What medicine is good for children with otitis media?

Children are a high-risk group for otitis media, and the incidence of diarrhea among children is very high. Children have limited ability to express themselves and are unable to describe symptoms such as pain, stuffy ears, and hearing loss, so they are often misdiagnosed or cannot be diagnosed in time. Parents are also more likely to ignore otitis media in children. Causes otitis media to turn into a more serious ear disease. In daily life, we must pay attention to children's otitis media, otherwise it will turn into other more difficult to treat chronic otitis media.

What should be paid attention to about children's otitis media is that many common colds in children can cause acute otitis media and long-term rhinitis and sinusitis. Some common diseases are also easy to cause, mainly suppuration and congestion, itching and pain in the middle ear, and loss of appetite.

(1) Local medication: Select drugs according to different pathological conditions: ① Antibiotic aqueous solution or a mixture of antibiotics and steroid hormones, such as 0.25% chloramphenicol solution, chloramphenicol cortisone solution, 3% cleromycin solution, 1% berberine solution, etc., for use when the tympanic mucosa is congested, edematous, and has pus or sticky pus. ② Alcohol or glycerin preparations, such as 4% boric acid alcohol, 4% boric acid glycerin, 2.5-5% chloramphenicol glycerin, etc., are suitable for those with gradually subsiding mucosal inflammation, very little pus, and edema and moisture of the middle ear mucosa. ③ Powders, such as boric acid powder, chloramphenicol boric acid powder, etc., are only used when the perforation is large and there is very little pus, and they help dry the ears.

(2) Precautions for topical medication: ① Before using the medication, clean the pus in the external auditory canal and middle ear cavity. You can use 3% hydrogen peroxide or boric acid water for cleaning, then wipe it clean with a cotton swab or use an aspirator to absorb all the pus before dripping the medication. ② Antibiotic ear drops should be selected based on the results of bacterial culture and drug sensitivity test of middle ear pus. Aminoglycoside antibiotics used locally in the middle ear can cause inner ear poisoning and should be used with caution or as little as possible. ③ Powder should be used sparingly. Powder should have fine particles and be easily soluble. Do not use too much at one time. Just sprinkle a thin layer into the tympanic cavity. It is not recommended to use this product if the perforation is small or if there is a lot of pus, as the powder may clog the perforation and hinder drainage.

Ear drop method: The patient sits or lies down with the affected ear facing upwards. Gently pull the auricle backward and upward, and drip 3 to 4 drops of medicine into the external auditory canal. Then press the tragus lightly with your fingers several times to encourage the medicine to flow into the middle ear through the perforation of the eardrum. You can change your position after a few minutes. Note that the ear drops should be as close to body temperature as possible to avoid causing dizziness.

(3) To improve hearing, tympanoplasty or tympanoplasty can be performed, but it is best performed when the inflammation in the middle ear cavity has subsided, pus discharge has stopped for 2 to 3 months, and the Eustachian tube is unobstructed. Smaller perforations can be cauterized on an outpatient basis. Use 50% trichloroacetic acid to burn the edge of the perforation, and then apply a thin layer of covering (such as phenol glycerol cotton pad, silicone film, etc.) to act as a bridge, prompting the new tympanic membrane epithelium to grow and heal along the covering. Some may take several times to heal.

The above is how to treat otitis media in children. Otitis media is a clinical manifestation. The main symptoms of otitis media are stomach cold, fever, loss of appetite, and often accompanied by vomiting. Therefore, children's otitis media must be diagnosed in time to prevent otitis media from turning into more serious ear diseases. In daily life, you must pay attention to children's otitis media, otherwise it will turn into other more difficult to treat chronic otitis media. Delay in diagnosis is convenient and you must have a certain understanding of it.