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Otitis media
How to relieve pain from acute otitis media?
Acute otitis media commonly leads to pain, and it can also cause feelings of ear blockage, decreased hearing, and secretions in the ear canal. If the pain is significant, it is primarily considered to be caused by acute infection and inflammation. Initial treatment involves timely anti-infection therapy, predominantly with antibiotics, taken orally. If the inflammation is severe, infusion therapy may be necessary, and ear drops can also be considered. If, after anti-infection treatment, the pain still hasn't significantly relieved, painkillers can be considered. Generally, the treatment period is about a week, and regular follow-up checks with an otoscope and maintaining dryness in the outer ear canal are necessary. (Medications should be used under the guidance of a doctor based on specific conditions.)
How to treat granulation in otitis media?
Granulation tissue proliferation in otitis media indicates an active phase of inflammation. In clinical treatment, the first approach is medication, mainly using antibiotics and hormones, with both local and systemic applications of these drugs concurrently. Treatment usually lasts about two weeks. Generally, most granulations in otitis media are relatively small and can gradually shrink or even completely disappear with such medication. For granulations that fill the middle ear and tympanic cavity, if they cannot be reduced or controlled effectively through medication, then surgical intervention is necessary to remove the granulations in the middle ear cavity and thus treat the otitis media.
What should I do if otitis media is causing pus discharge?
Otitis media refers to various inflammations of the middle ear cavity, primarily bacterial inflammation. These bacteria are mainly Staphylococcus aureus and Streptococcus pneumoniae. Otorrhea in otitis media indicates relatively severe inflammation and the occurrence of a tympanic membrane perforation, allowing the purulent discharge to be expelled from the ear. In addition to indicating severe inflammation of otitis media, it is necessary to use antibiotics to control the infection. This can include topical antibiotic ear drops like compound polymyxin B ear drops and oral cephalosporin antibiotics, as well as intravenous infusion of cephalosporins to treat the infection.
Treatment methods for otitis media with effusion
Otitis media with effusion mainly refers to a type of secretory otitis media, where there is negative pressure in the middle ear cavity and fluid accumulation occurs. Treatment usually begins with medications, lasting either one to three months or three to six months. Antibiotics, steroids, and medications that facilitate the drainage of the effusion, such as Mucosolvan, may be used. Additionally, medications that constrict the mucosal blood vessels in the nasal cavity can also be used to facilitate the function of the Eustachian tube. If medication does not relieve or cure the condition, invasive treatment methods such as tympanic membrane puncture, tympanotomy, tympanostomy tube insertion, and Eustachian tube balloon dilation can be employed.
Can you swim with otitis media?
Patients with otitis media should not swim, whether it is acute or chronic otitis media. This is because water can enter the ear during swimming. Once dirty water enters the ear, especially in cases of chronic otitis media, it can lead to an acute episode of chronic otitis media. Many patients with chronic otitis media have a perforated eardrum. Without the protection of the eardrum, dirty water can directly enter the middle ear, causing an acute episode of otitis media. This can result in suppuration, ear discharge, and further deep infections, such as infections reaching the deep bone tissue of the mastoid, which requires a long time to treat and might even necessitate surgical intervention. If it is the acute phase of otitis media, the entry of water can irritate the eardrum or cause the pus in the middle ear to worsen, further hindering recovery and exacerbating the condition.