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The middle ear is the space behind the eardrum, which is connected to the back of the throat by a passageway called the Eustachian tube. Middle ear infections are the most common illness that brings children to a pediatrician and the most common cause of hearing loss in children.
Symptoms of otitis media usually improve within 48 to 72 hours, but the fluid that has built up in the middle ear may last for up to 3 months. Breastfeed your child because breastfeeding seems to offer some protection against otitis media. Avoid rooms with secondhand smoke, because environmental cigarette smoke may increase a child's risk of ear infections. The treatment of a middle ear infection depends on how bad the symptoms are and what's causing the infection.
In cases of particularly severe infections or those that do not respond to treatment, a tube may need to be inserted through the eardrum.
Call your doctor if you or your older child complains of an earache or has trouble hearing. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Glue ear is a build-up of sticky fluid inside the middle ear cavity that commonly affects young children. Glue ear is a build-up of sticky glue-like fluid inside the middle ear cavity instead of air. Q.I am 21 years old and back in February suffered a bad cold which caused my ears to pop all the time. I am feeling cut off from what I am doing, and feel unaware at times, does this have anything to do with my ears?
A.When someone has a bad cold, fluid can build up in the ear canal and occasionally after it seems the cold has long gone, some of this fluid can remain. Non-allergic rhinitis may be the cause of your symptoms and may be assisted by having a recent head cold. You should seek independent professional advice before acting upon any information on the EarHelp website. Middle ear infections, also called otitis media, can occur when congestion from an allergy or cold blocks the Eustachian tube.


Middle ear infections can also cause a hole (perforation) in the eardrum or spread to nearby areas, such as the mastoid bone. The increased exposure to other infected children increases your child's chances of getting infected. Inside the middle ear, three tiny bones (ossicles) normally transfer sound vibrations from the eardrum to the inner ear, where they are turned into nerve impulses that your brain understands as sound.
He or she will examine the ears with an otoscope — an instrument with a lighted, cone-shaped end piece for looking in the ear canal at the eardrum. Secondhand smoke disrupts the function of the Eustachian tube and changes the protection mucus provides. Many infections will go away on their own and the only treatment necessary is medication for pain.
This is done by a specialist in illnesses of the ears, nose and throat (an otolaryngologist), usually under anesthesia. If your baby child has a fever, is unusually irritable or can't sleep, frequently rubs or pulls his or her ears, has vomiting or diarrhea or does not respond normally to sounds (doesn't startle when a door slams or pots clang), call your doctor promptly. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Glue ear commonly affects young children and can lead to hearing loss.Glue ear may be caused by ear infections but sometimes it happens when there does not seem to have been any infection at all. This complaint causes the lining of your nose to inflame which can lead to a runny nose and often fluid dripping from your nasal passages down your throat which is known as a post-nasal drip. Fluid and pressure build up, so bacteria or viruses that have traveled up the Eustachian tube into the middle ear can multiply and cause an ear infection. In people with otitis media, however, inflammation and infection may change this normal process. The doctor will look for redness and bulging of the eardrum and will check to see if it moves normally by blowing a puff of air through the otoscope.
If enlarged adenoids or tonsils cause recurrent or persistent infections, the specialist may recommend surgery to remove them. In severe cases that go untreated, the infection can spread, causing an infection in the mastoid bone (called mastoiditis) or even meningitis, but this is rare.
If there is a simple ear syringing procedure may be enough to help the fluid drain away, otherwise as short course of anti-biotics may be necessary if a persistent infection has occurred although many doctors do not advocate the use of these medications for ear infections very often these days. If this has occurred whilst the head cold was present you may have a greater than normal collection of fluid.


Other symptoms can include fever, general body discomfort, rubbing or pulling of the ears in children, vomiting and diarrhea in infants, dizziness, loss of balance and fluid draining from the ear.
Antibiotics are prescribed for any child younger than 6 months and for any person with severe symptoms.
This is different from acute otitis media, which is a short-term middle ear infection often involving pain and fever.Both involve a build-up of fluid, and both are common in babies and young children. Sometimes a doctor will write a prescription for antibiotics but will ask the patient or family to wait 48 to 72 hours before filling it, to see if symptms improve. While they are not necessarily permanent, they can affect the speech and language development of younger children. A puff of air can be blown against the eardrum to see how well it moves.Other tests, such as tympanometry, may also be used to diagnose ear problems.
Hearing tests and clinical evaluation are usually repeated every three to six months until the fluid build up has resolved or if surgery is needed.Surgery. Surgery involves making a small cut in the eardrum (called 'myringotomy' or 'tympanostomy') and inserting tiny circular tubes (called 'grommets', 'ventilation tubes' or 'tympanostomy tubes') into the cut to hold it open and allow air to pass through.
In about one third of children who get grommets the fluid comes back after they fall out and a second set needs to be inserted.
Sometimes grommets may cause an infection or a permanent hole in the eardrum.Grommets effectively relieve hearing loss over the first six months or so, but it's not known how much benefit they have in the long term because most children will 'catch up' with speech and language development. The benefits of auto-inflation are uncertain, but there do not appear to be any side effects.Antibiotics. Antibiotics are generally not recommended for glue ear, as they have not been shown to be of benefit. Treatment for allergies using antihistamines and decongestants is not recommended because there is no evidence of benefit and they are associated with side effects. However, many specialists use a low-dose nasal steroid spray in children with allergies with encouraging results.Speech therapy. If you think your child has speech, language or development problems, check these out while you're checking out the ears – don't wait until after the grommets.



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31.10.2014 admin



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