How to handle when a child has purulent otitis

Purulent otitis, also known as purulent ear discharge, that is, there is purulent discharge from the ear. The outbreak of fluid is a sign that your ear has been damaged, or that severe inflammation requires medical attention.

Inflammation of the middle ear, epidermis cyst, perforation of the eardrum (pushing the swab too deep into the ear, due to noise, air travel/diving underwater)… are considered the main causes of otitis . In addition, otitis can also be caused by a fracture of the skull, however this cause is less common.

The treatment of purulent otitis depends on the cause. In some cases, you don't necessarily need medical attention. The treatment of purulent otitis for the child depends on a lot of factors, including the age and symptoms of the child. Specifically:

Waiting and observing the next development of the disease

Symptoms of otitis will usually manifest themselves in the first day or two, and most will cure themselves within one to two weeks without treatment.

According to the American Academy of Pediatrics and the American Academy of Family Doctors, waiting for and observing disease development is considered a treatment for purulent otitis and this treatment is intended for:

• Young children between the ages of 6 and 23 months have mild ear pain (one ear or two inside for less than 48 hours and a high fever below 39 degrees Celsius).
• Children 24 months of age or older have mild internal ear pain, (either side or side within 48 hours and high fever below 39 degrees Celsius).

Pain control

Your doctor will suggest several ways to relieve pain during otitis, including: Using warm compresses, painkillers. With analgesic should be noted: Use the drug according to the instructions on the sticker. Caution should be exercised when taking aspirin for young children and adolescents.

Use of antibiotic therapy

After an initial observation period, your doctor will give you some antibiotics to treat purulent otitis in the following cases:

• Children 6 months old and older with medium to severe pain in one or two ears, within 48 hours or a high fever of 39 degrees Celsius or higher
• Young children aged 6 to 23 months with mild inner ear pains in one or both ears for less than 48 hours and a high fever less than 39 degrees Celsius
• Young children 24 months of age or older with mild inner ear pains in one or both ears for less than 48 hours and high fevers less than 39 degrees Celsius.

Note: Babies younger than 6 months when identified as having acute otitis are more likely to be treated with antibiotics without having to wait for the initial symptoms to be observed. As the symptoms worsen, it is necessary to use antibiotics as directed. Misuse of antibiotics can cause inflammation to recur and bacteria will now become resistant.

Ear cathethethe

If the child continues to have recurrent purulent otitis or purulent otitis, the doctor will offer methods to store pus from the middle ear. During surgery a small tube (ear canal) is placed in the opening of the eardrum to help clear the middle ear and prevent the accumulation of many fluids. Some tubes can be left in the ears for six months to a year and then fall out on their own or be removed.

Chronic purulent otitis can lead to perforation of the eardrum, the treatment of chronic purulent otitis is quite difficult, often small-type antibiotics of the ear will be used as in prescribed.

• To avoid ear infections, try to stay away from people who are sick.
• According to the Mayo Clinic, breast milk can help protect young children from otitis, as they will receive antibodies contained in breast milk. If breastfeeding a bottle, it is advisable to try to let the child drink milk in a standing position and limit them to drinking in a lying position.

• Avoid leaving foreign objects in the ear to help prevent perforation of the eardrum. If you have to be in a place that is too noisy, bring headphones or ear caps to protect the eardrum.
• The treatment of purulent otitis quickly and promptly is important and necessary. Therefore, when detecting symptoms, it is necessary to see a specialist immediately for advice and treatment to protect the ears always healthy.

Entisopharyngeal Specialist – Share99 Times City International Health Hub is the address specializing in the examination and treatment of otitis as well as common ear and throat diseases, head and neck tumors, congenital malformations in the ear and throat by popular surgical methods such as surgery, atrial patch through a microscope or endoscopy, fistula surgery, Bondy surgery, nasal pharyngeal gas, nasal injections, nasal stings …