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Just as with all other aspects of human biology, there is a broad range of Eustachian tube function in children- some children get lots of ear infections, some get none. Allergies are common in children, but there is not much evidence to suggest that they are a cause of either ear infections or middle ear fluid. Ear infections are not contagious, but are often associated with upper respiratory tract infections (such as colds).
Acute otitis media (middle ear infection) means that the space behind the eardrum - the middle ear - is full of infected fluid (pus). Any time the ear is filled with fluid (infected or clean), there will be a temporary hearing loss.
The poor ventilation of the middle ear by the immature Eustachian tube can cause fluid to accumulate behind the eardrum, as described above.
Ear wax (cerumen) is a normal bodily secretion, which protects the ear canal skin from infections like swimmer's ear.
Ear wax rarely causes hearing loss by itself, especially if it has not been packed in with a cotton tipped applicator.
In the past, one approach to recurrent ear infections was prophylactic (preventative) antibiotics. For children who have more than 5 or 6 ear infections in a year, many ENT doctors recommend placement of ear tubes (see below) to reduce the need for antibiotics, and prevent the temporary hearing loss and ear pain that goes along with infections. For children who have persistent middle ear fluid for more than a few months, most ENT doctors will recommend ear tubes (see below). It is important to remember that the tube does not "fix" the underlying problem (immature Eustachian tube function and poor ear ventilation).
Adenoidectomy adds a small amount of time and risk to the surgery, and like all operations, should not be done unless there is a good reason.
In this case, though, the ventilation tube serves to drain the infected fluid out of the ear.
The most common problem after tube placement is persistent drainage of liquid from the ear. In rare cases, the hole in the eardrum will not close as expected after the tube comes out (persistent perforation).
I see my patients with tubes around 3 weeks after surgery, and then every three months until the tubes fall out and the ears are fully healed and healthy.
If a child has a draining ear for more than 3-4 days, I ask that he or she be brought into the office for an examination. Once the tube is out and the hole in the eardrum has closed, the child is once again dependant on his or her own natural ear ventilation to prevent ear infections and the accumulation of fluid.
About 10-15% of children will need a second set of tubes, and a smaller number will need a third set. Children who have ear tubes in place and who swim more than a foot or so under water should wear ear plugs. Deep diving (more than 3-4 feet underwater) should not be done even with ear plugs while pressure equalizing tubes are in place. Middle ear infections cause many symptoms including a clear fluid that can drain from the ear.
Step 3Talk to your doctor about surgery to drain the fluid if your child experiences recurrent infections that are not responding to antibiotics or if it is affecting his or her hearing. Inserting the ear tubes does not guarantee your child will never get another ear infection. A cold or some other upper respiratory infection can cause the eustachian tubes to swell, blocking the normal drainage from the middle ear. Fluid from the middle ear drains through the incision into the ear canal and is suctioned out by the doctor. It is not uncommon for infants and toddlers to experience fluid in the middle ear or ear infections at some point during their early years.


The immature structure of a baby or toddler’s ear can make it more difficult for fluid to drain from the middle ear.
This fluid does not always become the source of an actual infection, so the fluid can remain in the middle ear without causing the typical symptoms of an infection. Children first learn to speak by hearing, and the first three years of life are crucial to their language development skills. Ear infections in childhood are often more easily recognized and therefore more quickly treated, reducing long-term consequences on hearing and speech development.
The first step is to have your child’s hearing tested and ears examined if you suspect fluid in the ear or another cause of hearing loss might be the cause of your child’s speech delays.
Once the hearing issues have been diagnosed, work with your pediatrician to see what kinds of speech therapies can be helpful for your child.
Whenever someone is concern about an ear related infection, it is always advisable to go for a checkup.
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The most common procedure is called a myringotomy, which involves putting a small drainage tube through the eardrum.
If the infections continue after 4 years of age, your doctor might recommend having your child's adenoids removed.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. However, long-term ear infections or fluid in the middle ear that may go untreated can cause speech delays that may require some form of speech therapy.
Sometimes this fluid becomes infected, by either a virus or bacteria, and causes the tell-tale signs of a childhood ear infection: crying, pulling at the ears, general fussiness, fever, and difficulty sleeping.
The signs of fluid in the middle ear can be as subtle as a slight loss of balance and changes in eating habits to hearing and speech related symptoms. During these years they are hearing sounds modeled for them, and while they might not be speaking in complete sentences, they are learning how to form the sounds needed for fluent speech. You wouldn’t be the first parent, however, to not recognize the signs of uninfected fluid in the middle ear.
Some children with poorly formed or matured ear structures benefit from having tiny tubes placed in their ears to drain the fluid.
Some children who miss that critical window of speech development because they had temporary hearing loss benefit tremendously from working with an SLP to get caught up with developmental milestones. Most of the time, ear fluid will drain out on its own--but in some cases, the fluid will stay in your ear and cause pain or hearing loss. Rubbing alcohol helps dry out your ears and is a common remedy used after a long day of swimming. If you suffer from frequent ear infections, ask your doctor about placing ear tubes into your ears. Moreover, you will come to know more about a different Ear infection treatment, and the best medications for use.
Ear infections can be defined as a common problem, especially during childhood, but not only, and untreated correctly, and having recursive episodes, it might lead to some negative impact on future health. There are some side effects as well, like rashes, vomiting tendency, stomach aches and more, if you land up having too much antibiotics, for clearing out ear infections. Doctors will usually wait 72 hours before administering medication if your child is generally healthy and is older than age 6 months. Make sure your child finishes the whole course of treatment, even if he or she feels better after a couple of days.
The tube drains the fluid and restores normal pressure between the middle ear and outer ear. They are responsible for trapping bacteria and other harmful organisms that enter the body, but if they frequently get infected themselves, they can lead to problems such as ear infections.


And the warm, moist environment makes it easy for bacteria and viruses to grow, causing an ear infection. Whether or not your child requires antibiotics to treat the ear infection depends on the source of the infection and your pediatrician’s recommendations.
Because fluid in the middle ear that is not infected often causes no pain in children, the condition can go left undiagnosed and untreated for a long period of time, increasing the likelihood of more severe symptoms down the road. Ear infections and excess fluid in the ears can result in hearing loss, even if it is temporary. Many parents also find it helpful to work with an ENT – a doctor who specializes in the Ear, Nose, and Throat. You can also help your child at home by speaking clearly, using precise language (perhaps single words for specific items), reducing background noise, and remembering that your child might be older now but needs some patience to recover that lost time in speech development.
Various home remedies can clear fluid from your ear, but a doctor should be consulted if you experience ear pain. Tilt your head to one side, and place three to four drops of rubbing alcohol into the affected ear.
If the compress or hot water bottle feels too hot, place a towel over it, then lay your ear against the towel. In general, doctors might prescribe antibiotic medication, but there are other times, when you have to face more than a mere prescribed drugs. The cold congestion can also clogged the interior portion of ears and secretions can be trapped in the middle ear causing otitis media.
As per mere human knowledge, people generally think that higher fever and inflamed eardrum can indicate bacteria. Therefore, it is always advisable to go for other natural ear infection treatments and solutions. Some at home treatments include OTC pain relief and warm compresses to alleviate the initial and immediate pain. Imagine you are walking around underwater and the sounds are all distorted – this is what the world might sound like to a child with fluid in her ears, and this problem can be amplified if there is pain associated with it. The main reason for external ear infection is due to germs and bacteria, in the air or swimming pools.
Otitis media treatment usually involves antibiotics but maintaining a good hygiene is also essential to prevent recurring. The first and foremost step towards prevention of such infection is clearing your ears on a regular basis, with the help of ear buds. Amoxicillin is the most commonly prescribed antibiotic for middle ear infections, but other options are available if your child is allergic. The tubes eventually come out naturally as your child grows, and the drainage holes will close up within a year. When problems exist and hearing loss for any reason occurs, there is an increased risk that a child will have a speech delay. In other cases, a cold or flu caused by bacteria or viruses can be the cause of an ear infection.
However, even if a person is not affected with fever, still he might land up with ear infection. However, when clearing your ears of earwax take into consideration that the earwax has antibacterial and antiseptic properties, so the wax should be removed only from the outside part of the ear canal and not too deep into the external ear canal.
Therefore, you need to go for a thorough checkup first, before applying any ear infection drug medications.



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19.10.2013 admin



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