Otitis in the baby: signs, causes and methods of treatmentOften occurs in infants, than in adults. This is due to the physiological characteristics of the child's body. The hearing organ in children is much more vulnerable, which is why newborns are susceptible to the development of the inflammatory process in the middle ear cavity.
CausesMost experts in the detection of otitis in infants are talking about a minor cold passed over a disease. In this case, ear inflammation is seen as a complication of the common cold, acute respiratory viral infection or influenza.The Eustachian tube connecting the ear with the nasopharynx is much wider and shorter in children than in adults, so an infection can easily get into the middle ear cavity from the nose.
In the infant, the symptoms of otitis may appear not only because of the unformed Eustachian tube, but also because most of the time the baby spends horizontally. After breastfeeding, the remnants of milk can easily enter the middle ear of the newborn. To exclude the development of a dangerous process, pediatricians recommend that mothers during breastfeeding keep the baby in a vertical or semi-vertical position.
Specialists also call such reasons for the appearance of otitis media:
- weak local immunity;
- allergic processes in the body;
- artificial feeding;
- pathology of the broncho-pulmonary system.
The child grows and with age the structure of his ear changes, and with it other otitis causes also appear. So, in children after a year adenoids begin to grow, when they become inflamed, increase considerably in size, they can cover themselves with the Eustachian tube.
Symptoms of the diseaseParents should know the main symptoms of otitis in an infant, because they can detect the development of the inflammatory process in the middle ear cavity and consult a specialist. It is not difficult to learn about the development of a disease in a three-year-old child, because he can already say that he has pain, but the diagnosis of otitis in the baby is difficult. Because of this, it is rare to notice inflammation in the early stages of its development.
The mother of the baby should immediately alert the baby's behavior if he turns his head, fits without apparent cause, worries, refuses to breast. When otitis babies usually eat poorly or at all give up their breasts, because during sucking movements in the ears there is a lot of pain. To these signs of otitis in a nursing baby can also join a rise in body temperature to 38-40 degrees.You can lightly press your finger on the protruding cartilage in front of the auricle, if the baby tries to dodge the head or begins to cry, there is no doubt about the development of the inflammatory process in the middle ear cavity.
To attributes of an otitis at grudnichkov it is possible to carry still and such displays:
- congestion and redness of the nose;
- purulent discharge from the ear, this phenomenon indicates already the course of the purulent process in the ear.
The otitis begins suddenly: in the evening the child was joyful and cheerful, and in the morning woke up capricious.
Acute otitis mediaWhen developing an acute inflammatory process, the outer, middle or inner ear can be affected. If the disease is not cured in time, it can soon become chronic and bother the child not only in childhood, but also in adulthood. Among the complications of acute otitis there are such pathological processes in children as:
- mastoiditis - inflammation of the mastoid process;
- meningitis - inflammation of the membranes of the brain:
This is a fairly common disease that occurs in infants, you can quickly get rid of signs if you turn to LORu in time.
Purulent otitis media
Inflammation of the ear, which starts to develop a purulent process, occurs in many children. According to statistics, approximately 80% of infants have had otitis media before the age of one year. Timely detection of signs of otitis in infants plays an important role in the treatment of ailment. At an early stage of development of pathology, specialists successfully cure the child, eliminating the development of dangerous complications.
Methods of treatmentAll parents should understand that with the development of otitis in a child self-medication becomes irrelevant, the disease requires active action on the part of experienced specialists. At home, you can only take steps to alleviate the condition of the infant before the visit to the doctor. To reduce the pain, it is important to provide a full nasal breathing, for this you can flush the spout and remove it from the mucus. On the head of the baby it is desirable to put on a hat to ensure that the ears are warm.
The entire period of the disease should be abandoned bathing baby, you can only wipe his body with a damp towel. In this way, you exclude the ingress of water into your ears, which can only aggravate the process of treatment. If the child is in serious condition, the hospitalization of the baby in the hospital can not be avoided, where otitis treatment will be performed under the supervision of doctors. Usually it is possible to restore the functionality of the hearing organ with the help of drug therapy, but sometimes surgical intervention is indicated.The operation is aimed at dissection of the tympanic membrane, the procedure is very painful, therefore it is carried out only under anesthesia.
Medication TherapyProceeding from the fact that otitis is an infectious and very often even a purulent disease, the use of antibiotics is inevitable. In the treatment of otitis in infants, tablets, syrups or suspensions may be prescribed, in the severe form of the disease, antibacterial drugs are injected. On average, the course of antibiotic therapy consists of 5-7 days, such measures are necessary to prevent pus penetration into the skull and orbit.
Vasoconstrictor nasal drops must be used to ensure normal nasal breathing of the child. When purulent otitis should regularly remove pus from the ear cavity. To do this, insert a cotton turunda into the affected ear.
It is important to know how the baby can determine otitis, because only so experts can conduct effective treatment of an infectious disease even at the initial stage of its development.
Symptoms of otitis in the infant: the first signs of inflammation of the ears
Otitis is one of the diseases that are very common in young children. Mostly this happens to inexperienced mothers, who know little and can provoke this disease in the child by their own actions. The disease is classified as uncomplicated, quickly docked, well treatable, but only on condition of timely assistance.
Features of pediatric otitis
The diagnosis of "otitis" is made at a time when acute inflammation in the ear is established. But it can be different:
More often the diagnosis sounds so: an inflammation (an otitis) of an average ear. Baby ears have a slightly different structure than adults. Behind the tympanic membrane is the middle part of the ear, in which the Eustachian tube is located. It serves to connect our nasopharynx with the ears. In an adult it is longer and narrower than a small child. It is because of the short tube that babies are more prone to ear infections. Infection penetrates faster, mucus appears. And if this mucus thickens, clogs the tube itself, otitis begins.
Most often, the doctor's diagnosis is as follows: inflammation (otitis) of the middle ear.
As the child grows, the structure changes, and adenoids may appear. Adenoids are quite dangerous for babies, as they can become highly inflamed as a reaction to the entry of pathogenic bacteria.
Causes and risk factorsMost often, the cause is infectious.Enough light breeze on the damp head of the baby to provoke the disease.Bathing a baby in a cool room, drafts, hypothermia are all causes for otitis. Since the ear is closely associated with the nasopharynx, the mother should know that the ear and nose are more likely to "solo" together or provoke each other. Thus, a clogged spout may well cause otitis. It is recommended to take care of the baby from such a combination, as the treatment procedure will bring pain and anxiety for the crumbs.
Otitis can appear in newborn babies, to whom the mother forgets to give a regurgitate after a meal and immediately puts it. That is, otitis largely depends not only on the structure of the child's ear, but also on the behavior of the mother herself.
In addition to human and anatomical factors, there are several other reasons for the birth of the disease:
- presence of allergy;
- pathology of the respiratory system;
- low immunity.
Often, the child suffers from otitis until the year, which is on artificial feeding. No artificial food can replace mother's milk. It is necessary to carefully monitor such a baby and protect from cold and infections. A little later, when the baby becomes more mature, he will outgrow this risk, most likely.
The first symptoms
The first signs of otitis can hardly be recognized even by an attentive mother
The baby can not show her mother a source of anxiety. Therefore, the first signs, for example, the first "shooting", zalozhennost, my mother will miss. For her, the baby will be completely healthy in the daytime, but by the evening will begin to be capricious, to cry. And then everything depends on the mother's attention. A sick kid can show signs indicating pain in the tummy. But it can be high temperature, vomiting.The child can ask to eat, but at the first attempts to suck his breast immediately rolls up in hysterics.How to understand such a symptom in a child up to a year? Such crying is explained by the fact that sucking increases the pain in the ear.
To make sure that the baby is tortured by the eye, it is necessary to touch his tragus. A tragus is a cartilaginous projection in front of the ear. A sick otitis baby will try to get away from Mom's attempts, touch will cause a new attack of crying, as the pain intensifies.
However, with external otitis, the trestle may well be painless. Therefore, be sure to look into the very ear of the baby, if possible, dunk the cotton inside. Some forms of otitis give a secretion. But in any case, with the slightest suspicion, you do not need to try to recognize the otitis and make a diagnosis yourself, the baby needs to be shown to a specialist.
The doctor diagnoses otitis with an otoscope
The standard way to diagnose otitis is to examine the ear with an otoscope.Otoscope - a special device by the type of a short pipe with built-in lighting inside. The doctor inserts the device in the ear, moves closer to the membrane and turns on the light. So the specialist will be able to establish the form of otitis, determine the presence of fluid behind the membrane and decide the question of the appropriateness of paracentesis, shunting.
With complex otitis, an audiogram is additionally assigned. A painless process in which a toddler wears earphones and tries to determine the degree of hearing loss. However, this is often practiced in already grown-up babies, because crumbs can not yet show what they hear or what they do not.
Treatment of otitis media is possible only medically and with the assistance of a doctor.It is unacceptable to take steps independently, as this can worsen the situation and cause more serious consequences.
Treatment depends on how difficult the otitis media is and what caused it. The most common procedure is a procedure like paracentesis.We note at once: the procedure can be painful even when taking into account local anesthesia.When paracentesis, the doctor makes an incision of the tympanic membrane in order to ensure the outflow of pus or pumping out the liquid. Sometimes after this put a shunt: a small "cog", which does not allow the hole to close until all pus leaves the cavity.
Almost always the baby is given a lavage lavage and drops for the spout and ear. Here there will be complications, because bury the ears babies are not given. You need to put it on the barrel, try to distract something, and the second parent heats up a little drop.
Do not drip cold drops in the ear of the baby! This will increase the pain and cause the child to suffer even more.Before dripping carefully clean the passage, only no sticks and matches. Just twist the cotton wool into thin "sticks" and clean the ears with them. The nose must be instilled with vasoconstrictive drops, it does not matter if there is a runny nose in the baby.
If you managed to turn to Laura on time and the otitis did not have time to develop to purulent, did not form a lot of fluid, it will be Only therapy is needed: antibiotics, vasoconstrictors, warming up (in the absence of temperature).
If your doctor sends you to warming up at a temperature, urgently change the doctor! The presence of temperature indicates a progressive infection, and heating will only spur its development.
Watch a video about how otitis occurs in babies, and why some people get sick often, but others do not:
Otitis is a serious disease, even for an adult. Tightening of the otitis leads to abscesses, when the count goes already on the clock. Traditional medicine here is not just powerless, but it can also hurt. The only time when it is appropriate is when there is a combination of otitis, for example, with laryngitis or sinusitis. Here, broths and tinctures are allowed to reduce the effect of the second disease, but not otitis.Otitis always requires strict professional treatment.
Otitis in the baby
Ear inflammation is one of the most common diseases in young children, and most often otitis occurs even in infants, that is, at the earliest age. The explanation for this is one: internal passages and partitions, in particular, the Eustachian tube for a child of up to a year have not yet been fully formed, so that microbes from the nasopharynx easily penetrate into the middle ear, as well as the fluid: the water, milk, and the mixture.
If the baby has a cold, a runny nose, a sore throat, while swimming in his ears, water has gone or you have inaccurately cleaned the ear canal - all this can cause otitis in the baby.
How to recognize otitis in infants?
Inflammation of the ear is usually quite vividly manifested:
- It can be a temperature that reaches 39-40 degrees by night, while the child screams, turns his head.
- Sucking can exacerbate the ear pain, so the child, only attached to the chest or bottle, sharply throws suck, turns away, shakes his head and cries.
- Most likely, the baby will feel pain when touched to the ear, to the cartilage, which is located at the entrance to the auricle.
- It happens that parents can not understand for a long time what is happening with the child, and then they find out from his ear a "trickle", usually in the morning after awakening. Purulent otitis in infants is often opened at night, then on the ear, the child's cheek, but the pillow can be found withered traces of pus.
All these signs of otitis in the baby are difficult to overlook, although there is also a form when there is no discharge from the ear (catarrhal otitis), and other symptoms are poorly expressed. Sometimes the baby can show intestinal distress and vomiting.
Treatment of otitis in an infant
In no case can you treat otitis in the baby yourself. Incorrect treatment threatens the baby with a mass of serious complications, including deafness and the transition of infection to the membranes of the brain, damage to the heart muscle, lungs and other organs. Therapy of the disease should be dealt with by an ENT doctor, and it is unlikely to do without antibiotics. From my mother's side, the task is to try to ease the baby's condition and accelerate his recovery with additional measures:
- To reduce the ear pain can be with the help of dry heat. As a compress, a large lump of cotton wool, nested in a cap on a sore eye, is suitable.
- A warming compress made of vodka is done if the child does not have a temperature. Around the ear, place the gauze moistened with warm vodka, cover the ear with cotton wool and put on the cap. You do not need to keep such a compress for more than 3 hours.
- Of the folk remedies, you can advise you to put a geranium leaf in your ear (relieves pain and swelling), gauze, soaked with fresh aloe juice, cotton wool and honey.
On this, parental "initiative" should end. No drops in the ears without a doctor's appointment can not be buried, it's dangerous! Those droplets that the doctor will prescribe (the dosage and the frequency of application you will learn from him), your task is to properly dig in. Do it this way:
- Drops should be warm, warm them in water or hold in your hand.
- Put the baby on his side, grab the auricle with his fingers and gently pull it toward the nape to maximize the opening of the passage.
- Press the pipette (according to the number of prescribed drops), place a piece of fleece in your ear.
If the eyelet flows, carefully clean it from the discharge, but only from the outside, not climbing inside the auricle. At a temperature and severe pain, give the child an anesthetic (Nurofen in syrup, a candle).
Otitis has the property of passing into a relapsing form, the infection can "walk" in the child along the route "ear-throat - nose ", causing sinusitis, laryngitis and other diseases, making the child a regular visitor of ENT doctor. Therefore, it is always good to cure inflammation, do not run any cold symptoms - it's better to be safe than to "reward" the crumb with chronic otitis media.
Signs and treatment of otitis in infants
Otitis in the infant is a common disease in children of this age group. Many parents are interested in ways of recognizing the disease, its treatment and prevention. Therefore, it is necessary to know exactly what parents need to do and how they fail to provide timely assistance.
Why does otitis occur?
The causes of the disease are associated with several factors. In children up to a year, the fluid in the nasal region accumulates much more often than in adults. Especially strongly produced mucus during crying, and this condition, young children are exposed very often.
The remains of milk can get into the Eustachian tube, as children often regurgitate. The situation is aggravated by the fact that the Eustachian tubes are narrow and rather short, so the liquid in them easily accumulates. In addition, children of this age can not self-blow themselves.It does not save the total supervision of the mother, armed with scarfs and napkins. The latter only aggravate the situation that has arisen. During the elimination of mucus from the nose, the mother, without knowing it herself, prevents this process, closing the baby's nose with a handkerchief. As a result, mucus does not go outside, but gets into the middle ear through the Eustachian tube. In this way conditions are created for the development of otitis in infants.
The slime entering the Eustachian tube causes clogging of the canal, which causes the air to enter the tympanic membrane to cease. At the same time, air pressure is externally exerted, which leads to the appearance of pain. As for the liquid, it becomes the environment for the onset of inflammation.
Manifestations of otitis media in children
Otitis in the infant has such symptoms as pain in the middle ear. Determining this condition in infants is difficult, since children of the specified age can not complain about their condition.However, parents should pay careful attention to the baby: frequent and unreasonable crying is evidence not only of the child's anxiety, but also a kind of complaint about the condition. Therefore, with frequent anxiety, the child should immediately take him to a medical facility. Crying can speak not only about the fact that there was an otitis in the baby, but about other diseases.When you have a baby, the baby's behavior becomes restless. This manifests itself not only through crying, but also through frequent head-washing, and older children rub their hands with the hands of the shell of the ears. In addition, a small patient has problems with sleep, there is an increased body temperature, the nose is laid, there is redness. Refusal of food is also an indicator of the deterioration of the child's health.
The most accurate signal of developing otitis is the discharge from the ears. They can be greenish or yellow in color or transparent. If you slightly press on the tragus - a small cartilaginous projection of the external ear, the child will cry, which indicates the need to visit the doctor.
Correct actions for the recovery of the baby
Treatment of an infant is a very complex process that requires caution. Do not take independent action, as any initiative for the treatment of babies can lead to negative consequences. Trying to dig in the ear canal alone does not make sense. Many doctors negatively relate to this. The fact is that the medicine may not reach the desired goal due to the presence of fluid stagnation in the Eustachian tube.In addition, there is a risk of damage to the membrane in children under 1 year. In this case, the medicine, when it enters the inner ear through a lesion, adversely affects the auditory nerve. The consequences of this are extremely tragic: partial or total hearing loss. Therefore, you need to pay attention to the warning labels on the medicine boxes. If there are contraindications to the perforation of the tympanic membrane, do not use the remedy. The administration of medicines is carried out by the attending physician and only by him. He will find out the state of the tympanic membrane of the baby, determine the admissible drops.
It is recommended to instill through the nose, since in this case the medicine easily enters the middle ear, where the inflammatory process is located. In this case, too, you need to do without self-activity, you need to coordinate your actions with a specialist.
Examples of improper treatment
It is not so important for parents to cure their child's illness, how much time to recognize it and take the patient to a doctor. However, it is important to take into account the actions that some parents allow. They are also erroneous.
Parents allow the most common mistake: they wrap the head around the head with various downy shawls to warm up the ear. This is very fraught with a negative result, since heating leads to an increase in inflammation. Especially it concerns those cases when at the kid there is a pus. It is not necessary to use oils and formulations for digestion on your own, as mentioned earlier.As for compresses, in medicine there is no exact data on the need to use this method and the expediency of its use. Parents can only reassure themselves that they are actively treating their child. In fact, good from the use of compresses is not enough.
Remembering the above rules, we should talk about them in more detail. To prevent the child's treatment from becoming detrimental to his health, parents should not be addicted to self-treatment, as they do not have sufficient data on the type of process, its depth and form. In addition, parents can not accurately determine the presence of deformities in the ear, so there is no certainty about the usefulness of self-treatment.
Only after examining the doctor and prescribing medicines can you start the procedures. Before the arrival of the doctor, parents can use vasoconstrictive drops, applying them to instill the nose. After the examination, the doctor may prescribe medications for administration in the ear: pain relievers and antipyretic drugs. With regard to these drugs, then when they are assigned to take into account all the characteristics of the baby: its height, weight, age, body condition and the presence of other diseases.
What else is necessary to know?
The question is often asked: what does the presence of pus mean? When otitis occurs, the outflow of mucus to the nasal cavity through the Eustachian tube, which is observed during the normal course of the disease. If the Eustachian tube is clogged, then there is only penture to arise, how to find another way to exit. However, there is a reason for the urgency of action. As this process results in an increase in pressure, this results in damage to the tympanic membrane.
Parents are also interested in possible complications that may occur in the child in case of incorrect actions. Thus, otitis in infants with improper treatment can lead to hearing problems. However, do not be scared, since this condition is typical for the normal course of the disease. However, in the latter case, hearing problems occur after recovery, which can not be said about the first situation. In case of injury to the tympanic membrane, the risk of loss or deterioration of hearing increases.
A dangerous consequence is a neglected disease. In this case, the infection spreads to nearby tissues, causing disease. Especially often occurs mastoiditis, which is associated with the inflammatory processes of cellular structures of the mastoid process located in the temple area and located next to the shell of the ear. The triggered disease can lead to damage to the bones of the skull, its tissues, and in some situations, to damage to the brain tissue.
Thus, parents should remember a few rules. As soon as the first signs of an illness appear, an urgent call for a doctor is required. Do not take any action before visiting a specialist. All recommendations will be given by the attending physician, accordingly, it is possible to take certain actions only after consulting with him.
In any case, an examination is required of a doctor who is able to identify the characteristics of the disease and give the necessary instructions for a quick recovery.
Symptoms of otitis in an infant
Otitis is an inflammatory process in one of the three ear sections. The most frequent ailment of babies is the so-called otitis media. It usually occurs against the background of a strong cold, when the nasal mucosa swells and blocks a special ear canal - the Eustachian tube. As a result, a liquid accumulating in the middle ear cavity causes an inflammatory process.
- To diagnose otitis in older children is usually quite simple: the baby himself will begin to complain of pain in the region of the auricle. The baby can also become a victim of this insidious disease, but he can not tell about his feelings. Therefore, the responsibility of the mother is an attentive analysis of all possible signs of a beginning inflammation.
- During otitis the toddler often throws a breast or bottle, cries, turns his head, rolls his head, while in a horizontal position, "chews" his own tongue and worries for no apparent reason. Half-year-old children and toddlers of older age begin to pull on the sick ear with their hands and shake their heads intensely, trying to somehow calm the pain. One of the important symptoms of otitis is the rise in body temperature to 38-38.5 degrees.
- Define otitis can be done with the following manipulations. Press on the tragus - a small bump in front of the entrance to the ear from the side of the cheek. The sick child will cry, as this will give him severe pain. In a healthy crumb, this procedure will not cause any reaction. This check should be carried out regularly, especially in the period of intensive teething. Often at this time, children develop swelling of the nasal mucosa and runny nose - the main precursor of otitis.
- Purulent otitis develops in babies very rapidly, literally for 6-7 hours, so if the baby there was at least one of the listed symptoms, it follows, without delaying to apply to a specialist for help.