- Otitis media in children: only a doctor should be treated
- Kinds
Otitis media in children is divided into the outer and middle. Each of them includes several forms of the disease. Symptoms of otitis media in children have certain characteristics that must be considered if you suspect this pathology. The choice of treatment depends on the type of otitis media, the severity of the disease, the condition of the child, and some other factors.
Types of otitis media in children
Otitis a child, depending on the location of the inflammation may be the outer and middle. When otitis externa
Otitis externa - all the dangers of the disease
inflames the pinna and external auditory canal.
Otitis media - an inflammation of the tympanic cavity and the Eustachian tube and pneumatic cells located in the mastoid process of the temporal bone. Such otitis media can be:
- Sharp;
- Latency;
- Recurrent;
- Exudative;
- Adhesiveness;
- Chronic suppurative.
Otitis externa
Such otitis media in children develops due to infection of the hair follicles, which are located in the cartilage department. The emergence of the disease contribute to common diseases (eg, diabetes) and small abrasions caused matches, pins and similar items. Sometimes otitis externa occurs against the backdrop of an acute or chronic inflammation of the middle ear as follows pus.
Otitis externa often cause Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli and Proteus. Pathological process can develop when infected with fungi.
The inflammation can be local (boil) or distributed on all the walls in the outer ear canal (diffuse otitis). In diffuse external otitis body temperature rises, causing severe pain in the ear, which is amplified in speaking and chewing. Boils constant pain can not be, it appears only when pressing on the tragus.
The treatment of otitis externa in children
Treatment of otitis media in children in both cases conservative. You can enter the turundy special alcohol solution also conducted physiotherapy.
Effective application of dimethyl sulfoxide solution with addition of antibiotics and the use of helium-neon irradiation. If after two or three days comes the recovery, and pain increases, the cavity is opened boil.
Acute otitis media
Acute otitis media in children - one of the most common abnormalities in this age. Otitis media in children under one year meets every second child.
Causes of otitis media in children - a bacterial, fungal or viral infection. Most often, otitis media, streptococcal, Haemophilus influenzae or moraksella.
In most cases, it is developing a otitis media in infants and early childhood. Secrete factors that give rise to inflammation in the middle ear:
- Infectious diseases (SARS, measles, diphtheria, scarlet fever), including fungal and adenovirus;
- The lack of immune defense;
- The occurrence of otitis during childbirth, the neonatal period, and even during pregnancy, when the mother has any inflammatory disease (eg, endometritis, pyelonephritis). Otitis in infants may occur during prolonged labor, prolonged rupture of membranes, as well as fetal asphyxia;
- The nature of power (at artificial feeding increases the risk of otitis media);
- Pathology of the respiratory system;
- Allergies and exudative diathesis. Often allergic otitis media occurs in a child, when he had any allergic disease in the past (in most cases - a food allergy).
The symptoms of otitis media in infants depends on the stage of acute inflammation. There are:
- The first step when inflammation has just begun. Signs of otitis media in children - pain, hearing loss, and high body temperature. There are manifestations of intoxication (fatigue, weakness, malaise);
- The second step, which comes after the perforation of the eardrum. At this time, decreases pain, temperature and toxicity in children with otitis reduced. There are discharge from the ear, hearing impairment persist;
- The period of convalescence. Selections cease and pains disappear. The perforation in the tympanic membrane scarring, and restores hearing.
Sometimes acute otitis
Acute otitis media: to heal, to not become a chronic disease
proceeds rapidly, and in this case against the background of severe pain and severe intoxication quickly comes perforation, almost immediately appears pus from the ear. Such acute purulent otitis
Purulent otitis - why develop complications
It occurs in children especially hard.
Otitis an infant and young children has its own characteristics. Signs of otitis media in infants - a shout, and a pendulum swinging concern head. From child refuses food. He prefers to lie on a bed on the affected side, since the heat slightly reduces pain. On the second or third day after the onset of the body temperature rises sharply to 38-39 ° C. The child is no longer sleep at night the condition worsens. There are regurgitation, vomiting and frequent stools.
Treatment of acute otitis media
Before you treat otitis media in children, you should consult with your doctor and follow the advice of a specialist. Medicine for otitis media for children should be administered by your doctor. Topical treatment of the disease is directed at improving the absorption or outflow of fluid from inflammatory tympanum. For this purpose use vasoconstrictor nose drops
Vasoconstrictor nose drops - use with caution!
Which improve patency of the Eustachian tubes. Also on the ear make warming compresses, physical therapy procedures carried out. Apply a drop of alcohol different from otitis media for children.
Your doctor may prescribe antibiotics at the same time it takes into account the severity of the sick child. Otitis media in infants and children up to two years, almost always requires the use of antibacterial drugs.
If otitis first originated, and in those cases where a child within two months had not received antibacterial agents prescribed amoxicillin. If you are allergic to this drug is used macrolides. If amoxicillin is not effective (or a child in the last two months of receiving antibiotics), appointed by the penicillins or cephalosporins protected.