The treatment is different depending on the type of otitis. It must be treated vigorously, to avoid a risk of complication. Antibiotic treatment is not automatic! Unless there is a confirmed case of a bacterial infection, the doctor usually waits 48 hours before considering prescribing antibiotics.
Most often, 24 or 48 hours after the first antibiotic intake, the fever drops, the pain decreases, it is necessary to follow the treatment for at least 5 to 7 days. Antibiotic treatment is also given when otitis affects a young child under 2 years of age.
This treatment is usually combined with an analgesic anti-pyretic medicine (which will cause a decrease in temperature and pain) plus or minus an anti-inflammatory which also contributes to the reduction of pain by decreasing the edema (the swelling).
If the pain is significant, and an abscess visible by transparency behind the eardrum, it is necessary to perform a paracentesis, that is to say to make a small slit in the eardrum with a scalpel to evacuate the collection outside. from pus, the pressure decreases and the pain disappears immediately. Today, paracentesis is less common, effective antibiotics.
In case of serous otitis media, the middle ear is swollen and filled with liquid that is not well evacuated by the Eustachian tube. She is not always infected and antibiotic treatment then has no action.
To treat this condition, the ENT may have to make a tiny hole in the eardrum and leave it open by putting tympanic aerators (diabolos or yoyos or drains), they allow to ventilate the middle ear to the external auditory canal. . A person wearing diabolos should not put their head under water.
To reduce the risk of ear infections, it is important to have your child's nose blown several times a day; when it is too small, use a fly-baby or a twisted dry cotton that you gently introduce in his nose and withdraw slowly, the phlegm out alone adhering to the cotton and the child will have the nose released. Washings with physiological saline or other hypertonic solution are also recommended.Want to share, share your experience or need advice? See you in our ENT FORUMS or A doctor answers you !
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