Medical information
Symptoms and diseases / disease names
・ Ear hurts ・ ・ ・ ・ ・ ・ ・Acute otitis media , otitis externa
・ Itchy ears ・ ・ ・ ・ ・ ・ Otitis externa, eczema of the outer ear
・ Otorrhea ・ ・ ・ ・ ・ ・ ・ ・Otitis media , otitis externa
・ Hearing is poor ... Sudden deafness, earwax, serous glue, otitis media
・ Dizziness ・ ・ ・ ・ ・ ・ ・ ・ Meniere's disease, sudden deafness, dizziness
・ Clogged feeling, tinnitus, etc.
Otitis media
1. Normal eardrum
It has a pearly color and reflects when exposed to light.
The eardrum is red and swollen. Strong ear pain.
3. Runny nose / post-nasal drip
A yellow runny nose flows into the pharynx, spills the Eustachian tube and causes otitis media.
4. Serous glue ear
Water collects inside the eardrum and looks red or yellow.
Deaf and muffled.
5. Chronic otitis media
There is a hole in the eardrum and sometimes otorrhea occurs. I'm hard of hearing.
Acute otitis media
Cold syndrome (snot, cough with sputum) preceded
Sudden severe pain, crying at night
Fever (some people do not have a fever)
Otorrhea
Symptoms such as touching your ears or shaking your head
First aid at home
Take pediatric bufferin orally, cool it with ice cubes, and see how it looks.
If the symptoms do not improve, go to an outpatient clinic.
Cause
1. Mainly a runny nose goes around the pharynx and the Eustachian tube (the function of connecting the middle ear and the upper part of the pharynx to make the pressure the same as the outside world)
Caused by bacteria getting into the ears. Water in the ears except for people with chronic otitis media who have holes in the eardrum
Even if I enter, I do not get otitis media.
2. In a baby bottle-fed child, depending on the height of the head after breastfeeding, milk may flow back into the eustachian tube and cause otitis media.
Cause (head position otitis media)
feature
It is easy for people under 5 years old to get sick. In particular, children under the age of 2 and attending nursery schools are likely to repeat in a short period of time.
This is because the immune system is insufficient and the group lives.
Treatment
When the eardrum is lightly engorged or swollen : Follow with painkillers, antibiotics, and anti-inflammatory agents.
When the eardrum is heavily congested or swollen and has a fever
Anesthetize the eardrum and then use a myringotomy or CO2 laser
Surgery to open the window drains the pus that has accumulated in the middle ear.
Pain and fever disappear quickly.
Submit the otorrhea that has flowed out to the bacterial test. If the bacteria that cause otitis media do not match the antibiotics, no matter how much you swallow the antibiotics, the otitis media and the runny nose that causes it will not stop. The reason is that resistant bacteria that resist drugs are widespread. Especially for those under 2 years old who have insufficient immunity, it is difficult to cure otitis media by simply administering antibiotics. It is difficult to choose the antibiotic to use for treatment because the bacteria that are difficult to treat are widespread.
I use antibiotics while testing for bacteria in my otorrhea (antibacterial therapy).
If you have repeated otitis media for a short period of time, make a myringotomy before placing the tube. The duration of indwelling varies from patient to patient. It's okay to swim with a tube inside. It is better not to stop the consultation on the way, judging that you have healed yourself.
Myringotomy, tympanic membrane fenestration (using a tympanic membrane fenestration laser, which is not installed in Japan)
