Doctor insights on:
Best Otitis Interna Program
There are three different types of ear infections that affect different areas of the ear. Outer ear infection (Otitis externa) affects the ear canal and the outside part of the ear. Middle ear infection (Otitis media) affects the middle ear and leads to fluid accumulation behind the ear drum. Inner ear infection (Otitis interna) is a less common inflammation of the inner ear that causes vertigo, ...Read more
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?
Increase activity: Once you get over the acute phase of vertigo, you should gradually return to your normal activity. As you do your day to day tasks, this will help retrain your inner ear's balance mechanisms. I often tell patients to go to the grocery store and shop while pushing a grocery cart. Scan the items on the top and bottom of the shelves as you walk by. This will really retrain your balance system. ...Read more
Ear drops: For uncomplicated otitis externa that's not severe, drops like cortisporin (neomycin polymyxin and hydrocortisone) 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
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