Middle Ear Infection in Children

Acute Otitis Media in Children

Symptoms of Middle Ear Infection in Children - Where The Microbes Come From to The Middle Ear? - What Are The Symptoms Of Middle Ear Infection? - What Are The Protective Measures For Middle Ear Infection? - Treatment Of Middle Ear Infection?

I think it may be true to write this article at this time that the children who are diagnosed with acute otitis media (acute otitis media - AOM) are rapidly increasing and have an epidemic of influenza infection.

Middle ear infection is an infectious disease frequently seen in children aged 6 months to 6 years (most often the second year of life).

In the middle ear, infection usually occurs following viral upper respiratory tract infections.

Where The Microbes Come From to The Middle Ear?

It has been shown that microbubbles run counter-current to the middle ear from the tracheal tube, which provides ventilation of the middle ear and air passage between the middle ear and nasal region.
In children with middle ear infection, it is thought to have spread to the ears from the nasal region of these microbes.

What Are The Causes of Middle Ear Infection in Children?

Causes of middle ear infections can be of different origin:

• Eustachian tube originated: otitis media is mostly seen in children. Although otitis media is less common in adults, it can lead to more serious problems. The most important reason for otitis media to be seen more frequently in children is due to the eustachian tube. The Eustachian canal, which helps regulate air pressure in the middle ear, renew the air in the ear and drain normal secretions from the middle ear, is shorter, more horizontal and wider in children. This increases the possibility of clogging by making it difficult to remove the liquid accumulating inside.
• Originated meat: Adenoid, or adenoid, is located close to the aperture of the Eustachian canal. The swelling of the juvenile meat, which is larger in adults than in adults, increases the risk of ear infections due to various reasons.
• Age: middle ear infection is more common between the ages of 6 months and 2 years.
• Premature birth or low birth weight
• Personal risk factors such as cleft palate, head-face anomalies or Down syndrome
• Frequent upper respiratory tract infections in autumn and winter seasons
• Nurseries
• Exposure to cigarette smoke
• Environmental factors such as breastfeeding or bottle feeding are among the causes of otitis media.

What Are The Symptoms Of Middle Ear Infection?

In a child, the presence of the following symptoms may suggest that middle ear infection has occurred:

- Earache
- Fever
- Restlessness
- Fullness in the ear
- Hearing loss
- Purulent or bloody discharge

When the agents of the middle ear infection are viruses, high fever may not be seen. However, it is not necessary for middle ear infections to be present in every child who hears his ear. Children who have ear ache and otitis media in the middle ear may also need to touch their ears or stir their ears.

    
What Are The Protective Measures For Middle Ear Infection?

For middle ear infection, it is important to take the following measures:

- Keeping the child away from the crowded and smoking environment from children with upper respiratory tract infection
- In nursery or children from school, the hand is next to the face wash; washing the nose with spray water containing salt water

It is very difficult to prevent middle ear infections in working mothers and fathers, especially those who have to go to nursery environments where sick children are present.

Treatment Of Middle Ear Infection?

Otorhinolaryngology doctors carry out diagnosis and treatment of otitis media. If the symptoms persist for more than a day, a symptom of otitis media in a child younger than 6 months, severe ear pain, the baby or the child is restless after an upper respiratory infection, fluid or pus from the ear should be consulted without delay. Since the treatment of otitis media includes surgical methods, the selection of a doctor who has experience in this field and the hospital with its infrastructure can prevent more serious problems that may arise in the future.

For treatment of middle ear infection, oral pain relief syrup, ear drip, oral antibiotic treatment and patient follow-up can be planned. The patient must be evaluated by an otolaryngologist. It is usually suitable to protect the ear from water contact for 1-3 weeks. Patients with good overall condition may also be monitored for pain relief and decongestant medication on a doctor-controlled basis.

What drugs are used to treat middle ear infection?

• Middle ear infections are used to relieve pain and to relieve infection.
• Over-the-counter drugs containing acetaminophen or ibuprofen can be taken to relieve pain.
• If there is no hole or tearing in the eardrum as a result of otitis media, anesthetic drops can be used to relieve pain.
• Middle ear inflammation drops can be ready or handmade drops prepared in pharmacies can be used.
• Antibiotics used by mouth or ear drops are among the drugs used in the treatment of otitis media.
• The benefits of decongestants used in nasal congestion and antihistamine drugs used in allergies are controversial.

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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