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What is Middle Ear Infection?

r infection is an infection that occurs behind the eardrum, in the middle part of the ear. While it can happen in people of all ages, it mainly affects children. The medical term for middle ear infection is otitis media. Middle ear infection is the most common childhood illness treated by pediatricians. It usually develops a few days after a child has a cold or the flu. Half of all children will have at least one middle ear infection while they're growing up, most often before age 3.

Ear infections are among the most common illnesses of early childhood. Three out of four children have had at least one ear infection by age 3, according to the National Institute on Deafness and Other Communication Disorders. The medical term for middle ear infections is otitis media. Otitis refers to inflammation of the ear, and media means middle. Although ear infections worry parents and make children uncomfortable, take heart. Most ear infections clear up on their own within a few days, and most children stop having ear infections once they reach school age.

The ear is responsible for hearing and balance and is made up of three parts — the outer ear, middle ear, and inner ear. Hearing begins when sound waves that travel through the air reach the outer ear, or pinna, which is the part of the ear that's visible. The sound waves then travel from the pinna through the ear canal to the middle ear, which includes the eardrum (a thin layer of tissue) and three tiny bones called ossicles. When the eardrum vibrates, the ossicles amplify these vibrations and carry them to the inner ear.

The severity of the symptoms and the age of the patient determines the likelihood of success of antibiotic treatment. Acute otitis media in children below the age of 2 have a poorer prognosis and are associated with an increased number of recurrences of acute otitis media as well as the development of otitis media with effusion in 35% after 6 months. Acute otitis media in older age groups usually resolves on its own without antibiotic treatment.

Bacteria reach the middle ear through the lining or the passageway of the eustachian tube and can then produce infection, which causes swelling of the lining of the middle ear, blocking of the eustachian tube, and migration of white cells from the bloodstream to help fight the infection. In this process the white cells accumulate, often killing bacteria and dying themselves, leading to the formation of pus, a thick yellowish-white fluid in the middle ear. As the fluid increases, the child may have trouble hearing because the eardrum and middle ear bones are unable to move as freely as they should. As the infection worsens, many children also experience severe ear pain.

The main symptom is an earache. It can be mild, or it can hurt a lot. Babies and young children may be fussy. They may pull at their ears and cry. They may have trouble sleeping. They may also have a fever.When fluid builds up but does not get infected, children often say that their ears just feel plugged. They may have trouble hearing, but their hearing usually returns to normal after the fluid is gone. It may take weeks for the fluid to drain away.



By: peterhutch

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Full Detailed Information on Middle Ear Infection

Middle ear infection refers to infection of the tiny cavity in the temporal bone that contains three small bones (the malleus, incus, and stapes). Middle ear infection may be acute or chronic, suppurative (pus-producing) or secretory (secretion-producing).

Acute middle ear infection is common in children. Its incidence rises during the winter, when respiratory tract infections are common. With prompt treatment, the prognosis is excellent; however, prolonged fluid buildup in the middle ear causes chronic middle ear infection, with possible puncturing of the eardrum, which transmits sound vibrations to the inner ear.

Chronic suppurative middle ear infection may lead to scarring, adhesions, and severe ear damage. Chronic secretory middle ear infection, with its persistent inflammation and pressure, may cause conductive hearing loss.

What causes it?

Ear infections usually start with a viral infection, such as a cold. The middle ear becomes inflamed from the infection, and fluid builds up behind the eardrum.

Ear infections also can be associated with dysfunction or swelling within the eustachian tubes — the narrow passageways that connect the middle ear to the nose. Normally these tubes equalize pressure inside and outside the ear. But a child's eustachian tubes are narrower and shorter than those of an adult. This makes it easier for fluid to get trapped in the middle ear when the eustachian tubes dysfunction or become blocked during a cold.

What are its symptoms?

* The main symptom is pain in the ear.

* Sometimes the ear drum may burst causing a discharge of fluid from the ear. (Incidentally, this releases the pressure behind the ear drum, and therefore the pain usually disappears.)

* Many children are sick when they have a feverish illness, and so may be sick with middle ear infection.

* There may be some decrease in hearing.

* Occasionally people become a little dizzy.

The whole infection usually only lasts a few days, but there may be persisting deafness for up to a few weeks after the infection.

How is it diagnosed?

The diagnosis can usually be made on the basis of the symptoms and by examining the ear with an otoscope.

Possible complications

* Infections may spread to the bone behind the ear, although this is uncommon.

How is it treated?

Treatment of middle ear infection depends on which type of infection is present.

Treating acute suppurative infection

The doctor prescribes an antibiotic - typically, Totacillin or Amoxil. People who are allergic to penicillin derivatives may receive Ceclor or Bactrim.

Usually, an operation called myringotomy is done to treat severe, painful bulging of the eardrum. In this procedure, the doctor cuts into the eardrum and gently suctions fluid or pus from the middle ear to relieve pressure.

Broad-spectrum antibiotics can help prevent acute suppurative middle ear infection in people at high risk for the disorder. In those with recurring middle ear infection, the doctor will use antibiotics with discretion to prevent development of resistant strains of bacteria.

Treating acute secretory infection

The only required treatment may be inflating the eustachian tube by performing Valsalva's maneuver several times a day. To perform this maneuver, the person inhales deeply, holds his or her breath, and strains hard before exhaling.

Otherwise, decongestant therapy may help. The person should continue using decongestants for at least 2 weeks and may even need to use them indefinitely, with periodic evaluation. If decongestant therapy fails, the doctor performs myringotomy and removes middle ear fluid, then inserts a polyethylene tube into the eardrum to equalize pressure immediately. The tube falls out spontaneously after 9 to 12 months. At the same time, any underlying cause is treated. For instance, some people must eliminate allergens or have enlarged adenoids removed.

Painkillers - If the ear infection is causing pain then give painkillers to children regularly until the pain eases. For example, paracetamol (Calpol, Disprol, etc) or ibuprofen. These drugs will also lower a raised temperature which can make a child feel better. If antibiotics are prescribed (see below), you should still give the painkiller as well until the pain eases.

Can anything be done to prevent otitis media?

Specific prevention strategies applicable to all infants and children such as immunization against viral respiratory infections or specifically against the bacteria that cause otitis media are not currently available. Nevertheless, it is known that children who are cared for in group settings, as well as children who live with adults who smoke cigarettes, have more ear infections.



By: Alien

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Swimmer’s Ear – Causes, Symptoms and Treatment Methods

Swimmer's ear is an infection of the ear canal. Men and women of all ages are affected equally, but children and teenagers most frequently develop this type of ear infection. It can be associated with a middle ear infection (otitis media) if the eardrum ruptures. Swimmer's ear is also known as Otitis externa. Swimming in polluted water is one way to contract swimmer's ear. The condition also can be caused by scratching (in) the ear or by an object stuck in it. Swimmer's ear infection occurs external to the ear drum in the ear canal. A rare but serious infection called malignant external otitis can develop if bacteria invade the bones inside the ear canal and spread to the base of the skull. Signs and symptoms of swimmer's ear usually appear within a few days of exposure to contaminated water. Ear pain is the most common symptom of Swimmer's Ear. In more serious cases, pain is accompanied by discharge from the ear and even some hearing loss due to swelling of the ear canal.

Swimmer's ear (otitis externa) is fairly common. If you have had swimmer's ear in the past, you have a higher risk of having it again. Moisture predisposes the ear to infection from water-loving bacteria such as Pseudomonas. Other bacteria, or rarely, fungus, can also cause infection. Most of the time, water can run in and out of the ear canal without causing a problem. A lot of swimming can wash away that wax protection and lead to these wet conditions in the ear canal. Bacteria grow and the ear canal gets red and swollen. When the ears are exposed to continual excessive moisture, many of the natural immune defences in the skin which line the ear canal are lost and, the ear becomes more susceptible to infection by bacteria.

Causes of Swimmer's ear

The common causes and risk factor's of Swimmer's ear include the following:

Swimmer's ear occurs when your ears have been in the water for long periods of time.

Bony overgrowths in the ear canal called exostoses.

Persistent moisture in your ear from swimming, bathing or living in a humid environment.

Use of stereo headphones inserted into the ear.

Bacteria growth fostered by hair sprays or hair dyes in your ear.

Frequent diving.

Skin problems, such as eczema, psoriasis, or seborrhea.

Symptoms of Swimmer's ear

Some sign and symptoms related to Swimmer's ear are as follows:

Decreased hearing.

Itching of your outer ear.

Swelling in your ear or lymph nodes in your neck.

Swollen ear canal.

Conductive hearing loss.

Redness of the outer ear.

Pus draining from your ear.

Fever is generally not present. If there is a fever, it is not usually high.

Treatment of Swimmer's ear

Here is list of the methods for treating Swimmer's ear:

Antibiotic ear drops or oral antibiotics.

Treatment for the early stages of swimmer's ear includes careful cleaning of the ear canal and eardrops that inhibit bacterial growth.

Pain medication.

Mild acid solutions such as boric or acetic acid are effective for early infections.

Analgesics may be used if pain is severe. Putting something warm against the ears may reduce pain.

For more severe infections, if you do not have a perforated ear drum, ear cleaning may be helped by antibiotics.

Apply heat to the ear to control the pain at home.



By: Juliet Cohen

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Juliet Cohen writes articles for diseases cure and health care information. She also writes articles on skin diseases.



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