How to treat otitis in a child
If your child complains of ear pain, which is accompanied (in some cases) by a runny nose, sore throat and fever, it is likely that the cause of this condition is the ear infection.Often it occurs against the background of an already existing inflammatory disease, such as ARVI or sinusitis.
Than to treat an otitis at the child? It depends on the causative agent of the disease.
- Ear infection is often caused by a virus, in which case the doctor can suggest a remedy for the treatment of symptoms, usually acetaminophen or ibuprofen.
- Aspirin should not be given to children because of the threat of developing Reye's syndrome.
- Unpleasant sensations can also be reduced with a warm compress placed on the area around the ear.
How to treat otitis media without antibiotics? This is possible if the nature of the disease is not of a bekterial nature. If the infection of the ear is caused by a bacterium, then treatment of otitis in a child with an antibiotic is required. The debate about the use of antibiotics to treat otitis media in the middle ear arose in the 1990s, as many bacteria developed resistance to antibiotics. Some doctors initially treated only the symptoms of middle ear inflammation, without antibiotics.
It is worth noting
Many doctors are concerned that without antibiotics, the number of bacteria lurking inside the middle ear can increase significantly, which can lead to hearing loss or mastoiditis. They indicate that these complications have become rare, mainly as a result of antibiotic therapy. To prevent complications, many otolaryngologists treat all ear infections as if they are caused by bacteria.
A child with otitis media should feel better within a few days after visiting a doctor.
- If several days have passed and the baby still feels pain in the ear, you should consult a doctor again. Perhaps then, how to treat otitis in a child tried by a doctor, it turned out to be ineffective and another antibiotic will be needed.
- After the infection "left in the middle ear can remain liquid. Usually it disappears within three to six weeks.
Surgical treatment of chronic ear inflammation in children
To prevent re-infection of the middle ear, it is necessary to avoid factors that cause otitis media. For example, do not smoke in the presence of a child and do not let the baby sleep with a bottle in his mouth.
Despite these precautions, repeated inflammation of the ear in a child is not uncommon, especially in five-year and six-year-olds. What to do in case of repeated otitis media?
Your doctor may choose to wait and see tactics to see if the otitis media of the middle ear will disappear. However, if the infection continues to return, and antibiotics do not help, many doctors recommend surgical intervention. The operation is called "tympanostomy."
- In the tympanic membrane small tubes-shunts are put, which allow to improve the airflow and prevent the accumulation of fluid in the middle ear. In the case of an adhesive process, they improve the hearing of a small patient.
- Such tubes remain in the ear for six to nine months. They usually drop out without outside interference as the opening in the tympanic membrane closes.
- Timpanostomy rarely leads to infection or scarring and, as a rule, provides a long-term positive effect. If, after the tubes have come out of the ear, the infection has returned, this means that your child has not outgrown the problem and the specialist can recommend a re-shunting of the tympanic membrane.
- If the installation of pipes does not help prevent ear inflammation in the child, the doctor may consider the removal of adenoids to prevent the spread of infection into the auditory tubes.
How to treat otitis in a child with antibiotics
Amoxicillin is an antibiotic, which is usually prescribed for the treatment of bacterial ear infections. The drug is very effective: a single course of amoxicillin cures an ear infection from 7 to 10 days.Nevertheless, some species of bacteria are resistant to amoxicillin. Critics of intensive use of antibiotics believe that millions of recipes with amoxicillin in otitis have helped to "remove" strains of bacteria resistant to this substance.
- Some of the substitutes for amoxicillin are included in the class of drugs called cephalosporins.
- There are also combinations of drugs, for example amoxicillin and clavulanate.
- Before treating otitis in a child, the doctor will definitely ask if he has any allergies to this or that substance.
Than to treat an ear at the child with an allergy on amoksitsillin? The doctor may prescribe sulfamethoxazole and trimethoprim or azithromycin.
Doctors sometimes prescribe antibiotics to prevent infections in children prone to repeated infections of the ear (recurrent otitis media). But not all experts agree that such tactics are useful.
Antibiotics are effective in most cases of ear infections caused by bacteria. But only 1 in 5 children with ear infections need antibiotics. In 4 other children, the disease will pass by itself.
It is important not only how to treat otitis in a child, but how much treatment should take. A child with an ear infection should feel better within 48 hours after taking antibiotics. If the condition remains the same, you should re-register with an otolaryngologist. Most likely, he will prescribe another drug.
It is important to know
It is impossible to prescribe antibiotics to a child without the consent of an otolaryngologist. If the disease is caused by a viral infection, the antibacterial drug is useless.
How to relieve pain in a child's home remedies
It is often possible to alleviate the symptoms of otitis in a child without resorting to analgesics.How to relieve pain in otitis in an infant? Heat, for example, from a warm compress, reduces discomfort and helps to calm the child, capricious because of pain in the ear.
Dilute vodka in half with water, moisten a soft cloth, wring out and apply to the area around the diseased ear. Wrap the top with a dense cloth. Leave for 40-60 minutes.
For a compress, you can also use a warm infusion of chamomile. You can not put a compress if the child has a fever higher than 3 degrees.
- Steam inhalation can also help, but make sure that the baby does not burn, and protect the area around the eyes.
- If you are breastfeeding from a bottle, make sure that the baby is in a relatively upright position. Never put a child to sleep with a bottle or a pacifier. Otherwise, there may be a so-called "infant caries".
- How to relieve pain in otitis in an older child? You can rinse your throat with salt water. This helps to clean the Eustachian tubes.
- Smokers should refrain from smoking in the room where the child with otitis is. Smoke and other irritants can aggravate the condition of the patient.
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Than to treat an otitis at the child of 2 years?
Answers:
Marina
Otitis is an inflammatory disease of the middle ear. When otitis in the middle ear cavity, inflammation develops and pus accumulates.
Otitis occurs in all age groups, but is most common in children. In children, frequent otitis occur due to anatomical features of the structure of the middle ear: the auditory tube in children is shorter than that of an adult, it is almost straight, has no bends. Such a structure of the ear in children makes it easier to get infection in the middle ear. During the first 3 years of life, up to 80% of children tolerate otitis at least once. BUT... correct diagnosis is necessary. A child of two years can not correctly describe his condition.
For the detection of otitis in children, the following survey methods are used:
Otoscopy, X-ray of the skull, Hearing test, General blood test
Treatment:
Reduction of pain: Paracetamol is prescribed (1 g 4 times a day for adults, for children the doses are selected depending on body weight). An anesthetic effect is possessed by ear drops otypax (composition: lidocaine hydrochloride, phenazone, sodium thiosulfate, ethyl alcohol and glycerin). Otipaks are buried in the outer ear canal for 4 drops 2-3 times a day. In order to reduce the pain syndrome, the Cytovichi compress is used (the gauze swab is impregnated with 3% alcohol solution of boric acid and glycerin and inserted into the external auditory meatus). Such a compress can be left in the ear for 3-5 hours.
In order to reduce the swelling of the auditory tube and improve the outflow of pus from the middle ear Assign drops in the nose: Naphthyzine, Santorin, Tizin, Nazivin. Nazivin prescribe to children 1-2 drops in each nostril 2-3 times a day.
This is facilitated by antihistamines: Diphenhydramine, Suprastin, Tavegil, Claritin, Telfast. The appointment of antihistamines is recommended only in cases when otitis develops against the background of allergies.
Antibiotics for suppressing infection in the middle ear.
According to the latest data, the most effective drug in the treatment of acute otitis in children is Amoxicillin (inside by, 5 g three times a day for 10 days). Sometimes there is a situation in which treatment with Amoxicillin does not lead to an improvement in the patient's condition. In the absence of effect after three days of treatment with Amoxicillin, the drug should be changed to Augmentin (by, 75 or, 25 g orally two to three times a day) or Cefuroxime (inside by, 5 or, g twice in day).
If the above antibacterial agents are intolerant or ineffective, macrolide antibiotics are prescribed (Rulid po, 5 orally twice a day; Spiramycin per million IU twice daily).
With complicated forms of otitis medications are prescribed, such as: Sparflon inside 400 mg on the first day, then 200 mg per day; Avelox 400 mg orally once a day.
The duration of otitis treatment should be at least 8-10 days. Even in case of improvement of the patient's condition, antibiotics should be continued. Early cancellation of antibiotics can lead to a relapse (repeat) of the disease and to the development of hearing loss.
Local treatment for otitis. Compresses, hygiene
When otitis use a warming compress on the ear (a bundle with heated salt), which accelerates the resolution of the inflammatory process. If, after applying the compress, the patient notes the increased pain in the ear, the compress should be immediately removed.
It is necessary to remove a purulent secret from the ear canal several times a day. For these purposes, you can use cotton buds.
When cleaning the ear, pull the auricle back and up (the child - back and forth) and the cotton swab carefully enter the ear canal. The procedure is repeated until the cotton wool remains dry and clean. With thick pus, a warm solution of 3% hydrogen peroxide is poured into the ear canal, after which the ear should be carefully dried with a cotton swab. After removal of the purulent secretion, warmed up to 37 ° С, -1% Dioxydin solution or Tsipromed ear drops are injected into the ear. With lethargic otitis media, iodine and lyapis tinctures can be used (40%).
How to quickly cure otitis media?
Answers:
Zimushka
do not self-medicate!
for the ears there are drops of Otypax (relieve pain, you can not drip with pus in the ear)
you can do a compress
can be warmed with salt (a manga) or a blue lamp
you can put a sheet of geranium
all this after consulting a doctor!
Stanislav Slyunyaev
To the doctor!
Gorgosha
Otitis is an ear inflammation. There are three types of otitis, depending on which department has become inflamed:
* outdoor
* average
* Internal otitis media (labyrinthitis).
With external otitis, it is advisable to insert gauze turundum moistened in the ear canal. 70 % alcohol, warming compress, physiotherapeutic procedures (solux, UHF currents), vitamin therapy. Antibiotics and sulfonamide preparations (ciprofloxacin) are used for severe inflammation and fever.
When an abscess is formed, its opening is shown. With diffuse inflammation, the ear canal is washed with disinfectant solutions (3% boric acid solution, furacillin solution).
With otitis media, bed rest is prescribed, antibiotics, sulfonamide preparations, antiseptics according to indications. At a high temperature, amidopyrine, acetylsalicylic acid. Locally apply warming compresses, physiotherapy (solux, UHF currents). To reduce pain in the ear, digest in the warm form of 96% alcohol. With the appearance of suppuration, instillation is stopped in the ear.
In the absence of the effect of conservative treatment, the dissection of the tympanic membrane is performed. After the appearance of suppuration from the external auditory canal it is necessary to ensure its good outflow. If after hearing cessation of purulent discharge from the ear and scarring of the eardrum the hearing remains low, blowing, pneumatic massage and UHF therapy are shown on the ear area.
When otitis inner ear (labyrinthite) with the remains of labyrinth functions conservative treatment (bed rest, dehydration and antibacterial therapy) is shown. With labyrinthitis with a fistulous symptom and a preserved function of the labyrinth, if antibiotic therapy is ineffective, general cough trepanation is indicated.
Absolute indications for the operation on the labyrinth, along with the operation on the middle ear, is the sequestration of the labyrinth or the purulent labyrinthitis with labyrinthogenic intracranial complications.
It is necessary to visit the doctor immediately if there is pain in the ear and if it did not go through two days. Otitis treatment usually lasts ten days. Subject to properly selected therapy and carefully performed appointments, the disease does not affect the acuity of hearing.
How to cure chronic ear otitis in a child?
Question:
Hello! My son is 7 years old, he has chronic ear otitis. What should I do, how to cure? Antibiotics do not help, passes, but after a while again flows from the ear. Help me please.
Answer:
Good afternoon, Marina! It is important to note that there are several types of chronic otitis and special treatment is prescribed for each type. In case the applied type of treatment still does not give results, it is necessary to change it. The options for how to treat otitis in a child are as follows:
- To address to other ENT-expert. It is not uncommon for cases when an incorrectly diagnosed diagnosis and, as a result, improper treatment, do not help the patient.
- Make sure that the child does not have pathologies of the nasopharynx and nasal cavity. Such advice may seem strange, but the practice of treating chronic otitis shows that in many cases, after careful treatment of the nose, chronic otitis disappears without a trace.
- The third method is surgical intervention. To do this, the tympanic membrane is shunted, that is, an artificial hole is created to permanently drain the fluid from the ear. This method of treatment is used when none of the other methods of treatment have the desired effect.
Consultation with a specialist is mandatory!
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