Doctor insights on:
What's 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.See 1 more doctor answer
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.
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.See 2 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
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.
What's the difference between otitis media and menderes disease? I been told one time I had otitis media and another time meunière disease
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.See 2 more doctor answers
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.
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.
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.
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.See 1 more doctor answer
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.
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.
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.
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