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Middle Ear Infection – Symptoms, Causes and Treatment

ion of the middle ear is an infection caused by a germ (bacterium). It is very common among children. The middle ear is an air-filled hollow between the eardrum and the inner ear. The Eustachian tube - an air channel between the middle ear and the nose - usually ensures that the middle ear is ventilated and that fluids can run out through the nose.

Middle ear infection most commonly occurs following a cold. It also frequently occurs as a result of contact with other children. Middle ear infection (called otitis media) is an infection behind the eardrum. Ear infections are very common and are usually painful. By the age of six, most children have grown out of middle ear infections and are not likely to suffer long-term problems.

Symptoms

In otitis media, inflammation occurs on that portion of the ear, which is directly behind the eardrum. This pain in the ear is usually of a piercing type and is not attended with fever. Pus is discharged into the outer ear. As the condition progresses, the inner ear becomes seriously affected, and hearing is considerably impaired.

Acute middle ear infection is most common in children. It is caused by a bacterial or viral infection of the fluid of the middle ear. When infection occurs in the middle ear, pus or excess fluid is produced. Ear infections are often associated with respiratory infections or with blocked sinuses caused by allergies or enlarged adenoids.

Causes

A cold or other infection of the upper airways causes the tubes which drain the ears in to the back of the throat to become swollen and filled with mucus or catarrh. These tubes are called eustachian tubes, and are the tubes we open, by yawning or swallowing, to stop our ears popping as we go up a hill or in a plane. This swelling may block the eustachian tubes, and stop the normal drainage of fluid from the middle ear down to the back of the throat. As water which is stagnant becomes foul, so there is more chance of germs building up in this stagnant situation in the middle ear, and a middle ear infection (acute otitis media) is the result.

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.

Treatment

Many physicians recommend the use of an antibiotic (a drug that kills bacteria) when there is an active middle ear infection. If a patient is experiencing pain, the physician may also recommend a pain reliever. Following the physician's ear infection treatment instructions is very important. Once started, the antibiotic should be taken until it is finished. Most physicians will have the patient return for a follow-up examination to see if the infection has cleared.

Most ear infections clear on their own in just a few days — and antibiotics won't help an infection caused by a virus. In fact, about 80 percent of children with acute otitis media recover without antibiotics, according to the AAP and AAFP. If your child is uncomfortable, the doctor may recommend an over-the-counter pain reliever such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). If your child doesn't have drainage from the ear or ear tubes, prescription eardrops containing a local anesthetic may be an option, too. The drops won't cure the infection, but they may relieve pain.



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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Ear Infection Causes Symptoms Information With Treatment

Swimmer's ear (otitis externa) is an inflammation and infection of the ear canal. Swimming, bathing, allergies, or even cleaning your ear with a cotton-tipped swab can lead to discomfort, bacterial growth, and infection. The ear is made up of an intricate system of tiny bones, organs, and membranes that produce the signals our brain interprets as sound. An ear infection, also known as otitis media , produces pus, fluid, fullness, pain, and inflammation within the ear. An ear infection may also cause fever, hearing loss, and dizziness. In children , the eustachian tube is shorter and less slanted than in adults and is thus more susceptible to bacterial and viral infection. Since it often occurs when excess water enters the ear canal, a common name for this inflammation is "swimmer's ear." If you have had swimmer's ear in the past, you have a higher risk of having it again. Exostoses may not cause symptoms, or they may lead to ear infections and hearing loss, especially if they are big enough to block the ear canal.

Causes of Ear Infection

The common Causes of Ear Infection :

The cause is a germ infecting the outer ear canal. Most often this is caused by bacteria (which can be treated with antibiotics), but sometimes other causes, such as fungus infection, are to blame.

The infection can happen to anyone. Sometimes a cause can be traced, such as swimming in infected sea water (many surfers will attest to this). Most times it is not possible to be sure why it started.

Excessive sweating from physical activity.

Use of earplugs.

Some people seem to have one episode after another. It may be that some of these people have a habit of fiddling with or picking at their ears, and introduce the infection themselves, inadvertently.

Otitis media is most likely to happen in children, because their eustachian tubes are narrower to start off with. Sometimes the glandular tissue at the lower end of the eustachian tubes (the adenoids) seems rather more enlarged than in other children, making blockage of the tubes even more likely. However it can happen in anybody.

Symptoms of Ear Infection

Some Symptoms of Ear Infection :

Nausea , vomiting .

Have trouble sleeping .

Develop a fever.

Fail to respond to sounds .

Develop fluid that drains from the ears.

Have headaches.

Ear noise or buzzing.

Irritability .

Diarrhea .

Tug or pull at their ears .

Treatment of Ear Infection

Most times your family doctor will treat the infection with either ear drops (which usually contain an antibiotic or antiseptic, along with some steroid), or a course of antibiotics. On occasion you may be given both drops and antibiotics.

If the pain is bad you may need to take pain killers (analgesics) such as paracetamol, or anti inflammatory drugs in addition. Usually the infection settles quite quickly.

Sometimes the ear canal needs more attention. This may involve seeing a specialist, and perhaps having the ear cleaned out, or a dressing inserted temporarily.

The treatment, however, can start immediately, as the most important part is to reduce the pain . For this, paracetamol either as a liquid, a tablet, or a soluble tablet is usually the best. Ibuprofen, a NSAID is another alternative. You should not use aspirin in a child under the age of 16, but it can be very helpful for the older age groups.

In many countries, the standard treatment for otitis media has been a course of antibiotics. There is currently some debate as to whether this should indeed be the treatment. There are points for and against their use.



By: Juliet Cohen

About the Author:

Juliet Cohen writes articles on diseases and conditions and skin disorders. She also writes articles on herbal home remedies.



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