins with sharp pain in the ear and high fever. And most often it starts after a flu or cold. The most important thing that needs to be done in this situation is to put a warm sink behind the auricle vodka compress and it is best to do it with camphor alcohol, which must be diluted by half with water. Most often, the compress reduces pain and the child calms down, but you do not need to stop. Since the child immediately needs to be shown immediately to the doctor. It is worth noting that otitis is terrible with its complications, which can occur if the child is not treated in time. In addition, otitis can pass into a chronic form or can lead to a partial hearing loss.

To the occurrence of complications, otitis predisposes the structure of the organ of hearing. After all, children have a more sinuous hearing aid than adults, and at the end of the passage there is a tympanic membrane, which is a barrier covering the middle ear. And behind this very thin film there is a tympanic cavity, which has a sound instrument - these are auditory ossicles, nerves, muscles and vessels. The drum cavity consists of an auditory tube, which connects it with the nasopharynx, which you should pay attention to. After all, with various respiratory or other infections that are most common in children, the inflammatory process begins, which most often affects the nasopharynx. Therefore, through the auditory tube, which in children is shorter and wider than in adults, the microbes immediately enter the tympanum.

Acute otitis media of the middle ear

This disease is a manifestation of inflammation in the tissues of the tympanic cavity, mastoid process and auditory tube. Most often, acute otitis media of the middle ear occurs in childhood, but people of any age can be ill. Inflammatory process in the middle ear can be caused by different microorganisms, these are streptococci, staphylococci, fungi and viruses. Most often, microorganisms enter the middle ear directly through the auditory tube and this is usually contribute to this process in the nose, nasopharynx, in the paranasal sinuses or in the presence of adenoids in children. A more rare way of penetrating infections in the middle ear is to hit it through the external auditory wire during a tympanic injury. Another occurrence of acute otitis can occur with infectious diseases such as scarlet fever, influenza or measles, and there is another way of penetrating the infection-it's through the blood.

In addition, a decrease in the body's resistance to various infectious diseases, kidney diseases, with diabetes and hypothermia can contribute to the development of inflammatory processes on average ear. In the course of the disease, acute otitis media of the middle ear is purulent and catarrhal. And during the acute otitis media, three stages are distinguished. The first stage is acute catarrhal otitis, that is, the onset and development of inflammatory processes in middle ear and further increase in the symptoms of the disease, which are associated with the accumulation of exudate - this fluid on average ear.

The second stage is purulent otitis, that is, the formation and accumulation of pus in the middle ear cavity, which leads to rupture of the tympanic membrane and to suppuration. The third stage of development of acute otitis media of the middle ear is the fading of the inflammatory process, which significantly decreases and gradually stops suppuration, and then there is a fusion of the edges of the drum webbeds.

Acute otitis externa

This form of otitis is an inflammation of the skin of the cartilaginous part of the auditory external passageway. Symptoms of acute external otitis are ear pain, chewing pain, when pressing on a tragus, pain while sipping the auricle. Naturally, with this disease there may be swelling near the auricle on either side or with one of them. Another possible pain when pressing the mastoid process, and the pain itself is amplified towards the ear folds. Still observed with acute external otitis narrowing of the external auditory canal with varying degrees of severity. In addition, lymphadenitis of the pre-limb lymph nodes is possible.

When the eardrum is not inflamed, the hearing may not be affected. And in differential diagnosis, skin cholesteatoma can be detached from the back of the external auditory canal. For the treatment of acute external otitis in the external auditory canal is introduced turundas with Burov's fluid or with boric alcohol, and also prescribed for the treatment of UHF therapy in the ear area. And with severe pain and high body temperature, antibiotics are prescribed - oletetrin, doxycycline, vibramycin or erythromycin for 6-7 days. Such treatment is also carried out with purulent discharge.

If the disease is prolonged. The doctor prescribes intramuscular injections of antibiotics, prescribes autohemotherapy and locally prescribes staphylococcal anatoxin. If a recurrent furunculosis develops, then autohemotherapy is required, a blood test for sugar is performed to exclude diabetes, and vitamin therapy is necessary.

Acute bilateral otitis media

Acute bilateral otitis is an inflammation in the tissues of the tympanic membrane or auditory tube. In addition, the inflammatory process can affect the surrounding tissues. Most often acute otitis does not lead to hearing loss, but there are exceptions, if it is a purulent otitis, in which the destruction of the tissues of the middle ear. Acute bilateral otitis develops from five stages. The very first stage is characterized by stuffy ears, noise in the ears, and fever may be absent. In the second stage, there may be acute catarrhal inflammation in the middle ear, which is characterized by the symptoms of the first stage. There may be shooting pain in the ear, rise in temperature and inflammation of the mucous membranes. The next stage of the disease is the preperforative stage, which is characterized by intolerable pain passing into the neck, eyes, teeth and into the pharynx. Body temperature at this stage can rise to a risky figure.

At the next postperforative stage of acute bilateral otitis media, the pain weakens, but suppuration begins from the ears. The last stage is the reparative stage, that is, the arrest of inflammation and the beginning of recovery. The most important danger during suppuration is the threat that pus will enter the cranial cavity and cause a brain abscess or meningitis. In addition, you need to remember about the obligatory visit to the doctor at the very first manifestations of pain in the ears or if the ears pawned. And if these symptoms do not pass for two or three weeks, then there is a danger of the disease.

If treatment is performed only by unconventional means, then this can cause complications, since similar methods are used only under the supervision of a doctor. And the therapy must necessarily be carried out, taking into account all aspects of the disease, for example, to take into account the extent of the inflammatory reaction, to take into account all complications and other concomitant diseases. In addition, it is very important to take into account the general condition of the patient, as well as his individual characteristics. And depending on the nature and form of the defeat of the middle ear, choose a method of treatment that can be operational or conservative. According to statistics, acute bilateral otitis media can manifest in 80% of children under 3 years old. Quite often, otitis develops after hypothermia or after a cold. And in order to prevent it, it is necessary to treat the mucous membrane of the throat and nose in a timely manner.

Treatment of otitis media

Concerning the treatment of otitis, it is worth noting that this is a very serious disease that must be treated. Therefore, the first symptoms should immediately contact the otolaryngologist. After all only the doctor can correctly establish the form of an otitis and on the basis of it or this to appoint or nominate correct treatment. And even if a person is an adherent of treatment with folk methods, then without treatment otitis treatment is impossible. Otitis is usually treated for about 10 days, but in more severe forms, treatment can be delayed. In any case, you need a timely call to the doctor.

It is worth noting that the treatment of otitis is complex and for the patient to start it is necessary to ensure complete rest, so as not to provoke the occurrence of complications. Then it is necessary to appoint specialized antibiotics to carry out an operational fight with the causative agent of otitis media. Antibiotics can be in tablets, it's Solutab, Flemoclav, Cyphran or antibiotics in droplets, it's Otypax and Sofrax, but they must be at room temperature before burying. However, only a doctor should prescribe antibiotics.

Sometimes it happens that otitis takes a person by surprise, for example, on a day off. And in this case it is necessary not to start the situation. That is why, when there is pain in the ear, with lumbago or with twitchings, it is necessary to buy drops of Sophadex for adults, and for children Otipaks drops will help. In this case, it is necessary to observe the dosage, which is indicated in the instructions, and then bury in each ear. If very severe pain has occurred, then in this case, you can take an analgesic. However, if the ear has already ceased to hurt, it is still necessary to consult a doctor. Because there is a high probability of complications.

With external otitis treatment should consist of heating, from washing the ear canal and using warming compresses. If an abscess has already formed, then there is a need for its dissection. With otitis media, antibiotics and antipyretics are prescribed. When the suppuration has already come, the doctor in the hospital makes an incision of the tympanic membrane to drain the pus from the ear, as quickly as possible. Still need to mix in equal parts 70% alcohol and glycerin and in this solution you should wet the turunda from the cotton wool, and then insert it into the ear. Then you need to put a cotton ball moistened with an ordinary baby cream, and after 2 hours to remove it. After several procedures, the swelling will disappear.

To eliminate ear pain, it is necessary to take painkillers. For example, adults are prescribed Coldrex, and children are prescribed Nurofen, as a result, relief will come just at once. But it is very important to know that any warming compresses can not be used at high temperature. And also take otitis treatment very seriously.

Prevention of otitis

To prevent any inflammation, you need those tools that help strengthen the body, for example, the correct mode of work, nutrition and recreation, systematic exercise and physical education and hardening. In addition, those people who suffer from chronic otitis should be well treated and observe all necessary precautions. For example, during bathing or washing your head, you need to protect your ears from dirty water, usually using ear plugs or cotton swabs, which should be moistened with vegetable oil. When pus comes out of the ear, then on the instructions of the doctor you need to clear the ears from the accumulation of pus, and also to apply the procedures and medicines prescribed by the doctor.

Those people who are predisposed to diseases of the throat or nose, must necessarily consult a doctor about their treatment and prevention of the disease. In addition, you need to treat the tonsils systematically, and in advanced cases, they need to be removed. In addition, it is necessary to treat a runny nose and especially if it is a chronic form. In addition, each person should gently blow his nose, as with increased blowing through Eustachian tube slime with microbes can get into the tympanum, which causes inflammation in it, then there is an otitis.

It should be noted that with exacerbations of otitis, it is undesirable to carry out any hard physical work, and you can not leave the house with wind and strong cold, and it is advisable to avoid talking. Even with exacerbations, the ear is covered with a warm bandage. If the patient has severe pain in the ear, then you can use painkillers, which are prescribed only by the doctor. In general, in most cases, preventive measures do not allow inflammation in the ear to those people who fall into the risk zone.

medportal.su

How to treat otitis in adults: the main symptoms and diagnosis

Despite the fact that the inflammation of the hearing organs of an adult person is much less common than that of children, the question "how to treat otitis in adults" remains quite relevant and in demand.

There are many prerequisites for the development of the disease in adults, as well as in the case of sinusitis.

Even an elementary cold or hypothermia can turn into a serious form of otitis.

In addition, inflammation of the outer, middle or inner ear can be affected by the following factors:

• viral diseases of the upper respiratory tract;
• viral diseases of the nasopharynx;
• neglected forms of the common cold;
• adenoids in the nasopharynx arch;
• violation of the rules of ear hygiene.

Depending on the infection of certain departments of the ear, otitis in adults and children is divided into three types:

• External otitis media: most often the cause of its occurrence is the accumulation of water in the ear canal, this form of the disease is often called "swimmer's ear."
• Average otitis media: mainly develops as a complication of the upper respiratory tract, this form is commonly referred to in the everyday life as "otitis."
• Internal otitis media: develops mainly on the background of neglected purulent inflammation, as well as infections.

In order to determine how to treat otitis in adults, it is necessary first to study the clinical picture, compare it with the characteristic symptoms of the disease, and also carry out a diagnosis.

The main symptoms of otitis in an adult are:

• feeling of stuffiness and noise in the ears;
• acute or aching pain in the ears;
• a sharp increase in temperature;
• partial hearing loss;
• headache;
• general weakness and malaise;
• lack of appetite;
• sleep disturbance;
• purulent discharge, possibly with an admixture of blood from the auditory canal.

It is important to know

Even the presence of the above symptoms does not give the right to engage in self-treatment, for the full diagnosis of the disease is necessary in urgent the order will seek help from an otolaryngologist who, with the help of special ENT equipment, will establish a definitive diagnosis and prescribe a course treatment.

For the diagnosis of otitis, the doctor usually uses an overhead reflector in tandem with an ear funnel or a modern optical device called an otoscope. In most cases, the examination of the ear does not cause any difficulties, in the first place the eardrum, ear canal and auricle are subject to examination.

Thus, in the diagnosis of external otitis, redness of the skin in the ear, narrowing of the auditory passage, and the possible presence of fluid in the lumen is observed. In this case, the auditory canal can be narrowed so much that through it it is simply impossible to examine the eardrum.

On average, any inflammatory process in the ear (otitis) lasts up to two weeks, during this time In no case should the treatment process be stopped, even if a significant improvement. Otherwise, serious complications and the formation of chronic forms may occur.

How many otitis media are treated in adults with basic medication

Regardless of the nature of otitis, viral or bacterial, it must necessarily be treated. Passage of the disease itself can in rare cases, but it is quite likely that it will develop into chronic forms and complications with serious consequences. It is from the course of the prescribed therapy and it depends how much otitis is treated in adults in time.

One of the main means for treating the disease are ear drops in otitis.

They can be exclusively antibacterial or combined and consist of antibiotics and anti-inflammatory components. The course of treatment with such drops is 5-7 days, depending on the clinic of the disease.

Antibiotics are often used in the treatment of otitis media in adults, especially acute and purulent forms. The course of their treatment is 7-10 days, depending on the drug and the degree of complexity of the disease. In this case, treatment of otitis in adults and children at home by folk remedies is undesirable.

It is important to know

Take antibiotics should be exclusively after the appointment of a doctor strictly according to the scheme of the entire course. Even if after a few days of taking the symptoms of the disease significantly reduced or even disappear some of them, to stop treatment of purulent otitis with antibiotics to adults and children is prohibited in order to avoid complications and repeated exacerbation disease.

Anesthetic for otitis in adults is another type of medication used to relieve the condition of particularly acute forms with pronounced pain.

Such treatment should be carried out necessarily under the supervision of the attending physician, not to cause allergic reactions and side effects.

Anesthesia therapy for otitis symptoms does not have a definite course of action and is used whenever necessary in each case.

In some cases, otitis media of the middle ear requires little surgical intervention. This procedure is called paracentesis or tympanotomy of the tympanic membrane. Usually it is performed when there is no improvement after antibiotic therapy during the first three days. The essence of it is to perform under the influence of local anesthesia in the tympanic membrane of a small incision, through which the pus accumulated in the ear can freely flow. After the cessation of discharge, the incision successfully heals and traces completely.

If there is no temperature in the otitis and there is no purulent discharge, often doctors recommend using dry heat - this can be folk methods of warming up at home or physical therapy.

Proceeding from the above-described factors, it becomes absolutely clear that it is impossible to give an unambiguous and precise answer to the question of how long otitis in adults lasts and how many days it is necessary to treat it.

The process of treatment and recovery depends on many factors, from the form of the disease, its clinical picture, ending with properly appointed therapy, created conditions for the patient, not to mention the individuality of each individual human organism. One thing is obvious - the duration of the disease can be significantly reduced with timely treatment to the otolaryngologist and strict observance of all his prescriptions.

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gajmorit.com

Otitis in the child: symptoms, treatment, prevention

When the ears begin to ache, even experienced parents can lose self-control from whims and tears. In order to effectively combat the disease, it is necessary to know the enemy, which is called "in person warned - means armed.

What is otitis media?

Under otitis means any inflammation of the ear. Distinguish:

• The external ear (the auricle and the external ear canal to the tympanic membrane) whose inflammation will be external otitis. Here, the first place is played by furuncles caused by staphylococci and fungal lesions of the auditory canal.
• The middle ear that begins behind the tympanic membrane and includes the tympanum, the Eustachian tube, the cells of the mastoid process and the antrum. Inflammations in this department are called otitis media. This is the most common ear pathology in children.
• Internal otitis is also called labyrinthitis. In this inflammation affects the cochlea, its vestibule or semicircular canals.

Who is guilty?

The average otitis develops against a bacterial (less often viral) infection. The most common cause of its development is aggressive streptococcal or staphylococcal flora. Most often, it enters the ear cavity through the Eustachian tube, balancing the pressure between the ear and the nasal cavity. Therefore very often otitis is the outcome of the common cold.

A prerequisite for the development of otitis media is a significant decrease in local immunity in the child's body, more prone to ear infections:

• suffering from rickets (see p. symptoms and treatment of rickets in infants)
• anemia
• lack of weight
• chronic pathologies of ENT organs
• exudative diathesis
• extreme forms of immunodeficiency takes with diabetes, AIDS and leukemia.

But even a child without severe somatic diseases can become a victim of otitis with trivial hypothermia. The fact is that the external ear canal of a child, unlike an adult, does not have an S-shaped curvature. Therefore, any flow of cold air can provoke otitis in a child, the symptoms of otitis will directly depend on the location of the inflammation.

Manifestations of otitis media

With external otitis, the symptoms in children may vary depending on the severity of the process.

• A furuncle of the ear or auditory canal will manifest reddening, swelling, the appearance of an inflammatory tubercle, which gradually will change color from red to bluish. In the center of inflammatory education a purulent stem will form. Until the tissues melt to pus, the pain will be very intense. After the death of the receptors, it will become a little less. After the boil opens and the necrotic stem leaves, there will be a deep wound that will heal with the formation of a hem.
• Fungal otitis externa is characterized by the appearance of crusts and scaling in the ear passage against the background of a fungal infection. There is also itching.
• The average otitis can be divided into catarrhal otitis and purulent. Qatar is when inflammation caused by microbes is manifested in the form of redness, swelling and inconstant pain of a stabbing or shooting character. Depending on the severity of the inflammation, the intensity of pain varies, from weak to unbearable. The pain may be located inside the ear or be given to the cheek, temple, throat. This is due to the common nerve, which supplies the tympanum and oropharynx. Pain can be combined with ear congestion.
• Since the formation of the abscess on the tympanic membrane, they speak of a purulent otitis. In addition to the pain for him is typical of hearing loss. If the abscess breaks, a purulent effusion with an admixture of blood follows from the ear. Later, the eardrum heals with the formation of a scar, after which the hearing is restored. With a significant defect, the membrane can not completely heal, and then there will be hearing problems.

Also, the child will be disturbed by temperature rises and intoxication (muscle, joint and headaches, weakness and weakness).

• In addition to acute otitis media, a chronic inflammatory process can develop, which is divided into exudative otitis media, purulent or adhesive. Exudative and adhesive otitis variants have mild manifestations in the form of noise in the ears (causes) and hearing loss. Adhesive (adhesive) otitis is the result of the proliferation of connective tissue and fibrosis of the tympanum and tympanic membrane.
• In chronic purulent process, there is a periodic leakage from the ear and a persistent decrease in hearing due to the perforating perforation of the tympanic membrane.
• The labyrinthitis is manifested by pain, hearing loss and dizziness (cause), since the body involved in the process is an organ of balance that is conjugated to the inner ear.

How to suspect an otitis at home?

Older children may well complain of pain in the ear and even talk about what kind of pain and where it gives. It is much harder with kids up to two years old who can not really talk and just cry in response to pain (including, and on otitis). Symptoms in infants at this pathology are not specific:

• on the thought of inflammation of the middle ear can push the child's anxiety
• his unmotivated crying
• abandonment of a breast or bottle
• also children can grasp handles for a sore ear
• to turn one's head from side to side
• if you press on a tragus of a sick ear, a child's anxiety or crying is aggravated by the intensification of pain

For any suspected otitis, the child should immediately be shown to a pediatrician or an ENT doctor.

How does a doctor determine otitis?

The otolaryngologist has such a simple and convenient device as an ear mirror. With its help, you can see changes in the external ear canal, the tympanic membrane. Thus, the average otitis corresponds to changes in the light cone in the eardrum. With the same purpose the doctor can use the otoscope.

First aid for otitis

If the visit to the doctor is postponed for objective reasons (although it is not possible to delay it), and the child is worried and crying, the first thing to do if you suspect otitis anesthetize the ear.

For this purpose, non-steroidal anti-inflammatory drugs can be used that have the property of suppressing inflammation, temperature and pain. Children are allowed paracetamol derivatives (tayled, kalpol, efferalgan, panadol, tylenol), ibuprofen (nurofen, ibuklin) and naproxen (cefecon) Review of all antipyretics for children, with dosages and prices. You can use syrup, tablets or rectal suppositories.

The second remedy for otitis media is ear drops Otypaks (170-250 rub), Otirelaks (140 rub) This a combined preparation containing anti-inflammatory phenazone and a local anesthetic of lidocaine hydrochloride. It must be remembered that otipaksom can be used only if the tympanic membrane has not been damaged (the ear did not flow). In infants instilled by 2 drops, and in children older than two years, 3-4 drops in each ear.

How correctly to drip drops?

• Before burying drops, the bottle should be warmed to room temperature. In infants, the temperature can be up to 36 degrees. Alternatively, the drops are poured from the vial into a warm spoon, and then pipetted.
• The child must be placed with the ear up and pull the auricle back and down to spread the auditory canal.
• After the drops are dipped, the child is kept up in his ear for at least ten minutes, so that the medicine does not leak.
• In children, drops are buried in both ears, since the process is usually two-sided.
• A baby sucking a pacifier needs to be removed before dropping drops. In combination with a stuffy nose, a pacifier can cause a barotrauma of the tympanic membrane.

Treatment of external otitis media

Furuncle of the external ear (purulent otitis) is treated according to the classical scheme. At the stage of infiltration (before the formation of the rod) with anti-inflammatory agents and alcohol compresses for the purpose of resorption. After the rod is formed - surgical opening of the abscess with drainage of the cavity, washing Hydrogen peroxide or chlorhexidine, Miramistin and subsequent ointment dressings with levomekolom to the full wound healing. When intoxication, high temperature, lymphadenitis, antibiotics are connected.

Fungal lesions of the auditory canal are treated with antifungal ointments (clotrimazole, candid, flucanazole) at need to designate systemic antifungal agents in tablets (amphotericin, griseofulvin, mycosyst). As a rule, in children up to two years of age, systemic antifungal agents are not used.

Treatment of otitis media

The smallest preference is given to local treatment. For them, systemic antibiotics - too heavy a load on the immune system and intestines (see. list of probiotics, analogues of Linex). Therefore, very strict indications are given for antibiotics:

• Hyperthermia within three days of the onset of local therapy
• severe intoxication
• poorly docked pain that prevents a child from sleeping and eating normally

Drops in the ears are used by the course for seven to ten days. During this period, the child is necessarily examined by an otolaryngologist to be sure of the positive dynamics of the inflammation or to correct the treatment if the result is unsatisfactory.

In older (from two years) children, therapy also begins with ear drops, supplemented with anti-inflammatory drugs (see. First aid for otitis).

A prerequisite for the treatment of otitis media is getting rid of the common cold. With untreated rhinitis, there are risks of re-development of middle ear inflammation. For this purpose, antiviral (interferon), antibacterial (drops - isofra, polidex, protorgol) and combined (vibrocil) drops are used.

• Drops in the ears

- Otypaxcombines anti-inflammatory and analgesic effects.
- Sulfacil sodium (albucid) - a universal antimicrobial and antiviral agent.
- Otofa- antibacterial drug based on antibiotic rifamycin.
Albucid and otofa are not contraindicated in the case of perforation of the tympanic membrane.
- Polidex- children older than two and a half years have the opportunity to use polydix (a combination of antibiotics neomycin and polymyxin with the addition of hormonal anti-inflammatory dexamethasone).

Course treatment is carried out from seven to ten days. During this time, it is quite possible to cure uncomplicated catarrhal otitis in a child. Treatment should be prescribed and monitored by an ENT doctor.

• Antibiotics in tablets, suspensions or injections

Requirements for these drugs: safety, non-toxicity, achieving sufficient concentrations at the site of inflammation, Preservation of therapeutic doses for a long time (no less than eight hours for a comfortable multiplicity of receptions for day). The duration of antibiotic therapy is seven days, except for drugs that are able to accumulate and retain therapeutic concentrations in the blood for a week or ten days (for example, azithromycin, which is prescribed for three to five days).

• Penicillins. Preferred semisynthetic (oxacillin, amoxicillin, flemoxin, ampicillin, carbenicillin) and inhibitor-protected, allowing to resist resistant strains of microbes (amoksiklav, flemoklav, augmentin, unazin, sultamitsillin, ampaksid).
• Cephalosporins of the second (cefuroxime, cefaclor) of the third (ceftibutene, ceftriaxone, cefotaxime, cefazidime) and the fourth (cefepime) generations.
• Macrolides now displace cephalosporins. More convenient in dosing, the duration of the course and the forms of administration (tablets, suspension). Treatment of otitis media in children is carried out with azithromycin (azitral, sumamed, chemomycin), clarithromycin.
• Aminoglycosides are the drugs of choice if there is staphylococcal purulent otitis in a child. Treatment with kanamycin, gentamycin, sizomycin, amikacin is carried out mainly permanently due to nephrotoxicity.

To the peculiarities of antibiotic therapy in children it is necessary to include the refusal to use fluoroquinolones, since they are contraindicated for children under 18 years old, as well as to reduce the number of antibiotic-resistant infections.

To the question of antihistamines

Classic treatment regimens for otitis media suggest prescribing antihistamines to reduce the allergic component of inflammation and reduce edema. Recommended second and third generation drugs that do not cause drowsiness or have a minimal sedative effect: claritin, desloratadine, loratadine, clarixens, cetirizine, ketotifen (see. medicines for allergies).

However, today a number of specialists (primarily American, conducting selective clinical studies involving children-children) believe that the use of this group of drugs in otitis is inappropriate, since there is no direct relationship between their use and the rate of cure disease. To date, the issue remains open, as there are still no full standards for the treatment of acute otitis in children.

Treatment of labyrinthitis

Since the process can easily be complicated by meningeal inflammation, sepsis and even disorders of cerebral circulation, the treatment is carried out under stationary conditions. Antibiotics, anti-inflammatory and dehydrating drugs are used. If necessary, surgical intervention is performed.

Treatment of otitis media folk remedies

Traditional methods of treating otitis in children are quite diverse, but it should be noted that turning a child into a testing ground is not humane and reckless. Of course, in the field, when a doctor and a pharmacy are unavailable, a person will resort to any improvised means to alleviate the pain, suffering of the child. Therefore, we will focus on the most appropriate and less harmful for children's health folk remedies against otitis (ear inflammation).

External otitis, flowing in the form of a furuncle in the stage of infiltration (with reddened tubercle without a purulent stem), as well as the average catarrhal otitis in children is susceptible to folk remedies. You can use a vodka or alcoholic compress or lotion:

• boric, camphor alcohol or vodka are applied to a gauze pad that is applied to the ear area
• Polyethylene film or wax paper is placed on top
• the dressing is strengthened with a scarf or scarf
• exposure time from 15 to 30 minutes (the younger the child, the shorter the procedure time)
• Decently resolves infiltrates and iodine
• Also apply and leaves of an aloe, cutting them in half and applying to an abscess a cut of a leaf

No heating procedures for otitis are allowed. Treatment with alcohol-containing solutions is strictly prohibited in children up to a year, even for external use. In older children it is also not desirable, especially it is contraindicated to use for medical purposes with medical alcohol in undiluted form. It is better to use camphor, boric spirits or vodka. Burying boric or camphor alcohol in the ear is acceptable, but only in children older than 6 years - not more than 2 drops.

In fungal lesions of the auditory canal, people rub it with a solution of soda (not to be confused with instillation or washing). Soda creates an alkaline environment in which mushrooms do not breed well, but can not completely cure the fungal infection.

Sollux (blue lamp) is a thermal procedure, shown with a noggin otitis. However, in everyday life, nocturnal otitis from purulent is difficult to distinguish, especially since a bacterial infection can not be heated. Therefore, any folk methods should be coordinated with the treating pediatrician.

Prevention of otitis

• Rational ear hygiene. It is inadmissible to clean the ears of a child with improvised means, to penetrate deep into the ear canal.
• After bathing, the baby needs to shake out or get wet from the ear.
• Children under one year should not be in drafts without head covers covering their ears.
• It is necessary to treat all diseases of ENT organs (sore throats, tonsillitis, rhinitis, pharyngitis) in time and fully. Bilateral otitis in the child often develops against the background of the common cold.

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