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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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Middle Ear Infection (Definition)

The area behind the ear drum is called the middle ear. An infection occurs when the middle ear is filled with pus and the ear drum is also very ...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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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

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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Why acute otitis media is dangerous in adults? Could it be a sign of cancer or weak immunity? Thanks

Why acute otitis media is dangerous in adults? Could it be a sign of cancer or weak immunity? Thanks

??Dangerous ??: I would consider it unusual and a nuisance but not dangerous. If it led to a perforated ear drum, those do take much longer to heal and may require surgery. Adults who get acute otitis generally did so as kids, and many have allergic and or sinus issues that predispose to the problem. I can't buy a cancer or immune defect as a significant factor. ...Read more

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Would azithromycin (zithromax) cure acute otitis media?

Would azithromycin (zithromax) cure acute otitis media?

Maybe,maybe not: It is often used for this diagnosis.No matter what medicine is used, up to 10% may fail their first antibiotic due to germ resistance. ...Read more

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Hey docs, should I practice aikido if I have pharyngitis and acute otitis media (an ear infection)?

Hey docs, should I practice aikido if I have pharyngitis and acute otitis media (an ear infection)?

No: An ear infection can affect balance and equilibrium, characteristics critical in martial arts. You can hurt yourself or be hurt if not fully recovered. Give it some time. ...Read more

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Would azithromycin cure acute otitis media?

Would azithromycin cure acute otitis media?

Maybe,maybe not: It is often used for this diagnosis.No matter what medicine is used, up to 10% may fail their first antibiotic due to germ resistance. ...Read more

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I've had painful otitis media one week, even on omnicef and now IV rocephin (ceftriaxone) (for chronic sinusitis). Do i need myringotomy?

You may. : It is possible that you have an ear infection with your sinusitis. If you do, and it is not getting better with antibiotics, a myringotomy may help. To find out, you should make an appointment with your ENT to check your ear. ...Read more

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What is a good sleeping position to help drain fluid in middle ear? I'm currently having acute otitis media. What are to dos and not to dos. Thank yo

What is a good sleeping position to help drain fluid in middle ear? I'm currently having acute otitis media. What are to dos and not to dos. Thank yo

Otitis media: Pop your ears on a regular basis 30 or 40 times a day. This is about all you can do. If your doctor gave you a decongestant then take it. You can try pseudo-fed as well. Good luck and feel better! ...Read more

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I went to my primary yesterday and i was told that I have acute sinusitis, acute rhinitis, acute allergic and serous otitis media. Can any of these cause shortness of breath?

I went to my primary yesterday and i was told that I have acute sinusitis, acute rhinitis, acute allergic and serous otitis media. Can any of these cause shortness of breath?

Yes... But : If you have all those diagnosis the underplaying cause is an infection, which can spread, to the lung. Sinusitis can lead to post nasal drip and cause shortness of breath, but so can a bronchitis or pneumonia.... If you don't get better shortly or get worse head back over to his office. ...Read more

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Sinus infection, acute otitis media and plugged ear, what all can I do to get better?

Sinus infection, acute otitis media and plugged ear, what all can I do to get better?

Comgestion: You should see your doctor for treatment with an appropriate antibiotic, if necessary. There are other combinations of rx like nasal decongestant sprays, oral decongestants, nasal steroids, mucolytics like guaifenesin, ; sometimes oral steroids are necessary to alleviate sinus and eustachian tube congestion. You may need to see an ENT md to help. ...Read more

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What should my next steps be? I have acute otitis media that was accompanied with hearing loss in my right ear that came from a cold i had last week, i went to th ER and given meds and started the regemine and still have somee pain along with the prolonge

What should my next steps be? I have acute otitis media that was accompanied with hearing loss in my right ear that came from a cold i had last week, i went to th ER and given meds and started the regemine and still have somee pain along with the prolonge

You : You should consult with an ENT in your area. Many times, an episode of acute otitis media will result in a middle ear effusion (fluid behind the eardrum) that may take much more time to resolve than the actual acute infection. I would make sure you have been given the appropriate medications from the er (you did not state what was given) usually an antibiotic aimed at appropriate/common bacteria that cause middle ear infections, and sometimes steroids are prescribed. Unless you had a perforation, ear drops are not effective. It sounds as if your pain has improved, so you are probably resolving the acute infection. The decreased hearing may persist in some cases for weeks after the initial infection, however, a good exam, as well as an audiogram will be helpful in determining where you are in the course of the disease, as well as any potential complications and time course until resolution. In some instances (for example, after a period of observation (3-6 weeks) without any improvement) a small incision in the eardrum may be necessary to alleviate pressure and inflammation and drain the fluid from the middle ear. But that course is, thankfully, usually unnecessary. For now, see your local otolaryngologist, and make sure that you are on the right medicaitons. ...Read more

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Dr. Oscar Novick
1,008 doctors shared insights

Otitis Media (Definition)

Otitis media is also known as a middle ear infection. It ...Read more