How to treat a baby with otitis media?

When the baby suffers from otitis media, because he can't speak, he can't clearly express his discomfort, resulting in parents not being able to clearly know the baby's symptoms. If the baby has otitis media, it will be difficult for parents to notice, which will lead to the baby's delay. So, how to treat otitis media in children?

When the baby suffers from otitis media in the early stage, the baby will have a lack of energy, loss of appetite, and ears will also have tinnitus, ear discomfort and other symptoms. In this case, the baby will be very irritable and especially used to crying. When the baby's ear is found to have fluid accumulation through a doctor's examination, parents need to actively cooperate with the doctor** to help the baby recover as soon as possible.

Mothers should observe the cleanliness of the baby's external ear canal and ears at any time, and clean up the purulent discharge in the baby's ears when they are found. You can also properly drop a little medicine in the baby's ear canal, and when you give the child medicine, you can let the baby's head tilt to one side and then drop the medicine. Maintain a certain inclination and try to let the liquid flow into the ear canal smoothly and reach the affected area.

Babies suffering from otitis media should also pay attention to a light daily diet, try to give the baby easy to digest and nutritious food, and give the baby more fresh vegetables and fruits. Give your child more water to drink, such as honeysuckle water, mung bean soup, etc., which can help the baby clear the fire and poison.

After the onset of the disease, it is recommended to go to the otolaryngology department to clarify the degree and type of otitis media, and acute otitis media and secretory otitis media are more common in infants. Some patients have a mild inflammatory reaction and may recover on their own, so they need to keep the external auditory canal dry, not water, and try to avoid colds. Some patients have a serious inflammatory reaction, so they need to take drugs in a timely manner, and the more commonly used is oral drugs.

In general, most patients will gradually recover and their clinical symptoms will be relieved after timely **.

**The method of otitis media can be treated with topical medication or systemic ** according to the doctor's instructions, and the appropriate drug can be selected according to the condition**.

The principle of pediatric acute otitis media is to control infection, smooth drainage and drainage. Adequate antibiotics should be used early to control the infection, and pus should be taken for bacterial culture and susceptibility testing after tympanic membrane perforation, and sensitive antibiotics should be selected. Ephedrine is dropped into the nose to reduce swelling of the pharyngeal opening of the Eustachian tube to facilitate drainage.

At the same time, it is important to take rest, adjust your diet and provide general support**. Phenol glycerin drops can be used locally to reduce inflammation and relieve pain before tympanic membrane perforation, and because the drug is corrosive to the middle ear mucosa, it should be stopped immediately after tympanic membrane perforation. If the symptoms are severe, the tympanic membrane is obviously bulging, and there is no obvious relief after **, myringotomy can be performed in aseptic operation to facilitate smooth drainage.

After tympanic membrane perforation, the pus from the external auditory canal should be thoroughly cleaned, and topical antibiotic aqueous solution should be used to drop the ear, and after infection control, the perforation will heal on its own. If it is determined that the inflammation has subsided and the perforation does not heal for a long time and turns into chronic otitis media, tympanic membrane repair can be performed when it grows up. At the same time, it should be active in nasopharyngeal or nasal diseases; Such as adenoidectomy, inferior turbinate surgery, etc.

Baby otitis media can be divided into two main types of otitis media, which are as follows:

1. Purulent otitis media, this kind of purulent otitis media is caused by acute infection, such as most often 2-3 days after the child has a cold, the cold begins to improve, but the ear hurts, often an acute lesion, acute infection, the child is in very severe pain, often crying, constantly scratching the ear, and even causing fever and convulsions. This is a relatively serious infectious disease, and it is necessary to rush to the hospital for emergency and examination**. Once the diagnosis is made, antibiotics should be administered**, and even infusions should be given to antibiotics, and ear drops should be administered**;

2. Secretory otitis media, this kind of otitis media is often caused by the nose, there are lesions in the child's nose, such as ordinary rhinitis caused by upper respiratory tract infection, the most common child has adenoid hypertrophy, blocking the middle ear and nasopharyngeal ventilation hole, which will cause the child's ears to be stuffy and blocked. In severe cases, there will be chronic pain, the pain is not too severe, but the duration is relatively long, the child generally does not cry, but keeps scratching the ear, uncomfortable, often accompanied by mild hearing loss at this time. If you look closely, you can see an inverted eardrum, but you can find a lesion in the inside of the nasal cavity or adenoids.

It is necessary to go to the hospital for a sound conductance test, through which the sound conductance test can be used to check whether there is negative pressure in the child's middle ear. Pain caused by negative pressure tends to be less severe and is done through the nose or adenoids, not the ear, at which point there is no need to put medicine into the ear.

If you have otitis media, you need to use antibiotics** such as cephalosporins or azithromycin. If the symptoms of earache are obvious and accompanied by fever, it is best to have an otologist for examination and infusion to reduce inflammation**. The baby is small, otitis media must be paid attention to, and it needs to be active after diagnosis.

It is more reassuring to have an ear, nose and throat doctor check it out.

If the baby has otitis media, the first thing is to clarify the specific condition, if the condition is relatively mild and only a symptom of pain, it can be relieved by some anti-inflammatory drugs, if there is a purulent material outflow or some other symptoms, it is best to carry out surgery**.

Systemic symptoms of acute otitis media can cause other concurrent conditions, so support for this condition should be strengthened** and symptomatic**. Early diagnosis of the disease is the key.

Otitis media is an inflammatory lesion affecting all or part of the middle ear (including the eustachian tube, tympanic cavity, tympanic sinus, and mastoid air chamber) and is more common in children. It can be divided into two categories: non-purulent and purulent. Non-purulent patients include secretory otitis media, barotraumatic otitis media, etc., and purulent patients are divided into acute and chronic.

Specific inflammation is too rare, such as tuberculous otitis media.

**: Acute otitis media is an acute purulent inflammation of the mucosa of the middle ear, infected by the Eustachian tube route. After a cold, inflammation of the pharynx and nose spreads to the eustachian tube, and the mucosa of the pharyngeal opening and lumen of the eustachian tube is congested and swollen, and ciliary movement is impaired, causing otitis media.

The common pathogenic bacteria are mainly pneumococcus, Haemophilus influenzae, etc.

**：1.Active**Infectious diseases of the upper respiratory tract; Such as chronic sinusitis, chronic tonsillitis.

2.Drugs**. The simple type is mainly used for topical use, and can be used with antibiotic aqueous solution or antibiotic and steroid hormone mixture, such as chloramphenicol solution, chloramphenicol cortisone solution, ofloxacin ear drops, etc., ** otitis media and otitis externa.

3.Precautions for topical medication, (1) Before taking the drug, clean the pus in the external auditory canal and middle ear cavity, which can be cleaned with 3% hydrogen peroxide or boric acid water, and then wiped with a cotton swab or suck up the pus with a suction device before dripping. (2) When the amount of pus is large, use water, and when the amount is small, boric acid alcohol can be used.

4.Large perforation of the tympanic membrane affects hearing, and tympanic membrane repair or tympanoplasty may be done. If you don't understand, it is recommended to go to the ENT clinic of a regular hospital to diagnose the doctor**, which is safer and more secure, and there will be no other problems.

Otitis media in infants is a very common disease of oranges.

The development of the baby's bone and bone resistance does not meet the standard of normal people, especially the function of the infantile eustachian tube is very weak, the eustachian tube is not yet mature, the angle is straighter, the length is short, and it is easy to cause otitis media from the eustachian tube retrograde to the middle ear.

Therefore, it is necessary to pay attention to ensure the normal function of the eustachian tube, pay attention to **rhinitis, try to pick it up when feeding, avoid lying down to feed, and try to ensure that there is a certain angle to prevent it.

For patients with otitis media, in addition to the ear plexus and hearing loss, it can also cause serious complications. Otitis media can cause extracranial complications and intracranial complications. Extracranial complications are:

1.Various abscesses, such as subperiosteal abscess behind the ear, etc. 2.

Facial paralysis, the facial nerve is very close to the middle ear cavity, and if it is damaged, it will cause the mouth and eyes to be crooked. 3.Labyrinthitis that causes dizziness and nausea, vomiting, etc.;Intracranial complications include meningitis, extrameningeal abscess, and brain abscess, all of which can be life-threatening.

If it is chronic otitis media, it is recommended to have a good effect of traditional Chinese medicine**, usually pay more attention, eat less spicy things, drink more water, and rest on time.