How is inflammation of the external ear treated? How to treat otitis externa?

When acute otitis externa occurs, most patients will feel a strong burning and pain in their external auditory canal, and in severe cases, they will be accompanied by generalized fever and varying degrees of swelling of lymph nodes in the ear, and through the corresponding examination, it can be found that the external auditory canal is in a state of diffuse congestion, accompanied by slight swelling; In severe cases, the external auditory canal will be narrowed and accompanied by ulceration. It is recommended to go to the hospital immediately for a check-up.

Hello, otitis externa is often manifested as local pain, water or pus in the ear, severe discomfort such as hearing loss, often due to ear picking, ear water or decreased body resistance.

Swimmers' ears can often be prevented by rinsing the ear canal immediately after swimming with a mixture of 1:1 alcohol and vinegar. Alcohol helps remove water from the ear canal, while vinegar alters the pH inside the ear canal

Systemic antibiotics** are rarely necessary unless there are signs of spread of cellulitis or other infection beyond the external auditory canal**.

In diffuse otitis externa, topical antibiotics and corticosteroids are effective. First, gently clean the infection desquamation within the external auditory canal with a suction or dry roll of cotton. A solution containing 10,000 ml of neomycin sulfate and polymyxin sulfate B10,000 mL is effective for ** common gram-negative bacilli infections.

The addition of topical corticosteroids, such as hydrocortisone 1%, reduces swelling and allows antibiotics to penetrate deeper into the external auditory canal; 5 drops each time, 3 times a day, for 7 days. Topical drops of 2% acetic acid for otitis externa, 5 drops each time, 3 times a day, for 1 day to change the pH of the external auditory canal are also effective. Topical addition of hydrocortisone 1% reduces swelling and enhances the effectiveness of acetic acid.

Within 24-48 hours of onset, it is often necessary to use analgesics, such as oral codeine 30 mg every 4 hours. If cellulitis and a tendency to spread outside the ear canal are present, oral penicillin 250 mg can be given every 6 hours for 7 days. If the patient is allergic to penicillin, the same dose of erythromycin may be used instead.

Boils of the external auditory canal should be allowed to burst and drain on their own, as incision and drainage can lead to the development of auricular perichondritis. Oral antistreptococcal antibiotics**. Topical antibiotics are often ineffective.

To stop pain, it is necessary to use analgesics, such as codeine 30 mg orally every 4 hours. Dry, warm compresses can also help relieve pain and speed healing.

Localized otitis externa may be caused by the external invasion of wind, heat, poison, and the damp heat of the liver and gallbladder. Localized otitis externa, caused by the invasion of wind-heat poisons, has the following symptoms: burning pain in the ear, which is exacerbated by opening the mouth, chewing or pulling the ear shell to compress the tragus.

Examination reveals localized redness and swelling of the ear canal, with a bulge like a pepper eye.

This is because the wind-heat poison invades the ear orifices, injures the skin, blocks the meridians, and condenses qi and blood, so the ear canal is red and swollen, such as pepper or milia-like protrusions; The meridians of the ears are mostly connected to the head, so the pain in the ears is aggravated when the mouth is opened, chewed or pulled.

In this regard, the following methods can be used**:

1) Internal treatment: It is advisable to clear away wind and heat, detoxify and reduce swelling, and use five-flavor disinfection and drinking Yinqiao Powder to add or subtract. You can also choose 30g of honeysuckle vine, wild chrysanthemum, bitter gall bladder, and sheep's hoof grass, decoction in water to clear heat and detoxify, reduce swelling and relieve pain.

2) External treatment: use internal administration.

The residue is fried again, and the juice is taken and the ear is compressed to clear the heat and poison, carry out qi and blood, and eliminate boils and swelling. Apply with Coptis paste and purple gold ingots.

For the swollen phlegm nuclei in the front and back of the ear, you can use golden ointment or purple gold lozenges to apply externally.

If the boil has become pus, you can cut it open and drain the pus, or use a needle to pick the pus head, release the pus and blood and apply Coptis chinensis ointment.

3) Acupuncture**:

When swelling and pain, acupuncture points such as Hegu, Neiguan, and Shaoshang can be punctured to dredge the meridians, relieve heat and relieve pain.

Hello, according to the description of the medical history and age you provided, it is recommended that you can wash with hydrogen peroxide first, dry with a cotton swab, and then drop ear drops. Usually pay more attention to keep the external auditory canal dry and clean.

Hello, the main symptom you described was ear pain after swimming in the seawater, and the doctor diagnosed it as otitis externa.

This disease generally uses antibacterial drug ear drops to get a better effect, after you go to the hospital, the doctor should prescribe medicine for you.

Otitis externa is a diffuse inflammation of the external auditory canal caused by a bacterial infection. Otitis externa can be divided into two categories, one is localized otitis externa, also known as otitis externa; The other type is diffuse inflammation of the external auditory canal**, also known as diffuse otitis externa, the ear pain is severe during the external auditory canal, aggravated when the mouth is opened and chewed, and can be shot to the same side of the head; Acute cases of diffuse otitis externa present with earache and discharge. To prevent otitis externa, it is necessary to pay attention to correcting the habit of picking ears, and when swimming and washing hair, the sewage should be wiped off in time after entering the ear, and the cerumen or foreign body in the external auditory canal should be removed or removed in time.

In short, it is most important to keep the external auditory canal dry and avoid injury. It is recommended to go to the hospital** to prescribe the right medicine.

First go to the hospital to find an otolaryngology doctor to take a look, and then with some phenol glycerin a few drops a day, while taking some anti-inflammatory drugs, three to five days will be fine, as long as the ** timely will not affect the future, I wish your baby healthy growth!