Symptoms and treatment of otitis in adults
- Ear anatomy
- Causes of otitis media
- Pathogens of the disease
- The clinical picture is the symptoms of otitis
- General principles of diagnosis
- Treatment of external otitis media
- Treatment of otitis media and labyrinthitis in adults
- Prevention of otitis
Otitis is an ear inflammation, a general term for any infectious processes in the hearing organ. Depending on the affected area of the ear, the outer, middle and inner otitis (labyrinthitis) are secreted. Otitis occurs frequently. Ten per cent of the world's population suffered from external otitis during their lifetime.
Annually in the world 709 million new cases of acute otitis media are registered. More than half of these episodes occur in children under 5 years of age, but adults also suffer from inflammation of the middle ear. Labyrinthitis, as a rule, is a complication of otitis media and is relatively rare.
For a better understanding of the subject, it is necessary to briefly recall the anatomy of the organ of hearing.
The components of the outer ear are the auricle and auditory canal. The role of the external ear is to trap the sound wave and carry it to the eardrum.
The middle ear is the tympanic membrane, the drum cavity containing the chain of auditory ossicles, and the auditory tube.
In the tympanic cavity, there is an increase in the sound vibrations, after which the sound wave follows the inner ear. The function of the auditory tube connecting the nasopharynx and the middle ear is the ventilation of the tympanum.
The inner ear contains the so-called "cochlea" - a complex sensory organ in which sound vibrations are converted into an electrical signal. An electrical impulse follows the auditory nerve into the brain, carrying coded information about the sound.
External otitis media
Otitis externa is an inflammation of the auditory canal. It can be diffuse, and can proceed in the form of a furuncle. When diffuse external otitis affects the skin of the entire ear canal. Furuncle is a limited inflammation of the skin of the external ear.
Average otitis media
With an average otitis inflammation occurs in the tympanum. There are many forms and variants of the course of this disease. It can be catarrhal and purulent, perforative and non-perforative, acute and chronic. When otitis can develop complications.
The most common complications of otitis media include mastoiditis (inflammation of the occipital bone of the temporal bone), meningitis (inflammation of the brain membranes), abscess (abscess) of the brain, labyrinthitis.
Internal otitis almost never is an independent disease. Almost always it is a complication of the inflammation of the middle ear. Unlike other types of otitis, its main symptom is not pain, but hearing loss and dizziness.
Causes of otitis media
- After getting contaminated water - most often the external otitis occurs after the ingestion of water containing the causative agent of the disease into the ear. That is why the second name of this disease is "swimmer's ear".
- Injury of the skin of the external auditory canal - in addition to the presence of infection in the water, there must also be local conditions predisposing to development inflammation: microcracks of the skin, etc. Otherwise, every contact with unboiled water would result in the development of inflammation in the ear.
- Complication of SARS, sinusitis - in this case, the causative agent of middle otitis penetrates into the tympanum completely from the other side, the so-called rhinotubar path, that is, through the auditory tube. Usually, the infection gets into the ear from the nose, when a person is sick with ARVI, runny nose or sinusitis. In case of a serious inflammation of the middle ear, the infection can spread to the inner ear.
- With infectious diseases, kidney diseases, diabetes mellitus, hypothermia against a background of reduced immunity, the risk of inflammation in the middle ear increases. Bruising through 2 nostrils (wrong), coughing and sneezing increase the pressure in the nasopharynx, which leads to the ingress of infected mucus into the middle ear cavity.
- Mechanical removal of earwax - it is a protective barrier against infections.
- High air temperature and high humidity.
- Contact with foreign objects in the ear.
- Use of hearing aids.
- Such diseases as seborrheic dermatitis on the face, eczema, psoriasis.
- The causes of development of acute otitis media are also genetic location, immunodeficiency states, HIV infection.
Pathogens of the disease
Pathogens of external otitis can be bacteria or fungi. Especially often found in the ear canal are microorganisms such as Pseudomonas aeruginosa and staphylococcus aureus. For the fungi of the genus Candida and Aspergillus, the skin of the ear canal is one of the favorite places in the body: it's dark, and after bathing it's still wet.
The causative agents of otitis media, and therefore internal, can be viruses and bacteria. Fungal infection of the middle ear is also found, but much less often than the external one. The most common bacterial pathogens of otitis media are pneumococcus, hemophilic rod, moraxella.
The clinical picture is the symptoms of otitis
- Pain is the main symptom of otitis media. The intensity of pain can be different:
- from barely perceptible to unbearable
- character - pulsing, shooting
It is very difficult, it is often impossible to independently distinguish painful sensations with external otitis from painful sensations with inflammation of the middle ear. The only clue can be the fact that with external otitis pain should be felt when touching the skin at the entrance to the ear canal.
- Hearing loss is a fickle symptom. It can be present with both external otitis media, and with an average, may be absent in both these forms of ear inflammation.
- Increase in temperature - most often there is an increase in body temperature, however, this is also an optional feature.
- Discharge from the ear with external otitis occur almost always. After all, nothing prevents the inflammatory fluid from escaping outward.
With the average otitis, if the perforation (hole) is not formed in the tympanic membrane, there is no secretion of their ear. The suppuration from the ear canal begins after the appearance of a communication between the middle ear and the auditory meatus.
I emphasize that perforation can not be formed even with purulent otitis. Patients suffering from otitis media often ask where pus will go if it does not break out. It's very simple - he will go out through the auditory tube.
- Ear noise (see Fig. causes of noise in the ears), ear congestion is possible with any form of the disease.
- When the inflammation of the inner ear develops, dizziness (causes) may appear.
Acute otitis media occurs in 3 stages:
Acute catarrhal otitis - the patient experiences severe pain, which increases by night, when coughing, sneezing, she can give in the temple, teeth, be stabbing, pulsating, drilling, hearing loss, appetite, weakness and high temperature up to 39C.
Acute purulent otitis - there is accumulation of pus in the middle ear cavity, followed by perforation and suppuration, which may be on day 2-3 of the disease. In this period, the temperature drops, the pain decreases, the doctor can make a small puncture (paracentesis), if there is no independent rupture of the tympanic membrane.
Restorative stage - suppuration stops, the defect of the tympanic membrane closes (fusion of the edges), the hearing is restored within 2-3 weeks.
General principles of diagnosis
In most cases, the diagnosis of acute otitis media does not cause difficulties. High-tech research methods are needed infrequently, the ear is well visible to the eye. The doctor examines the tympanic membrane with a head reflector (a mirror with a hole in the middle) through the ear funnel or a special optical device - the otoscope.
An interesting device for the diagnosis of otitis was developed by the famous corporation Apple. It is an oscopic attachment for the camera phone. It is assumed that with the help of this gadget, parents will be able to photograph the baby's eardrum (or their own) and send photos for consultation to their doctor.
Diagnosis of external otitis media
Examining the ear of a patient suffering from external otitis, the doctor sees redness of the skin, narrowing of the auditory canal and the presence of liquid secretions in its lumen. The degree of narrowing of the ear canal is such that the tympanic membrane is not visible at all. When inflammation of the external ear of other examinations except for the inspection is usually not necessary.
Diagnosis of otitis media and labyrinthitis
In acute inflammation of the middle ear, the main way to establish a diagnosis is also an examination. The main signs that make it possible to diagnose "acute otitis media" are reddening of the tympanic membrane, limitation of its mobility, and the presence of perforation.
- How is the mobility of the tympanic membrane checked?
People are asked to inflate their cheeks without opening their mouths, that is, "blowing their ears". This reception is called the maneuver of Valsalva, named after the Italian anatomist, who lived at the turn of the 17th and 18th centuries. It is widely used by divers and divers to equalize the pressure in the drum cavity in deep water descent.
When a jet of air enters the middle ear cavity, the eardrum moves slightly and this is noticeable with the eye. If the drum cavity is filled with inflammatory fluid, no air will enter it and the eardrum will not move. After the appearance of suppuration from the ear, the doctor can observe the presence of perforation in the tympanic membrane.
Sometimes to determine the nature of the disease may need audiometry (hearing on the apparatus) or tympanometry (measurement of pressure inside the ear). However, these methods of hearing tests are more often used in chronic otitis media.
The diagnosis of the labyrinthitis is usually made when the acuteness of the middle otitis suddenly sharply decreases acuteness of the hearing and dizziness appears. Audiometry in this situation is mandatory. You also need an examination of a neurologist and an oculist.
- CT and X-ray
The need for X-ray studies occurs when there is a suspicion of complications of the disease - mastoiditis or intracranial infection. Fortunately, such cases are rare. In a situation where complications are suspected, a computer tomography of the temporal bones and brain is usually performed.
- Bacterial sowing
Do I need a smear to determine the bacterial flora? A unequivocal answer to this question is not easy. The problem is that, due to the peculiarities of bacterial culture, the response of this examination will be received 6-7 days after the removal of the smear, that is, by the time when the otitis is almost gone. Moreover, with a medium otitis without a perforation, a smear is useless, since the microbes are behind the tympanic membrane.
And yet a smear is better to do. In the event that the application of the first-line drug does not bring recovery, after receiving the results of a bacterial study, treatment can be adjusted.
Treatment of external otitis media
The main treatment for external otitis media in adults is ear drops. If a person does not have immunodeficiency (HIV infection, diabetes mellitus), antibiotics in tablets are usually not needed.
Ear drops can contain only an antibacterial drug or be combined - have an antibiotic and an anti-inflammatory substance. The course of treatment takes 5-7 days. Most often for the therapy of external otitis media apply:
- Ciprofarm (Ukraine, ciprofloxacin hydrochloride)
- Normax (100-140 rubles, norfloxacin)
- Otofa (170-220 rubles, rifamycin)
Corticosteroids + antibiotics:
- Sophradex (170-220 rub., Dexamethasone, Framicetin, gramicidin)
- Candybiotic (210-280 rub., Beclomethasone, lidocaine, clotrimazole, Chloramphenicol)
- Miramistin (250-280 rubles, with a nebulizer)
The last two drugs also have antifungal properties. If the external otitis has a fungal origin, antifungal ointments are actively used: clotrimazole (Candide), natamycin (Pimafucin, Pimafucort).
In addition to ear drops, the doctor can recommend an ointment with the active substance Mupirocin (Bactroban 500-600 rub, Supirocin 300 rubles) for the treatment of external otitis media. It is important that the drug does not have a negative effect on the normal skin microflora, and there are data on the activity of mupirocin against fungi.
Treatment of otitis media and labyrinthitis in adults
The main treatment for middle otitis media is an antibiotic. However, the treatment of otitis antibiotics in adults is another controversial issue of modern medicine. The fact is that with this disease is very high percentage of self-recovery - more than 90%.
There was a period of time in the late 20th century, when on a wave of enthusiasm antibiotics were prescribed to almost all patients with otitis. However, it is now considered permissible the first two days after the onset of pain to dispense with antibiotics. If after two days there is no tendency to improve, then an antibacterial drug is already prescribed. For all types of otitis media may be required for oral administration.
In this case, of course, the patient must be under medical supervision. The decision on the need for antibiotics is very responsible and should only be taken by a doctor. On the scales on the one hand, the possible side effects of antibiotic therapy, on the other - the fact that every year in the world of complications of otitis deaths of 28 thousand people.
The main antibiotics, which are used in the treatment of otitis media in adults:
- Amoxicillin - Ospamox, Flemoxin, Amosin, Ecobol, Flemoxin solute
- Aamoxicillin with clavulanic acid - Augmentin, Flemoclav, Ecoclav
- Cefuroxime - Zinnat, Aksetin, Zinacef, Cefurus and other drugs.
The course of antibiotic therapy should be 7-10 days.
Ear drops are also widely prescribed for inflammation of the middle ear. It is important to remember that there is a fundamental difference between drops, which are prescribed before the perforation of the tympanic membrane and after its appearance. Let me remind you, the sign of perforation is the appearance of suppuration.
Before the appearance of perforation, droplets with an analgesic effect are prescribed. These include drugs such as:
- Otinum - (150-190 rub) - choline salicylate
- Otipaks (220 rubles), Otirelaks (140 rubles) - lidocaine and phenazone
- Otizol - phenazone, benzocaine, phenylephrine hydrochloride
Drops with an antibiotic does not make any sense to dig in this phase, as the inflammation goes behind the impenetrable eardrum for them.
After the appearance of the perforation, the pain passes and it is no longer possible to drip painkillers, as they can damage the sensitive cells of the cochlea. When a perforation occurs, access for drops inside the middle ear appears, so you can instill drops containing an antibiotic. However, ototoxic antibiotics (gentamicin, Framicetinum, Neomycin, Polymyxin B), preparations containing phenazone, alcohols or choline salicylate can not be used.
Drops with an antibiotic, the use of which is acceptable in the treatment of otitis in adults: "Tsiprofarm", "Normaks", "Otofa", "Miramistin" and others.
Paracentesis or tympanotomy
In some situations with inflammation of the middle ear may need a small surgical intervention - paracentesis (or tympanotomy) of the tympanic membrane. It is believed that the need for paracentesis arises, if the background of antibiotic therapy for three days, the pain still continues to bother the person. Paracentesis is performed under local anesthesia: a special incision in the tympanic membrane makes a small incision through which pus begins to exit. This incision is beautifully overgrown after the cessation of suppuration.
Treatment of labyrinthitis is a complex medical problem and is conducted in a hospital under the control of an ENT doctor and neurologist. In addition to antibiotic therapy, funds are needed to improve microcirculation inside the cochlea, neuroprotective drugs (protecting the nervous tissue from damage).
Prevention of otitis
Preventive measures for external otitis are the thorough drying of the ear canal after bathing. Also, avoid traumatizing the ear canal - do not use keys and pins as an ear instrument.
For people who often suffer from inflammation of the external ear, there are drops based on olive oil, which protect the skin when swimming in a pond, for example, "Vaxol".
Prevention of otitis media consists of general strengthening measures - hardening, vitamin therapy, administration of immunomodulators (drugs that improve immunity). It is also important to treat diseases of the nose in a timely manner, which are the main causative factor in inflammation of the middle ear.
Causes of inflammation of the external ear and its symptoms in adults
Otitis externa is the medical term for a variety of ear infections. It means that in the external ear canal (the tube that leads into the ear) there was inflammation, possibly because of another illness, for example, sinusitis or ARVI.
"Swimmer's ear" is another name for this disease. Very often people complain of ear pain after swimming, diving, surfing, kayaking or other water sports. When water collects in the ear canal (often filled with sulfur), the skin can become wet and serve as a favorable environment for the multiplication of pathogenic bacteria.
- Cuts or abrasions in the ear canal (for example, due to careless ear cleaning) can also predispose to bacterial infection of the ear canal.
- Sometimes, the hair follicle is infected at the entrance to the auditory canal, which also leads to external otitis media. This condition is called localized external otitis media.
Symptoms of inflammation of the external ear are more common in women than in men. Usually this disease is diagnosed in people aged 45 to 75 years.
People with certain long-term (chronic) diseases, such as eczema, asthma, allergic rhinitis are at greater risk of developing acute external otitis media.
External ear infection can be acute or chronic. When describing the disease, the terms "acute" and "chronic" refer to its duration, and not to the severity of otitis symptoms in adults, the treatment is different.
- Acute infection of the external ear occurs suddenly and usually occurs within a week from the time of onset.
- Chronic external ear infection causes persistent symptoms that can last continuously for several months or appear from time to time. Otitis externa is defined as chronic, when the duration of the infection exceeds 4 weeks or more, or if 4 or more episodes a year occur.
Symptoms of inflammation of the external ear are as follows:
- The first symptom of infection is a feeling of ear congestion and itching.
- Then the ear canal will swell. At this stage, the ear will be very sore, especially the outer part of it. Because of the swelling of the ear canal, there may be swelling on one side of the face.
- The examination shows erythema, epithelial edema and accumulation of moist "garbage" in the ear canal.
- Finally, the lymph nodes of the neck can increase, because of which it is difficult for the patient to open his mouth wide (this hurts his jaw).
- There may be eczema of the auricle.
- People with a "swimmer's ear" may complain of hearing loss in the patient ear. This is a temporary phenomenon.
External otitis media: symptoms in children
"Swimmer's ear" can develop in children after bathing in natural water sources or in the basin. External otitis media symptoms are:
- The child can complain of severe pain when touching the ear, itching or feeling of ear congestion.
- The discharge can flow from the ear.
Signs of inflammation of the external ear in children can also occur due to otitis media of the middle ear or foreign bodies in the ear. Only an otolaryngologist can determine if a child's ear has arisen due to symptoms of external otitis media or "through the fault" of another condition.
Treatment includes antibiotics, pain medications, and sometimes antihistamines to reduce itching. Often in the treatment of external otitis resort to folk remedies. For example, boric acid is buried in the ear. The use of this tool requires caution, so be sure to consult with your doctor, whether it is appropriate for you to use this tool.
Chronic otitis externa: symptoms
If otitis symptoms persist for more than four weeks or worsen more than four times a year in otitis media, the disease is considered chronic.
This condition can be caused by:
- bacterial infection;
- skin condition (eczema or seborrhea);
- fungal infection;
- chronic irritation (for example, using hearing aids, inserting cotton swabs, etc.);
- drainage due to inflammation of the middle ear;
- a tumor (rarely);
- a nervous habit often scratching the ear.
There are various reasons why some people develop chronic otitis externa. They are usually similar to the symptoms of acute otitis externa. Nevertheless, for many people with chronic external otitis the main cause of the onset of the disease is unknown.
Symptoms of chronic external otitis are similar to acute external otitis media.
Other symptoms may include:
- Constant itching inside and around the ear canal.
- Tumor behind ear.
- Discomfort and pain in the ear, sometimes accompanied by a headache.
- Redness and swelling of the skin around the ear.
- Weakness of facial muscles.
- Discharge from the ear.
Than to treat an external otitis in house conditionsWith such a disease as external otitis people face more often than they think. It is a focus of inflammation located in the cavity of the external ear or auditory canal (passage). Often this disease falls under the definition of "pain in the ear," which is written off for changes in atmospheric pressure, a strong wind "puffed in the ear," a runny nose, etc. However, the true causes of the development of the inflammatory process differ somewhat from these concepts.
The essence of the disease is inflammation of the skin of the external ear and auditory canal, which can be caused by bacteria or fungi, less often by viruses. Outer otitis occurs in people of different ages, but most often the disease develops in children. Treatment of external otitis media at home, with drugs selected and prescribed by a doctor in most of cases, is a very effective measure and allows you to quickly get rid of the disease. How to treat external ear otitis and avoid complications?
Medicines for the treatment of external otitis media in the home
What can I do to treat external otitis, what drugs will be needed for this? Treatment of the disease is carried out using modern anti-inflammatory drugs based on steroids, as well as antibiotics. Preparations are issued in several dosage forms. It can be ointment when otitis external ear or drops, depending on the extent and location of the inflammation focus.
Among the medications frequently used for external otitis media are "Sofradex" and "Garazon", which can be prescribed only by a doctor.
In addition to taking antibiotics for external otitis in adults in children, treatment involves the carrying out of hygienic procedures according to a special scheme. They help to cleanse the skin and accelerate recovery.
It is important to understand that when using cotton buds incorrectly, earwax is rammed and corks are formed that injure the skin in the ear.
Treatment of external ear otitis by antibiotics
Antibiotics for external otitis are used to kill the foci of infection and gradually reduce pain, since most ear drops also contain painkillers. In this case, their use will be more effective, since after suppression of microbial activity by an antibiotic, the steroid reduces the inflammatory process and the pain decreases and then disappears.
What exactly is the treatment of otitis externa, and according to which scheme to take the drug can only be determined by a doctor. In the event that the antibiotic is selected incorrectly, serious complications may occur. Sometimes, when using antibiotics, there are side effects in the form of partial or complete hearing loss, as well as a decrease in overall performance and worsening of well-being.
Treatment of external otitis with antibiotics should be performed under the strict supervision of a physician with a regular evaluation of the effectiveness therapy, in the absence of improvements in time to replace the drug and prevent the transition of the disease into a chronic form.
The recommended ways to treat external otitis media, which can quickly and effectively cope with the disease, are:
- passing the full course of antibiotics, the type and dose of which is prescribed by the doctor;
- use of warm compresses;
- treatment of rhinitis;
- reception of vitamin complexes, which increase the body's defenses.
How to treat external ear otitis in folk ways
The first and most important stage of treatment, of course, is radical therapy with the use of antibiotics and hormonal topical agents. Further, to accelerate the recovery process, you can use folk methods to combat this ailment in addition to drug therapy.
The effectiveness of otitis treatment is enhanced by the use of such medicinal plants as:
- flowers of calendula;
- yarrow herb;
- buds of pine;
- leaves of eucalyptus and plantain;
- liquorice root.
All these ingredients are mixed in equal proportions and brewed with hot water (for each tablespoon of a mixture of herbs you need 0.5 liters of water). The resulting composition is infused under a closed lid for 30 minutes, then filtered and taken inside at 100-150 ml before meals 3-4 times a day. The remaining cake can be used for a warm compress on the sore ear.
Ointments for the treatment of external otitis media: tetracycline and LevomecolOintments with external otitis are used very often, since they are easy to use and tested for years. One of them is the ointment of levomecola with external otitis, which has pronounced anti-inflammatory and antibacterial properties. The main active ingredients of the drug are the antibiotic levomitsetin, methyluracil, responsible for the regeneration of tissues and the production of interferon. The auxiliary component of levomekol - ethylene glycol, it provides absorbing properties of the drug.
Also often used tetracycline ointment with external otitis, which is a broad-spectrum antibiotic. The active substance of the drug inhibits the synthesis of protein bacteria and promotes the speedy recovery and healing of inflamed skin.
Ointment for the treatment of external otitis should be applied with a sterile cotton swab, gently laying it on the affected area. For each procedure it is necessary to take a new cotton "tool". How many times to apply ointment, and in what quantities determines the attending physician based on the severity of lesions.
Risk factors for external otitis media
In order not to provoke the development of this disease, it is necessary to exclude all risk factors and provide your body with adequate protection.
The main risk factors for the development of external otitis media are:
- The presence of minor erosion on the skin of the auditory canals, resulting from improper hygiene of the ears;
- Sulfuric plugs, traumatizing the skin of auditory courses;
- Narrow passageways and the presence of otitis media of chronic course;
- Diseases, accompanied by a decrease in body immunity (HIV, diabetes).
In addition, frequent ingress of water into the auricle due to swimming in open water can lead to the development of external otitis media, therefore, after similar water procedures it is recommended for the prevention of burying ears with antibacterial ear drops.
How to treat otitis in adults: the main symptoms and diagnosisDespite 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;
- 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 urgently needed will seek help from an otolaryngologist who, with the help of special ENT equipment, will establish a definitive diagnosis and prescribe a course of 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 entire period In no case should the treatment process be stopped, even if there is a significant improvement. Otherwise, serious complications and the formation of chronic forms may occur.
How many otitis media are treated in adults with basic medicationRegardless 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 decrease or even disappear some of them, stop treatment of purulent otitis with antibiotics for adults and children is prohibited in order to avoid complications and repeated exacerbation of the 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 correctly prescribed 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.