Doctor insights on:
Chronic Mucoid Otitis Media
See an ENT: If the child is having ear infections back to back for more than 2 months, or not clearing up in between antibiotics, it may be time for an ear, nose, and throat consultation. A change of antibiotics might be needed, or if that doesn't clear the infection, he may need pe tubes to allow the fluid to drain properly. Talk with your doctor to find out if this is needed. ...Read more
Depends: If you have a perforation with drainage, sometimes just local antibiotic drops will resolve the problem. If the drainage has a foul smell, you may have a cyst of skin called a cholesteatoma and that requires surgical removal. Csom is a generic term. Therefore, ask your otologist exactly what the problem is and why he/she thinks surgery is necessary. ...Read more
Myringotomy tubes: Myringomtomy tubes are tiny tubes placed surgically in the ear drum to prevent recollection of fluid in the middle ear space, thus reducing the need for oral antibiotics. Most varieties will fall out on their own after a few months to a couple of years, but other types are intended to be permanent. ...Read moreSee 1 more doctor answer
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
ENT evaluation: You need to find an ENT you trust and follow his or her directions to the letter. Chronic sinus disease is difficult to treat and often combines multiple therapies including antibiotics and antibiotic nasal washes, steroids and/or steroid nasal sprays and sometimes surgical intervention. It does not turn around in 3-4 days. Usually takes 6-8 weeks of therapy to adequately treat. ...Read moreSee 1 more doctor answer
ENT evaluation: You need to find an ENT you trust and follow his or her directions to the letter. Chronic sinus disease is difficult to treat and often combines multiple therapies including antibiotics and antibiotic nasal washes, steroids and/or steroid nasal sprays and sometimes surgical intervention. It does not turn around in 3-4 days. Usually takes 6-8 weeks of therapy to adequately treat. ...Read moreSee 2 more doctor answers
My 2yo girl has:*otitis media chronic serous+impacted crewmen and she didn't hear well please advice?
REMOVE the wax:
Impacted cerumen refers to 'ear canals full of wax'. Severe ear wax build-up is best removed by an ear-nose-throat (e.N.T.) doctor using special instruments (suction and microscope). Removal of wax is the first step to improving hearing. The next step is to treat serous otitis (fluid behind the ear drum) w/antibiotics or just 'watchful waiting'.
Close follow-up is necessary to preserve hearing. ...Read more
M having bleeding with chronic otitis media. The doc advised surgery. I don't want to undergo surgery. Wht şhould I do?
Chronic OM: Chronic otitis media that is resulting in bleeding is a serious condition. This indicates you have a lot of inflammation in that middle ear space to have this bleeding. There may also be infectious agents that need to be identified with aspiration of the middle ear fluid so it can be appropriately treated. The surgery is quite minor in most cases, and I would not hesitate to get this done and soon. ...Read more
Hi I am a student of 23.i did ear operation twice. Doctor confirmed it is chronic suppurative otitis media. I afraid that it will come back again?
I've had painful otitis media one week, even on omnicef and now IV rocephin (ceftriaxone) (for chronic sinusitis). Do I need myringotomy?
I have chronic ear problems (tubes, multi tmp, blisters, otitis media/externa). I am active in the water. What can I do to limit my ear problems?
Inflamation mid/ear: Otitis media is a broad term that includes various forms of inflamation of the middle ear. That space is like a cave in the skull, with the ear drum on one wall, a drain tube (eustacion tube) in the floor ; another wall composed by the skull ; the ear nerve. The walls make mucous which normally drains but can be trapped. Germs can feed on the trapped mucous ; cause infection. ...Read more
Some debate: I would recommend seeing a doctor to establish the diagnosis. Then you may benefit from antibiotics, as well as other medicines to help the underlying cause. Don't recommend ignoring it. ...Read more
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
Yes: This should not be a problem.Get a more detailed answer ›
See below: Ear examination with an otoscope. And some people will perform tympanometry. This produces a graph that can aid in the diagnosis. ...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