Doctor insights on:
Otitis Interna In Children
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?
No: Transient or prolonged hearing deficit is not uncommon though. ...Read more
several factors: Young children have less developed immune systems and the eustachian tube that allows fluid to drain from the middle ears is smaller and more horizontal, so it does not function as well. Young children also are exposed to other children with illnesses and are notorious for not having good hand hygiene and thus transmit illnesses more readily. ...Read moreSee 2 more doctor answers
Maturity: Ear infections are thought to result from a poorly functioning eustachain tube which connects the middle ear to the nose. As one ages the tube matures.It gets larger making it less likely to obstruct. It is this blockage that causes ear infections.In addition, it is probable that the immune systems matures, fighting the infections off more efficiently. ...Read moreSee 1 more doctor answer
Predisposed: Regular otitis media is a sequential event. The fluid made by the middle ear walls is trapped in that space by impaired drainage thru the eustacian tube. Germs from the throat enter that space & cause infection. Smaller kids/kids with allergies or colds/kids with cleft palate etc are predisposed to recurrence because the drainage doesn't improve until the head grows big enough to improve the drain. ...Read more
Child ear infections: Ear infections in childhood include middle ear infection or otitis media and external ear infection or otitis externa. Otitis media occurs when the middle ear is infected by bacteria and/ or virus. via the eustachian tube. The eustachian tube connects the pharynx to the middle ear. In young children the tube is short and flat and does not drain well facilitating infection of the middle ear. ...Read more
Some are some not: In general an infant with 5 or more in a year or one that will not clear after 90 days will benefit from tube placement.Other factors can increase or decrease the need. Growth in head size will eventually reduce the frequency of infections but that is slow and steady. Each kid must be assessed individually. ...Read more