Doctor insights on:
Acute Nonsuppurative Otitis Media
Middle ear infection: "acute" = recent onset. "otitis" = ear infection. "media" = the middle ear space, the space behind the ear drum but before the inner ear area. (inner ear are is the area that effects balance.) acute otitis media is the common term docs use for a middle ear infection which is often a complication form a cold, smoke exposure, allergies - anything that can cause congestion in the upper airways. ...Read moreSee 2 more doctor answers
Collection of purulent fluid behind tympanic membrane- many times secondary to nasal congestion/ viral uri- that can cause bulging of tympanic membrane, pain, redness or distortion of typical anatomic landmarks of membrane, poor mobility of membrane ultimately, tm can perforate or rupture with subsequent drainage of fluid into the ear canal. May take months for fluid from ...Read more
Comfort measures: Some viral ear infections self heal in 2-4 day. Bacterial infections tend to persist and may lead to real complications. Infants need an early eval.If older if not better after 3-4 days, an evaluation and treatment is advised.Prior to antibiotics, hearing loss due to chronic middle ear disease was not uncommon and a significant complication called mastoiditis requires surgical drainage. ...Read more
Acute vs. Chronic: Acute otitis media is an acute illness with findings of inflammation of the mucosa of the middle ear as well as middle ear fluid. Chronic otitis media is diagnosed when there is a tympanic membrane perforation in the setting of chronic or recurrent ear infections, i.e. chronic purulent ear drainage despite appropriate antibiotic treatment. ...Read moreSee 1 more doctor answer
OTITIS MEDIA- CAUSES: Bacteria: strep pneumoniae (came down from 50% to 34% due to pcv vaccine); hemophilus influenzae (nontypable); moraxella catarrhalis; staphylococcus aureus; group a strep; mycoplasma (rarely). Viruses: rsv; influenza; adenoviurses. Fungal: less common, seen in immuno-compromized persons, e.g. Candida, aspergilla. ...Read more
Some self heal: In the years before antibiotics people had ear infections ; just toughed them out. It often took 6-8 weeks for the body to clear the infection.Pain control with heat, Ibuprofen or Acetaminophen can help.Some viral infections disappear in a few days without help.However, some infections can become chronic, abscess the bone near the ear and need to be surgically drained. Infants should see their doc. ...Read more
OTITIS MEDIA is-: Middle ear infection. Bacteria enters from upper respiratory tract/nose thru the eustacian tube. As middle ear is a close empty cavity, bacteria grows easily. Treatment is antibiotic for about 10 days which is a prescription med. For relief of pain, take Ibuprofen as per weight. Keep nose clean, drink enough water. Make appointment with your primary care doc. For an exam and treatment. ...Read more
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