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Most of the time, nasal congestion in older children and adolescents is not serious by itself, but can cause other problems. Your child's provider may perform a physical exam that focuses on the ears, nose, throat, and airways.
This is part 2 in the series about Child Diseases parents should all know about which came from an idea suggested by viewing another site that had a good idea but which plastered so many scam advertisements on the pages that I wouldn’t dream of recommending it. That is, of course, the kind of danger you get into when you try and push, stretch and mold scientific data into something that fits your own belief system in order to sell a product you are trying to promote! Frankly, the photos in their article were nice but the information was not only dated but many times of such uninformed thinking that it was not only incorrect but potentially dangerous as well.
There are few other topics where there is more asinine clap-trap, inaccuracies, out-and-out lies, vested interests and cons. Doctors have here-to-fore opted to use their diagnostic skills (and sometimes intuition), along with intimate knowledge of the family and history, to arbitrarily use antibiotics when there was a concern, instead of doing a needle aspiration.
Good doctors are much more judicious with antibiotics these days and responsible ones don’t knee-jerk out the prescription pad for every ear infection. We also have some childhood vaccinations which help prevent infections from certain types of bacteria that can cause ear infections. This is the point where too many ear infections, both treated and untreated, end up: a Glue Ear. The styling of the Pediatric House Calls web site is undergoing extensive modification so be sure and check back frequently to see new things.
There are several ways to obtain a feed of all the House Calls blog posts, articles and forum activity. It's difficult to locate 'benefactors' for a medical site which don't suggest a conflict of interest of some sort. If you own or manage an organization interested simply in providing free education about the health of children and don't have an "agenda" or expectation for endorsement, please, contact us. No portions of this site or its contents may be used without the express permission of Corporate Medical Consulting either with or without monetary gain.
Except for wellness baby visits, ear infections are the most common reason for trips to the pediatrician, accounting for approximately 30 million doctor visits a year in the U.S. The primary function of the Eustachian tube is to ventilate the middle ear space, ensuring that its pressure remains at near normal ambient air pressure.
Note: A child with an ear infection can travel by airplane, but if the Eustachian tube is not functioning well, changes in air pressure in the plane can cause discomfort.
If a child needs to be bottlefed, hold the infant instead of allowing the child to lie down with the bottle is best. A middle ear infection usually occurs after a child has had a sore throat, cold, or upper respiratory infection. If the upper respiratory infection is bacterial, the infection-causing bacteria may spread to the middle ear.
Young children with otitis media may be irritable, fussy, or have problems feeding or sleeping.
Temporary hearing loss may occur during an ear infection because the buildup of pus within the middle ear causes pain, and dampens the vibrations of the eardrum. Note: Meniere's disease is likely a disorder of the flow of fluids of the inner with symptoms that include vertigo, tinnitus, and hearing loss. Other lines of defense against ear infections include avoiding secondhand smoke and breastfeeding your baby for the first year of life. Stedman's Medical Dictionary 28th Edition, Copyright© 2006 Lippincott Williams & Wilkins.
Teething typically begins around 5-6 months of age and continues until 2 or 3 years old, when all 20 baby teeth have finished erupting through the gums.
The stress of teething may make your child more prone to a respiratory infection, so teething and ear infection can both be present. In addition to the more common symptoms of teething, such as drooling, gum swelling, sleeping difficulties, fever, diarrhea, rash, lethargy and irritability, some teething babies may develop a stuffy nose or sinus congestion, similar to the symptoms caused by a cold virus. I recommend DoloGelA® to apply as drops or ointment which contains lidocaine and choline salicylate.
For Ear ache I usually give OtogesicA® ear drops, provided there is no signs of ear infection as such.

Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. Unless you have a home otoscope and know how to use it, parents are relegated to determine if a child has a possible ear infection based solely on symptoms and signs. A recent two-year study in Finland looked at 469 children, ages 6-35 months, and tested the predictive value of common middle ear infection symptoms: ear-rubbing or pulling, irritability, less playful, excessive crying, poor appetite, restless sleep, runny nose, congestion, vomiting, diarrhea and fever. Middle ear fluid detected by pneumatic otoscopy — this is the little bulb syringe attached to the otoscope that puffs air against the eardrum to check for mobility (the normal in and out movement of the eardrum). In this study, not one, but three different physicians systematically examined the ears of children strongly suspected by the parents as having a middle ear infection based on symptoms alone. The duration and severity of the symptoms were NOT predictive of a middle ear infection.
Ear-rubbing and pulling, long thought to be predictive of ear pain, was proven to be an invalid sign. A prior cold was NOT a predictive sign in this study, although statistically most children who get middle ear infection usually do have a cold. The only definitive way to diagnose a child with a middle ear infection is by a careful, systematic medical examination by an experienced clinician using a pneumatic otoscope. The opinions expressed in WebMD Second Opinion are solely those of the User, who may or may not have medical or scientific training. Subscribe to the WebMD Daily, and you'll get today's top health news and trending topics, and the latest and best information from WebMD. Subscribe to the Men's Health newsletter for the latest on disease prevention, fitness, sex, nutrition, and more from WebMD.
Subscribe to the Women's Health newsletter for the latest on disease prevention, fitness, sex, diet, anti-aging, and more from WebMD. Don't use over-the-counter nasal sprays more often than 3 days on and 3 days off, unless told to by your provider. You can buy cough and cold medicines without a prescription. We can do a WHOLE LOT BETTER by continuing with the child diseases most commonly common to a pediatricians office – ears! It still takes more time and more skill to diagnose and treat a patient right than some physicians want to give; but, if you feel like your doctor is acting more like a computer than examining and knowing your child (should I say it?) just find another doctor – not start a blog, decrying antibiotics and selling essential oils and herbal cures! As it remains in the middle ear, it not only diminishes hearing but sets up a reaction of its own on the tissues and hearing bones in that cavity. HOWEVER, for your convenience, content is still available and new medical information continues to be added as usual. I don't want what is suggested or recommended here to have even a hint at motivation other than the truth and what is best for children. During an ear infection there is fluid in the middle ear accompanied by signs or symptoms of ear infection including a bulging eardrum usually accompanied by pain; or a perforated eardrum, often with drainage of pus (purulent material). Children who have acute otitis media before six months of age tend to have more ear infections later in childhood.
The secondary function of the Eustachian tube is to drain any accumulated secretions, infection, or debris from the middle ear space.
Ear infections are often the result of a previous infection of the throat, mouth, or nose that has relocated and settled in the ears. The common cold, a viral upper respiratory infection, is the major cause of ear infections.
After a viral upper respiratory infection such as a cold, bacteria may move into the middle ear as a secondary infection. Because of the highly contagious nature of the common cold, one strategy for prevention of the cold itself and subsequent ear infections is to keep cold viruses at bay. It is intended for general informational purposes only and does not address individual circumstances. The latter can be outer ear infection (otitis externa,) or otitis media behind the eardrum and mastoiditis is rare these days. Teething is often an unpleasant experience for infants and their parents, resulting in sleepless nights, increased crying and sore gums. If your infant is badly distressed, off their feeds or has a high fever, ear infection is more likely.
Because of this you may notice that your child will begin to pull on their ears during Teething.

Two more incisors appear in the lower front and then, the first back teeth (first year molars). Those of us in the clinical trenches know that symptoms and signs are not necessarily predictive of a definitive diagnosis.
Not all middle ear infections in children (not including babies under the age of three months) require antibiotics. Children who are breast-fed for at least six months get less ear infections that bottle-fed babies.
Children who have a nighttime bottle in the crib or depend on a pacifier tend to have more ear infections. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. Doing your absolute best to keep passageways as clear as humanly possible is about all one can do. Several small muscles located in the back of the throat and the palate control the opening and closing of the tube. The position of the breastfeeding child is better than the bottlefeeding position for Eustachian tube function.
In addition to increasing the chance for acute otitis media, falling asleep with milk in the mouth increases the incidence of tooth decay. Other symptoms include difficulty hearing, fever, fluid drainage from the ears, dizziness, and congestion. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. The baby may very well have an ear infection but if you suspect baby is teething, this could be the cause too.
By the time your baby is three, he or she will have all twenty of his or her primary teeth. As a matter of fact, over 90 percent of middle ear infections will self-resolve in a few daysa€¦ on their own, without any medical intervention. Regardless of the presence of fever (harmless), a child in pain should be treated with acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) at an appropriate dose for the paina€¦ not the fever.
Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. Congestion that is very bad may interfere with sleep. The mucous drainage may plug up the eustachian tube between the nose and the ear, causing an ear infection and pain. Swallowing and yawning cause contractions of these muscles and help to regulate Eustachian tube function. These symptoms are often associated with signs of upper respiratory infection such as a runny or stuffy nose, or a cough. Never ignore professional medical advice in seeking treatment because of something you have read on the MedicineNet Site. Cursory or incomplete examinations by hurried clinicians tend to over-read ear examination findings, resulting in inaccurate diagnoses. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider.
If it were not for the Eustachian tube, the middle ear cavity would be an isolated air pocket inside the head that would be vulnerable to every change in air pressure, and lead to an unhealthy ear. His first teeth must push and cut through the gum tissue and that causes some tenderness and soreness. It is perfectly fine to wait a few days to see if the bodya€™s immune system orchestrates the cure. However, it’s really hard to tell whether teething pain or ear infection with out an otoscopic examination. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA.

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