Doctor insights on:
Best Otitis Interna Program
Otitis interna?: Otitis "interna" is not a standard medical term. The most common ear infections are "otitis externa" (swimmer's ear), or "otitis media" the common ear infection of children. An "internal" ear infection would apply to the inner ear structures, of which the most common infection is a viral process involving the 8th nerve which causes vertigo ("labyrinthitis"), mostly resolves on its own. ...Read more
Antibiotics: Amoxicillin is still recommended as the first line antibiotic. There are others for treatment failure or patients with allergies. Also pain control. In older patients, pain control alone maybe tried for 3 days with antibiotics prescribed if the infection does not resolve on its own. ...Read more
Are steroid shots recommended to help get over URIs and ear infections such as otitis externa? And where on the body are they given?
I'm also having a cough and chest congestion. Can otitis media or middle ear infections cause these symptoms?
Ear drops: For uncomplicated otitis externa that's not severe, drops like cortisporin otic work fine. Severe cases may require different ear drops, and maybe oral antibiotics if it's really bad. To prevent, use drops that are a mix of 2 parts vinegar & 1 part rubbing alcohol- let them run in & right back out any time you get water in ears; don't use if already infected. ...Read moreSee 1 more doctor answer
Viral or bacterial: It depends on the cause. If it suspected viral infection- there is no treatment, it will resolve on its own. If it believed to be bacterial, your primary doctor will most likely prescribe antibiotics for you. ...Read more
What's the best way to clear up serous otitis media. I have been doing everything the after hrs NP told me. How long will it take for fluid to drain?
See Your Doctor: Fluid behind the eardrum can persist for 6 to 12 weeks in many patients; is usually self-limited. A watchful waiting approach is all that is necessary for most. Nasal Steroid sprays may be beneficial in speeding up the process in some cases. If resolution does not occur, then referral to an ENT specialist for drainage and tube placement may be necessary. See your doctor for follow-up and treatment plan. ...Read more
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