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?
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
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
Wash hands...: Since most are caused by viruses, several preventative steps can be done to help reduce these infections: 1. Wash hand frequently. 2. Avoid being in situations where you are that can harbor or spread viruses ( unventilated areas) 3. Use a netty pot 4. Cover your cough with your arm and your fist . 5. Get your vaccines up to date, including the flu shot. ...Read moreSee 1 more doctor answer
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
My best friend is pregnant and im usually always there and now because of distance i cant be. she is having horrible double ear infections. flu like s?
Please advise what is the best remedy (or remedies) for head colds, viruses, and resulting ear infections?
Chicken soup!: No kidding - the fluids and humidity of soup is very helpful with colds. Otherwise, use of humidifier, nasal saline to clear secretions ( lots of different brands out there, cheap saline solution works just as well as name brand salines). Push fluids and lots of TLC are also important! You need extra rest. A Neti Pot may clear sinus congestion. If ear really painful, may need an antibiotic. ...Read more
My son doesn't respond well to amoxicillin for ear infections/strep, what would be the best antibiotic for him to take?
Hard to say: The strep germ is universally sensitive to any penicillin drug, so any perceived failure to amoxicillin is likely a reinfection or a strep carrier problem. The 1st drug tried for an otitis fails about 10% of the time regardless of drug used. The drug that will work depends on the sensitivity of the germ, that changes with each infection, so there is no perfect choice.Luckily we have several ...Read moreSee 2 more doctor answers
I have been getting frequent ear infections due to sinus problems. What's the best way to prevent these if your tubes don't drain right?
Otitis; sinusitis: What tubes do you mean? Tympanostomy tubes to drain fluid from middle ear, or the eustachian tubes? For t-tubes, consult with pcp/ent. Eustachian tubes may be inflammed & swollen shut; so antiinflammatory NSAID should help as well as decongestant (not antihistamine) like sudafed.. Avoid smoking or 2nd-hand smoke, allergens. Ent may have other options for opening eustachian tubes. ...Read moreSee 2 more doctor answers
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