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Author: admin, 28.03.2015
Ear infections, also known as acute otitis media, can be painful for children and frustrating for parents. Young children are prone to ear infections because their eustachian tubes, small passages that connect the middle ear to back of the throat, are shorter, more narrow and more horizontal than those of adults. Toddlers are especially vulnerable to ear infections because their immune systems are still developing, which means they get sick more frequently.
Parents should suspect a baby or toddler has an ear infection if the child pulls or tugs at the ear and cries more than usual. Pediatricians and primary care physicians can distinguish between different forms of ear infections.
At this point, it may be time to discuss other treatment options, such as surgically inserting tubes in the tympanic membrane to allow the middle ear to better drain.
In some cases, frequent ear infections can be associated with large adenoids, which are gland-like structures located in the back of the throat near the eustachian tubes.
Here are some factors that can help reduce the risk of ear infections in infants and young children. Tweet your story to #achstories, send it through to our online form, e-mail us your story, send us a link to a video, or post it as a comment on a related post here on our site. Inside Children's Blog is an online community that provides inspirational patient and staff stories as well as information about health and parenting, hospital news, fundraising events and more. Want to share your story?Tweet your story to #achstories, send it through to our online form, e-mail us your story, send us a link to a video, or post it as a comment on a related post here on our site. Your doctor would first examine the infected site to ensure that it has not caused any complications further. Until about 10 years ago, there was no question what would happen if your child had an ear infection.
Fast-forward a few years to when experts began to realize that liberal antibiotics use was causing problems. At the same time, research was beginning to reveal that most ear infections clear up without treatment. Based on this information, in 2009 the CPS issued new guidelines for treating ear infections. It gets complicated for parents because, despite these guidelines, not all doctors approach the situation the same way. But another group of doctors may have joined the immediate-treatment camp because of two recent studies that found ear infections in children under three cleared up quicker, stopped hurting sooner, and were more likely to resolve completely within 10 days when they were treated with antibiotics. Even after an infection has cleared up, fluid may remain trapped behind the eardrum, which can interfere with hearing. If it’s severe enough, the resulting hearing loss can hinder a baby’s ability to learn to talk.
How it’s done: The operation takes about 10 minutes and is typically performed under general anaesthetic, to ensure the child stays completely still.

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Anton Milo - director of ENT Center Leave a Comment Ear infections are one of the most common illnesses in childhood. As a pediatric ENT specialist, I am most concerned about young children who have recurrent ear infections because they can affect hearing and language development during a crucial stage of life.
This allows fluid to get trapped in the middle ear, which can breed germs and lead to infection and pain. This is an outpatient surgery with minimal risks and the tubes fall out by themselves in 8 to 12 months. Doctors may suggest surgically removing the adenoids at the same time the tubes are placed. Frequent and thorough hand-washing is one of the most important ways to reduce the transmission of germs that cause colds.
And parents of children with recurrent ear infections should rest assured that as your child grows, the tiny canals of his ears will also grow longer and stronger and will become less susceptible to infection.
It is better to check the ears daily for infection, swelling and discharge of fluid to assure that the pierced ears are in good condition. The more frequently children took antibiotics, the less likely these drugs would work when they were really needed.
According to these studies, “if 10 children were diagnosed with ear infections, nine would get better, and one would eventually need the antibiotics,” explains Robinson. Now the CPS recommends prescribing antibiotics immediately only for certain groups of children. Ditto for babies six months and under, and those who run a higher risk of complications, including kids with recurrent ear infections or asthma, and children with Down syndrome. If, in that time, the symptoms worsen or the child seems sicker, antibiotics can be started. Mind you, the kids in these studies all had definite signs of a true ear infection, like a bulging eardrum.
Some insist on seeing the child twice, scribbling a prescription on the second visit if necessary. While the CPS guidelines are a good starting point, ultimately, you’ll have to use your best judgment — whether that means pocketing a prescription you don’t intend to fill or asking if you can have one, just in case.
Consequently, if the fluid lingers in both ears for more than three months, and a child has a hearing loss of more than 20 decibels in his “good” ear, most ear, nose and throat specialists recommend placing tiny tubes in both eardrums. Using a microscope to view the area, the surgeon makes a small slit in the eardrum and suctions out the fluid. Rarely, a skin cyst can grow in behind the eardrum, which can cause complications similar to those of glue ear. By some estimates, 75 percent of children have had at least one infection by the time they reach age 3.

It is good to wipe off the ears with mild alcohol daily to avoid any infection on the ears. Sometimes the skin has to be peeled away for removing severe infection on the piercing site.
Overuse of common antibiotics was causing many bacteria to become immune to these medications, meaning once-easily-treated infections were becoming much harder to cure.
What’s more, it turned out complications were rare even when doctors took a wait-and-see approach to treatment.
Otherwise, “if things seem to be settling down, even if the child complains of some intermittent ear pain but it’s not getting any worse, those kids usually do pretty well without antibiotics,” says Shaw.
Others get some information over the phone, and schedule an appointment a day or two later so they can make the call then. Fussiness, crying (especially when you lay her down), fever and difficulty sleeping are strong hints, particularly when they come on a few days after the start of a cold. The tubes temporarily take over for the middle ear’s natural ventilation system, the Eustachian tube, which gets blocked up easily in babies and toddlers. In case of infection, the initial symptom would be foul smell emanating from the infected ears followed by irritation and swelling. When the infection is not treated for long time, it may affect the surrounding tissue and can cause damage to the ear. This prevented potential complications, including rupture of the eardrum, spread of infection into the mastoid bone of the skull, and permanent hearing loss.
And, since antibiotics can cause tummy upset and diarrhea, this method would save lots of kids additional discomfort. And many physicians simply write a prescription, to be filled only if the child starts getting sicker, or still seems to have an earache two days down the road. Ear tubes improve hearing, cut down on infections, and prevent possible long-term complications of “glue ear,” which include thinning and collapse of the eardrum. Please check your email, click the link to verify your address, and then submit your comment. There may be crusty leakage of fluid from the affected part of the ear which is a sign of infection. If you can't find this email, access your profile editor to re-send the confirmation email.

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