Why is otitis easily recurrent?

Otitis is a lesion and inflammation that occurs in the middle ear caused by bacteria that multiply and develop in the ear or from outside the intrusive environment. Acute otitis can gradually turn into purulent otitis, purulent discharge or fluid if proper treatment is not taken.

Most often, the symptoms of otitis are shown through frequent pain in the ears, discomfort in the ears, fatigue, tinnitus, hearing loss … In case of the appearance of pus and these pus are not treated, it can cause perforation of the eardrum. If you have otitis in the middle of the bar, there is a high risk of fibrosis of the baby bone chain.

The treatment depends on the stage of otitis. Acute otitis is usually divided into 3 stages: the stage of congestive, the stage of purulent retention and the stage of purulent rupture.

Depending on the stage of the disease, the doctor will have appropriate treatment indicators. However, a lot of patients experience recurrent otitis, which can be caused by:

• Late detection of the disease makes it difficult to treat
• Improper treatment is also the cause of recurrent otitis
• Non-radical treatment is a problem many people suffer from, not following the doctor's prescription when the symptoms of stopping the drug are not completely cured, causing a rapid recurrence
• Without proper care, patients after treatment do not have regular follow-up visits on schedule and do not comply with the notes of effective disease prevention activities that cause the disease to continue to recur.

The ability of the baby to hear depends on the correct vibration of the eardrum and the middle ear area. Recurrent otitis media damages the eardrum as well as its vibration ability, which causes the baby's hearing to be poorer. This is why otitis is considered serious in young children, especially during the period when they are practicing speaking. Such a decrease in hearing will limit your child's ability to speak as well as make them have some language problems in their child and this will affect their learning later on.

In case the baby has the manifestations of otitis, parents need to take the baby to a specialist for examination and appropriate treatment direction. The doctor will examine the eardrum in the ears and respiratory system of the baby to be able to diagnose the right disease, give the right medicine. Most mild and moderate otitis diseases will completely cure without antibiotic treatment. Therefore, the American Academy of Pediatrics recommends that doctors approach the disease as "Observation and Waiting".

Observing here means focusing on the manifestations of the baby, seeing if the baby is more painful. Waiting means that the doctor will not immediately use antibiotics for the baby, even if the middle ear area of the baby has fluid retention. After 2-3 days when the baby's disease does not progress, the doctor will consider the use of antibiotics for the baby.

How to clean the ears of children with otitis

When a child has otitis or acute otitis, it is necessary to clean the baby's ears according to the specific instructions of the doctor. Mothers can take care of children with otitis according to preliminary instructions as follows:

• Use a face towel dipped in warm water and squeeze out water to wipe your baby's ears.
• Then the mother drops 1 to 2 drops of physiological saline into the ears.
• Or you can also use ear wash daily to get sick quickly.

Here are some guidelines to help the infected fluid not "stir" the area behind the baby's eardrum, avoiding otitis:

• Breastfeeding: breast milk provides and strengthens the baby's natural immunity.
• Breastfeed your baby in an upright position (forming an angle of inclination of at least 30 degrees) and hold that position for at least 30 minutes after feeding.
• Keep your baby away from substances capable of irritation that produce mucus in your baby's nasal cavity and middle ear. Stuffed animals, pets and anything with fur needs to be kept away from where the baby sleeps. And absolutely do not smoke around the baby.
• Limit your baby's nipples when they sleep at night, especially with babies 6 months or more because research has shown a correlation between pacifier and otitis.
• Strengthen your baby's immunity by feeding them plenty of fruits, vegetables, and seafood.

The good news for parents is that as the baby grows up, the atrial nozzle (eustachian tube) will get longer, narrower and more inclined. This will interfere with the bacteria and mucus that "marches" into the baby's middle ear. Otitis in children can be treated with simple measures at home without the use of antibiotics. It is important to accurately identify the symptoms so that they can be cared for and treated in a timely manner.

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 …