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It had been a few days since Nakayla started on the antibiotic course, but the infection in her ear don’t seem to be clearing at all.
We went down to the hospital about an hour earlier than the appointment time, thinking that we’ll be able to see the doctor at the appointed time, or earlier.
When we were finally called, Nakayla got checked, and I was asked by the ENT specialist if I wanted to admit Nakayla into the hospital that very night for surgery. After that was decided, we made another appointment for a second follow-up, but not before the girl gets her milk before leaving. People around the coffee shop were staring, and I got a shock when I saw the full extent of it. After seeing the ENT specialist (a different doctor from our first follow-up), I was told to let Nakayla finish up her current course of antibiotics before coming back for a third follow-up as her ear does seem to be better, which means the antibiotics are finally working. The third follow-up was to ensure that her ear infection is indeed getting better, and to set a date for surgery to remove the ear pit track. The ENT specialist was the same doctor as the first follow-up, and he was very happy to see that Nakayla’s swelling ear pit looks much better. He informed me that it was a day surgery, a simple 30 minutes procedure, and that the wound from the surgery should all be healed in about 5 days. It is highly recommended that we wait till Nakayla is above a year old before going for this procedure, but I was reminded not to delay it as there is a chance of re-infection. For my husband and me, we decided that just that little bit of GA to remove the ear pit track beats consuming the amount of antibiotics she took during the infection, which is bound to happen according to our ENT specialist. We also kept Nakayla’s ear pit clean and dry, since the first sign of pus from her ear at about a month old.
Blake has the ear pit too, but we will be leaving his alone as there has been no infection. So far for Nakayla, there has been no recurring infection, even though it looked like it might at one point. Sorry for the many questions and long comment but I am just very worried because I do not want the infection to spread.
She took a total of 14 days worth of augmentin, with the swelling subsiding and disappearing towards the end. One of the doctors suggested to undergo surgery to seal up the hole, but before doing so, we had to put her under GA to remove all the pus. Ultimately though the antibiotics help the bacteria from spreading and so I think an infection spreading is only going to happen if no antibiotics is taken and the body is unable to contain it.
But hopefully all of this info in the future won’t be necessary as both our little girls will never get infected again! Now, there is an additional surgical option for treatment of blocked sinuses called Balloon Sinuplasty™ Technology.
Balloon Sinuplasty™ Technology is an endoscopic, balloon-based system for patients suffering from sinusitis that can be performed in children and adults in the hospital or some patients, in the office under only local anesthesia. About the author: Daniel Ganc, MD is a Board-Certified Otolaryngologist (ear, nose, and throat specialist). Sinusitis, or more properly termed rhinosinusitis, is an inflammation of the mucosal lining of the nose and sinuses.
Common colds are treated only with over-the-counter medications based on the symptoms they cause. Decongestants for difficulty breathing through the nose are available in oral forms, notably pseudoephedrine (e.g. For those with thick mucus or pus from either a common cold or bacterial sinusitis, sinus rinses and neti pots are useful to irrigate the nose. As a Board Certified Pediatric Pulmonologist who cares for many children and families experiencing allergic rhinitis, seasonal allergies and nasal congestion – often associated with concomitant asthma, the role of local and topical treatment of the nasal inflammation often comes up and is typically neglected by community physicians. You can add nasal congestion and recurrent sinus infections to the myriad of health problems that come from smoking. Cigarette smoke (either by smoking or exposure from second hand smoke) causes irritation of the delicate lining inside the nose.
In the end, we waited more than 30 minutes after our appointment time before we were called.
Reason being, her ear infection don’t seem to be getting better, and we may as well admit her to undergo surgery to remove the swollen part.
After an awkward silence, the ENT specialist offered another suggestion – maybe Nakayla could just continue with another week of antibiotics course.


I was having breakfast with my parents, and Nakayla was strapped onto me, when I felt something damp and warm near my thighs. I had removed her from the carrier to clean her up in my dad’s car (thinking it was just a tiny leak). As her ear pit has been infected once, the likelihood of it being infected again is really high. So early that the nurse told me that I was too early for my appointment and that I will have to wait a long time for my turn. It’s still a little hard and red, but it has greatly reduced from the first time he saw it. Nakayla will go for her pre-surgery check-up on Christmas eve, and her surgery will take place in the second week of 2014.
As for undergoing GA to remove the ear pit tracks, I guess it’s individual preference. We clean it many times a day but it still swelled and got that badly infected after about 9-10 months on. He just told us to schedule an appointment with an ENT, which will be next week (day 12 after start of infection).
We decided not to go ahead with surgery after speaking to a number of doctors at KKH (from A&E to ENT). Alvi has graduated college from New York University and then completed his medical school training at Pennsylvania State University. If you have been diagnosed with chronic sinusitis and are not responding well to antibiotics you may be a candidate for surgery.
The FDA-cleared technology uses a small, flexible, sinus balloon catheter to gently open up blocked sinus passageways, restoring normal sinus drainage. The infection can begin with inflammation from a viral cold, which can lead to narrowing of the drainage passages of the sinuses. These medications may also be helpful for the symptoms of bacterial sinusitis, but in these cases antibiotics are indicated as well, so see your doctor.
From my first years of training at the University of Colorado and National Jewish Medical Center in Denver, CO – we were always taught of the important role of upper airway inflammation in the management of both upper and lower airways disease. There are glands inside the nose that produce mucous which in addition to moisturizing the nasal lining, also filter foreign particles such as dust and other allergens, chemicals, bacteria, and viruses that enter our nose when we breath. Compounds such as hydrogen cyanide, acrolein, formaldehyde, ammonia, and phenols found in cigarette smoke are toxic to nasal cilia.
But she will be placed under general anaesthesia as they have to cut open the swollen infected part to let the area air dry on its own, and I have to return with her every single day, for at least 2-3 weeks, to get the wound cleaned. I didn’t know what to do, so I called Sean on the spot and had the ENT specialist talk to him. If you need some description to give you a visual guide, here it is: It soiled half of her t-shirt, the sides of her shorts, my clothes, and the entire front of the baby carrier. This was the one surgery that Sean and I were prepared to have Nakayla undergo, as I had read up about this particular infection prior to the first follow-up.
He said we could proceed to schedule a date for surgery, but we have to return 2 weeks before for a pre-surgery check-up. I consulted the ENT upon recommendation from the GP, who also advised to put her under GA to drain out the pus, at that time. They reassured us that it’s not life threatening, nor will it affect her speech or hearing. My mind is at a little more ease knowing that your daughter’s ear healed completely without any draining. If symptoms are difficult to control with medications alone, your primary doctor may refer you to an Ear, Nose and Throat (ENT) specialist, who can determine the best course of treatment, including further medication therapy or surgery to open the sinus passage ways. Your surgeon now has a less invasive option that is clinically proven to be safe, effective and improve the quality of your life.
Nasal discharge usually starts clear and watery, and after a day or two, the nasal discharge may become thicker with white, yellow, or green color. He currently holds an appointment as adjunct clinical faculty at Stanford University School of Medicine – in the Dept of Pediatric Pulmonology and Critical Care Medicine at Lucile Packard Children’s Hospital seeing patients, teaching and working with the medical students and fellows in both allergy and pulmonary medicine.
Other cells within the nose contain little hairs or cilia which beat in unison and sweep the mucous towards the back of the throat to be swallowed and neutralized in the stomach or coughed up.
These cigarette smoke particles have been shown to decrease the frequency in which the cilia beat, decrease the number of cilia, and change the viscoelastic properties of the mucous.
NeilMed® Sinus Rinse or NeilMed® Netipot) have been shown to have beneficial effects on overall sinus and nasal health.


Ever since she started on her antibiotic course, Nakayla’s poo has been little, but lethal. And while I do have spare clothes for her to change into, I do not have enough wet wipes to clean up that kind of mess! The swelling got bigger but the warm compress naturally popped the swelling that some pus came out. She was prescribed with augmentin as well, but we weren’t told to give warm compress. Our PD scared us by saying that the infection may spread if it doesn’t get drained but I figured that the body would naturally drain it. Small amounts of pus the body can naturally absorb but a large amount, it is difficult for the body to absorb, hence a drainage is needed. The sinus can then be irrigated with an antibiotic solution, which can rid the sinus of harmful bacteria.
He has published articles in major medical books and magazines and has lectured at national physician conferences on various topics.
Allergies and narrow sinus drainage are two common factors associated with sinus infections. Symptoms like nasal discharge, headaches, and facial pressure last more than 10 days without improvement or get worse after a week of a common cold. Many times these medications are combined into one “cold and sinus” pill, so read the labels to be sure it has the ingredients that will help you. This is called mucociliary clearance and this is the first line of the airway defense against pathogens and other noxious pollutants. It has also now been shown that both active and passive smoking cause a delay in the mucociliary clearance time. The thought of her under the GA was far more worrisome than the thought of the procedure itself.
The last thing I would want to do is an unnecessary incision and drainage which would leave a scar. Warm compresses over the abcess help the pus come towards the skin and break naturally through the skin on its own. The headaches in sinusitis in general are behind or around the eyes, and they get worse when bending over. Using normal saline and gentle irrigation techniques have consistently proven successful in the hands of the many children and families that I recommend using these non-medication approaches to airway care and upper and lower airway health and well-being.
When there is a disturbance in mucociliary clearance, the mucous in the nose becomes stagnant. The flow of the saline through the nose can flush out dirt, airborne allergens (dust and pollen), pollutants and bacteria-filled mucus. So my husband and I decided to monitor her ear for a year before deciding if we should have her undergo the surgery.
However, if the pus doesn’t drain naturally through the breaking of the skin or by a doctor making a small cut, there is the potential for the pus to go the other way towards the bone or other parts of the body. Ganc specializes in the medical and surgical treatment of ear, nose, throat, sinus, and allergy conditions for both adult and pediatric patients. Leventhal went on to receive advanced fellowship training in Facial Plastic & Reconstructive Surgery at New York University in New York City. This leads to swelling and inflammation that can block the regions where the sinuses normally drain.
While all of these measures will help the inflammation in the nose, this is just one more reason to quit smoking. If the infection happens too many times and she has to take a lot of augmentin, we’d rather just have her undergo surgery to seal the hole up. It optimizes the ability of the topic steroids to come into contact with the nasal mucosa more readily, and allows for these useful therapies to work as effectively and efficiently as they can. All of these changes create a favorable environment for bacterial overgrowth and a sinus infection.
At a time when many parents of growing children, and adults would like to have less prescription medications in their medicine cabinets and in their systems – more natural treatments such as nasal irrigation with saline makes even more sense.



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