Causes of ear pain in six-year-old children

Causes of ear pain in a six-year-old child. This symptom can usually be attributed to an infection caused by inflammation or if there are any insects in the ear. Guidance: Check whether there is a fever and then treat it promptly with symptomatic medication. If you have a fever. If the symptoms occur, it is necessary to take oral antipyretic drugs for symptomatic treatment. If the condition is serious, you need to go to the hospital for relevant examinations and treatment. This is the most important thing.

1. External ear diseases

(1) Auricle trauma: External force acting on the auricle may cause auricular hematoma or laceration. Auricular hematoma often occurs on the dorsal side of the auricle, causing slight local pain. After secondary infection, the pain becomes severe.

(2) Serous chondroitinitis: Serous chondroitinitis is a condition in which fluid accumulates under the cartilage membrane or inside the cartilage in the concha cavity. It is usually painless or only causes slight swelling and pain. Purulent chondroitinitis, local redness and swelling with fluctuation, severe pain.

(3) Herpes zoster oticus, also known as Bamsay Hunt syndrome, is characterized by severe ear pain. It can be divided into three types according to the condition. ① Herpes simplex type: There is ear discomfort or burning sensation first, followed by ear pain, redness and swelling of the auricle and external auditory canal skin, and herpes occurs in the local skin 3 to 5 days later. Herpes mainly appears on the concave surface of the auricle and occasionally in the external auditory canal. It forms a crust after a few days and heals after about a week. ② Herpes complicated by facial nerve damage type: In addition to herpes, there is also ipsilateral peripheral facial paralysis. Facial paralysis usually occurs about a week after the onset of cancerous herpes. ③ Herpes complicated by facial nerve and auditory nerve damage type. In addition to affecting the geniculate ganglion, the lesion also damages the auditory nerve, causing tinnitus, sensorineural deafness and vertigo. This type is more serious, indicating that the lesion is located in the labyrinthine segment of the facial nerve.

Glossopharyngeal nerve herpes or vagal ganglion herpes may be accompanied by ear pain but no facial paralysis. There are no ear lesions in glossopharyngeal nerve herpes, and herpes appears on the soft palate and tonsils. In the case of vagal ganglioneuropathy herpes, the herpes is located in the postauricular groove and the posterior wall of the external auditory canal. Herpes of the 1st and 2nd cervical nerves can also cause ear pain, which is severe and localized in the mastoid area. Herpes is located on the convex surface of the auricle and the skin of the neck.

(4) Cerumen blockage or foreign matter in the external auditory canal may compress the ear canal skin or eardrum, causing severe pain, especially when it swells with water.

(5) Ear furuncle is an acute suppurative inflammation of the hair follicles or sebaceous glands in the skin of the external auditory canal, and is prone to occur in the cartilaginous part of the ear canal. Local redness, swelling and tenderness. Spontaneous severe pain, especially at night or when chewing.

(6) Acute diffuse otitis externa is a widespread suppurative infection of the skin of the external auditory canal. There is obvious spontaneous pain and pain with pulling of the auricle or tenderness of the tragus.

(7) Necrotizing otitis externa: also known as malignant otitis externa. This disease often occurs in patients with diabetes, so it is also called diabetic otitis externa. The causative bacteria is Pseudomonas aeruginosa. Necrosis of the ear canal spreads rapidly to the surrounding area and may be complicated by mastoiditis, skull base osteomyelitis, meningitis, sepsis, etc.