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Otitis media is diagnosed by your doctor by taking a history and doing an examination of the ear canal. Chronic otitis media with effusion interferes with the hearing of approximately 5% of 5 year olds. In children, the pain can be difficult to locate, so it is important to take your child to the doctor to be checked for otitis media whenever they have a fever.
Examination of your childs ear using an otoscope: This is usually performed with your child on your lap, especially if they are young. The severity of the symptoms and the age of the patient determines the likelihood of success of antibiotic treatment.
Acute otitis media in older age groups usually resolves on its own without antibiotic treatment.
Most people with otitis media respond well to general measures such as pain relief and increased fluid intake. Antibiotics have been shown to have little effect on the course of acute otitis media, and they are not used in all circumstances. In children without fever and vomiting, antibiotics are not given unless the child’s symptoms have not resolved within 2 days, or unless the child is less than 2 years of age. In otitis media with effusion, a longer course of antibiotics is generally needed. Children should be referred to specialists if they experience learning difficulties or structural damage to the ear drum.
About myVMCVirtual Medical Centre is Australia’s leading source for trustworthy medical information written by health professionals based on Australian guidelines.
Please be aware that we do not give advice on your individual medical condition, if you want advice please see your treating physician.
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It is associated with an increased number of recurrences of acute otitis media, as well as the development of otitis media with effusion 6 months later in 35% of children.
Consistency of diagnostic criteria for acute otitis media: A review of the recent literature.
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If your child is severely dehydrated, your doctor may give your child an oral rehydration solution which contains all the essential minerals needed to maintain your child’s body fluids.
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