How to treat throbbing and shooting pain in the right ear?

Question

Hello doctor,

My 9-year-old son is having throbbing and shooting pain in the right ear. He has been crying for the past two hours. I put Otek AC drops in his ear, but there was no use. He got such pain three years back.

Can you please guide me?

Answer 1

Hello,

Welcome to icliniq.com.

I need you to answer a few questions:

1) Does he have a cold? I mean, running nose?

2) If yes, how many days?

3) Is the pain sudden in onset?

4) Had he had such episodes before?

Kindly revert back to help you further.

Answer 2

Hello,

Welcome back to icliniq.com.

He should probably have started developing ASOM (acute suppurative otitis media) pus in the ear. He has had a cold for two days, so he probably pushed the infection from nose to ear through the Eustachian tube, which connects the nose and the middle ear.

I suggest you start him on the following antibiotics:

1. Tablet Augmentin (Amoxicillin and Potassium Clavulanate) 375 mg, six tablets two times a day.

2. Tablet Sinarest (Caffeine, Chlorpheniramine, Paracetamol, and Phenylephrine), nine tablets three times a day.

3. Tablet Levocetirizine 5 mg, six tablets two times a day. If he is not comfortable with tablets, then you can give him the following:

1. Syrup Augmentin (Amoxicillin and Clavulanic Acid) DS 5 ml two times a day.

2. Syrup Sinarest (Chlorpheniramine, Phenylephrine, Paracetamol, and Sodium Citrate) 5 ml three times a day.

3. Syrup Levocetirizine 5 ml two times a day.

4. Nosikind P Nasal Spray drops two drops three times a day in both nostrils. With these medications, he should also take steam inhalation.

I hope this helps.

Answer 3

Hello,

Welcome back to icliniq.com.

If it is ASOM (acute suppurative otitis media), it has stages.

1. Stage of tubal occlusion.

2. Stage of pre-suppuration.

3. Stage of suppuration.

4. Stage of resolution.

5. Stage of complications.

If stage four does not occur, it will go into stage five. In stages one and two, it can come down with only antihistamines and painkillers. But this is only a chance. When risk versus benefit is weighed, it is better to give antibiotics. If suppuration occurs, it will create a hole in the tympanic membrane, and pus will start coming from the ear. If such a thing happens, then whenever the child catches a cold or water enters into his ear, for example, while taking a bath or swimming, then his ear will start oozing pus. So my advice is it's better to take all the medications, including antibiotics.

I hope this helps.