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Doctor insights on: What's 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.

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Dr. Mark Ingerman
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Middle Ear Infection (Definition)

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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.

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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.

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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.

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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.

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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.

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How can you tell the difference between otitis media and labyrinthitis?

How can you tell the difference between otitis media and labyrinthitis?

Ear infections: Otitis media involves the middle ear and is usually characterized by fever and pain. Labyrinthitis affects the inner ear and is characterized by vertigo or dizziness.

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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

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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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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.

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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.

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Help about some questions regarding to my acute otitis media while flying?

Help about some questions regarding to my acute otitis media while flying?

Ok: Might be painful but it also depends on how long you have been on antibiotics. You may not experience discomfort. Take tyelenol or Ibuprofen to help alleviate pain.

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I have csom (chronic suppurative otitis media) is operation the only way for cure?

I have csom (chronic suppurative otitis media) is operation the only way for cure?

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.

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My 2yo girl has:*otitis media chronic serous+impacted crewmen and she didn't hear well please advice?

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.

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Acute otitis media or otitis media w/ effusion, what to do?

Acute otitis media or otitis media w/ effusion, what to do?

Two different cond..: Acute otitis media often requires antibiotic treatment especially in young children. Otitis media with effusion can be transient, however, persistent (over 12 weeks) one with significant hearing loss requires "tube" for proper drainage.

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I was wondering what are the main pathogens in acute otitis media?

I was wondering what are the main pathogens in acute otitis media?

OTITIS MEDIA- CAUSES: Bacteria: strep pneumoniae (came down from 50% to 34% due to pcv vaccine); hemophilus influenzae (nontypable); moraxella catarrhalis; staphylococcus aureus; group a strep; mycoplasma (rarely). Viruses: rsv; influenza; adenoviurses. Fungal: less common, seen in immuno-compromized persons, e.g. Candida, aspergilla.

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Is there anything I can do about acute otitis media or otitis media w/ effusion?

Is there anything I can do about acute otitis media or otitis media w/ effusion?

Some self heal: In the years before antibiotics people had ear infections ; just toughed them out. It often took 6-8 weeks for the body to clear the infection. Pain control with heat, Ibuprofen or Acetaminophen can help. Some viral infections disappear in a few days without help. However, some infections can become chronic, abscess the bone near the ear and need to be surgically drained. Infants should see their doc.

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Can you please suggest treatment of acute otitis media.?

Can you please suggest treatment of acute otitis media.?

OTITIS MEDIA is-: Middle ear infection. Bacteria enters from upper respiratory tract/nose thru the eustacian tube. As middle ear is a close empty cavity, bacteria grows easily. Treatment is antibiotic for about 10 days which is a prescription med. For relief of pain, take Ibuprofen as per weight. Keep nose clean, drink enough water. Make appointment with your primary care doc. For an exam and treatment.

Dr. Oscar Novick
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