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Doctor insights on: Otitis Media Differential Diagnosis

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Dr. James Goodpaster Dr. Goodpaster
Dentistry
25 years in practice
University of Kentucky College of Dentistry
1

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Yesterday, I was diagnosis with r otitis media and externa. Could this cause pain and burning on the r side of my face and eye as well?

Yesterday, I was diagnosis with r otitis media and externa. Could this cause pain and burning on the r side of my face and eye as well?

Yes: There are multiple nerves that branch on each side of our face and infections or pain on any of those branches can cause the entire nerve to be irritated. It is not at all unusual to feel tingling, burning or any number of sensations from this. If it does not improve with the medication you were given in 2-3 days, you should call your md.

Dr. Sewa Legha
3 Doctors shared insights

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Dr. Frank Warren Dr. Warren
ENT - Head & Neck Surgery
18 years in practice
Oregon Health & Science University School of Medicine
2

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I'm ear pain with discharge take treatment not improved diagnosis? Fungal otitis media please need treatment

I'm ear pain with discharge take treatment not improved diagnosis? Fungal otitis media please need treatment

Outer ear infection: It sounds like you may be suffering from a chronic outer ear infection. This can be caused by bacteria or fungus. If this has been going on for some time, you ought to be seen by an ENT physician for accurate diagnosis and treatment.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Can you tell me about otitis media?

Can you tell me about otitis media?

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.

Dr. Alexander Gorup Dr. Gorup
ENT - Head & Neck Surgery
25 years in practice
Tulane University School of Medicine
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Please tell me what can I do, if I have otitis media?

Please tell me what can I do, if I have otitis media?

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.

Dr. Martin Fried Dr. Fried
General Practice
32 years in practice
State University of New York Upstate Medical University
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Please help! What is the best medicine for otitis media?

Please help! What is the best medicine for otitis media?

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.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Pretty positive I have otitis media, how should I proceed?

Pretty positive I have otitis media, how should I proceed?

Time for a visit: Om is diagnosed by inspecting the ear drum on physical exam and finding evidence of inflammation and or pus behind the ear drum. Some may also do a pressure test to verify fluid behind the drum but this is seldom needed. Treatment is based on exam findings.

Dr. Gregg Alexander Dr. Alexander
Pediatrics
29 years in practice
Ohio University College of Osteopathic Medicine
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What is acute otitis media?

What is acute otitis media?

Middle ear infection: "acute" = recent onset. "otitis" = ear infection. "media" = the middle ear space, the space behind the ear drum but before the inner ear area. (inner ear are is the area that effects balance.) acute otitis media is the common term docs use for a middle ear infection which is often a complication form a cold, smoke exposure, allergies - anything that can cause congestion in the upper airways.

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Dr. Anifat Balogun Dr. Balogun
ENT - Head & Neck Surgery
25 years in practice
Hahnemann Medical College
9

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When can I fly after otitis media?

Flying with OM: You should be able to fly with otitis media (om), so long as you don't have a fever or a lot of pain and pressure in your ear (s). If an acute infection w/ pus in the ear (s), take your antibiotics and wait at least a week before getting on a plane. If you have fluid in your ear (s) take Claritin and sudafed starting 2 days before your flight and afrin (oxymetazoline) the day before and on day of your flight.

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Dr. Oscar Novick Dr. Novick
Pediatrics
54 years in practice
University of Bern Faculty of Medicine
10

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Is otitis media affected by air pressure?

Is otitis media affected by air pressure?

Air pressure: Increased air pressure can intensify pain of otitis media.

Dr. Cornelia Franz Dr. Franz
Pediatrics
years in practice
Wake Forest University School of Medicine
11

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Acute otitis media, how long does it last?

Acute otitis media, how long does it last?

Few days: Acute otitis media should feel better within 24-48 hours of treatment...Then the acute part is resolved. It can take 3-10 days to heal completely and occasionally one will have fluid behind the drum for a few weeks afterwards and that is fine.

Dr. Jason Smith Dr. Smith
Family Medicine
14 years in practice
Medical College of Georgia School of Medicine
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How do you treat otitis media with effusion?

How do you treat otitis media with effusion?

Antibiotics: Antibiotics and possibly a nasal spray should take care of this problem.

Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
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What to do for severe pain with otitis media?

Take Pain Meds: You can take over the counter Tylenol (acetaminophen) or Ibuprofen for pain till you see your doctor or get a prescription for stronger pain reliever from your doctor like codeine or something else As long as you are being treated with appropriate antibiotics the pain will get better as treatment becomes effective

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Dr. Susan Arnoult Dr. Arnoult
Family Medicine
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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Please help! What is the cure for otitis media?

Please help! What is the cure for otitis media?

Antibiotics: Usually an antibiotic is needed to cure the infection

Dr. Anthony LaBarbera Dr. LaBarbera
Pediatrics
24 years in practice
University of Pittsburgh School of Medicine
15

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What are the tests for otitis media with effusion?

What are the tests for otitis media with effusion?

See below: Ear examination with an otoscope. And some people will perform tympanometry. This produces a graph that can aid in the diagnosis.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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I want to know what's the otitis media pathogenesis?

I want to know what's the otitis media pathogenesis?

Many possibilities: These can include a variety of respiratory viruses and bacteria that normally inhabit the throat. Pneumoccus, hemophillis influenza types, moxilla species, etc. These are often just opportunist germs that enter the space to take advantage of the fluid build up. A predisposing factor is the trapping of middle ear fluid behind a poorly draining eustachian tube.

Dr. CHERYL COLDWATER Dr. COLDWATER
Pediatrics
34 years in practice
University of Texas Medical School at San Antonio
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I have chronic otitis media in toddlers, what to do?

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.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Please help! What is the causative agent of otitis media?

Please help! What is the causative agent of otitis media?

Many possibilities: These can include a variety of respiratory viruses and bacteria that normally inhabit the throat. Pneumoccus, hemophillis influenza types, moxilla species, etc. These are often just opportunist germs that enter the space to take advantage of the fluid build up. A predisposing factor is the trapping of middle ear fluid behind a poorly draining eustachian tube.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
19

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I want to know what's the etiologic agent of otitis media?

Many possibilities: These can include a variety of respiratory viruses and bacteria that normally inhabit the throat. Pneumoccus, hemophillis influenza types, moxilla species, etc. These are often just opportunist germs that enter the space to take advantage of the fluid build up. A predisposing factor is the trapping of middle ear fluid behind a poorly draining eustachian tube.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
20

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Please explain if it is possible to fix acute otitis media?

Please explain if it is possible to fix acute otitis media?

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.

Dr. Sheila Smith
1 Doctor shared a insight

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Dr. Oscar Novick
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