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Otitis


Presentation

  • There are no strict criteria for use of antibiotics and it is presently thought that overly facile use of antibiotics is responsible for the present rather high incidence of resistant bacteria.[dizziness-and-balance.com]
  • […] down, acts dizzy Symptoms of middle ear fluid: Difficulty hearing Delay in speech and language development Mild earache, fullness Popping sensation in ears Treatment: The doctor will check your child’s ear to see if the ear is infected or if fluid is present[chkd.org]
  • Learn More About Topic css id: Tinnitus Over 50 million Americans have experienced tinnitus, or ringing in ears, which is the perception of sound without an external source being present.[enthealth.org]
Localized Pain
  • Sometimes local pain medications applied as drops to the external ear are helpful too. In situations where there is a perforation in the ear drum or a tube, antibiotic drops may be prescribed.[dizziness-and-balance.com]
Loss of Appetite
  • Symptoms of ear infections: Pain (earache) If you child cannot tell you he/she is in pain look for these symptoms: Drainage from the ear Pulling or rubbing the ears Loss of appetite Does not react to soft sounds Can’t sleep, wakes up at night Fever Cranky[chkd.org]
Clumsiness
  • […] child cannot tell you he/she is in pain look for these symptoms: Drainage from the ear Pulling or rubbing the ears Loss of appetite Does not react to soft sounds Can’t sleep, wakes up at night Fever Cranky, cries more than usual Does not want to play Clumsy[chkd.org]

Workup

Candida
  • Occasionally otitis media may be caused by fungi (Aspergillus or Candida) or other pathogens, such as the herpes virus. In this situation, usually either there is a problem with immune function or (there is a hole (perforation) in the ear drum.[dizziness-and-balance.com]

Treatment

  • Fungal infections are more common in this population also and treatment may also require use of an antifungal drug. For chronic otitis externa, medical treatment generally includes steroids, antibiotics and cleaning.[dizziness-and-balance.com]
  • Middle ear fluid may persist even after the successful treatment of a middle ear infection. This fluid can take up to 3 months to completely clear even with the use of antibiotics.[chkd.org]

Prognosis

  • Inclusion of steroids in the drops improves prognosis. (Roland et al. 2003) Uncommon treatments: Steroids -- oral, nasal and injected steroids are occasionally used but their use is presently controversial.[dizziness-and-balance.com]

Prevention

  • What can I do to prevent ear infections? Breast-feed your baby as long as you can. This helps prevent infections. Limit use of a pacifier after 2 years of age. NEVER give your baby a bottle to drink while lying down.[chkd.org]
  • Learn how to stay ENT healthy, prevent problems, and manage existing conditions to improve your, or a loved one’s, daily life.[enthealth.org]

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