Is acute otitis media serious in a four year old baby?

Most of the acute otitis media in four-year-old babies is not serious, and only a small number of patients are more severe. The incidence of acute otitis media in four-year-old babies is relatively high, which can easily lead to related clinical symptoms. For example, ear pain, ear canal pus, fever, but a small number of patients are particularly sick, which may cause hearing loss, and in severe cases, it may even cause related complications.

After the onset of the disease, it is recommended to go to the otolaryngology department, and you can do routine blood tests and ear endoscopy, which can help to judge the condition and make a clear diagnosis. After the condition is clear, it can be targeted**. In the process, it is recommended to go to the outpatient clinic regularly for re-examination to observe the effect, and in general, most patients have a better effect.

If pediatric acute otitis media is timely** and there are no complications, the symptoms will be relieved soon after taking medicine or injection, and it is not serious. However, after the symptoms are relieved, you need to continue to take the medication and make sure that it is completely cured before you can stop**, otherwise, it is easy to turn into chronic otitis media.

The main clinical manifestations of acute otitis media in children are fever, headache, fatigue, swelling and pain in the ear area, feeling of fullness or blockage in the ear, hearing loss, tinnitus, loss of appetite, etc., and in severe cases, pus can be seen flowing out of the ear. Pediatric acute otitis media is mostly caused by bacterial infection, which often occurs during a cold or tonsillitis. Antimicrobial and anti-inflammatory drugs are required**.

Acute otitis media in children is generally acute catarrhal otitis media, which is mainly caused by the child's cold. Due to the child's anatomical development, the eustachian tube is relatively low, so when the child has a cold, bacteria are easy to retrograde through the eustachian tube to the middle ear cavity and cause otitis media. The onset of this disease is usually more acute in children.

Because the condition cannot be accurately described, the child will have more severe crying, and scratch the affected ear, during the examination, the eardrum of the affected ear is in a state of acute congestion, ** is mainly the symptomatic use of antibiotics oral and topical application, generally the first choice is Telbital ear drops. Then to keep the nasal passages open, you can use vasoconstrictor drugs, such as nejuna nasal spray.

The best principle of pediatric otitis media is to control infection, smooth drainage and ****. Adequate antibiotics should be used to control the infection in the early stage, pus should be taken for bacterial culture and drug susceptibility test after tympanic membrane perforation, allergic antibiotics should be selected, ephedrine nasal drops should be used to reduce the swelling of the pharyngeal opening of the eustachian tube to facilitate drainage, and at the same time, it is necessary to pay attention to rest, adjust diet and provide systemic 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 and the tympanic membrane is significantly bulging, and there is no obvious relief after **, myringotomy can be performed under aseptic operation to facilitate smooth drainage. After tympanic membrane perforation, 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, it should heal on its own.

Patients who determine that the inflammation has subsided and the perforation has been reversed into chronic otitis media for a long time can be repaired with tympanic membrane, and at the same time, rhinitis or nasal diseases such as adenoidectomy, inferior turbinate surgery, etc.

When the seasons change, the temperature changes greatly, and the number of colds in children increases, and the number of children with otitis media also increases. "Some people think that only a severe cold can cause otitis media in children, but in fact, a mild cold can also cause otitis media. Luo Renzhong said that the symptoms of otitis media in children are severe pain, irritability, and crying.

Because otitis media generally occurs in the middle of the night, it affects children's sleep and causes sleep disorders.

How long does it take for otitis media in children to get better, it depends on the severity of the patient's symptoms. If the patient only has mild ear pain, the condition of otitis media improves after a few days of ear drops, and the ear pain is obvious, and the mouth cannot be opened, and there are cases where the ear is often covered and pus is discharged. Such patients need active anti-inflammatory, swelling, and stimulation for about half a month, and the patient is in good condition.

Repeated irrigation of the patient's external auditory canal with hydrogen peroxide is conducive to rapid recovery of the disease and can reduce the exudation of secretions. The baby has secretory otitis media, how long can it be good, it is necessary to combine the baby's physical condition and the degree of otitis media and the way it is also related, so it can not be generalized, when the baby has secretory otitis media, it will also lead to pus and pain in the ear canal, and it may also affect the baby's hearing.

Suggestions: When the baby has secretory otitis media, the first thing is to do a good job of cleaning the ear canal, you can use a clean cotton swab to gently wipe off the pus, and take the baby to the hospital for medical treatment, the doctor will take corresponding measures according to the degree of different conditions after the examination, for the symptoms are relatively mild, it is generally recommended to use the way of medication.

If it is acute otitis media, it can be cured in about a week. There is no definite expiration date for chronic otitis media because it can work backwards.

Generally speaking, otitis media** lasts a little longer, from as little as 2 weeks to more than 3 months, which is closely related to nasal symptoms. Everyone's health and anatomical development are different, and the amount of fluid accumulation is also different, and there is no way to predict the specific course of treatment. Predictably, if there is still fluid in the middle ear after 3 months, surgery is recommended**.

The child has acute otitis media, because the recovery of the disease requires antibiotics, and it depends on his own physical fitness, and the better the physical fitness.

The methods of eradication of otitis media should be classified according to the type: drug, local, and surgical.

1.Drugs**.

If acute otitis media is carried out according to the doctor's advice, choose the appropriate antimicrobial drug in sufficient amount, full course of treatment**, or add glucocorticoids according to the needs of the condition to reduce local edema and promote recovery. If nasal congestion is present, a nasal spray or antihistamine is used to reduce congestion to reduce oozing and relieve pain. The route of medication can be topical, oral or intravenous according to the condition.

2.Part**.

If otitis media is not very severe, antibiotic ear drops** may be used. Wash your ears before taking the drug to remove excess secretions from the external auditory canal and middle ear cavity. At the same time, pay attention to keep the ears dry, avoid water in the ears, and do not use cotton swabs or ear picks to pick the ears.

3.Surgery**.

If there is a dry tympanic membrane perforation, you can choose to do tympanic membrane repair surgery to close the tympanic membrane, so as to better **otitis media, prevent otitis media**, and achieve the purpose of **. If chronic otitis media is damaged by bone destruction and cholesteatoma formation, surgery should be considered to remove the lesion bone and cholesteatoma, and hearing reconstruction surgery should be considered to strive for a certain degree of hearing improvement, so as to terminate the lesion and achieve the goal of otitis media.

Otitis media is not an incurable disease, as long as you insist on staying in a regular hospital, you can ** otitis media.

Hello, the child's condition is considered to be due to clinical symptoms caused by otitis media, if necessary, anti-infective drugs ** are used to improve local symptoms, infusions can be applied**.

A three-year-old child has acute otitis media, in fact, if you find otitis media, you can go to the doctor, the doctor will help you, make a diagnosis, and then prescribe some internal medicine, or some anti-inflammatory drugs for ear drops, or you can also find a Chinese medicine doctor for treatment, which is relatively better.

The phenomenon of acute otitis media in three-year-old babies needs to be carried out with certain antibacterial and anti-inflammatory drugs**. Acute otitis media is usually caused by bacterial and viral infections. Because the immunity of infants and young children is relatively weak.

If you want to have acute otitis media, you must first go to the hospital for anti-inflammatory, and then if there is a certain thick flow of otitis media, you must also clean the ear canal to a certain extent, so the three-year-old child will go to the hospital to take a picture first. **Or observe it through an otory scope, and then apply anti-inflammatory treatment.

You should go to the local clinic immediately to check the situation to avoid serious circumstances and bad effects.

The best principles of pediatric acute otitis media include infection control, unobstructed drainage, and ****:

1.Active** Upper respiratory tract lesions, such as colds, fever, tonsil inflammation, etc.;

2.Positive**Nasopharyngeal disease: If the child has nasal congestion and runny nose, nasal sprays can be used locally** to keep the nasal cavity unobstructed and avoid nasal mucus from flowing backward into the middle ear and causing infection;

3.If the earache is significant, oral antipyretic analgesics such as ibuprofen can be used to relieve symptoms.

Otitis media is difficult to cure, and otitis media is not timely, it may affect the baby's hearing in the future, so once you find that you have otitis media, you should go to it in time, otitis media is also divided into acute and chronic, acute onset will be more urgent, so how should the baby acute otitis media?

Baby's acute otitis media needs to be timely**, you can take drugs to **, if the baby's acute otitis media is not very serious, the drug can recover very well, but the baby's acute otitis media needs to be instilled**, and the infusion needs to be combined with drugs at the same time**.

If acute otitis media in babies becomes chronic, then it is very difficult**. During the baby's acute otitis media**, parents carefully observe whether the baby has a fever, if there are fever symptoms, it may be suppurated, at this time, you need to go to the hospital in time for examination**, you may have to cut the tympanic membrane for pus, which can effectively prevent intracranial infection.

Baby's acute otitis media may be caused by a cold, or it may be caused by water in the ear, so first of all, go to the ear department of a regular hospital for examination, cooperate with taking drugs, and use ear drops according to the doctor's instructions.

Usually the baby's acute otitis media manifestations are more obvious, such as the baby suddenly feels ear pain, the baby's acute otitis media is serious and there will be pus outflow, once there are related symptoms, you should seek medical attention as soon as possible to avoid delay**.

Otitis media in children is a relatively common clinical disease, first of all, it is necessary to look at the specific degree and type of disease, if the inflammatory response is relatively mild, it is indeed possible to recover on its own, but in the process of recovery, it is necessary to regularly review and observe the changes in the condition, if the inflammatory response is more severe and cannot recover on its own, it is necessary to consider drugs**, the more common is acute otitis media, or secretory otitis media.

Generally speaking, oral antibiotics can be considered, most patients ** cycle is about a week, and at the same time need to keep the external auditory canal dry, can not enter water, can not blow the nose vigorously, and need to try to avoid colds, through the standard drug ** can generally be gradually recovered.

Three-year-old baby otitis media should be given the same amount according to the severity of the inflammation**, otitis media is generally due to inflammatory lesions caused by bacterial venereal diseases, I am mild otitis media, you can choose cephalosporin antibiotics**, if the examination finds that the baby's otitis media is very serious, or there is obvious suppuration** infection, it is recommended to carry out infusion** It is more safe, pay attention to the baby's body temperature changes, pay attention to keeping warm, eat lightly, and the baby has otitis media to go to a regular hospital**.

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.

Acute otitis media in children is generally a Staphylococcus aureus infection, so to fight inflammation, you can choose to use ceftriaxone sodium, cefazolin sodium, cefotaxime sodium for infusion**.

When children have otitis media, they need to use antibiotics to be antibacterial and anti-inflammatory**, because this disease is easy**, so the time to use antibiotics is at least 7 days, or even 10 days, and complete anti-inflammatory can reduce the disease**.

1. Respiratory tract and nasopharyngeal diseases. For example, colds, rhinitis, pharyngitis, etc. The middle ear communicates with the nasal and pharyngeal canals.

When there are a lot of bacteria in the nasopharynx, these pathogens can easily enter the ear. Therefore, when your baby has a cold, you should pay special attention to whether there is any abnormality in his ears.

2. Swimming. When swimming, water enters the ear through the external auditory canal, but if the eardrum does not have a hole, water does not enter the middle ear. However, if there are many people in the swimming pool, and the cleanliness is not very good?

Bacteria or disinfectants in the water can enter the child's body through the nose and mouth, causing a cold, which in turn can cause otitis media. Remember to take a cotton swab dipped in a little ear canal cleaning solution and gently wipe it around the ear canal to effectively kill the bacteria in the ear canal and prevent otitis media caused by bacteria!

3. Drink milk while lying down. Studies from the United States have reported that babies who drink water and milk while lying flat will flow into the nasopharynx, which is at risk of causing otitis media.

Therefore, when your baby drinks milk or other beverages, raise his head a little higher and wipe off the water or milk that comes out of him at any time.

4. Fatigue. Lack of sleep or excessive physical exertion is the main cause of weakened immunity. Having a regular lifestyle, a balanced diet, and moderate exercise are important for staying healthy.

Therefore, do not let the child play too tired, and be sure to let him get enough rest, in addition to using ear canal cleaning solution to strengthen the care of the ear, protect the child's hearing, and effectively prevent the occurrence of various ear diseases.

5. Smoking. European studies have shown that people in the family who smoke are prone to induce otitis media.

Even if you drive that smoker out on the balcony to smoke, his hair and clothes will be stained with the harmful substances of cigarettes. When he goes to hold the baby again, these harmful substances will be adsorbed on the mucosa of the baby's nasal curve and pharynx, which is easy to cause inflammation.