Acute Otitis in the Child

Ear otitis in a child: symptoms, causes and treatment

Ear otitis in a child occurs significantly more often than in adults. The reasons for this imbalance are obvious - they are associated with the not yet sufficiently strengthened immune system of babies, which is not yet able to actively resist the development of inflammation. External manifestations of the disease, depending on the type of otitis media, differ, and therapeutic approaches should also be different.

What are otitis media in children and why they occur

Otitis is an inflammation of the ear. What are otitis media in children and what are their differences? There are external otitis and otitis media, depending on which department of the ear is inflamed. The course of the disease, which is very common at a young age, can be acute or chronic. The inflammatory process can, accompanied by suppuration or not accompanied by it. In this inflammation, there is a hearing disorder( mild to moderate hearing loss).The danger of all kinds of otitis in children is in their complications. Especially dangerous complications of purulent otitis. Remembering this, my mother should be attentive to the complaints of the child. If the child complains about the ear, the mother should immediately call the child's doctor. He, having examined the child, will give the necessary recommendations and, if he deems it necessary, appoint a consultation of a children's ENT doctor.

instagram viewer

Otitis externa may be a furuncle of the external auditory canal, but may be external otitis and diffuse. The furuncle develops as a result of the infection in the hair follicle or the sebaceous gland that is near this sac. Why does external otitis occur in young children? The cause of infection is usually a minor skin trauma( the mother does not take care when the baby is cleaning the eye, or the child puts a hard object with sharp edges into his ear).

Acute otitis media often develops as a complication of an acute cold. Staphylococci, streptococci, pneumococci, etc., can act as pathogens. The cause of otitis media in children is adenoidal disorders that cover the mouth of Eustachian tubes and thereby create conditions for air stagnation in the "drum-eustachian tube" system. In turn, the complication of acute otitis media, as well as the complication of tubotitis is

Pathogens of acute purulent otitis are the same as in acute otitis media. If, for some reason, there is no timely and sufficient treatment for acute purulent otitis, if the sick child is malnourished, if the resistance of his body is reduced due to some prolonged illness, then the acute purulent process in the ear can be transformed into chronic, and then one can already talkon the presence of chronic suppurative otitis in the child. Among the causes of this otitis in children, it is necessary to name such pathogens as streptococci, staphylococcus and E. coli. If the pseudomonas aeruginosa appears in the ear, the otitis proceeds very hard.

What are the symptoms of external and middle otitis in a child

What are the symptoms of otitis in a child manifested depending on the type of inflammation?

With external otitis, the child complains of pain in the ear. The pain is growing, and when you press the tragus of the auricle, it is even worse. Body temperature rises, parotid and cervical lymph nodes increase, tissues in the external ear canal swell strongly - sometimes this passage is completely closed. After opening the furuncle, pus is poured from the ear. Soon after this, recovery comes.

Acute otitis media begins some time after the onset of a cold. Again, a characteristic sign of otitis media is a pain in the ear. Sometimes a child complains of pain in both ears. If you click on the tragus of the ear, the pain becomes stronger. Body temperature rises, appetite and sleep are affected. There is a noise in the Ear, hearing is broken. The JIOP-doctor sees the reddening of the tympanic membrane when examining the patient's ear. Also, with the average otitis of the ear in a child, the symptoms are changes in the blood test: leukocytosis, increased ESR.Symptoms of purulent and chronic otitis in a child

Acute suppurative otitis occurs with the same symptoms, but there are still signs of intoxication of the body: increased fatigue, general weakness, pale skin and mucous membranes. Increased body temperature - up to 40 ° C - lasts several days. The pain in the ear becomes stronger and, as it were, pulsates. At some point, there is a breakthrough of pus accumulating in the tympanum, through the tympanic membrane outside;and the amount of pus can be significant. When pus breaks through it, as a rule, an admixture of blood is found. After the pus empties, the pain quickly fades into nothing. There is a hearing disorder.

Chronic purulent otitis is characterized by suppuration, which lasts a long time. The suppuration may be permanent or intermittent. The substance separated from the ear can have a mucous or mucus-like nature;rarely - festering. If the pseudomonas arisens in the ear or if pus stagnates in the tympanum, a putrid smell from the ear may appear. Symptom of this otitis in the child is a constant noise in the patient's ear. The doctor sees a hole in the eardrum when viewed( with the help of a special instrument) of the tympanic membrane. Chronic purulent otitis may be complicated by mastoiditis, meningitis;local complications - proliferation of granulations, the appearance of polyps;a fairly rare complication is cholesteatoma.

How to treat an ear otitis in a child

Before you treat an otitis in a child, the baby should definitely be shown to a specialist. The patient is examined by the ENT doctor and prescribes the necessary therapy. When treating otitis in a child is very important nutrition. In the diet of a child, there should be more products that are sources of vitamins A, C, B, etc. for the body.

With external otitis, the patient's ear warms up several times a day, making warming compresses( around the ear).In the external auditory meatus every day put turundas with a doctor-appointed remedy. Physiotherapy is effective.

With acute otitis media, treatment is also local and general. How correctly to treat an otitis of the child if it has arisen in the middle ear? In this case, warming up several times a day;around the ear make warming compresses with vegetable or camphor oil, vodka, semi-alcoholic compresses.

With severe pain in the ear, analgesic drops are prescribed. The effectiveness of treatment is increased when physiotherapy is connected. Simultaneously, the nose is treated - with the aim of quickly restoring the function of the Eustachian tube.

And how to treat an ear otitis in a child, if the disease is an acute purulent inflammation? In this case, the doctor makes a paracentesis - a small incision in the tympanic membrane. Through this incision poured out, and the state of the baby improves. The doctor observes the child every day, performs the toilet of the ear, puts in the external ear canal of turunda with medicines. The patient's ear is warmed, warming compresses are put on, physioprocedures are done. With symptoms of purulent otitis in children, treatment is also prescribed for the nose with a nasopharynx.

With chronic purulent otitis, the doctor also makes a daily ear toilet;locally used anti-inflammatory drugs;antibiotics are administered parenterally;physiotherapy is prescribed. In those cases when conservative therapy is ineffective, when complications of otitis may occur, surgical treatment is indicated. If you can achieve a long period without suppuration, an operation is performed to restore the integrity of the tympanic membrane. This operation is called "myringoplasty."

Treatment of otitis in children at home: first aid to a child

The kid suddenly complained that his ear hurts. Timely competent actions of the mother will help in this case to alleviate the child's condition and prevent the development of dangerous complications. Before starting treatment for otitis in children at home, first, of course, you need to call a precinct pediatrician at home.

After this, the mother must:

measure the child's body temperature;if the body temperature is increased significantly, the child is recommended to give something of antipyretic drugs: paracetamol in the form of syrup, acetylsalicylic acid( aspirin) in the age-old dose, a small child - put a cefekon candle;if the mother gives the sick child acetylsalicylic acid, then - certainly on the milk;
if the pain is severe, and the child can not tolerate it, providing first aid in otitis in the child, you need to give an oral anesthetic for oral administration - for example analgin in the age-related dose;an analgesic is injected into the ear - you can inject into the ear novocaine, otinum, if they are in the home medicine chest;if neither novocaine, nor on hand at hand, you can drip a few drops of warm vodka into the external auditory meatus;quite quickly the pain in the ear weakens after the introduction of a few drops of warm vegetable oil into it;for this purpose, you can use any vegetable oil - olive, corn, sunflower, soy, etc.( on the recovery of the child, the ear needs to be rinsed to remove the residual oil from the external ear canal);after the mother dripped the baby in the ear of one of these means, it should be about 15 minutes.lie down - while the sick ear should be facing the ceiling;after instillations the external ear canal is always plugged with a cotton swab;
in the treatment of otitis in a child at home, you need to warm up your sore ear;The warming-up procedure, despite its simplicity, is very effective;its effectiveness is due to the fact that heat is always characterized by a mild analgesic effect;in addition, heat causes local expansion of blood vessels and, consequently, the flow of blood to the sore ear, and in conditions of abundant blood supply, the inflammation focuses much faster;sometimes it is enough to warm up the ear once in the very beginning of the disease - and the process of inflammation begins to "take positions";warm up your baby need 3-4 times a day;each time the heating procedure should take 12-15 minutes;it is recommended to use an ordinary heating pad( the child should lie on the hot-water bottle with a sick ear);it is important to remember that when the body temperature rises, it is impossible to warm up;
is also very effective in helping children in the home, like warming compresses;when inflamed, compress around the ear;most often for compresses use such means as sunflower oil, camphor oil, vodka, alcohol, half diluted with water;make warming compresses 2 times a day: 1 time in the daytime for 1.5-2 hours and for the whole night;if the child has increased body temperature, compresses in no case can not be done, otherwise the body temperature will rise;
close the sick ear with dry cotton wool;until the doctor says that the recovery has come, the ear of the baby should be permanently closed;cotton wool is fixed on the ear with a handkerchief or cap.

Folk remedies for treatment of otitis in children

It is necessary to warn that methods and means recommended by traditional medicine are used as a supplement to the basic treatment that the JIOP doctor will appoint to the child.

Below are the best folk remedies for treatment of otitis in children at home:

alternating with other drugs, instill in the sick ear a warm infusion of chamomile flowers;Preparation of the infusion: 1 teaspoon of dried flowers in a preheated cookware, pour a glass of boiling water and insist under the lid for about 15 minutes, drain;
for folk treatment of otitis in children should be placed twice a day in the external auditory canal gauze turuns( fotilechki), impregnated with warm walnut oil, for 2-3 hours;
, propolis oil can be used as an effective anti-inflammatory and analgesic agent;to put with it 2 times a day for 2-3 hours in a sick ear gauze turundas;
there is more grapes;preferably - sweet varieties;grapes for the body - an excellent source of energy, very necessary for fighting the disease;
cleaning the external ear canal from the pus, moisten the cotton swab with fresh juicy lemon juice( bear onions);
an effective folk remedy for otitis in children is mixed in equal quantities fresh juice of onions and flaxseed oil;moistened with this mixture gauze turunda, you need to put the latter into the external auditory meatus for 1.5-2 hours;alternate with other means.

NasmorkuNet.ru

Acute otitis media - medium, purulent, catarrhal, acute otitis in children, treatment with

Acute otitis media

This disease is a local manifestation of an inflammatory-infectious process that encompasses the three airborne components of the middle ear, which include: the mastoid process, the tympanum and the auditory tube.

According to statistics, the frequency of acute otitis media reaches 25-30% of the total number of ear diseases, and this indicates its wide prevalence. Most often this disease occurs in children under 5 years old, a good proportion of otitis occurs in the elderly and in adolescents under 14 years. The acute otitis media is caused by pathogenic microorganisms of various species, including microbes, fungal flora and viruses. A trigger mechanism in the development of otitis becomes an acute respiratory-viral infection, influenza.

Acute purulent otitis

Purulent acute otitis is an acute purulent inflammation located on the mucous membrane of the tympanum, and if it rapidly develops and does not undergo treatment, other parts of the middle ear begin to be involved in the catarrh of the inflammation. This disease is the most common disease of the middle ear, which proceeds in a mild or acute form and causes a severe inflammatory reaction of the whole organism. But with any form of the disease, the otitis leaves after itself the adhesive process, which is accompanied by an almost incurable hearing loss, can go on into a chronic form and quite often into a progressive form that leads to hearing loss, and can lead to very serious complications. For the most part, acute purulent otitis occurs in children under 3 years of age. Its distinctive feature at the present time is not an acute onset and a lingering course, in childhood there is a tendency to be re-coded.

Acute Otitis in Children

This disease is an inflammation of the middle ear, it is the auditory tube, the tympanum and the air-bearing cell systems in the mastoid process. Acute otitis has become the most common disease in pediatrics, since it accounts for one-fourth of all ear diseases. The most common acute otitis patients are 1-2 years old, and in children up to 3 years old otitis occur up to 90% of cases. Moreover, many children with secondary otitis have been ill repeatedly, for example, 20% of children during the first year of their lives have already transferred otitis media. It should be noted that this disease can be of bacterial origin.

Therefore, the correct orientation in the origin of this middle ear disease is very important. And when prescribing drugs for treatment, you need to know the activity of different antibacterial drugs, relative to the most common pathogens. In addition, it is necessary to take into account the frequent sowing of strains that are resistant to antibiotics. After all, the microflora with the average otitis is very diverse, but the cocci flora prevails in this respect.

Acute catarrhal otitis

Acute catarrhal otitis is an acute inflammation of the middle ear, which is not limited to the tympanic cavity, but begins to involve the auditory tube and all the cells of the mastoid process, that is, the whole middle ear cavity, into the inflammatory process. The causative agents of this disease are streptococci, staphylococci, pneumococci and other microorganisms. The main reasons for its development are reduced resistance of the body, that is, lowered immunity, cooling of the body, kidney diseases, infectious diseases, rickets, beriberi, diabetes mellitus and so on.

In most cases, bacteria enter the middle ear from the nasal cavity through the auditory tube during the appearance of acute otitis or during exacerbation of chronic inflammation of the mucous membrane, it is influenza, ARVI and so on. The main factors that contribute to the spread of infection, are improper blowing, coughing, sneezing, increased pressure in the nasopharynx from which the infected mucus overcomes the barrier, which becomes the auditory tube. All the pathological processes of the nasopharynx and nasal mucosa, these are adenoid enlargements that cover the mouth of the auditory tubes, begin to support inflammation in the middle ear and thereby promote frequent relapse, as well as the transition of the disease to a chronic form that is most common in children. Treatment of acute otitis

The most important thing in the treatment of otitis is the restoration of the patency of the auditory tube, which can easily be achieved with the use of vasoconstrictive drugs in the nose, and also with the help of standard physiotherapy procedures. And if this does not work, then a simple blowing of the ears through the nose is prescribed. This procedure can be started from 3-4 years, for older children with a unilateral process, a catheterization of the auditory tube is prescribed. When catarrhal acute otitis antibiotics are not used. As for the medical treatment of acute otitis media, antibiotics are usually prescribed, which manifest their activity against pneumococcus, hemophilic rods. In addition, drugs should have the ability to overcome the resistance of pathogens to antibiotics. The concentration of the antibiotic is determined by the doctor, taking into account the stage of inflammation.

medportal.su

Acute otitis in children: what to treat?

Inflammation of the ear canal is a disease that often affects children. Everything happens for the simple reason that the structure of the ear is different for children than for adults. Children's aisles are wider and shorter. Infection over them moves freely. In this article, we will tell you about how to treat otitis in a child. You will learn about the main drugs. Also you will be able to find out information about additional medicines that accelerate recovery.

Otitis in children

If your baby has suffered an ear infection once, then you can prepare for the situation to repeat. Experienced moms already know how to treat otitis in a child. However, it is still better to contact the otorhinolaryngologist for each case. Only the doctor will be able to make a proper and careful examination of the inner cavity of the ear. Also, the specialist will take the material for the study if necessary.

Otitis in children is often accompanied by the most unpleasant symptoms. These include: fever, pain, shooting, burning and itching in the ear. Often additional signs of the disease become a common cold. When the purulent form of acute otitis occurs, discharge of fluid from the auricles occurs. It should be noted that acute otitis takes place much harder than chronic otitis. However, it is safer in terms of consequences.

Otitis in children: what to treat?

How to fix the problem correctly? First, consult a doctor. The doctor will carefully examine your clinical picture and will conduct an examination. Also, a specialist in the appointment of therapy will necessarily take into account the facts of ear diseases and intolerance of any medicines previously available.

If otitis occurs in children, than to treat the disease? All means can be divided into folk and conservative. The latter, in turn, are divided into medicines for oral and topical use. In especially severe cases, otorhinolaryngologists use surgical skills. It should be noted that, unlike other specialists, an ENT doctor can perform a small operation on his own. Consider how much to treat otitis in a child, what drugs should be used.

Antipyretic drugs and pain-relieving agents

If otitis occurs in children, what is the treatment for it? The first help you can give your baby is the use of drugs that relieve fever and pain. During acute otitis, the child feels discomfort in the ear. His hearing decreases, noises appear, and most importantly, the baby feels the lumbago, which gives a lot of pain. Most children begin to sleep badly at the same time, they lose their appetite, they become whiners.

To give first aid to a baby, give it a medicine. These can be preparations based on ibuprofen, paracetamol or analgin. Children who have reached the age of 12 can be offered aspirin. The most popular trade names for these drugs are the following: Nurofen, Paracetamol, Ibuphen, Panadol, Cefekon, Analdim and many others. Be sure to correctly calculate the dosage of the medicine. It always depends on the age and weight of the child.

Antibacterial compounds

Do not know how to treat ear otitis in a child? Most domestic doctors, when this problem occurs, always prescribe antibacterial therapy. Its effectiveness is considered the maximum. However, such drugs have a lot of side effects. And, for example, in Europe they are very cautious. Foreign doctors often use expectant therapy. If the child does not feel better within three days, then only the question of the use of antibiotics is decided.

Antibacterial agents are most often prescribed formulations based on amoxicillin. It can be Flemoxin, Augmentin or Amoxiclav. They are recognized as the most harmless, but effectively coping with otitis. If the child has previously taken similar medications, but they did not help him, then it is advisable to prescribe antibiotics-cephalosporins. These include: "Ceftriaxone", "Cefatoxim", "Suprax" and others. They are quite serious drugs that have proven themselves on the good side in fighting inflammation of the ear. Less commonly prescribed are such drugs as "Amoxicillin", "Sumamed", "Clarithromycin" and so on. The duration of the use of drugs can be from three days to several weeks.

Antiviral medications and compositions to enhance immunity

How to treat otitis media in a child? Rarely, but it happens that the disease is caused by a virus. In this case, no antibiotics will help to fix the problem. The child needs antiviral drugs. In some cases, they are prescribed for bacterial damage, since such medications are also capable of increasing immunity.

The most popular formulations are with interferon or its inducers. It can be Anaferon, Ergoferon, Viferon, Kipferon, or Cycloferon. Often doctors prescribe to children "Isoprinosin", "Likopid" and the like drugs. However, they can not be used without the doctor's recommendation. Before using them, you should always consult with your doctor. The duration of the course is determined individually.

Antihistamines and their effectiveness in the treatment of otitis

We continue to consider how to treat ear otitis in a child. In most cases, the inflammatory process begins because the Eustachian tube narrows due to edema. It turns out that the ear simply can not be ventilated. Because of this, the inflammatory process also develops. Antihistamines will help to remove swelling. Not all of them are allowed to children of the first year of life. Before using, be sure to read the instructions. Doctors usually use the following means: Zirtek, Zodak, Tavegil, Fenistil and others.

It should be noted that the described drugs will only give effect in combination with general therapy. They can not eliminate the otitisum alone.

Medications for the introduction to the ears

How to treat otitis in children? Komarovsky says that an acute inflammatory process in the ear is an occasion for the use of drops. They may contain anti-inflammatory, analgesic or antibacterial components. The most frequently recommended tools are: "Otipaks", "Otinum", "Otirelaks" and so on. They all contain an anesthetic that relieves pain. However, some doctors are wary of such drugs. Doctors report that you can remove the pain syndrome with the help of the medications described above. Directly for the treatment of the ear, it is better to use such drops as "Dioxydin", "Otofa".They in their composition have an antibiotic that will help to quickly remove the inflammatory process.

It should be noted that some drops for insertion into the ear canal require unbroken integrity of the tympanic membrane. If it is damaged, then the use of such tools can lead to quite serious consequences in the future.

Nasal medications: a prerequisite for

If otitis occurs in children, what is the treatment for pathology? Most of the inflammation of the tympanic membrane accompanies the common cold. This symptom must also be eliminated. Otherwise, after recovery, the bacteria will again enter the ear canal. Treatment of a runny nose with otitis involves the use of vasoconstrictor and antimicrobial compounds. The most popular drugs are xylometazaline. The doctor can appoint "Snoop", "Nazivin", "Vibrocil" or "Tizin".For particularly serious problems, corticosteroids are recommended( Avamis, Tafen, Nazonex).Such drugs can not be used for a long time. This can lead to atrophic rhinitis.

Among the antimicrobial compositions for the treatment of the nose can be identified such as "Polidexa", "Isofra", "Pinosol", as well as "Dioxydin".It should be noted that the lavage of the nasal sinuses in otitis is strictly prohibited. This can only aggravate the situation and lead to complications.

Puncture of the tympanic membrane and its cleansing

How to properly treat otitis in a child? If the problem does not go away after using the described means, or the baby becomes worse in a short time, it is advisable to make a puncture of the tympanic membrane. This manipulation is called myringotomy. It is carried out without additional anesthesia. The doctor makes a small incision with the help of the appropriate instrument, after which the accumulated liquid and pus leave the pus.

The resulting material should be sent for study to determine sensitivity to antibiotics. After the obtained results, the otorhinolaryngologist can assign a suitable preparation with high accuracy.

Application of the tube: drainage

How to treat otitis in a child 3 years, if the situation is repeated all the time? After all, in children of this age the relapse of the described disease is very great. The specialist may suggest that you use surgical techniques and install a small tube into the eardrum. This part will allow the liquid not to accumulate, but to come out. As a result, the inflammatory process does not appear. Often, this method is used for chronic otitis media, which are repeated more than 10 times a year and are difficult to treat with antibiotics. The procedure is called "tympanostomy."Drainage in the ear of a child can stand as long as the doctor deems necessary.

Folk methods of treatment

How to treat purulent otitis in children? Often our grandmothers advise you to apply warming. Doctors also say that this can be very dangerous. Under the influence of heat, the inflammatory process can only become more acute. Traditional methods of treatment are as follows:

Take camphor oil and lightly heat it. Dampen the tampon in it, then insert it into the ear. Wear a dense bandage and warm the inflamed part for two hours.
Hydrogen peroxide has always been used to treat and prevent otitis. Drip a few drops of the drug into the damaged ear, then gently clean the sink with a cotton swab.
Take boric alcohol and hold it in the palms to warm it. After that, enter two drops into each ear canal. The drug will help kill pathogens. However, it must be remembered that this method can not be used when the tympanic membrane is damaged.
Heat a handful of salt in a frying pan. After that, put the loose bulk in the toe and attach it to the sick ear. Hold for half an hour and remove the heat compress.

Instead of concluding

After reading the article, you learned how to treat otitis in a child 3 years old or at another age. Remember, this is a very insidious disease. Do not cancel prescribed medications as soon as you feel better. This practice can lead to an increase in the resistance of microorganisms to drugs. Be sure to complete the prescribed course of medication.

Try never to self-medicate. Remember that timely access to a doctor is the key to a successful outcome. Use the services of specialists and always be healthy!

fb.ru

Serous otitis in children and its treatment

Acute serous otitis is an ENT disease characterized by accumulation of serous fluid in the ear cavity. Part of the inflammatory process is accompanied by a decrease in the severity of hearing and a sense of ear congestion, especially during swallowing. In the treatment of serous otitis media and medicines are prescribed in children and adults, and in some cases, surgical intervention is indicated.

Symptoms of serous otitis

An inflammatory process like otitis media can have several forms of flow and manifestation. In the case when a serous fluid accumulates in the ear cavity, but no signs of an acute inflammatory process appear, specialists diagnose serous otitis. In other words, serous otitis is a weakly pronounced course of the inflammatory process.

In serous otitis, exudate accumulates in the ear cavity, a serous fluid that has a non-purulent character. A pathogenic secret is accumulated in the tympanum.

Recognize the acute average serous otitis in children and adults can be on such grounds:

feeling of stuffiness in the ear;
hearing loss;
sensation of pressure.

Often there is a stuffy ear when swallowing, may develop otalgia.

However, these symptoms are often not enough for accurate diagnosis, because such manifestations usually indicate other types of otitis. To determine the correct diagnosis, the otolaryngologists perform an examination of the tympanic membrane. With the development of serous otitis, its color is yellowish or grayish. To confirm the development of the inflammatory process, tympanometry is often used.

Older children and adults complain of ear pain and hearing loss. At an early stage of the disease, the tympanic membrane swells and, due to this, partially loses its mobility. At a later stage of serous otitis, the membrane retracts, becomes thickened, loses its former coloration, often on it a specialist can notice white spots on examination. In addition, with tympanometry, the otolaryngologist behind the membrane can see the level of fluid and air bubbles, while observing that the light reflex is broken or completely absent.

Causes of serous otitis

Among the reasons for the development of this pathology, experts call such factors:

a violation of the functionality of the Eustachian tube;
virus penetration;
exposure to bacteria;
action of viruses and bacteria simultaneously.

Even the shortest dysfunction of the Eustachian tube in most cases becomes the cause of the development of the initial stage of serous otitis in children. This connecting body performs such functions as ventilation, protective, drainage. That is why the development of otitis media depends to a large extent on the condition of the auditory tube. The small and short Eustachian tube, as well as its almost horizontal position, lead to frequent recurrences of otitis in children.

Children attending pre-school or school educational establishments are in contact with a large number of people, so they are prone to frequent respiratory viral infectious diseases. It is known that the cold provokes the development of serous otitis, especially with a protracted runny nose.

Another common factor affecting the condition of the hearing organ in a child is allergic diseases of the respiratory system. As medical practice shows, otitis is more common in children suffering from year-round or seasonal allergic rhinitis. Also, you should not exclude food allergy, in children up to two years, most often there is such a reaction to milk.

Acute form of serous otitis

Although serous otitis is characterized by a mild course, an acute form of the disease can occur. In this case, when performing tympanometry in the tympanum, a liquid of amber-yellow color is visible. Usually, such otitis occurs asymptomatically or with few symptoms, so diagnosis is very difficult. Often a disease is found in the late stages of its development, which is very dangerous for a person. The main symptom of an acute form of serous otitis may be a decrease in hearing, but the patient gradually becomes accustomed to this and does not notice the changes occurring.

Treatment of serous otitis in children and adults

Early diagnosis and identification of the causes of the disease is the key to successful treatment of acute serous otitis in children and adults. With the timely detection of the pathological process in the ear cavity, the chances of eliminating unpleasant and dangerous otitis symptoms by the method of conservative treatment are increased.

Such therapeutic measures should consist of such actions:

Do not feed infants in the "lying" position;
In case of allergic origin of serous otitis, it is necessary to exclude the contact of the sick person with the allergen;
During bathing, put on the head a special cap;
Regularly moisten the air in the room where the patient is.

In the treatment of acute serous otitis caused by an allergic reaction of the body, in parallel with symptomatic therapy, the administration of H-1 blockers is prescribed internally. Also, you need to take vasoconstrictive drugs, they will help to remove puffiness in the ear cavity and nasopharynx.

Otolaryngologists are prescribed cromolyn and corticosteroids to relieve edema in allergic rhinitis. After such treatment of serous otitis, the functionality of the auditory tube is often restored.

Short course can be prescribed corticosteroids and vasoconstrictors for topical application. Corticosteroids, as a rule, are not used for systemic use. If serous otitis was caused by a bacterial or viral infection, antiviral and antibacterial agents are indicated for use.

Children are prescribed antibiotics such as:

amoxicillin;
ampicillin;
erythromycin;
cefaclor.

If frequent recurrence of serous otitis occurs - three times in six months, it is recommended to drink a course of antibiotics for preventive purposes.

In some cases, surgical treatment of serous otitis media is indicated. The operation becomes necessary with enlarged adenoids, when the overgrown tissue covers the opening of the auditory tube. Then an adenotomy is performed - an operation to remove adenoids. When the serous fluid is not itself removed from the tympanum, surgical intervention will also be required.