Average Otitis Symptoms and Treatment

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 staple. 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.

The concept, types of otitis. Causes

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:

1. Otitis of the external ear.
2. Otitis of the middle ear.
3. Inflammation of the inner ear (or labyrinthitis).

Causes that contribute to the onset of the disease or aggravate its course, many, but the main ones include:

• diseases of the nasopharynx, leading to swelling and inflammation of the mucous membranes of the middle ear;
• diseases that suppress and weaken the immune system (influenza, measles);
• supercooling;
• getting into the ear of cold water;
• trauma and various injuries of the tympanic membrane, which may cause infection in the middle ear cavity;
• genetic predisposition.

By nature, the causative agent causing the disease, otitis is divided into:

1. Viral.
2. Bacterial.
3. 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.

External otitis media. Classification. Symptoms

External otitis 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. If there are favorable factors in the human body, including chronic infection, diabetes mellitus, local trauma and skin contamination, insect bites, staphylococcal microflora begins to actively provoke 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 temperature may rise body. Hearing, as a rule, while not suffering.

Spilled otitis externa is an inflammation of the external ear, which very often can spread to the eardrum.

According to 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 external ear is considered to be the mildest type of disease in comparison with otitis media of the middle ear and internal otitis media and often does not lead to serious complications, although sometimes it can cause an increase in the lymph nodes 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.

Otitis media. 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:

1. Acute otitis media (the ear accumulates fluid). This is the reason for the audibility of your own voice in your head.
2. Chronic otitis (the ear is filled with pus).

Acute otitis media. Forms

If the inflammatory process is classified according to the nature of the course (clinical picture), then the otitis can be catarrhal or purulent, thus, the development of the disease undergoes three stages - acute catarrhal otitis, acute purulent otitis and stage recovery.

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 foci of pus and its accumulation in the cavity of the middle ear is 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 a progressive tightening of the damaged membrane occurs. 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

If untimely or insufficient treatment, acute otitis becomes chronic. 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: high fever, itching, deterioration of the general condition, there are inherent complications in the form of hearing loss and persistent perforation of the drum webbeds. 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 localization of the perforation, and also on its size, three stages of chronic otitis are distinguished:

1. Tubotympanal otitis (mesotympanitis).
2. Epimezotimpanit.
3. Epitimpanitis.

With 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.

Epimezotimpanit - 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 occurrence of pathological processes associated with the formation of granulomas, polyps and cholesteatoma - a capsule filled and surrounded 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" to the purulent process in the inner ear.

In addition, there is another form of inflammatory process - bilateral otitis - 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

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 the threat to health and life rights. Purulent processes that affect bone tissue can cause severe complications, for example, meningitis (inflammatory process in the brain envelopes) or sepsis (blood infection due to falling into the her 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, consequently, to prescribe the correct treatment regimen for the patient, doctors resort to otorhinolaryngological examination and laboratory tests.

Diagnosis of otitis. Surveys and studies

Laboratory diagnostics is carried out mainly in order to establish the nature of the origin of otitis - bacteriological or virologic. 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.

The basic instrumental methods of otitis diagnosis:

• Tympanocenosis 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.
• Tympanometry - 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 suspicion of suppurative inflammatory processes and intracranial complications, help to diagnose the formation of various pathologies - polyps, cholesteanomas and so on.

Conservative treatment of otitis in adults

To avoid the development of complications and to 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 go without complications, then 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 makes it possible to avoid complications, since the puncture is done at a favorable and correct point, pus goes out 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 there is a natural rupture of the tympanic membrane. This is observed mainly with inflammation of the middle ear and requires immediate surgical intervention.

With tubotimponal form of otitis, the task of surgical treatment is restoring 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 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.

syl.ru

How does otitis media in the middle ear?

Ear pain can bother a person if they have otitis media. What is otitis media, what are the main symptoms and causes of the disease?

One of the main symptoms in otitis is acute pain in the ears. It can be so strong that the patient can not do without fast therapy. The age category of this disease is not defined, it occurs in both adults and children. The effect of treatment will depend entirely on the timeliness of diagnosis and treatment. Therefore, it is necessary to consult the otolaryngologist at the first signs of illness in order to avoid serious complications.

Types of otitis and signs

What is the nature of this disease? Osteitis develops ear inflammation. Since the ear consists of the outer, middle and inner ear, then the otitis can also be external, middle and inner. The otolaryngologist will determine the localization of the inflammation and will prescribe an emergency and qualitative treatment. Self-medication of otitis is inadmissible.

The later the patient begins treatment, the higher the likelihood that the otitis will go to a chronic form.For acute otitis characterized by rapid development of the disease with pronounced signs. With a chronic ailment, the symptoms are not as pronounced as when acute, but sometimes there are exacerbations.

Depending on the type (external, middle or internal otitis), the disease has various symptoms.

Acute otitis externa is not as common as the chronic form of the disease, and is characterized by the following symptoms:

• strong pain;
• obstruction of the ear;
• feeling of squeezing;
• noise in ears;
• itching;
• partial hearing loss.

External otitis can not be attributed to very dangerous diseases, since inflammation of the ear tissue or external auditory canal is easily treatable, and serious complications are occurs.

Symptoms and treatment of otitis media

The most common is otitis media. Inflammation in this case is localized in the central ear cavity. Symptoms of otitis media are almost identical to those of the external otitis. It is characterized by severe pain, partial loss of hearing, fever, sometimes from the ear can be allocated blood, which will indicate the rupture of the tympanic membrane.

Internal otitis is characterized by the defeat of some structures of the inner ear. Call such a form of otitis labyrinth. This form of the disease provokes a number of complications. The initial symptoms of the labyrinth appear no more than a week and a half after the transferred virus infection.

Symptoms that indicate the presence of a labyrinth:

• partial or complete hearing loss;
• dizziness;
• nausea;
• rhythm of eye movements;
• loss or partial imbalance.

After an inflammation of the middle ear or due to pathological nasopharyngeal and auditory disorders, adhesive otitis may occur. It is also called cohesive. Adhesive disease of the middle ear does not provide for antibiotic therapy due to possible adhesive processes in the tympanum. When the tympanic membrane is perforated, dry perforated otitis develops.

With adhesive middle ear disease, there is a partial loss of hearing, this is one of the main symptoms, which is often added to the noise in the ears. The study of otoscopy allows to detect the thinning of the tympanic membrane, its scarring and the presence of calcareous deposits in it. At the same time, its mobility is significantly impaired.

At the initial stage of therapy, conservative treatment is performed in the form of pneumomassage, vibromassage, purging, diathermy, mud therapy and the introduction of proteolytic enzymes.

In more advanced cases, stapedoplastic or tympanoplastic surgery is required.

Causes of otitis media

The main causes of otitis are bacterial skin infections. Protection of the ear from the effects of microbes is promoted by a layer of sulfur secret. In conditions of its lack or excess, the pathogens of otitis multiply. Otitis develops due to trauma to the external passage when cleaning the ears with various objects. Inflammatory processes also develop due to microorganisms that have got into the body through damaged skin areas. Thus, external otitis develops.

Pathogenic or opportunistic bacteria provoke inflammation of the middle ear. These include staphylococci, pneumococci and Pseudomonas aeruginosa. They penetrate through the auditory tube by airborne droplets or in more rare cases - hematogenous. The damaged eardrum also causes otitis media.

The causes of internal otitis (called labyrinth) have not yet been accurately established. Specialists only suggest that exposure to bacteria and infections, trauma and inflammation are the cause of the development of internal otitis media.

In infants, otitis develops due to a short and wide auditory tube, and this is facilitated by frequent horizontal positioning and regurgitation. Sometimes an otitis can occur in a child due to measles, scarlet fever, nasal mucosa pathologies and nasopharynx in the form of adenoid outgrowths, which contribute to the development of inflammation and transition to chronic stage.

How is treatment performed?

When otitis, the otolaryngologist appoints an individual complex therapy under his supervision. Treatment is carried out taking into account the severity of inflammation and complications. Moreover, the otolaryngologist takes into account the location of otitis for the purpose of appropriate treatment.

Thus, external otitis is treated by opening and removing pus using local anesthesia. For further treatment, the use of Normak drops, Levomecol ointments and other preparations is prescribed. If diffuse inflammation is detected, the ear is washed using disinfectant solutions. To reduce swelling, prescribe antihistamines, and to reduce the pain - Nurofen, Diclofenac and other means. Also, the doctor prescribes special ear drops to eliminate the causative agents of otitis media. It is mandatory to drink medicines that strengthen immunity.

If the patient is diagnosed with an inflammation of the middle ear, to prevent complications, he must be given complete rest. Depending on the severity of the disease and the number of lesions in the middle ear, either conservative therapy or operative therapy is used. For treatment use antibiotics, antipyretic and pain medications. It is necessary to periodically clean the ear of pus and rinse with special solutions for disinfection. Severe cases require hospitalization and surgical intervention. In the most difficult cases of internal otitis labyrinectomy is performed, in which a labyrinth from the inner ear is surgically removed. For further therapy, antibiotics are prescribed.

Additional recommendations and possible complications of the disease

When otitis patient should take a sick leave and comply with bed rest. Psychological and physical peace will help you recover faster. Self-medication can not be done, always follow only the recommendations of a doctor who will choose the right treatment tactics. Before addressing a doctor, you can only drink anesthetic and antipyretic medicine. Zinc allows to reduce the effect of inflammatory processes, and therefore it is desirable to include nuts and soy products in the diet. When otitis, you should not drink alcohol and it is undesirable - fatty and fried foods.

Before treatment with folk remedies, it is necessary to consult a doctor about their effectiveness. So, clove oil (1-2 drops) in some patients reduces swelling and pain syndrome. Often people use a decoction of bay leaves to dig in a few drops 3 times a day. Instructions are sometimes given to patients with aloe juice or garlic butter.

Incorrect or untimely therapy can lead to complications. Due to neglected otitis, the patient experiences hearing impairment, he periodically or constantly pus out of the ear. Having launched the disease, you can get such complications as:

• rupture of the tympanic membrane or its proliferation;
• abscess of the brain;
• disturbance of the auditory anvil, stapes or malleus;
• focal encephalitis;
• meningitis;
• defeat of the mastoid bone of the temple due to the effects of inflammation.

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These types of complications are dangerous not only for impaired functioning of the hearing system, but also can lead to a fatal outcome due to emerging brain diseases.

Prevention of ear inflammation

In order to prevent ear inflammation, prevention is necessary. The main recommendation here is the mandatory wearing of the headdress in cold weather. You can not overcool the body, inject deeply earthen wands into your ears and injure their ear canals. When swimming, you should try to protect your ears from getting water in them.

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Otitis is not always an independent disease, it occurs most often due to inflammations occurring in the nasopharynx. With constant sniffing of the nose, mucus passes through the eustachian tube into the tympanum. However, you can not blow your nose too, because the infection can get from nose to ear due to high blood pressure. Observing such recommendations and periodically visiting the otolaryngologist, it is possible to prevent the development of this unpleasant disease.

lor03.ru

Otitis of the ear: types of otitis and causes of development

• Otitis in children
• Otitis in adults
• Treatment

Ear Otitis is an ENT disease of the hearing organ, characterized by an inflammation of one of the ear sections connected together.

The reasons for the development of otitis media can be very different, ranging from mechanical damage and improper personal hygiene, to serious complications arising from acute respiratory infections, influenza 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 of otitis media.

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:

• external ear;
• middle ear;
• inner ear.

Depending on the specific part of the body the inflammatory process is taking place, in medicine it is customary to distinguish three types of otitis:

• outer;
• average;
• interior.

Ear canitis: symptoms of the disease in children

Otitis in children (see the photo on the 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.

Also, the symptoms of otitis media (also called inflammation of the middle ear) are 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.

Whenexternal otitis media, the causes of which are often violations of the rules of personal hygiene of the child, microtrauma of the shell of the ear, internal boils, observed:

• elevated body temperature (up to 39 ° C);
• chills;
• the child's refusal to eat;
• capriciousness and irritability;
• poor sleep;
• unreasonable crying;
• puffiness and redness of the auricle;
• the appearance of small bubbles on the skin around the ear;
• pain in ear is constant or when touching;
• an increase in parotid lymph nodes.

Medication

Amoxicillin Otipax Ceftriaxone Azithromycin Dioxydin Protargol Polidexa Dimexide Levomecol Flemoxin Solutab Sumamed Otofa Miramistin Otipax

Whenaverage otitis, which most often occurs against the background of acute respiratory viral infections, as well as in children with low immunity, the following symptomatic pattern is observed:

• earache;
• continuous crying;
• lack of sleep;
• the child's desire to rub or scratch his ear (rub on the pillow);
• refusal of food;
• painful reaction when pressing 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).

Wheninternal otitis, manifested much less frequently than the two previous forms, but it is much more dangerous than them as a result complications of otitis media or against the background of a general serious infectious disease are characterized by the following symptoms:

• elevated temperature;
• noise in ears;
• dizziness;
• nausea;
• vomiting;
• loss of balance;
• hearing loss.

Diagnosis of the symptoms of the disease will be helped by the characteristic symptoms of otitis of the ear, 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 the ear in adults

Unlike children, otic otitis, the symptoms of which are known to many of us since childhood, in adulthood happen much less often and is mainly the result of hypothermia, violations of personal hygiene and complications after a viral cold diseases.

Species of otitis

Middle ear External Sharp Bilateral Allergic Outward diffuse Perforating Inside Child Eustachyte

It is much easier to diagnose an individual's disease in an adult than a child in the first place, because he can describe in detail the whole picture, including the power 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.

Characterize the adult otitis as a cold of the ear, its symptoms are similar to children's:

• congestion of the ears and hearing loss;
• acute or aching pain in the ears;
• elevated temperature (not mandatory);
• headaches and dizziness;
• pains that give to the neck, teeth, whiskey, forehead;
• weakness and general malaise;
• nausea and vomiting.

In order to avoid the occurrence of such diseases of the ear, proper preventive maintenance should be carried out, and then the pain in the ears will not bother you or your children.

How and how to treat otitis media - doctor's prescriptions and recipes of folk medicine

How to treat an otitis of an ear the doctor the otolaryngologist defines, having established a kind and a degree of disease.

Treatment of otitis media

Treatment of otitis externa Treatment of otitis media of the middle ear Treatment of purulent otitis Ear drops Ear pills Antibiotics Ear wax Ear candles In adults In children In pregnant women

In any case, first of all, drug therapy is aimed at the destruction of bacteria that contribute to the development of otitis media. It is done with the help of antibiotics, and selected such drugs that can not only to eliminate the bacterial damage of the body, but also easily penetrate into the ear drum cavity to the hearth disease.

The most commonly used antibiotics for the treatment of otitis media- Tsifran, Flemoklav, Solyutab.

As a local treatment, special ear drops-antiseptics are used, most often in the ENT practice, the old-fashioned method uses a solution of boric acid.

However, there are a number of other similar drugs 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, Otrivin and etc.), thanks to which it is possible to remove swelling 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.

If there is an increased body temperature, which often causes otitis media, mandatory prescribed antipyretic drugs, which are also able to partially relieve or reduce pain in the ears. The most safe and effective remedy for temperature is Paracetamol.

Attention!

All of the above drugs used to treat otitis media can not be regarded as a guide to action. The question, than to treat an ear otitis independently, should not stand at all. Treatment of this disease, like most other things, can only take place under the guidance of a qualified doctor.

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 media. 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 Calendula Furacil Alcohol Washing the Ear Aloe Boric Acid Warming Up the Compress on the Ear Blowing the Hearing Pipes

Depending on the form and degree of the disease, otitis symptoms are accompanied by different symptoms, on the basis of which various recipes of folk medicine are applied.

Recipe number 1.For example, to reduce tinnitus and prevent the development of otitis, it is recommended to chew buds of fragrant cloves or cook on based on the broth, observing the proportions of 15 grams of cloves 100 grams of hot water and take it on a teaspoon 2-3 times throughout day.

Recipe number 2.With hearing loss after otitis, it is recommended to brew and drink tea from rose petals (red) for two weeks, which will help restore hearing in a short time.

Recipe number 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 it with a small amount of lamb fat. Lubricate the prepared earwax with otitis shell to complete recovery.

Recipe number 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 cook 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.

Recipe 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 (:), moisten the turunda in this mixture and lay it in the diseased ear.

The recipe number 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.

Through an additional folded in several times the tissue, the patient's ear should be heated for 30 minutes.

It is important to know

You can not heat your ears with the help of dry heat at an elevated body temperature and purulent secretions from the auricles.

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gajmorit.com

Otitis - medium, acute, purulent, in children, symptoms and treatment

Otitis is an inflammation of the middle ear, which is the most common disease of ENT organs. At the heart of otitis is inflammatory processes in the mucosa that occur in the middle ear. In general, the outer ear consists of parts such as the auricle, external ear canal and tympanic membrane, which divides the outer ear with the middle ear. The middle ear is a tiny cavity where the bone mechanism is located, which transmits sound waves into the inner ear canal.

And the middle ear also transforms incoming sound waves into special nerve impulses that enter the brain. Otitis is external, that is, when there is inflammation of the auricle or inflammation of the ear canal. And also there is an average otitis, that is there is an inflammation of an average ear. Usually otitis media occurs after complications of infectious diseases such as influenza, tonsillitis and others.

Acute otitis media

Acute otitis is a common disease of the body, where the local manifestation are inflammatory-infectious processes, covering all three anatomical airborne components of the middle ear, this is the tympanum, auditory tube and mastoid outgrowth. According to the statistics, the average otitis occurs in 25-30% of people who have ear diseases and this indicates that acute otitis is a widespread disease. In the first place in terms of the frequency of acute otitis media are children under 5 years old, and elderly people are on the second place, and in the third place there are teenagers under 14 years old. Acute otitis does not have a specific pathogen, nor can it be caused by pathogenic microorganisms of different species, which include viruses, microbes and fungal flora or their associations.

The trigger mechanism for the development of acute otitis media is acute respiratory viral infections or influenza. In addition, the general assumptions and risk factors that favor the emergence and further development of acute otitis play a great role in the development of the disease.

Symptoms of otitis

It is worth noting that the easiest form of otitis is external otitis, but apart from it there is internal otitis and an otitis media of the middle ear. Concerning the symptoms of otitis, it is usually aching pain with a periodic

character, as well as possible swelling of the auricle and the temperature of the human body rises. The causes of external otitis may be mechanical damage to the tissue of the outer ear, that is, microtraumas with improper cleaning or trauma to the auricle. And the inflammation of the mucosa in the middle ear is called the otitis media of the middle ear. The danger of this type of otitis is that it leads to very serious consequences. For example, full or partial hearing loss may occur, and inflammation may spread further, even on the brain envelope.

In addition, the otitis media of the middle ear is usually accompanied by severe pain in the ear, a decrease in hearing, a sense of ear congestion, and noise from the transfusion water, and in severe forms of otitis is accompanied by secretions from the ear canal and an increase in body temperature, which may be more than 38 degrees. And if there is no wrong and untimely treatment of otitis media of the middle ear, then in the future it can lead to the development of internal otitis media.

Symptoms of internal otitis are very similar to the symptoms of otitis media of the middle ear, but in this case there is a large risk of complications, therefore hospitalization is necessary and even operative treatment of otitis in hospital. In addition, otitis, like many other diseases, can occur in chronic and acute forms.

If it is an acute form of otitis, then very quickly there is a strong pain, which with every hour or even minutes even more increases. If it is a chronic form of otitis, it proceeds more slowly, and its symptoms are less pronounced, like other forms, but this does not eliminate the danger after the onset of this disease.

Acute otitis media

As for acute otitis, it proceeds in stages. For example, first there is inflammation of the mucosa of the middle ear, then there is a suppuration and perforation of the tympanic membrane occurs. In general, acute otitis can take place quite easily, if there is no noticeable general reaction of the body. In some cases this form of otitis can take a severe course, which has sharp reactive phenomena on the part of the body. The causes of acute otitis media are penetrated into the tympanic cavity of infection. This can happen due to a sharp weakening or hypothermia of the body.

Even acute otitis media can occur again, and become a consequence of complications of infections and as a result of upper respiratory tract infection or after a transferred flu. In childhood, the disease can occur after suffering from scarlet fever, diphtheria, measles and other childhood infectious diseases. Another acute inflammation of the middle ear can occur after chronic or acute inflammation of the nose and pharynx. Depending on the severity of the course of the disease, there are general and local symptoms of otitis media of the middle ear. For example, with the usual course of acute otitis, recovery and complete restoration of auditory functions quite often occur. If there are unfavorable conditions of treatment, the course of the disease may acquire a prolonged languid character or it will pass into a chronic form.

With a typical course of acute purulent otitis, three periods of development are distinguished. For example, in the first period occurs the emergence and development of inflammatory processes in the middle ear. In this case, the pain in the ear is very strong and gradually increasing, and in more severe cases it becomes simply intolerable and painful, which can take away peace. Most often, the pain is felt in the depth of the ear, and by its nature it can be pulsating, vomiting, aching or shooting. Quite often, with acute otitis media, pain can be given to the teeth, the back of the head, to the temple or spread all over the head, and also increases with sneezing, sneezing, swallowing, with coughing, since in this case the pressure in the drum cavity.

At the next stage of development of otitis, the perforation of the tympanic membrane occurs and the result of inflammation is a purulence. Then, after suppuration, the temperature usually decreases, but this painful process can last 4-7 days. With inflammation, suppuration is first observed abundantly, and then significantly reduced and pus gets a thick consistency. If there is an average acute otitis in the ear, then pus in this case has no smell. If in this case there is no external otitis.

As for the third period of acute otitis media, a gradual cessation of inflammatory processes, then the suppuration disappears, the work of the middle ear normalizes and the perforation of the tympanic membrane recovers. And the duration of each of these periods can range from a few days to two weeks.

Acute catarrhal otitis

This form of otitis is accompanied by inflammation of the middle ear cavities, which cause streptococci, staphylococci and other pathogens. To provoke acute catarrhal otitis can lowered the body's resistance, diabetes, hypothermia, beriberi, kidney disease, rickets, various infectious diseases and so on. Most often, bacteria penetrate into the middle ear from the nasal cavity, through the auditory tube and this occurs when acute inflammation of the mucous membrane during acute rhinitis, acute respiratory infections, influenza, or acute Otitis.

Factors that accelerate the spread of infection are coughing, adenoid growths, sneezing or improper blowing, because it is necessary to clean each nostril in turn. Symptoms of ductal otitis media include ear noise, pain, a feeling of congestion, and hearing loss. And usually the pain in this case is growing, it can also give in the teeth, felt deep in the ear or give to the parietal-temporal or occipital area. In addition, they can observe unpleasant sensations when coughing, sneezing and swallowing, which very often deprives the patient of appetite and sleep. And when the disease occurs against the background of a common infectious disease, the temperature can rise sharply.

When the patient is examined, the doctor discovers the redness of the tympanic membrane, and touching it is very painful. Regarding treatment, then with catarrhal otitis, bed rest is necessary, and in case of complications, hospitalization is required. To eliminate pain, you need to instill carbolic glycerin and alcohol into the hearing aid by 70% for 5-6 drops in each ear. Next enter into each ear a cotton wick at night. In addition, physiotherapy, warmers and vodka compresses are used. And in the nose instilled vasoconstrictive and bactericidal drops. If the temperature is high, the doctor prescribes antipyretic drugs.

Acute exudative otitis media

This form of otitis is an inflammation of the middle ear with the formation of transudate and its long-term retention in the tympanic cavity. In its prevalence, acute exudative otitis in children is more common than in adults. A diagnosis of acute exudative otitis in 60% of children aged 3-7 years and 10% of children aged 12-15 years. The causes of exudative acute otitis are quite diverse and can be divided into local and general. For example, common causes include allergies, decreased overall immune reactivity, environmental factors, specific diseases that reduce immunity, as well as frequent infectious disease.

If these are local causes of exudative otitis media, then this may be a violation of the ventilation function of the auditory tube, as a result of hypertrophy of the pharyngeal tonsil, as well as a slow inflammatory-allergic process in the pharyngeal tonsil. In children, the clinical symptoms of this disease are not very pronounced. Quite often the main symptom in the disease is a decrease in hearing or a strong noise in the ear. But since children aged 2-5 years do not usually complain about hearing loss, exudative otitis media is more common and complicates in this case. And if a child with this form of otitis is not treated, then after 3-4 years he may develop persistent and irreversible hearing loss, which is caused by cicatricial adhesive process in the middle ear, formation of eardrums in the tympanic membrane, atrophy of the tympanic membrane or its perforation. In addition, the sound-receiving apparatus may suffer in part.

Acute purulent otitis media

This form of otitis is a purulent acute inflammation of the mucous membrane on the tympanic membrane. With this form of the disease, all parts of the middle ear are also involved in the catalytic inflammation. Acute purulent otitis is a widespread middle ear disease, which is very common proceeds in a mild form, and then it can develop violently and cause a severe inflammatory reaction organism. But in both cases quite often the acute purulent otitis leaves in the future an adhesive process, which is accompanied by a hard-to-treat deafness, and also can pass into a chronic and often progressive form, which leads to hearing loss and to other severe complications.

The most common acute purulent otitis occurs in children under 3 years old. And its distinctive feature is an acute onset and a rather lingering course, but in childhood increases the tendency to recurrence of the disease. The main factors that provoke this disease are a combination of a decrease in total and local resistance, as well as getting into the tympanic cavity of the infection. Quite often, through the auditory tube, a microflora directly enters the tympanic cavity, which saprophytes in the pharynx. But this can not cause inflammation if the general and local reactivity is normal. And if the supply of microflora was massive or the microflora was highly virulent, then in this case acute otitis media appears.

The main pathogens of acute otitis in children and adults are the main infections or associations of microorganisms. Most often, viral otitis is observed in epidemics of viral diseases.

The most frequent way to penetrate the infection is through the auditory tube. And since there is no flora with microbes in the middle ear cavity, the barrier function of the mucous membrane in the auditory tube comes into play. As a result, mucus is produced here, which has an antimicrobial effect. Inflammatory epithelium of the auditory tube moves the mucous secret to the nasopharynx. Therefore, with different common infectious diseases, with local acute exacerbations, and also with inflammatory, chronic diseases of the upper respiratory tract function of protecting the epithelium in the auditory tube is violated. As a result, the microflora immediately penetrates into the tympanum.

In some rare cases, the infection can enter the middle ear through a damaged eardrum during a trauma or through the wound of the mastoid process. In this case, there is a traumatic otitis media. The most rare way of penetrating infections in the middle ear is the hematogenous way. And it is possible if there are such infectious diseases as measles, influenza, scarlet fever, tuberculosis and others in the body. In extremely rare cases, acute purulent otitis can develop as a result of retrograde spread of infection directly from the cranial cavity or from the labyrinth.

Acute Otitis in Children

Usually acute otitis in children begins with sharp pain in the ear and high fever. And most often it starts after a flu or cold. The most important thing that needs to be done in this situation is to put a warm sink behind the auricle vodka compress and it is best to do it with camphor alcohol, which must be diluted by half with water. Most often, the compress reduces pain and the child calms down, but you do not need to stop. Since the child immediately needs to be shown immediately to the doctor. It is worth noting that otitis is terrible with its complications, which can occur if the child is not treated in time. In addition, otitis can pass into a chronic form or can lead to a partial hearing loss.

To the occurrence of complications, otitis predisposes the structure of the organ of hearing. After all, children have a more sinuous hearing aid than adults, and at the end of the passage there is a tympanic membrane, which is a barrier covering the middle ear. And behind this very thin film there is a tympanic cavity, which has a sound instrument - these are auditory ossicles, nerves, muscles and vessels. The drum cavity consists of an auditory tube, which connects it with the nasopharynx, which you should pay attention to. After all, with various respiratory or other infections that are most common in children, the inflammatory process begins, which most often affects the nasopharynx. Therefore, through the auditory tube, which in children is shorter and wider than in adults, the microbes immediately enter the tympanum.

Acute otitis media of the middle ear

This disease is a manifestation of inflammation in the tissues of the tympanic cavity, mastoid process and auditory tube. Most often, acute otitis media of the middle ear occurs in childhood, but people of any age can be ill. Inflammatory process in the middle ear can be caused by different microorganisms, these are streptococci, staphylococci, fungi and viruses. Most often, microorganisms enter the middle ear directly through the auditory tube and this is usually contribute to this process in the nose, nasopharynx, in the paranasal sinuses or in the presence of adenoids in children. A more rare way of penetrating infections in the middle ear is to hit it through the external auditory wire during a tympanic injury. Another occurrence of acute otitis can occur with infectious diseases such as scarlet fever, influenza or measles, and there is another way of penetrating the infection-it's through the blood.

In addition, a decrease in the body's resistance to various infectious diseases, kidney diseases, with diabetes and hypothermia can contribute to the development of inflammatory processes on average ear. In the course of the disease, acute otitis media of the middle ear is purulent and catarrhal. And during the acute otitis media, three stages are distinguished. The first stage is acute catarrhal otitis, that is, the onset and development of inflammatory processes in middle ear and further increase in the symptoms of the disease, which are associated with the accumulation of exudate - this fluid on average ear.

The second stage is purulent otitis, that is, the formation and accumulation of pus in the middle ear cavity, which leads to rupture of the tympanic membrane and to suppuration. The third stage of development of acute otitis media of the middle ear is the fading of the inflammatory process, which significantly decreases and gradually stops suppuration, and then there is a fusion of the edges of the drum webbeds.

Acute otitis externa

This form of otitis is an inflammation of the skin of the cartilaginous part of the auditory external passageway. Symptoms of acute external otitis are ear pain, chewing pain, when pressing on a tragus, pain while sipping the auricle. Naturally, with this disease there may be swelling near the auricle on either side or with one of them. Another possible pain when pressing the mastoid process, and the pain itself is amplified towards the ear folds. Still observed with acute external otitis narrowing of the external auditory canal with varying degrees of severity. In addition, lymphadenitis of the pre-limb lymph nodes is possible.

When the eardrum is not inflamed, the hearing may not be affected. And in differential diagnosis, skin cholesteatoma can be detached from the back of the external auditory canal. For the treatment of acute external otitis in the external auditory canal is introduced turundas with Burov's fluid or with boric alcohol, and also prescribed for the treatment of UHF therapy in the ear area. And with severe pain and high body temperature, antibiotics are prescribed - oletetrin, doxycycline, vibramycin or erythromycin for 6-7 days. Such treatment is also carried out with purulent discharge.

If the disease is prolonged. The doctor prescribes intramuscular injections of antibiotics, prescribes autohemotherapy and locally prescribes staphylococcal anatoxin. If a recurrent furunculosis develops, then autohemotherapy is required, a blood test for sugar is performed to exclude diabetes, and vitamin therapy is necessary.

Acute bilateral otitis media

Acute bilateral otitis is an inflammation in the tissues of the tympanic membrane or auditory tube. In addition, the inflammatory process can affect the surrounding tissues. Most often acute otitis does not lead to hearing loss, but there are exceptions, if it is a purulent otitis, in which the destruction of the tissues of the middle ear. Acute bilateral otitis develops from five stages. The very first stage is characterized by stuffy ears, noise in the ears, and fever may be absent. In the second stage, there may be acute catarrhal inflammation in the middle ear, which is characterized by the symptoms of the first stage. There may be shooting pain in the ear, rise in temperature and inflammation of the mucous membranes. The next stage of the disease is the preperforative stage, which is characterized by intolerable pain passing into the neck, eyes, teeth and into the pharynx. Body temperature at this stage can rise to a risky figure.

At the next postperforative stage of acute bilateral otitis media, the pain weakens, but suppuration begins from the ears. The last stage is the reparative stage, that is, the arrest of inflammation and the beginning of recovery. The most important danger during suppuration is the threat that pus will enter the cranial cavity and cause a brain abscess or meningitis. In addition, you need to remember about the obligatory visit to the doctor at the very first manifestations of pain in the ears or if the ears pawned. And if these symptoms do not pass for two or three weeks, then there is a danger of the disease.

If treatment is performed only by unconventional means, then this can cause complications, since similar methods are used only under the supervision of a doctor. And the therapy must necessarily be carried out, taking into account all aspects of the disease, for example, to take into account the extent of the inflammatory reaction, to take into account all complications and other concomitant diseases. In addition, it is very important to take into account the general condition of the patient, as well as his individual characteristics. And depending on the nature and form of the defeat of the middle ear, choose a method of treatment that can be operational or conservative. According to statistics, acute bilateral otitis media can manifest in 80% of children under 3 years old. Quite often, otitis develops after hypothermia or after a cold. And in order to prevent it, it is necessary to treat the mucous membrane of the throat and nose in a timely manner.

Treatment of otitis media

Concerning the treatment of otitis, it is worth noting that this is a very serious disease that must be treated. Therefore, the first symptoms should immediately contact the otolaryngologist. After all only the doctor can correctly establish the form of an otitis and on the basis of it or this to appoint or nominate correct treatment. And even if a person is an adherent of treatment with folk methods, then without treatment otitis treatment is impossible. Otitis is usually treated for about 10 days, but in more severe forms, treatment can be delayed. In any case, you need a timely call to the doctor.

It is worth noting that the treatment of otitis is complex and for the patient to start it is necessary to ensure complete rest, so as not to provoke the occurrence of complications. Then it is necessary to appoint specialized antibiotics to carry out an operational fight with the causative agent of otitis media. Antibiotics can be in tablets, it's Solutab, Flemoclav, Cyphran or antibiotics in droplets, it's Otypax and Sofrax, but they must be at room temperature before burying. However, only a doctor should prescribe antibiotics.

Sometimes it happens that otitis takes a person by surprise, for example, on a day off. And in this case it is necessary not to start the situation. That is why, when there is pain in the ear, with lumbago or with twitchings, it is necessary to buy drops of Sophadex for adults, and for children Otipaks drops will help. In this case, it is necessary to observe the dosage, which is indicated in the instructions, and then bury in each ear. If very severe pain has occurred, then in this case, you can take an analgesic. However, if the ear has already ceased to hurt, it is still necessary to consult a doctor. Because there is a high probability of complications.

With external otitis treatment should consist of heating, from washing the ear canal and using warming compresses. If an abscess has already formed, then there is a need for its dissection. With otitis media, antibiotics and antipyretics are prescribed. When the suppuration has already come, the doctor in the hospital makes an incision of the tympanic membrane to drain the pus from the ear, as quickly as possible. Still need to mix in equal parts 70% alcohol and glycerin and in this solution you should wet the turunda from the cotton wool, and then insert it into the ear. Then you need to put a cotton ball moistened with an ordinary baby cream, and after 2 hours to remove it. After several procedures, the swelling will disappear.

To eliminate ear pain, it is necessary to take painkillers. For example, adults are prescribed Coldrex, and children are prescribed Nurofen, as a result, relief will come just at once. But it is very important to know that any warming compresses can not be used at high temperature. And also take otitis treatment very seriously.

Prevention of otitis

To prevent any inflammation, you need those tools that help strengthen the body, for example, the correct mode of work, nutrition and recreation, systematic exercise and physical education and hardening. In addition, those people who suffer from chronic otitis should be well treated and observe all necessary precautions. For example, during bathing or washing your head, you need to protect your ears from dirty water, usually using ear plugs or cotton swabs, which should be moistened with vegetable oil. When pus comes out of the ear, then on the instructions of the doctor you need to clear the ears from the accumulation of pus, and also to apply the procedures and medicines prescribed by the doctor.

Those people who are predisposed to diseases of the throat or nose, must necessarily consult a doctor about their treatment and prevention of the disease. In addition, you need to treat the tonsils systematically, and in advanced cases, they need to be removed. In addition, it is necessary to treat a runny nose and especially if it is a chronic form. In addition, each person should gently blow his nose, as with increased blowing through Eustachian tube slime with microbes can get into the tympanum, which causes inflammation in it, then there is an otitis.

It should be noted that with exacerbations of otitis, it is undesirable to carry out any hard physical work, and you can not leave the house with wind and strong cold, and it is advisable to avoid talking. Even with exacerbations, the ear is covered with a warm bandage. If the patient has severe pain in the ear, then you can use painkillers, which are prescribed only by the doctor. In general, in most cases, preventive measures do not allow inflammation in the ear to those people who fall into the risk zone.

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