Otitis in a child


Children get sick often. Therefore, when a runny nose, fever and a small cough appear, the parents get upset, but they do not always rush to call the doctor. And after all this is how a child's otitis can begin. Symptoms and treatment of this disease is useful to know all moms and dads. Why does otitis appear, how is it manifested and how to treat the ear to preserve hearing?

Otitis: a known disease that we don’t know much about

Why does a child get otitis

Among all the diseases with which parents turn to the ENT doctor, otitis takes the first place. Little patients suffer from this disease much more often than adults. Several factors contribute to this: the special anatomy of the hearing organs, frequent colds, the inability to blow the nose correctly. But to cause otitis, contrary to popular belief, is not capable of the wind, which "pulls on the ear."

And although everyone has heard about otitis, this does not make the disease less dangerous and insidious. If you treat the inflammation of the middle ear incorrectly, then the baby may lose hearing. Such an affliction does not forgive an unserious attitude, therefore, at the slightest suspicion that otitis has begun in a child, home treatment can be carried out only after a visit to the doctor and only according to the scheme he recommends.

Why does a child get otitis?

Many of the adults are deeply convinced that the infection enters the child’s ear from the outside, through the auricle. Therefore, the cap becomes a permanent and indispensable piece of children's clothing during the cold seasons. And this is not enough: many parents (on the advice of grandmothers) also tie a child’s scarf around their ears, and at home they warm the room with a heater.

In fact, cold is not the cause of middle ear inflammation. To be infected with such a disease is also, fortunately, impossible. Here are the real causes of otitis:

  • complication of respiratory infections, sore throats, sinusitis, laryngitis;
  • frequent rhinitis;
  • adenoids;
  • illiterate care of the external auditory canal;
  • foreign bodies in the ear;
  • shortened Eustachian tube and a constant horizontal position (for babies);
  • weakened immunity.

How does external otitis manifest?

This form is manifested by the following symptoms:

  • severe itching and cramping in the auditory canal, which then turn into pain. It extends to the occipital and temporal regions, the lower and upper jaw. The child complains that he has the whole half of the head from the side of the affected ear. Even the slightest touch provokes unbearable pain. Its intensity also increases at night and when trying to take food;
  • the boil in the ear increases so that it completely covers the lumen of the ear canal;
  • slight hearing loss is noted;
  • the auricle is bulging;
  • the lumen is filled with serous infiltrate;
  • general toxic reaction - chills, fever, weakness.

Otitis media: symptoms at different ages

Otitis media: symptoms at different ages

Inflammation in the middle ear has three stages of flow.

  1. Exudative otitis. Inflammation is localized in the auditory tube. Gradually, this causes an increase in pressure in the tympanic cavity and the formation of inflammatory fluid.
  2. Purulent otitis. It is characterized by the addition of infection and the formation of pus in the cavity of the middle ear. When it becomes very much, it breaks through the eardrum and begins to flow out. The transition from the first to the second stage of the disease can take only one day.
  3. Recovery. The eardrum is restored, and the middle ear begins to perform its functions.

A child of any age usually has an acute onset. The temperature rises sharply and reaches 39-40 degrees. The pain in the ear is quite strong. It is shooting and grows when you chew, swallow, or try to blow your nose.

What are the symptoms of otitis media in a newborn and an infant, because he cannot tell what is happening to him? Symptoms of the inflammatory process in the middle ear in infants are specific enough:

  • the baby becomes restless, crying and screaming;
  • sleep worsens;
  • appetite decreases, the baby refuses to suck breast or sharply throws it and begins to cry;
  • sometimes the baby begins to suck only one breast in order to occupy such a position when its head is on the pillow by the side where the diseased ear is located;
  • if the sore ear is pressed to the breast, the infant can calm down, eat mother's milk and even fall asleep;
  • if the disease is severe, vomiting and diarrhea may occur;
  • sometimes the baby begins to tilt the head;
  • protrusion of fontanel may be noted;
  • If you press on the trestle of the ear, the child starts to scream, as this leads to increased pain.

Usually in children younger than one year old, there is bilateral otitis, but the eardrum does not rupture because it is somewhat thicker and thicker in them than in an adult.

A child older than one and a half or two years is already able to report on what exactly is bothering him. He tries to rub the sore ear with his hand or attach the head to the pillow. Baby complains of severe pain, which gives the temple, and the feeling of ear congestion. He draws attention to the fact that he does not hear well with this ear. If the child is already older and can accurately describe his feelings, then he will tell you that something is poured in the ear. He may have a sore throat. In such children, appetite is also sharply reduced. They can not sleep. With severe course is confusion.

If there is a perforation of the eardrum, the pus flows out of the ear canal (sometimes there is an admixture of blood in it). This leads to an improvement in the condition of the child and a drop in temperature.

How does internal otitis make itself felt?

The fact that the child began labyrinthitis or inflammation of the inner ear, tell these symptoms:

  • severe or slight dizziness;
  • nausea, bouts of vomiting;
  • wobbly gait;
  • tinnitus and hearing loss in a sore ear;
  • decrease in concentration of attention.

Labyrinthitis in children is a complication of chronic otitis media.

How and what to treat otitis media?

How and what to treat otitis

Since young patients most often have otitis media, the symptoms and treatment of this particular form of the disease interest the parents first.

Treatment of otitis media should begin at the first signs of the disease, so that the illness does not cause such dangerous complications as deafness, meningitis, facial nerve paralysis or abscess. The prescription list usually includes these drugs:

  • To cure a runny nose, nasal drops with vasoconstrictor action are prescribed - Nazivin (0.01%), Otrivin, AquaMaris;
  • young children who still do not know how to show off, should suck the mucous contents from the nose with a rubber pear with a soft tip;
  • Panadol or Paracetamol is used to relieve pain;
  • Otinum and Otipaks - ear drops have a pronounced analgesic effect. Instructions for use recommends using them to relieve earache in children according to this scheme: to bury 3-4 drops 2-3 times a day in the diseased ear. Then close the ear canal with a lump of cotton and hold the head of the child (a few minutes) tilted to the other side. Attention: drops are allowed to apply only under the condition that no perforation of the eardrum occurred. If pus is secreted from the ear, then this medicine is strictly prohibited to drip;
  • antibacterial drugs (without them, treatment of otitis media in children under 2 years of age is impossible). They are prescribed if the disease is severe or there is no noticeable improvement after a day of symptomatic treatment. Usually, children are prescribed Amoxicillin, Flemoxin Solutab. The babies who have already been treated for otitis are prescribed Augmentin or Amoxiclav;
  • semi-alcohol and vodka compresses.

Do not be afraid of suppuration! If the treatment is prescribed correctly, the eardrum will be restored, and the child will hear as well as before the disease.

Can I do warming compresses?

The answer to this question is given by the article that was written by the "people's doctor from the TV". It is called "Otitis in children - symptoms and treatment." Komarovsky does not advise to engage in "people's amateur." He is opposed to applying heating pads and putting urine in his ear. The famous pediatrician warns that such experiments are fraught with serious consequences: otitis can become chronic, or lead to absolute hearing loss.

The only measures that, according to Komarovsky, parents can take before visiting the doctor, is to drip the nose with Naphthyzinum, ear - Otinum and provide the ear with dry heat (attach cotton wool and fix it with a bandage or scarf). He categorically does not recommend hot water bottles.

The best prevention of otitis is the prevention and proper treatment of colds, hardening and nasal hygiene. If parents do not want their child to know what otitis is, then you shouldn’t bundle it up endlessly and keep it in a warm room. It is better to teach him to blow his nose correctly.

Now you know what to do if an otitis media is found in a child. Symptoms and treatment - useful information, but not a guide to action for parents. Even if you are firmly convinced that your child has middle ear inflammation, do not take any measures (do not put warming compresses and do not give antibiotics or other medicines) before consulting a doctor.