Purulent otitis media related problems, urgent 100

**Scheme. Infection control, unobstructed drainage, and removal of ** for its ** principle.

1. Adequate antibiotics or other antibacterial drugs should be used as soon as possible to control the infection throughout the body, so as to be thorough. Generally, penicillins, ceftermins and other drugs can be used. If it is done in time, it can prevent tympanic membrane perforation.

After large-scale perforation, pus was taken for bacterial culture and antimicrobial susceptibility test. Switch to a susceptible antibiotic based on the results. Antibiotics need to be used for about 10 days, pay attention to rest, and dredge the stool.

People with severe systemic symptoms are given support such as rehydration**.

2. Local**.

1) Before tympanic membrane perforation: 2-phenol glycerol ear drops can be used to reduce inflammation and relieve pain. If the systemic and local symptoms are severe, the tympanic membrane is obviously bulging, and there is no obvious reduction after the general**; or the perforation is too small and the drainage is not smooth; or if complications are suspected, but immediate mastoid surgery is not required, myringotomy should be performed in aseptic procedures to facilitate drainage.

2) After tympanic membrane perforation: 1) Wash and wipe the pus from the external auditory canal as thoroughly as possible with 3% hydrogen peroxide or suck the pus with a suction device (note that the negative pressure of the suction device should not be too large). 2) Topical antibiotic aqueous solution ear drops, such as chloramphenicol solution, ofloxacin (Telpito) ear drops, compound rifampicin solution, etc., do not advocate the use of powder, so as not to clump with pus and affect drainage.

3) When the pus decreases and the inflammation gradually subsides, glycerin or alcohol preparations can be used to drop the ear; Such as 3% boric acid glycerol, 3% boric acid alcohol, 5% chloramphenicol glycerol. 4) After the infection is completely controlled and the inflammation completely subsides, the perforation can heal on its own. If the perforation does not heal for a long time, tympanic membrane repair can be performed.

3. Active** nasal and pharyngeal chronic diseases, such as adenoid hypertrophy, chronic sinusitis, chronic tonsillitis, etc.

Note: Actively prevent and treat upper respiratory tract infections and respiratory tract infections.

People with regular perforation or tympanometry should avoid activities that may cause water ingress in the tympanic cavity.

Hello friends, there are three types of otitis media, it is recommended that you go to a regular ear, nose and throat hospital for examination and determination, experts will help you clarify **, standardize **, do not delay the condition, (1) simple type: the most common, more than after the upper respiratory tract infection, ear pus, mostly intermittent, mucous or mucopurulent, generally not smelly. The amount varies, in the case of upper respiratory tract infection, the amount of pus increases, (2) bone ulcer type:

Also known as necrotic or granulopathic, it is mostly caused by acute necrotizing otitis media. The tissue destruction is extensive, characterized by the fact that the ear pus is mostly persistent, and there are blood capillaries between the purulent (3) cholesteatoma type, but it is not a true tumor, and the amount of pus in the ear is small, and there may be white scales, okara-like, and foul odor. Sometimes headaches and significant hearing loss occur.

Drugs**: The simple type is mainly used for topical use: antibiotic aqueous solution or a mixture of antibiotics and steroid hormones can be used, such as chloramphenicol solution, chloramphenicol cortisone solution, ofloxacin ear drops, etc.

5. Precautions for local medication: 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. When the amount of pus is large, it can be used with water, and when the amount is small, boric acid alcohol can be used.

May you be soon**!

Acute purulent otitis media is an acute purulent inflammation of the mucosa of the middle ear, which is more common in children and is more common in winter and spring. The main symptoms are: 1. Earache, most patients have severe pain before tympanic membrane perforation, throbbing pain or tingling, which can radiate to the ipsilateral head or teeth, and earache is reduced after tympanic membrane perforation and pus.

2. Hearing loss and tinnitus, there are often obvious ear tightness in the early stage of the disease, low-key tinnitus and hearing loss, and the deafness is reduced after tympanic membrane perforation and pus. 3. Pus discharge, after the tympanic membrane is perforated, there is fluid flowing out of the ear, which is pus and blood at first, and later becomes mucopurulent discharge. 4. Systemic symptoms, such as chills, fever, fatigue, loss of appetite, etc.

Otoscopy shows a tympanic membrane with varying degrees of hyperemia, and tenderness may be present on palpation of the mastoid and tympanic sinus regions.

Symptoms vary slightly depending on different types of otitis media. Typical symptoms of suppurative otitis media include earache, hearing loss, discharge of water in the ear canal, pus, and even bleeding. Secretory otitis media is mostly manifested as ear pain, ear tightness, ear blockage, hearing loss or tinnitus.

In addition to the above typical symptoms, it can also be accompanied by fever, headache and other systemic symptoms. Symptoms: 1. Earache is more common in acute purulent otitis media, and the pain is more obvious when the tympanic membrane is hyperemia, and if it is accompanied by purulent discharge in the middle ear, it can be manifested as severe pain.

Some patients will experience a feeling of ear congestion. 2. Patients with suppurative otitis media with flowing water or purulent ear canal, when the eardrum is perforated, watery, bloody or purulent discharge will flow out of the ear canal. Ear canal discharge can be persistent or intermittent, with the former being more common in middle ear cholesteatomas, especially when the ear canal discharge is like tofu residue with a foul odor, and the latter is more common in chronic simple otitis media.

3. Most patients with hearing loss will be accompanied by varying degrees of hearing loss, especially patients with middle ear cholesteatoma, because the ossicular chain is destroyed by cholesteatoma, the hearing loss is more serious. 4. Some patients with tinnitus will be accompanied by low-key or high-profile tinnitus. In patients with secretory otitis media, when the nose is pinched and the air is puffed, the "sound of air passing through the water" in the ear will be heard.

Note: Some patients may have symptoms such as fever, vomiting, and diarrhea.

Chronic secretory otitis media can be examined by a doctor, according to the condition of the choice of topical medication, surgery**, etc.**, in the case of chronic secretory otitis media, it will also affect the ear canal.

If the local symptoms of the whole body are severe, the tympanic membrane is obviously bulging, which is significantly reduced after the general **, or the perforation is too small, the drainage is not smooth, or there are suspicious complications, but the mastomy surgery is not necessary, the myringotomy should be performed in aseptic operation to facilitate smooth drainage. 1 3% phenol glycerol ear drops, anti-inflammatory and pain-relieving. If the tympanic membrane is perforated, the drug should be stopped immediately, because the drug releases carbolic acid after pus, which can corrode the tympanic mucosa and tympanic membrane.

Acute suppurative otitis media should be treated with adequate antibiotics or sulfonamides as soon as possible to control the infection until 5 to 7 days after the symptoms have resolved. Generally, penicillin, sulfisoxazole, cephalosporins, etc. can be used. After tympanic membrane perforation, pus is taken for bacterial culture and antimicrobial susceptibility testing, and the results can be used to switch to appropriate antibiotics.

Adequate antibiotics or sulfonamides should be used early to control the infection until 5 to 7 days after symptoms have resolved. Generally, penicillin, sulfisoxazole, cephalosporins, etc. can be used. After tympanic membrane perforation, pus is taken for bacterial culture and antimicrobial susceptibility testing, and the results can be used to switch to the appropriate antibiotic.

In the early stage of infection, the tympanic membrane showed obvious radial vascular congestion, middle ear mucosal congestion and Eustachian tube pharyngeal occlusion, tympanic oxygen absorption became negative pressure, plasma, fibrin, erythrocytes and polymorphonuclear leukocytes exuded, mucosa thickened, cilia shedding, and goblet cells increased. There is inflammatory exudate in the tympanic cavity, which gradually turns purulent, and the value of the inflammation spreads to the tympanic membrane, eventually leading to local necrosis and ulceration, and the tympanic membrane is perforated, resulting in ear pus. If the local drainage is smooth, the inflammation can gradually subside, the mucosa can return to normal, and the small tympanic membrane perforation can be repaired on its own.

Acute necrotizing otitis media with lesions deep into the bone can become chronic.

Hello: Acute purulent otitis media refers to purulent inflammation of the mucosa of the middle ear cavity, and the common pathogens are Streptococcus pneumoniae, Haemophilus influenzae, Pseudomonas aeruginosa and so on. There are usually three routes of infection for pathogens:

1. Transeustachian tube infection, common is upper respiratory tract infection, acute sinusitis, bacteria directly cause Eustachian tube mucosal inflammation; diving, swimming, pollution, etc.; inappropriate nose blowing, Eustachian tube blowing, or nasal packing; Improper breastfeeding position, such as supine breastfeeding, is caused by milk flowing through the Eustachian tube into the middle ear. 2. External auditory canal routes, such as tympanic membrane trauma, tympanic membrane puncture that does not follow aseptic procedures, or intratympanic drug injection. 3. Bloodborne infections, such as scarlet fever, measles and other lesions, the pathogen directly reaches the mucosa of the middle ear cavity through the bloodstream.

1) Eustachian tube route, which is the most common pathway infection. For example, in the case of acute infectious diseases such as upper respiratory tract infection, scarlet fever, measles, whooping cough, etc., the mucosa of the nasopharynx and eustachian tube is congested, swollen, and dysfunctional, and pathogenic bacteria invade the tympanic cavity.

2) The tympanic membrane route of the external auditory canal, the tympanic membrane ruptures during tympanic membrane trauma or surgery, and pathogenic bacteria invade the tympanic cavity through the tympanic membrane perforation through the external auditory canal.

3) Bloodstream infection, when the body's resistance is extremely low, the bacteria can be infected by the blood circulation to the middle ear, but it is rare.

Eye drops can be used to drop ears, and I suggest that chloramphenicol will work better. When dripping, let the potion soak in your ears for about 5 minutes before letting the potion flow out, after all, you are not caused by a cold. The feeling of foreign body blockage in the ear is due to congestion and edema of the mucosa of the middle ear, so do not dig with a cotton swab.

As for the fact that beans can cause suppuration, do not eat them.

Remember to plug it with a cotton ball when taking a bath, and don't let the water flow in, otherwise the inflammation will be aggravated and it will be perforated. In fact, the key is that the potion is more drops, and it will not be perforated under normal circumstances. It was so painful that I had to go to the doctor and hang the saline.

The prescription is okay, but there are too many prescriptions. I was only prescribed 2 medications at the time, and I was in danger of getting pierced, but I got better.

Finally, drink plenty of water and rest, and keep your ears clean without water.

Insist on taking medicine, generally a week will be fine, but it is easy to relapse, remember to be less angry and angry, and eat less spicy food; Be careful not to let your ears get any more water; I suddenly had acute otitis media in June, and I took medicine and took it well, but as soon as I got angry, I committed it again, so I must pay attention!!

Ciprofloxacin hydrochloride eye drops are all anti-inflammatory. Acute otitis media should be **, otherwise it will not be good to develop into chronic**. The diet is mainly light.

I am also a patient of otitis media, and it is easy to cause ** when I eat something hot. I'm doing some physics ** now, and the effect is okay. If you have anything to know, please contact me.

2bzg login to see.

Ciprofloxacin hydrochloride eye drops can be used to drop ear drops, don't drop too much, drop 1-2 drops, and let it all stay in the ear. The feeling of foreign body blockage in the ear is caused by congestion and edema of the mucosa of the middle ear, beans can cause pus, peanut oil should be fine, ** the eardrum will not be perforated if it is done properly, it will be fine in a few days, as for the doctor's prescription like your non-purulent otitis media.