Treatment of otitis in adults. Effective treatment of otitis
Otitis is an inflammatory ear disease. In order to understand why the disease occurs and what processes are taking place, consider the anatomical structure of the hearing organ and the process by which it perceives information.
Ear structure
The human ear has a very complex structure, which can be divided into three sections: the outer, middle and inner ear. The outer ear is the auricle, which perceives sound waves, directing them into the external auditory canal. The outer and middle ear are separated by a tympanic membrane, which conditionally represents a hymen or a film.
The middle ear is a cavity, a space in the temporal bone with three hearing bones located in it - a hammer, an anvil and a stirrup. It should be noted that the middle ear is closely related to the nasopharynx. Functionally, bones strengthen the received sound vibrations and transmit them to the inner ear. The inner ear is a labyrinth of membranes in the stony section of the temporal bone with many bends filled with liquid. The vibrations coming from the middle ear are transferred to a liquid that already affects the receptors. So information is transmitted to the brain in the form of nerve impulses.
Concept, types of otitis. Causes of
Otitis is a disease that can develop in any of the three parts of the ear, depending on the place in which the inflammatory process occurs, distinguish:
- Otitis of the external ear.
- Middle ear otitis media.
- Inflammation of the inner ear( or labyrinthitis).
There are many reasons that contribute to the onset of the disease or aggravate its course, but the main ones are:
- nasopharyngeal diseases, leading to swelling and inflammation of the mucous membranes of the middle ear;
- diseases that suppress and weaken the immune system( influenza, measles);
- supercooling;
- ingress into the ear of cold water;
- trauma and various injuries of the tympanic membrane, which may lead to infection in the middle ear cavity;
- genetic predisposition.
By nature, the causative agent causing the disease, otitis is divided into:
- Viral.
- Bacterial.
- Fungal.
Let us consider in more detail the inflammatory processes that occur in each of the three parts of the human ear, the symptoms and possible complications of otitis.
Otitis externa. Classification. Symptoms of
Otitis externa is an inflammation of the skin of the auricle along with the external auditory canal, which is caused by a bacterial or fungal infection. There are two types of external otitis media: limited and diffuse.
In most cases, limited inflammation is represented by furunculosis - the formation of boils. Furuncle - acute purulent process of the sebaceous gland or hair follicle, caused by pyogenic bacteria. When there are favorable factors in the human body, including chronic infection, diabetes mellitus, local trauma and skin contamination, insect bites, staphylococcal microflora, it starts actively provoking the inflammatory process.
Sometimes the disease is a complication of a previous flu or may be caused by an allergic reaction to medications. Signs of external otitis are itching;pain that occurs when touching an inflamed ear;redness and swelling of the skin of the external auditory canal, or auricle;sometimes the body temperature may rise. Hearing, as a rule, while not suffering.Exterior otitis externa is an inflammation of the external ear, which very often can spread to the tympanic membrane.
For the duration of the disease, the external otitis is classified into acute and chronic. The latter is a consequence of the lack of treatment or incorrect treatment of the acute form of the disease.
Otitis of the outer ear is considered to be the easiest type of disease in comparison with otitis media of the middle ear and internal otitis and often does not lead to serious complications, although sometimes it can cause an increase in the nodes of the lymphatic system. Inflammation of the mucosa grows into a malignant form( tissue necrosis) in the presence of a person associated with severe functional diseases( diabetes) or the virus of immunodeficiency. But such cases, fortunately, are rare.
Average Otitis. Classification and symptoms
Of all forms of otitis, both in children and adults, inflammation of the middle ear is most common. As noted earlier, the nature of the disease can be bacterial and viral. Among the bacteria, the main pathogens are streptococci or a hemophilic rod. To viruses that cause inflammation, you can include rhinovirus, influenza virus or respiratory syncytial virus.
The first signs of inflammation of the middle ear are pulsating, shooting or aching pains in the organ, which are intensified by swallowing, sneezing or coughing. Characteristic for this disease is also noise in the ear, weakness, sleep disorder, lack of appetite, severe deterioration of hearing.
In general, the inflammation of the middle ear is the result of a previous cold or flu, in which the immunity decreases and the number of bacteria in the nasal cavity increases. The nasal cavity is connected with the middle ear by the auditory tube, in which liquid and various microorganisms accumulate, which trigger the onset of the inflammatory process. The tympanic membrane undergoes pressure and expands in volumes to the outside, which causes pain.
The course of the disease can be different in speed of development, as well as in duration, according to what distinguish:
- Acute otitis media( the ear accumulates fluid).This is the reason for the audibility of your own voice in your head.
- Chronic otitis( ear is filled with pus).
Acute otitis media. Forms of
If the inflammatory process is classified according to the nature of the course( clinical picture), then the otitis can be catarrhal or purulent, so the development of the disease undergoes three stages - acute catarrhal otitis, acute purulent otitis and the recovery stage.
Acute catarrhal otitis is an inflammatory process associated with the localization of fluid in the middle ear cavity. For this form of the disease, in addition to pain and increased body temperature( 38-39 ° C), reddening and swelling of the tympanic membrane, ear congestion are characteristic. The patients note that they hear their own voice in the head during the conversation.
The appearance of pus and its congestion in the middle ear cavity is an acute purulent otitis. Treatment for the first 2-3 days is not carried out, because as usual during this period, the eardrum ruptures and the pus outward. In this case, the patient becomes better, the body temperature returns to normal, the pain stops. In addition to pus, blood and serous discharge can be observed. If the course of the disease passes without complications, then the third stage comes in - a recovery stage.With the onset of the reconstructive stage, the inflammatory process decreases, the suppression stops, and the damaged membrane is gradually tightened. If the treatment of otitis in adults passes in accordance with the appointments and under the supervision of a specialist, then recovery occurs in 2-3 weeks. By this time, the rumor, as a rule, is fully restored.
Chronic otitis media. Stages of
When untimely or inadequate treatment, acute otitis enters its chronic stage. Otitis chronic is an inflammatory process, which is characterized by a permanent or recurrent suppuration from the ear. This type of otitis, in addition to already known symptoms, such as increased body temperature, itching, deterioration of the general condition, there are complications in the form of hearing loss and persistent perforation of the tympanic membrane. Usually the chronic course of the disease is a consequence of previous sinusitis or acute purulent otitis media. In some cases, this form of otitis occurs as a result of rupture( or perforation) of the tympanic membrane or curvature of the nasal septum after the injury. Depending on the location of the perforation, and also on its size, three stages of chronic otitis are distinguished:
- Tubotymal otitis( mesotympanitis).
- Epimezotympanitis.
- Epitimpanitis.
In the tubotimponal form of otitis, the violation of the tympanic membrane occurs, as a rule, in the central part, and the pathology is manifested by inflammation of the mucous membranes of the tympanic cavity. Inflammation does not affect bone tissue.
Epimeozitimpanitis - a stage of chronic otitis, in which there is extensive perforation of the tympanic membrane, the damage affects its upper and middle divisions.
Epitimpanoanthral form of otitis is characterized by rupture of the upper, most pliable and fragile areas of the membrane. This stage of the disease, as well as epimezotimpanit, is dangerous by the appearance of pathological processes associated with the formation of granulomas, polyps and cholesteatoma - a capsule filled with and surrounded by purulent particles of the epidermis, which, constantly expanding, presses on the tympanic membrane, destroys the bone component of the middle ear and opens the "road "purulent process in the inner ear.
In addition, there is another form of inflammatory process - bilateral otitis media - a disease that simultaneously affects the hearing organ from both sides.
If we consider the existing complications of the disease, the perforation of the tympanic membrane is the most common. With prolonged accumulation of pus there is an increase in pressure in the middle ear, resulting in the membrane becoming thinner. There is a risk of its rupture( perforation).To prevent the transition of the inflammatory process to the stage of internal otitis and to avoid subsequent development of serious pathologies, it is necessary to resort to the puncture of the tympanic membrane surgically, and not to wait for the moment when this happens spontaneously.
Inflammation of the inner ear. Symptoms of
Internal otitis has another name - labyrinthitis is a disease that occurs less frequently in comparison with otitis of the external and middle ear, but is the most dangerous in terms of threat to human health and life. Purulent processes that affect bone tissues can cause severe complications, for example, meningitis( inflammation in the brain envelopes) or sepsis( blood infection due to ingestion of pus).As a rule, the internal otitis media is the result of complications of previous otitis media, or the consequences of a serious infectious disease. High body temperature, severe headache and vomiting, loss of balance - these are all symptoms of internal otitis, in which it is necessary to seek help from a specialist as soon as possible. In addition, with such forms of the disease, there is a sharp deterioration of the hearing until its complete loss.
In order to make an accurate diagnosis and, as a consequence, to prescribe the correct treatment regimen for the patient, doctors resort to otorhinolaryngological examination and laboratory tests.
Diagnosis of otitis. Surveys and investigations
Laboratory diagnostics is conducted mainly in order to establish the nature of the origin of otitis - bacteriological or virological. With the serological reaction of blood serum and polymerase chain reaction, antibodies to pathogens are detected. Also, the results of a general blood test will show the presence or absence of an inflammatory process in the body.
Basic instrumental methods for diagnosing otitis media:
- Timpanocenosis is the study of fluid obtained by surgical puncture of the membrane. The procedure allows you to determine the antibiotic needed to fight a particular type of infection, but in practice it is not often used.
- Timpanometry - checking the mobility of the tympanic membrane.
- Otoscopy - examination of the tympanic membrane and auditory passage by means of an otoscope.
- Audiometry is the definition of hearing acuity when suspected of reducing it.
- Computer tomography of the brain and skull structure( CT), magnetic resonance imaging( MRI) - are used in case of suspicions of purulent inflammatory processes and intracranial complications, help to diagnose the formation of various pathologies - polyps, cholesteatomas and so on.
Conservative treatment of otitis in adults
To avoid the development of complications and achieve recovery with minimal waste of time and effort, otitis should be treated in a timely manner, in fact, like any other disease. For each form of the inflammatory process, a special treatment is provided, with its own procedures and medical preparations.
Otitis of the external ear is treated out-patient, with the use of drops, which contain an antibiotic. Sometimes antibiotics can be prescribed together with corticosteroids or antihistamines, if the disease is caused by an allergic reaction. There are also procedures for washing the ear canal with an antiseptic solution. If this therapy does not lead to recovery or is not possible due to severe edema of the ear canal and face cellulite, oral medications are prescribed. At elevated body temperature, antipyretic agents are used, as well as analgesics if pain syndrome is present. In rare cases, with the formation of purulent inflammation of the external ear tissues, surgical intervention can be indicated.
Elimination of inflammation in the middle ear in the normal course of the disease is outpatient. Treatment of otitis in adults is performed with the appointment of antibiotics, antiseptics and bed rest. To reduce the painful syndrome, a warm 96% alcohol is used as a drop( this procedure is contraindicated in suppuration).For topical administration, physiotherapy is prescribed, it is also possible to use a blue lamp. It will be superfluous and warming the compress in otitis( alcohol, vodka or based on camphor oil), which should be kept no more than 3-4 hours. It must also be remembered that you can not put a compress at an elevated body temperature.
If the disease does not proceed without complications, the patient will show signs of acute otitis - the purulent otitis will develop. Treatment can be continued with the help of antibiotics or by surgical intervention.
Surgical intervention
Sometimes it happens that conservative treatment of otitis in adults does not lead to an improvement in the patient's condition. In such situations, a surgical dissection of the tympanostomy is performed. This manipulation allows you to avoid complications, as the puncture is done in a favorable and correct place, the pus exits through a specially installed tube, and the pain syndrome decreases, and recovery comes faster. In addition, the biomaterial( festering isolates) is subject to a laboratory bacteriological study for sensitivity to antibiotics. If, after the performed procedures, the acuity of hearing is not restored, purges and pneumatic massage can be prescribed.
There are cases when a natural rupture of the tympanic membrane occurs. This is observed mainly with inflammation of the middle ear and requires immediate surgical intervention.
In the tubotimponal form of otitis, the task of surgical treatment is to restore the integrity of the tympanoplasty using tympanoplasty using its own cartilage.
Epitimpanoanthral form of otitis is associated with destruction of bone tissue. In such a course of the disease, the goal of surgical intervention is to remove bone pathology and restore the tympanic membrane using prostheses made of inert materials( titanium).
Internal otitis media is the result of ineffective treatment of otitis media and is dangerous due to purulent complications with damage to the membranes of the brain. Therefore, in such forms of the disease, hospitalization of the patient with further surgical care is necessary.
It should be remembered that prevention is always better than treatment. Prevention of otitis can be the timely elimination of foci of infection within the body( caries, sinusitis), as well as the elimination of hypothermia. When the first signs of the disease appear, it is important to immediately seek medical help from specialists.
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Symptom of otitis in a child or an adult. Symptoms and treatment of otitis media of the middle and outer
Any painful sensations give people discomfort. They say that the most terrible is toothache. However, not everyone agrees with this statement. Pain in the ear can also be very strong and most unpleasant. I would like to talk about this now. What is the symptom of otitis and all that is associated with this disease?
What is it?
At the very beginning you need to understand what otitis is. It is an inflammation of any of the ear's parts. It is also important to know that this disease differs in the place of its localization. In this case, it is customary to talk about:
- External otitis media. In this case, the external auditory canal is inflamed, as well as the skin and subcutaneous tissue. Here doctors also distinguish local and diffuse inflammation.
- Average otitis. In this case, the inflammatory process is subjected to the cavity of the tympanic membrane.
- Internal otitis, when the so-called "labyrinth" is affected.
If we talk about the course of the disease, then in medical practice distinguish lingering otitis, acute, as well as chronic.
Separately, I also want to say that about 80% of children under the age of three years are at least once exposed to this disease. Adults also get sick less often.
Symptoms of otitis in children
If you consider such a disease as otitis, the symptoms of the child - that's what must necessarily stop. After all, if an adult can formulate his complaints, then the baby most often signals a discomfort and painful sensation by crying and crying. How can you understand that a baby can have otitis?
- If the child often touches or rubs the eye, parents should show the crumb to the doctor. After all, it can disturb the crumbs.
- When otitis in young children, the appetite often disappears. This is especially true for babies. After all, during the sucking of breast milk in the ear, the pressure rises, which can create additional painful sensations.
- If the baby has otitis media, the symptoms in the child may be similar to the general intoxication of the body. There may be nausea, vomiting, as well as weakness and lethargy.
How can one independently understand that otitis in an infant? Symptoms can be different( except for fever), but the baby can not tell about them. Parents can try to diagnose the disease in advance. For this, during sleep, the child should gently press on the tragus( cartilage in front of the ear).If a baby has otitis, he will start to toss and turn, can cry. In this case, the baby should be immediately shown to the doctor, until the disease is aggravated.
General symptoms of otitis in adults
We further study a disease such as otitis media. Symptoms in adults - this also needs to be told. What can a person feel while doing this?
- The main and very first symptom of otitis is ear pain. It can intensify when chewing, talking;can be sharp, shooting.
- Ejaculation of the ear. It is also a frequently occurring symptom. Can disappear at the time of chewing food. In this case, there may be a decrease in hearing.
- May also be a headache, dizziness, often there is vomiting.
- In the ear can be itching, noise.
- In adults, too, there is often a temperature increase. However, not as significant as in babies. Most often - up to 38-39 ° C.
External Otitis
What are the symptoms of external otitis media? How does this disease? As already mentioned above, in this case, the external part of the ear is affected by the disease. In this case, the infection gets into the skin, it turns red. The auditory canal itself is narrowed due to edema. Sometimes there is a transparent leakage from there. Symptomatology, which in this case can occur in humans:
- Again, the main in this case is the symptom of otitis - a pain in the ear. It intensifies during sipping at the auricle. Also, unpleasant sensations may appear during eating or opening the mouth.
- A furuncle may also occur. When it is opened from there, a purulent liquid may appear. Often it smells unpleasant.
Parotid lymph nodes may be enlarged.
Types of external otitis
There are also two main types of external otitis media:
- Limited. In this case, we are talking about the occurrence of a furuncle or inflammation of the hair follicle, which is located in the auditory canal. Painful sensations are concentrated in the area of education. After a while, the abscess should open, after which all uncomfortable sensations will pass.
- Diffuse. In this case, the inflammation affects the entire auditory passage of the patient. The first and the signaling symptom of otitis in this case is an increase in temperature to 39 ° C.Also, the appetite decreases, chills may appear. The ear canal itself swells and turns red. On the skin at the exit may appear bubbles.
Average otitis media
The most common is still the otitis media of the middle ear. Symptoms may be the following, but most often they are a gathering with signs of external otitis:
- Pain sensations. Pain can be sweeping, acute.
- Partial hearing loss, congestion.
- Increases body temperature to 39 ° C.
- Discharge from the ear. However, they arise only in the event that the tympanic membrane of the patient is damaged.
Localized disease in the middle, between the tympanic membrane and the inner ear. It must also be said that this disease often overcomes complications. Therefore, the treatment of otitis media should begin immediately, immediately after the appearance of the first symptoms.
Types of the disease( otitis media)
Otitis media - symptoms in adults have already been considered, I want to say that patients can have the following types of this disease:
- Purulent otitis media. In this case, the disease causes purulent inflammation, which occurs in the tympanic membrane. In this case, the ear can "leak", i.e., pus will come out, possibly with blood.
- Adhesive otitis media. Occurs in the event that the average otitis is repeated too often. In this case, scars form in the eardrum, a gradual decrease in hearing occurs. To correct a situation it is possible exclusively by means of surgical intervention.
The main thing in the treatment of
What should I say about this disease, like otitis media? Symptoms and treatment - that's what's important to stop your attention. First of all, I want to say that if the first signs of this disease occur, you need to immediately see the doctor. Only in this way it is possible to know the exact diagnosis and get competent treatment. Otherwise, serious complications can arise, it is very difficult to cope with. If you engage in self-medication, the result may be similar.
Diagnostics
By what means can a doctor diagnose a patient as an otitis?
- Patient examination. Sometimes it's enough to make a diagnosis. Especially when it comes to external otitis.
- Anamnesis history.
Additional research:
- Otoscopy, omicroscopy. In this case, the tympanic membrane of the patient will be inspected with the help of special tools.
- Timpanometry is a special test for detecting the mobility of the tympanic membrane. Acoustic reflexometry can also be used.
- In some cases, if complications are possible, the patient is referred for CT( computed tomography) or MRI( magnetic resonance imaging).
External Otitis: Treatment of
Consider the disease of external otitis: symptoms and treatment. If everything is said about the signs of this subspecies of the disease, now I want to pay attention to curing this problem. So, first of all it is necessary to say that the doctor will perform an autopsy of the boil by surgical means. It will only need local anesthesia. The procedure itself will take no more than 20 minutes. After this, the doctor will prescribe the following drugs:
- Drops. It can be such medicines as "Normaks", "Kandibiotic".
- Ointments. Such means as "Celestoderm-V", "Levomekol".
If the patient has a diffuse inflammation, then the ear canal will be flushed. This can be done with disinfectant solutions. In this case, swelling can be removed with the help of usual antihistamines: Suprastin, Claritin. Cope with the pain can be with the help of drugs such as "Nimesulide", "Diclofenac."
Treatment of otitis media
What else is important if otitis media is treated? Symptoms and treatment are the most important information. How can you cope with this type of disease?
- The patient needs complete rest. This is the only way to avoid increasing pain and complications.
- Antibiotics. In this case, the doctor can prescribe the following drugs: "Vilprafen", "Amoxycycline."
- If the temperature rises, you can drink such antipyretic as "Aspirin".
- In case of severe pain, the doctor may prescribe such painkillers as "Ibuprofen", "Paracetamol".
- You will need an ear wash to remove pus.
Sometimes, with an average otitis media, a doctor can prescribe a surgical procedure. What procedures in this case can we talk about?
- Miringotomy. In this case, the patient will slightly cut the eardrum.
- Timpanostomy. In the ear of the patient, a tube will be installed for clotting out pus.
- For the prevention of otitis patients can remove adenoids and tonsils.
Only if the patient strictly follows the doctor's instructions and carefully follows his recommendations, you will be able to cope with the illness in the shortest possible time.
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Treatment of otitis in adults
Ear diseases cause a lot of trouble for a person. The term "otitis" is used to refer to any infections that penetrate the hearing organs. This disease can be internal, middle or external. The type of ailment depends on the part of the ear that is affected, and on the time of its destructive effect. How to treat otitis media in adults, it is necessary to know in order to relieve yourself of pain in time.
How to treat otitis in the home
To begin treatment of otitis in adults, it is necessary with the recognition of the disease. With this disease there is pain, the ear starts to itch and shoot, inflammation occurs. Self-medication should not be dealt with, but manifestations of the symptoms of the disease should be immediately clearly noticed, in order to provide first aid. Symptoms of the disease are manifested by its type:
- Otitis externa. Characteristic pain in the organs of hearing, itching in the region of the auricle, purulent discharge and unpleasant odor. On the skin of the ear there is peeling, swelling and redness. In this case, a person normally hears.
- The average otitis is divided into two groups. Acute suppurative otitis media is characterized by painful sensations inside the ear. The nature of the pain can be different: aching, stitching, throbbing. It is able to localize in the areas of the jaw, temple, nape. In addition, there is an increase in body temperature. If too much pus accumulates inside the ear, then the perforation of the tympanic membrane and the release of purulent formation can occur. Chronic form of the disease brings worsening of hearing, leads to complications. It is recognized due to the constant flow of pus.
- Adhesive and allergic otitis media. With such inflammation, there is a noise in the ears, a constant decrease in the level of hearing, a headache, weakness, the appearance of adhesions.
- Internal otitis media is a complication of the middle. This type of ailment is not accompanied by pain, there is a loss of hearing and dizziness.
Treatment of otitis should begin with the appearance of the first symptoms, before complications can occur, and the disease does not change from acute to chronic. Cope with the disease you can and sitting at home, as prescribed by a doctor of suitable means. For the fight, a wide range of medicines is used:
- drops;
- compresses;
- antibiotics inside;
- homeopathic remedies;
- as a supporting therapy - folk remedies.
With ear drops
Cure the outer or middle otitis easily with the help of ear drops. By composition, such drugs can be single-component( contain only antibiotic) or bicomponent( antibiotic and anti-inflammatory substance).Examples of such drugs are Otoposarin, Polidex. Drops in the ears with otitis are considered to be an effective medication. There are many drugs designed to get rid of the disease. There are drops from otitis in adults, which are used more often than others:
- "Normax".In the composition - norfloxacin, auxiliary substances. Indications for use - external, medium( acute and chronic), internal otitis. To drip it is necessary on 1-2 drops 4 times / day in a sick ear. The price: 100-140 р.
- "Otofa".Contains rifamycin sodium and other substances. Indications - external, medium acute, average chronic otitis media. Dosage of application - to drip in an ear on 5 drops 3 times / day. You can pour the medicine in your ear for about 2 hours. Price: 170-220 r.
- "Sophradex".The composition is rich: Framicetin sulfate, gramicidin, dexamethasone. It is used for otitis externa. Drip 2-3 drops 3-4 times / day. You can use compresses, laying the ear passage with a gauze swab with the medicine. The price: 290 р.
- "Anotite".In the composition - levomitsetin, boric acid, lidocaine hydrochloride, auxiliary substances. Indications - external, purulent middle, purulent otitis media. It is applied on 4-5 drops 3-4 times / day. The price: 40-50 р.
Antibiotics
Such medications are required for an average, diffuse, secretory form of the disease, when some drops do not help. Antibiotics can be used to treat bilateral, viral and fungal otitis media. These drugs fight inflammatory processes that have arisen in the field of auditory organs, some are capable of anesthetizing. It is recommended not to take antibiotics for more than 5 days. Increase the effect of drugs through additional drugs or folk remedies. Among antibiotics for the treatment of otitis media are used:
- "Spiramycin"( take 2-3 times / day for 1 capsule, price: 205 rubles);
- "Ampicillin"( drink 4 times / day for 1 capsule, price: 22 rubles);
- "Ciprofloxacin"( inside 2 times / day for 1 capsule, price: 14 rubles);
- is allowed to use other popular antibiotics.
Other
medications In addition to the above listed drugs, the treatment of otitis media of the middle ear in adults and the external type of illness is carried out using other affordable, inexpensive but effective methods. You can use boric acid or boric alcohol. The medium is heated to body temperature by lowering the vial into warm water. Then the medicine is digested into the ear passages by pipetting 3 drops. To prevent the drug from flowing, put cotton swabs in your ears. Boric acid in otitis relieves inflammation and pain syndrome, is suitable as a first aid in the manifestation of signs of the disease.
Folk remedies
When some medicamental methods are not enough, proven methods of treatment of otitis in adults come to the rescue. People's means are great, each has a special effect. Such methods should be used correctly for the first symptoms or as part of a comprehensive therapy. Sometimes you can do only with folk remedies, but it is better to use medicines from the pharmacy. Here are some natural "preparations" for solving the problem:
- Tincture from birch buds. To prepare, you need to insist 10 g of birch buds for 200 ml of vodka or alcohol. Use the medicine after a week. Obtain the product with a wet tampon and place it in your ear. To remove pain, several procedures are required.
- Propolis tincture. The medicine will come to the rescue with severe pain. Preheat the preparation, drip 2 drops in both ear canals, then place in the ears cotton swabs. The remedy should be kept for 15-20 minutes.
- Sugar smoke. Original remedy. Take a tin lid without gum, pour 1 tbsp.l.sugar and place on a burning stove. When the smoke appears, fold the newspaper into a tube, place it above the smoke, hold the ear to the hole. The procedure should be at least 5 minutes. After its termination, warm your ear.
Homeopathy
Herbal treatment is gradually gaining popularity in modern society. Not uncommon and homeopathic pharmacies. Each method of treating otitis in adults - homeopathy and herbal medicine - is considered quite safe. Nature is a storehouse of useful substances. Treat the disease with the help of herbs should be after a consultation with the doctor to prevent complications. What natural remedies to use:
- aconite - if there is tingling and pain in the hearing;
- belladonna - with average otitis, strong pulsating and tearing pains, buzzing, swelling near the ear;
- pulsatilla - for recovery with a decrease in hearing, sensation of congestion of the ear passage, purulent and spotting discharge;
- with very severe pains - ferroma of the fostoric.
Than to treat an otitis at pregnant women
There are two major features distinguishing treatment of an otitis at pregnancy. The first is that the benefits to the body of the medicine must exceed the harm. Everything is done so that the fetus does not suffer. If the otitis media is severe and severe, antibiotics are prescribed. They should be chosen by the doctor in accordance with the timing and course of pregnancy. In time, untreated otitis results in perforation of the tympanic membrane. Catarrhal( exudative) otitis is treated easier - by blowing or pneumomassage, without perforating intervention.
For treatment of otitis in adults, local treatment is also prescribed. To do this, use turundochki, which are placed in the ear. Together with this device, a tampon moistened with the medicine is used. Please note that the drug was approved during pregnancy. Treatment prescribed by a doctor is allowed to be supplemented with folk remedies. Natural medicines will not only alleviate the symptoms, but will also benefit the body overall. Treatment of otitis during pregnancy should be approached with all responsibility.
Video: what to do when the ear hurts
Inflammation of the organs of the auditory system occurs frequently. Treatment is often effective and passes easily, but complications also arise. Everything depends on the place of origin and severity of the disease. Treat the infection in the hearing aid immediately so that severe complications do not appear. There are a lot of funds that can lead you to recovery. These are tablets, drops, ointments, decoctions, compresses. With a light otitis can help drop, if the case is more serious, you will have to take antibiotics. From the video below you will determine which means are best used in the complex.
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Otitis of the ear: types of otitis and causes of development
- Otitis in children
- Otitis in adults
- Treatment of
Otitis of the ear is an ENT disease of the hearing organ, characterized by inflammation of one of the ear sections connected together.
The causes of otitis media development can be very different, ranging from mechanical damage and improper personal hygiene, to serious complications arising from acute respiratory infections, flu and colds.
Few people know, but even a common runny nose in neglected form can become the beginning not only of maxillary sinusitis, but also otic otitis.
Let us consider in more detail what otitis media are and what types of this disease are encountered.
The structure of the human ear is divided into three interconnected parts, which bear the following names:
- outer ear;
- middle ear;
- inner ear.
Depending on the specific part of the organ the inflammatory process is taking place, in medicine it is customary to distinguish three types of otitis :
- external;
- average;
- internal.
Osteitis: symptoms of the disease in children
Otitis in children( see photo left) occurs much more often than otitis in adults whose symptoms are identical. First of all, this is due to the not fully developed structure of individual tissues and parts of the hearing organ.Symptoms of otitis media( also referred to as middle ear inflammation) are also observed in children with reduced immunity or due to complications of viral, colds, flu.
As already noted above, the disease is divided into three types. For each type of otitis, adults and children have their own symptoms and signs.
With external otitis , the causes of which are often violations of the child's personal hygiene, microtraumas of the ear shell, internal boils, observed:
- elevated body temperature( up to 39 ° C);
- chills;
- the child's refusal to eat;Caprice and irritability;
- poor sleep;
- unreasonable crying;
- swelling and redness of the auricle;
- by the appearance of small bubbles on the skin around the ear;
- pain in the ear is constant or when touching;
- increased parotid lymph nodes.
Medical treatment
Amoxicillin Otypax Ceftriaxone Azithromycin Dioxydin Protargol Polidex Dimexide Levomecol Flemoxin Solutab Sumamed Otofa Miramistin OtypaksWith , the average otitis media , which most often occurs against the background of SARS, as well as in children with low immunity, the following symptomatic picture:
- pain in the ear;
- continuous crying;
- no sleep;
- the child's desire to rub or scratch the ear( rubbing about the pillow);
- refusal of food;
- pain reaction with pressure on the tragus( outer cartilage of the auricle);
- elevated temperature;
- lethargy;
- vomiting;
- diarrhea;
- purulent discharge from the ear, possibly with an admixture of blood( with a purulent form of acute otitis media).
With internal otitis , manifested much less frequently than the two previous forms, but it is much more dangerous as a result of complications of otitis media or against the background of a general serious infectious disease characterized by the following symptoms:
- elevated temperature;
- tinnitus;
- dizziness;
- nausea;
- vomiting;
- loss of balance;
- hearing loss.
Symptoms of otitis in the ear will help the parents diagnose the disease, but this does not give the right to self-medicate. At the first manifestations of inflammation of the middle ear, it is necessary to seek help from an otolaryngologist, who, based on a real clinical picture, will prescribe the right treatment.
Symptoms of a cold in adults
Unlike children, otic otitis, the symptoms of which are known to many of us since childhood, are much less common in adulthood and are mainly the result of hypothermia, violations of personal hygiene and complications after a viral cold.
Otitis media
Middle Ear External Sharp Bilateral Allergic External diffuse Perforating Inner Child EustachitisDiagnosing a self-diagnosed disease in an adult is much easier than a child in the first place, because it can describe in detail the entire picture, including the strength of pain in the ears. This will help determine the severity of the disease.
However, only the doctor can make a final verdict and prescribe the appropriate treatment for otitis media of the middle ear, after having undergone proper examination with the help of special ENT instruments.
Characterized by adult otitis as a cold of the ear, its symptoms are similar to that of infants:
- congestion of the ears and hearing loss;
- acute or aching in the ears;
- elevated temperature( optional);
- headaches and dizziness;
- pain, giving in the neck, teeth, whiskey, forehead;
- weakness and general malaise;
- nausea and vomiting.
To avoid the occurrence of such ear infections, proper prophylaxis should be carried out, and then the pain in the ears will not bother you or your children.
How and how to treat an ear otitis - doctor's prescription and prescriptions for traditional medicine
How to treat an ear otitis a doctor otolaryngologist determines by establishing the type and degree of the disease.
Treatment of otitis
Treatment of external otitis Treatment of otitis media of the middle ear Treatment of purulent otitis Ear drops Tablets Antibiotics Earwax Ear candles Adults Children In pregnant womenIn any case, first of all, drug therapy is aimed at the destruction of bacteria that contribute to the development of otitis. This is done with the help of antibiotics, and selected drugs that can not only eliminate bacterial damage to the body, but also easily penetrate into the ear drum to the very focus of the disease.
The most commonly used antibiotics for the treatment of ear otitis are Cyphran, Flemoclav, Solutab.
As a local treatment, special ear drops-antiseptics are used, most often in ENT-practice, a solution of boric acid is used in the old manner.However, there are a number of other similar preparations of a new generation that can easily cope with infections.
In addition, such drops often include anesthesia, which helps to significantly reduce and eliminate pain.
Some of the best ear drops from otitis are Sophradex, Otipax, Otinum, Garazon.
In combination with ear drops in otitis, otolaryngologists often prescribe vasoconstrictive drops in the nose( Naphthyzine, Nazol, Galazolin, Otryvin, etc.), due to which it is possible to remove the edema of the mucous membrane of the Eustachian tube and thereby reduce the load on the eardrum.
In addition to drops in the nose in the complex can be appointed and antihistamines( antiallergic) funds, pursuing the same goal - removing the edema of the mucosa. These can be tablets of Suprastin, Diazolinum, Loratadina, etc.
In the presence of an increased body temperature, which often causes otitis media, mandatory antipyretic drugs are prescribed, which are also able to partially relieve or reduce pain in the ears. The most safe and effective remedy for temperature is Paracetamol.
Warning!
All of the above drugs used to treat otitis media can not be considered a guide to action. The question, than to treat an ear otitis independently, should not stand at all. The treatment of this disease, like most others, should take place exclusively under the guidance of a qualified physician.
With a timely visit to the otolaryngologist and the exact observance of all prescriptions, the ear otitis passes quickly enough without leaving any consequences.
How to treat otitis with folk remedies
In addition to drug therapy, there are many ways of alternative treatment of otitis folk remedies. I must say that such methods are acceptable for use and are mostly of an auxiliary nature. However, it should not be forgotten that people's prescriptions can be used only after consulting a doctor and in no case should they self-medicate to avoid complications and irreversible consequences.
Folk remedies
Treatment with folk remedies Home treatment Camphor alcohol Geranium Hydrogen peroxide Tincture of propolis Tincture of calendula Furacil alcohol Aloe vera washing Boric acid Warming Ear compressions Purging of auditory tubesDepending on the shape and severity of the disease, otitis symptoms accompany a different nature, based on theirand apply various recipes of traditional medicine.
Prescription number 1. For example, to reduce tinnitus and prevent the development of otitis, it is recommended to chew the buds of fragrant cloves or to cook on their basis a decoction, observing the proportions of 15 grams of cloves 100 grams of hot water and taking it by a teaspoon 2-3times throughout the day.
Prescription No. 2. If hearing loss after otitisation is advised, it is recommended to brew and drink tea from the rose petals( red) daily for two weeks, which will help restore hearing in a short time.
Recipe # 3. To cure otitis externa, one should take the root of elecampane, incinerate it on fire, and then grind it in a coffee grinder and mix with a small amount of mutton fat. Lubricate the prepared earwax with otitis shell to complete recovery.
Recipe # 4. To reduce the symptoms of acute otitis will help tincture of nightshade sweet and bitter. To make it, you need to take 2 tablespoons of chopped grass and pour 100 grams of vodka. Insist for a week, then inject into your ear soaked in a means of cotton turuns 2-3 times a day.
You can also prepare the infusion. To do this, pour a tablespoon of herbs with a glass of boiling water. Insist for an hour and apply as in the case of tincture, in the form of embedded turundas.
Prescription number 5. To reduce severe pain in the ears with otitis will help glycerin with alcohol. It is necessary to combine the two ingredients in equal proportions( 1: 1), moisten the turunda in this mixture and lay it in the diseased ear.
Prescription No. 6. When asked how and how to treat ear inflammation, many will give an unambiguous answer - dry heat.
This is really an effective method for acute otitis, which is widely used in medicine( blue lamp, UHF).
It can also be used in the home if the ear is inflamed. To do this, take ordinary table salt, heat it in a clean dry frying pan and fill it in a linen bag.
After an additional tissue folded several times, the patient's ear should be heated for 30 minutes.
Important to know
You can not heat your ears with dry heat at elevated body temperature and purulent secretions from the auricles.
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Ear Otitis: Causes, Symptoms and Treatment. How to treat otitis with folk remedies
Otitis is a disease that arises from the development of the inflammatory process in various parts of the hearing organ. Most often this illness manifests itself with pain and intoxication syndrome, fever, and in some cases even hearing impairment is observed.
Why does external otitis occur
Often the otitis of the external ear is accompanied by lesions of the middle and outer parts of the organ. An external disease can develop as a result of an infection that penetrates tissues through minor scratches that occur when the outer shell is damaged. The cause of this can be thermal, chemical burns, mechanical injuries and so on. In this case, the main causative agents of the disease are staphylococci and streptococci, Pseudomonas aeruginosa, Proteus and so on. Also, external ear otitis most often occurs in people who suffer from metabolic disorders in the body, hypervitaminosis, gout and diabetes.
It should be noted that this ailment begins with an inflammatory process, which initially captures only the surface layer of shells. Gradually, the otitis is transferred to the surrounding tissues. Often, the disease spreads to the eardrums.
Causes of development of otitis media
As for otitis media, it develops mainly due to infections of the nasopharynx. In this situation, the causative agent of the disease penetrates into the middle ear cavity through the auditory tube. In this case, the agents of ARVI will cause otitis media. Treatment will be aimed at eliminating the underlying disease. What provokes such a disease? Often the middle ear otitis occurs with parainfluenza, influenza, rhino- and adenovirus infection, respiratory syncytial disease and others. Also, this ailment develops in diseases caused by such bacteria as hemophilic rod, moraxella, streptococcus pyogenic, pneumococcus.
Often the otitis media appears in children, since the ear tube is short and wide. It is worth noting that the infection can penetrate and outside with a barotrauma of eardrums or mechanical damages. Also, this infectious disease is promoted by such infectious chronic diseases as adenoids, sinusitis, tonsillitis.
At first, the otitis media of the middle ear arises as an inflammatory process on the mucous membrane of the organ. At the same time, active fluid production takes place. In viral diseases, exudate is serous. If the process is caused by various bacteria, then purulent otitis of the ear may begin with the corresponding secretions. Often, the accumulated fluid causes protrusion of the tympanic membrane. In extreme cases, it breaks. This is what is the main cause of hearing loss in the middle ear otitis.
The main symptoms and signs of external otitis
In this disease the patient suffers from severe pain in the area of the auricle or inside the organ. Often patients complain of itching of the skin. At the same time, from the external part of the auditory organ there is separation of putrefactive secretions, which have a rather unpleasant odor. With the development of external otitis often there is an increase in temperature to subfebrile indicators.
Main symptoms and signs of development of otitis media
Begins otitis media of the middle ear sharply. In this case, strong painful sensations of the shooting or pulsating character are manifested. This disease causes a rise in body temperature, usually up to 38 ° C and above. There are also symptoms such as intoxication, manifested by muscle pain, loss of appetite, headache, weakness. Often, when otitis media appear signs that correspond to acute respiratory infections, such as coughing, swelling in the throat, runny nose. In this case, the patient is greatly concerned about the decrease in hearing, noise and stuffiness in the ears.
In newborns, the otitis media of the middle ear appears slightly differently. The child is constantly naughty and worried. In this case, the baby is not able to suck. A few days later the perforation of the eardrums takes place. As a result, the pain sensations decrease. From the ear canal, fluid gradually begins to flow out. It can be in the form of pus or transparent. Over time, the number of excretions decreases, as the eardrum begins to scar, and pain sensations decrease. With proper treatment, the ear otitis in the child disappears, and the hearing organ is fully restored.
Complications of otitis
If you do not treat the disease in time, or treat it incorrectly, the following complications may occur: thrombosis of venous sinuses, and in rare cases even sepsis, abscess and meningitis, labyrinthitis and purulent mastoiditis, hearing impairment and even deafness, adhesiveotitis media, chronic inflammation, persistent perforation of the tympanic membrane.
Diagnosis of
The diagnosis of "ear otitis" can only be performed by a specialist in a narrow profile. Diagnosis of the same disease is based on otorhinolaryngological and clinical examination of the patient. With the instrumental method of identifying the disease, otoscopy is usually used, which allows you to examine the tympanic membranes and the external auditory canal with the help of an otoscope, as well as the omicroscopy performed by surgical optics. Often used audiometry, determining the severity of hearing, and tympanometry, which is a study of the mobility of tympanum membranes.
To exclude the development of complications of this disease, the doctor can apply a computer tomography of skull bone structures, as well as brain research using radiography.
Often a puncture of tympanic membranes is made for the correct diagnosis and for the purpose of distinguishing purulent and viral otitis media. This allows you to extract a certain amount of accumulated liquid for its further investigation. In this case, even bacteriological culture can be made, which allows to determine what is the causative agent of the infection. After all, before treating the otitis of the ear, it is necessary to know the cause of its occurrence.
Treatment of otitis
So, otitis ears - how to treat this disease? Most often, his therapy is conservative and is performed on an outpatient basis with an easy flow in the otorhinolaryngologist. Mandatory patients are hospitalized, who have severe otitis media in their ears. Treatment of such a disease under the supervision of a doctor allows you to avoid complications. Children with otitis media of any degree are also in need of hospitalization. At the same time, the definition of tactics of combating the disease and its direct treatment is carried out only after a thorough examination of the patient by the doctor.
The patient is usually prescribed antibiotics if he has a bacterial otitis media. Treatment in this case is carried out by such drugs as "Ceftriaxone", "Cefotaxime", "Cefuroxime", "Clavulanate", "Amoxicillin", as well as Meidekamycin, Azithromycin, Clarithromycin. If the patient suffers from purulent otitis, then his therapy uses respiratory fluoroquinolone, for example, the drug "Moxifloxacin" or "Levofloxacin".For the treatment of external diseases apply special drops in the ears with otitis. For example, it can be means of "Polidex" or "Otofa".
To reduce pain and other manifestations of the disease, drops are used in the ears with otitis, which are used in complex therapy: Otopix and Otisol. Many specialists prescribe washing with solutions of antiseptics of auditory canals. However, this method is effective only in otitis externa. In order to overcome the inflammatory process, the doctor can prescribe for the intake of antipyretics - ibuprofen and aspirin. These medications have moderate analgesic properties.
As for warming up and physiotherapy, these methods of treatment are allowed only after consulting with specialists. In most cases, everything depends on the degree of the disease.
Beekeeping products for the treatment of otitis
To cure otitis media, honey drops can be prepared. For this, it is necessary to dilute this product in warm water, observing the proportions one to one. Several drops of solution are added to the patient's ear.
You can supplement such therapy with a propolis tincture of 20%.This means is impregnated with a tampon made of gauze, which is injected into the diseased ear. The course of such therapy is two to three weeks.
10% tincture of propolis can be used to instill ears. To do this, you need to tilt your head to your shoulder and drop just a few drops into your ear canal. So the remedy will penetrate into the middle ear. The head should be held in this position for several minutes.
Peppermint tincture for otitis
So, what is otitis treatment at home? Of course, herbs. An excellent remedy for this disease is tincture of mint. For its preparation, several spoons of dried mint should be poured with about a glass of ordinary vodka. The drug should stand for several days in a closed container. In the finished product, pieces of gauze are moistened and injected into the ear. This tincture can quickly eliminate otitis media. Treatment can be supplemented with medicines with the permission of the attending physician.
Herbal tincture
This is another tincture that is considered to be quite effective for otitis. To make it, you need to take a few spoons of dried herbs and pour 100 milliliters of vodka. The drug is injected seven days in total darkness. Gauze turundas are wetted in the finished tincture, and then they are put in ears.
The same method prepares tinctures of calendula and St. John's wort. These funds can eliminate the main symptoms, ease the patient's condition and eliminate otitis media.
Teas and tinctures against otitis of the ears
To improve the general condition of the patient, a variety of teas prepared on the basis of plants allow. Healing qualities are possessed by a drink prepared from the petals of a red rose, black currant berries, dog rose and raspberry roots.
To wash the ear, you can use infusion of leaves of the noble laurel. To make it, take a few spoons of pre-crushed leaves. This amount of grass is poured into a glass of boiling water and left for several hours. The present leaves are filtered, and the infusion is used to treat otitis. Before use, it should be heated to be slightly warm. With purulent otitis, the infusion of leaves of the laurel is buried right in the ear.
Vegetable remedy
You can also use ordinary garlic against purulent otitis. For this, the cleared tooth is inserted into the ear. A good drug for otitis ear is the onion, the gruel of which is laid out on a piece of gauze. The received compress is put in a sick ear. Red beet has the necessary properties. The vegetable is rubbed on a grater and transferred to an enameled container. To the resulting gruel is added a glass of water and a dessert spoon of honey. Capacity is put on a small fire, and its contents are brought to a boil. Keep the broth should be on the fire for another 15 minutes. The finished mass is cooled and applied as compresses, wrapped in a piece of gauze. Polyethylene film and cotton wool are placed on top. It is fixed with a warm scarf for several hours. Follow the procedure should be several times a day.
Conclusion
For otitis externa or middle ear, a doctor should be consulted for sure. A neglected disease without timely treatment entails severe consequences. Before treating the otitis of the ear, you need to undergo a complete examination. It is not necessary to engage in the therapy of folk remedies on your own, as an incorrectly selected medication can only lead to a worsening of the patient's condition.
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