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Doctor insights on: Whats The Difference Between Acute And Chronic Otitis Media

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What is the difference between acute and chronic otitis media?

What is the difference between acute and chronic otitis media?

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 more

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Dr. James Ferguson
1,000 doctors shared insights

Ear Infection (Definition)

Collection of purulent fluid behind tympanic membrane- many times secondary to nasal congestion/ viral uri- that can cause bulging of tympanic membrane, pain, redness or distortion of typical anatomic landmarks of membrane, poor mobility of membrane ultimately, tm can perforate or rupture with subsequent drainage of fluid into the ear canal. May take months for fluid from ...Read more


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I have chronic otitis media in toddlers, what to do?

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. ...Read more

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What do you advise if I have chronic sinusitis with chronic otitis media?

What do you advise if I have chronic sinusitis with chronic otitis media?

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 more

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I have chronic sinusitis with chronic otitis media, what do you suggest?

I have chronic sinusitis with chronic otitis media, what do you suggest?

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 more

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I have chronic otitis media with effusion (glue ear), what to do?

I have chronic otitis media with effusion (glue ear), what to do?

Cranioscral therapy: Chiropractic and craniosacral therapy can help relieve the glue ear. It may take several visits but it will work. Stop dairy too. ...Read more

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Is there a treatment for chronic otitis media?

Is there a treatment for chronic otitis media?

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 more

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M having bleeding with chronic otitis media..The doc advised surgery..I don't want to undergo surgery..Wht şhould i do?

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

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What is difference between otitis externa and otitis media clinically?

What is difference between otitis externa and otitis media clinically?

Pain on touch: if the ear is painful to external touch, it is most likely otitis externa. Also the outside ear may be red and swollen ...Read more

Middle Ear Infection (Definition)

The area behind the ear drum is called the middle ear. It can be filled with mucus type fluid, thin serum like fluid, or pus. A middle ear infection occurs when the middle ear is filled with pus and the ear drum is also very ...Read more


Dr. Oscar Novick
982 doctors shared insights

Otitis Media (Definition)

Otitis media is an infection of the middle ear, which is located just behind the eardrum. Patients may have ear pain, ...Read more