Login      Sign Up

Acute Otitis Media in Children

Author: Dr. Mohammed Osama Aboborda - Ear health  

Otitis media means inflammation of the middle ear cavity with or without mastoid cavity inflammation. Otitis media can be bacterial or viral.

The middle ear is a cavity connected to the oropharynx by the eustachian tube and connected with the mastoid cavity by the mastoid antrum.

Otitis media is more common in children than in adults because the eustachian tube is shorter and more horizontal than in adults. These anatomical features cause the infection to be delivered more easily from the oropharynx to the middle ear cavity.

In children over 3 years, the diagnosis is easy as the child can talk and describe the illness and also detect the diseased ear. Also, endoscopic ear examination is possible which reveals middle ear inflammation. But, in children below 3 years, the diagnosis is difficult as the child cannot describe the illness. The child just cries loudly and sometimes hits his diseased ear with his palm.

In children below 3 years, otitis media can be missed by the physician and the sickness may be misdiagnosed as gastroenteritis because otitis media in this age presents with fever, vomiting, and diarrhea. Here, the endoscopic ear examination is helpful to confirm middle ear infection.

Treatment

The treatment of acute otitis media in children is classified according to the stage of the disease whether it is before suppuration or after suppuration. Suppuration is the collection of pus behind the eardrum.

Before suppuration, the treatment is antibiotics, mucolytics, vasoconstrictor nasal drops, and analgesics. After suppuration, the treatment is mainly surgical. Myringotomy is mandatory to drain the collected pus from behind the eardrum and a prophylactic treatment is prescribed.

In the case of recurrent acute otitis media, surgical causes should be excluded such as enlarged adenoid tissue. Ventilation tubes can be introduced through the eardrum for adequate middle ear ventilation.

For more information consult a ear infections specialist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist/ear-infections

Image: Acute Otitis Media in Children Last reviewed at: 07.Sep.2018

RATING

11
 


Do you have a question on Ear Pain or Middle Ear Infection?
 
* guaranteed answer within 4 hours.
 

Related Questions & Answers


Can mold exposure cause an ear infection?
Query: Hello doctor, Last year, I noticed that my 3 year old's tonsils were very large. I contacted his doctor. But, he could not find anything wrong. I later noticed him yelling or talking loudly and asking me to repeat a lot. So, I had a hearing test done and he failed. They explained that he had a flui...  Read Full »
Dr. Priyanka Aggarwal
Audiologist

Answer: Hello, Welcome to icliniq.com. Your kid has a serous otitis media. The mild conductive hearing loss is due to this. In kids the most common cause is adenotonsillitis. My advice is to get a nasopharynx lateral view X-ray done for adenoids and send me the pictures. Give him an oral decongestant syrup ...  Read Full »
 
What should be done if there is viscous fluid discharge from ears?
Query: Dear doctor, I am a 19 year old male. Some type of viscous liquid comes out of my ears and when it dries up, it hardens. Please help me.  Read Full »
Dr. Suneetha B S
Diabetologist

Answer: Hi, Welcome to icliniq.com. Viscous fluid coming out of ears indicates a middle ear infection. It has to be attended to immediately to avoid damage to the ear. I request you to meet an ENT specialist at the earliest to prevent further damage. In the meantime, you can take tablet Levocetirizine 1...  Read Full »
 
Hearing my own voice and breath sounds.How to overcome those issues?
Query: Hello Doctor, For the last 3-4 years I have been getting occasional autophony. This usually occurs during physical exercises like running etc., or when in college or when I am with my friends. It is very irritating to listen to my own voice echoing in the ear and also I do hear my own heart beat a...  Read Full »
Dr. Prasun Mishra
ENT Otolaryngologist

Answer: Hello, Welcome to icliniq.com. I read your entire history and understood your problem. Autophony is the unusual hearing of one's own voice and even breathing sounds. You have two issues:- Patulous Eustachian Tube and, OME (Otitis Media with Effusion) which is on and off fluid collection in th...  Read Full »
 
I have tinnitus in ear. Is there anything I can do
Query: Hello doctor, I had an otitis media with effusion a year back. Meaning, a bit more than a year ago. My ears never cleared properly. If I move my jaw or even slightly yawn, I hear dramatic crackling sounds from my ears. They do not feel very blocked, and my hearing is fine. However, I do still have ...  Read Full »
Dr. Mehak Agarwal
ENT Otolaryngologist

Answer: Hi, Welcome to icliniq.com. It can be due to eustachian tube block. Did you ever get tympanometry done? If yes can you send me reports, tympanometry is done to check middle ear pressure (which is not maintained in eustachian tube block). Eustachian tube block can be due to allergy or due to si...  Read Full »
 
Homeopathic Management of Acute Otitis Media
Article Overview: Acute otitis media (AOM) is a condition, which is frequently encountered in children under 5 years and one of the most troublesome disease. This article discusses the causes, incidence, risk factors, symptoms, prevention of the disease and role of homeopathy in combating the disease.  Read Article »
Dr. Ashish Kumar Dixit
Homeopathic Physician

Acute otitis media (AOM) is the presence of inflammation in the middle ear accompanied by the rapid onset of signs and symptoms of an ear infection. Causes: Frequently it occurs in infants and children. The most common causative organisms are Streptococcus pneumonia, Hemophilus influenza, Mor ...  Read Article »
 
What causes fever and blocked ears with cough?
Query: Hi doctor, I have a fever with a cough. I have blocked ear. What can I do?  Read Full »
Dr. Parth R Goswami
Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. You are having upper respiratory tract infection. You can have associated middle ear infection because of the presence of ear pain. You can take Levocetirizine for five days. For fever and pain relief, you can take Paracetamol 500 mg. Steam inhalation can be done three ...  Read Full »
 

Ask a Doctor Online

* guaranteed answer within 4 hours

Related Tags