What is dangerous purulent otitis in children. Medium sharp Otitis

The date: 29.03.2019

It is a pathology at which the drummeal is affected. Most often, such a disease is detected in small children and is characterized by inflammation of the ear with the formation of purulent exudate. This is due to the fact that the child has some features in the child, which ensures the unimpeded contact of microorganisms in the ear. Treatment of purulent otitis in a child is carried out with drugs and physiotherapy, but in the absence of positive result Operation may be assigned.

Purulent otitis is most often developing in childhood And this happens for the following reasons:

In kids, the auditory tube has a slightly different form and size compared to adults. It is much shorter and there is no bentness in it, which facilitates the penetration of pathogeful microorganisms into the cavity of the ear.
Many children diagnose an increase in adenoids that have pressure on the auditory pipe and the result of this becomes a violation of its passability.
Small children are more susceptible to frequent respiratory infections.

In addition, experts identify additional factors, the impact of which to the children's body increases several times the likelihood of the pathological process in the hearing body increases. Among their manifolds can be allocated:

strong supercooling of the organism
penetration of fluid into hearing organ
insufficient admission to the body of vitamins and nutrients
violation of work immune system
long reception of antibacterial drugs
violation of breast child breastfeeding techniques
enhanced blowing or removal of snotting with pear

The main cause of development in children is considered various inflammatory processes occurring in the nasal cavity and throat. In addition, provoke diseases capable viral infections, chronic runny nose and respiratory diseases. All this leads to the fact that in the nasal cavity accumulates a large number of mucus.

Purulent otitis is easier to diagnose a child over 2-3 years old, since he can already complain to the pain in the ear.

With strong high speed, the snot can penetrate the pipe and clog it. Consequence of this pathological state The appearance of problems with ventilation and the further spread of infectious agents, which ends with an inflammatory process in the middle ear of the ear.

More information about purulent otitis can be found from the video:

To suspect the pathological process in the hearing body, when the following symptoms appear:

body temperature rise up to 39 degrees
enhanced sweating
increased skin pallor
constant
the appearance of the discharge from the hearing body with an admixture of pus and blood
violation of hearing
acute shooting pain

Symptoms of the disease are intensified at night and the child has problems with sleep. It is much more difficult to identify the pathology in newborns and breast-age. Parents must necessarily pay attention to the following changes In the behavior of the baby:

increased anxiety and plasticity
rejection
the appearance of bouts of vomiting
permanent child's desire to lie on the side where the patient's ear is located

With the appearance of such symptoms, it is necessary to show the child with a specialist, since too high the danger of the development of purulent otitis. Such a disease needs compulsory treatment, and when not effective therapy Heavy complications may occur.

Types of disease

Experts allocate several types of such pathology, and each of them is characterized by distinctive manifestations.

Purulent Otitis Ear is divided into:

Acute. For acute purulent otitis, the occurrence of pronounced pain syndrome and cluster in the ear of purulent exudate is characterized. In the event that immediately not start treatment, then the danger of the transition of the disease in chronic form is high. It is characterized by constant inflammation and the ear cavity, which leads to a gradual deterioration of hearing.
Bilateral. This otitis in children is characterized by the fact that two hearing organs are affected immediately. Such a form of the disease is considered particularly dangerous and is often diagnosed in early age. In most cases, Otitis in young children are bilateral in nature, but as they grow their amount decreases.
Recurrent. This Otitis is diagnosed if the pathology has developed re-after a while after the first. This usually occurs with improper treatment or non-compliance with the recommendations of the doctor. Inflammation of adenoids can cause repeated purulent otitis.

Possible complications

Laundled illness can cause partial or complete hearing loss

With timely diagnosis and carrying out effective therapy, purulent otitis ends with recovery and recovery of hearing. In the event that parents are not in a hurry for help from a specialist or do not comply with the recommendations appointed by him, the danger of the transition of Otitis into a chronic form with a further worsening of hearing is high.

With purulent otitis during the newborn period, most often the following complications are observed in children:

transition pathology in chronic form
neurry facial nerve
inflammatory process in the brain
blood poisoning
damage hearing bones Ear
loss of hearing
inflammation of the mastoid process

Purulent Otitis is a dangerous disease and requires compulsory treatment under the control of the doctor. Timely holding medical therapy makes it easy to facilitate the condition of the child and avoid development hazardous complications.

Medicia treatment

Usually with purulent otitis is carried out comprehensive treatmentwhich includes receiving various drugs.

When eliminating the illness, the following groups of medicines may be assigned:

Antibacterial drugs are necessarily assigned to purulent otitis. With their help, it is possible to stop the inflammatory process, stop the secretion of the pus and ease general state Child.
Ear drops help to remove pain syndrome and eliminate inflammation. A good effect in the treatment of purulent otitis gives such a medicine, as, but only in the proper stage.
Antihistamines help reduce the inflammation of the mucous membrane and most often assign such medicines such as Tueva, diazoline and claritine.
Package and antipyretic means help remove heat and eliminate pain in the ear. Good effect gives such medicines as analgin, nourofen and. To enhance the effect of a potent drug can be assigned ear drops with antibiotic. Treatment of purulent otitis is carried out with the help of drugs such as OPA, NOPCS or CIPROMED.

To remove the edema of the Eustachius pipe and its restoration of its work, it is necessary to use nasal droplets with a vasoconductive effect. The most effective drug is considered to be the most efficient drug. With purulent otitis in chronic form, the immunomodulators, biopreparations and general fascinating agents may additionally assign.

Folk remedies

Folk Medicine offers many recipes for the treatment of purulent otitis in a child, but they are allowed to apply after the obligatory consultation with the doctor. The fact is that incorrect treatment can further aggravate the child's condition and cause various complications.

What advises traditional medicine, he is ailment:

With purulent otitis, a good effect gives a decoction made from raspberry roots. It has an anti-inflammatory effect and helps the body to cope with infection. It is necessary to finely cut 3 tablespoons of plant raw materials to pour it a liter of boiling water. The resulting mass need to insist 12 hours, after which it is to strain and give a child several times a day at 150 ml.
In order to clear the auditory passage from the purulent exudate, it is recommended to use tampons moistened in the chamomile nasty. For its preparation, it is necessary to pour 5-10 grams of dry flowers 200 ml of boiling water and leave the mixture for half an hour to insist. After that, the tool should be strain and used to remove contamination in the auditory passage using a bandage or wool.
Clean the auditory passage from pus can be a wick, which is wetted in the juice juice. Such a means has an antiseptic, bactericidal and painful effect. It is necessary to carry out such a procedure 2 times within an hour.

What can not be done in case?

In the penetration of pus interior Ear It can cause purulent meningitis

Some parents are in no hurry to show a child to a doctor and are trying to engage in self-medication, which often ends with even greater worsening of his condition.

In order to avoid unpleasant consequences, it is necessary to know what is not allowed to do with purulent otitis:

When there is a selection with an admixture of pus from ear, drops are not allowed medicinal products Without consultation with a doctor. This is due to the fact that the eardrum may be damaged and the medication hitting the middle ear in the cavity often ends with dangerous complications. Parents need to remember that the emergence of any discharge from the hearing body is a reason for immediate appeal to the doctor.
It is strictly forbidden to warm the ear at otitis, which is accompanied by the release of the pus. Heat creates favorable conditions for the further development of pathogenic microorganisms, which only further aggravates the state of the child.

Parents need to be carefully referred to all changes in the behavior of their child. Permanent capriciousness and increased concern may be signs of the pathological process in the hearing body. When characteristic symptoms appear, it is necessary to show a sick doctor as soon as possible.

Purulent otitis is a disease that affects the drum plane. With this disease, the mucosa ear is inflamed and begins to be fed. Most often, this ailment is found among newborn children. This is due to the structure of the auditory passage of the child - it is short, but wide, which ensures easy penetration of microbes in the ear.

The purulent inflammatory process in the ear can be caused by a lighter view, which was previously not worth it. This happens due to supercooling, weak immunity, lack of vitamins, and because of incorrect treatment antibiotics;
complications after ARVI, influenza, colds can also be manifested in the form of purulent ear inflammation;
individual (physiological) causes are non-normalized ear and nose cavities in children.

In the newborn

Anxiety, expressing in capriciousness, child's plastic;
failure of baby from breastfeeding, as this process causes strengthening pain sensations;
nausea, manifestation of vomit reflexes;
when feeding the child constantly turns his head;
the baby is trying to turn on the side, from which the ear hurts.

In children over two years

Increased fatigue in a child;
weakness;
pale skin;
ear mortgage;
high body temperature - 38, and sometimes 40 degrees;
from the ear, purulent blood mucus can be released.

If children know how to speak, parents may ask what worries kids, in case they are tormented by inflammation, they will indicate the ear.

Views

Depending on the acuteness of pain and the cause of the disease, the following types of ear inflammation are distinguished:

Middle;
acute;
bilateral;
allergic.

Middle purulent Otitis

Middle purulent otitis (he is acute medium) - This is the first stage of the beginning of the acute chronic oha inflammation. The course of this disease can be held in easy form, but it is eliminated if the treatment of the average purulent inflammatory process of the ear started immediately when the child appeared the first symptoms.
The average otitis is manifested in several periods:

The emergence and development of inflammation in the middle ear. The main signs of this period are pain increasing over time. In the launched case, pain symptoms are simply impossible to endure, so they are painful for children. When the average otitis occurs, the child feels pain, which are given to the region of the teeth, temples, the occipital depression, and when swallowing, sneezing, yawning is enhanced. This is due to the fact that when these actions listed, the pressure on the eardrum rises.
Melting from drummers. If the symptoms of elevated temperature were noticeable, when the pus starts to go out, the temperature will fall. Pain signs can last from 4 to 7 days. The average type of inflammatory process in the ear at the initial stage is accompanied by abundant release Pus, which gradually decreases.
Termination of inflammatory processes. The average otitis at this stage is characterized by the cessation of fostering in the ear in the child. The average ear gradually comes to normal, and perforation (hole formed in connection with the inflammatory process) drumpatch disappears (overgrown).

Duration of each period purulent inflammation The ear is different - the middle can last several days or a few weeks.

Treatment of medium acute otitis

To cure from the average acute purulent inflammation, the child needs to comply with the bed mode, antibiotics should be taken according to the testimony of the doctor. If observed increased temperature, it is necessary to shoot down when using antipyretic funds ( acetylsalicylic acid, Nooofen, paracetamol). In the case when the baby does not appear fostering, the doctor prescribes the puncture (paracentesis) of the eardrum. Behind this process, it is necessary to ensure that the entire pus is out of the child's ear. When the mouth disappears, and the hearing will still remain low, the doctor will prescribe purging, therapy of UHF, a pneumatic ear massage.

Acute chronic purulent otitis

Acute purulent Otitis related to chronic type is a complex disease that affects all middle ear departments. A sharp chronic appearance of ear inflammation is a very common disease. It may flow as in a light form (it is rapidly treated) and complicated. However, both cases provoke safety processleading to. Acute purulent process accompany such symptoms: poverty that lasts for a long time, heat.

Read more detail:

Most often in children, a sharp purulent type of inflammation occurs due to viral (ORVI, cold) and infectious (measles, flu, scaryttern, tuberculosis) diseases that have moved to the running stage.

Treatment of chronic acute otitis

To get rid of acute chronic purulent inflammation in the ears in the child, recommended hospital treatment. The doctor prescribes observation of the outflow of pus, if such does not occur, the method of puncture of the eardrum is applied. Antibiotic treatment - one of the main medical procedures in acute inflammation. Medicines that need to be introduced into the ear itself are prescribed only after removing the resulting polyps and pus from it.

Allergic purulent otitis in children

This type of disease in children is provoked due to allergen in contact. It is characterized by an allergic otitit that the mucous membrane of the ear amazes swelling. The main symptoms, with allergic inflammation of the middle ear, the following are: broken ear, lays the ears, the feeling appears that someone transfers fluid in the ear. Purulent discharges during allergic oha inflammation are not uncommon.

Treatment of allergic inflammation of the ear - a long and labor-intensive process. It is revealed in children suffering from asthma, rhinitis and other allergic manifestations.

Treatment of allergic otita

Like all sorts of ear inflammations, allergic is treated with conventional methods, but besides them, it is possible to appoint anti-allergenic drugs, anti-inflammatory, antibiotics, vitamins.

Bilateral purulent otitis in children

The purulent bilateral in the child is manifested in the same way as its other types: the kid whimshes, treads his ears, crying, nothing eats. Its sick, the urges are observed for vomiting, headache.

Treatment of the bilateral inflammatory process in the ears is reasonably only in the hospital under the supervision of an experienced doctor. Parents who suspect bilateral otitis in children is prohibited to be treated independently and resort to methods folk MedicineTo avoid serious complications.

It is interesting to read:

Treatment of bilateral octitis

Local treatment (ear and nasal drops);
Elimination of symptoms (pain perico);
Treatment of colds and infectious diseases (influenza, ORVI, Cort, etc.)
Conducting physiotherapy (improving immunity and improved general condition).

Bilateral otitis - serious diseaserequiring immediate treatment.

Prevention of purulent octita

To protect your children from such complex diseases: meningitis, mastoid, as well as kidney disease, liver, hearts. When the first symptoms of purulent inflammation of the ears appear, you need to contact the doctor. The earlier identify in children sharp view Inflammation of the middle ear, the sooner treatment will pass.

It is also written in detail about the prevention of otitis

Hygiene is also important.More often wash your ears to your baby. Many parents know that earwax Promotes the development of infections that cause an inflammatory process in the ears.

Keep the baby's head in warm.Even when, it seems that the wind or draft is insignificant, the child should still wear a cap or cape.

Take care of your kids from early childhood!

Pump from ear in a child is allocated due to a bacterial infection, which struck the mucous membranes of the middle ear.

It may arise for various reasons:

As complicing another. Otitis can be the consequence of any infectious disease: ARVI ,. Inflammation of U. little child Quickly applies to the auditory tube, causing purulent processes.
After catarrhal otitis. The unabiliated catarrhal otitis, which does not cause suppuration, accompanied, as a rule, only with painful sensations, can over time to switch to an acute purulent form. This happens quite quickly, especially if the breast child is treated for a long time without the help of a doctor, household means, and Mom did not suspect the pain in the ear.
Anatomical features of the structure of the ear and nose in children. If the structure of the nasal strokes, the auditory and the tube of the middle ear is from the birth of the wrong, contributing to the penetration of pathogenic microorganisms, the probability of becoming the purulent otite in childhood is increasing several times.
Injury. Infection can penetrate into the middle ear and after injury: from impact or collision, when hitting foreign bodies In the ear (and in childhood it happens quite often), when diving to depth without protection, chemical burns After washing with solutions and drops.
With an inflammatory process under action pathogenic bacteria In the cavity of the middle ear begins to accumulate the pus, which sooner or later breaks out. But purulent stage Otitis is most often not the first. At first, there is a slight inflammation and pain, pus will be copied inside, and it breaks through strong inflammation. In some cases, pus from the ear flows along with blood.

The risk of purulent otititis increases significantly if the child is born prematurely and low weight if he has a hereditary predisposition to the diseases of the ear, the child has a weakened immunity, there are cranial anomalies, a tendency to, or he is on artificial feeding instead of the breast.

Other symptoms of purulent otitis. When do you need a doctor?

Pump from ear is an unequivocal sign. Purulent discharges definitely require medical care. It is impossible to treat a child with purulent otitis by folk remedies without consulting the Laura and Pediatrician.

In addition to pnu, parents can notice other symptoms of purulent otitis, which manifest themselves both before and after the appearance purulent discharge:

Elevated. When otitis, the temperature can lift up to 39-40 degrees. If you constantly knock it down, you can miss one of the most important signs Starting otitis. If the child gave the antipyretic, should report this to the doctor.
. When otitis, the child arises noise in the ear, the feeling, fluid transfusion appears inside. A breast child can not always report such a symptom, but he can worry, capricious.
Ear pain and headache. Small children who cannot report pain in the ear, behave very restlessly, sleep badly, they can scratch the ear, cry. Pain with otitis often shooting or noving, in the jaw, eyes.

If Otitis is not a complication of another infectious disease, it can manifest itself very unexpectedly with the apparent child's health. The presence of a temperature in a child, no appetite, bad Son., anxiety, crying are temperatures to appeal to the doctor. Only an experienced doctor will be able to determine the cause of the child's concern, to diagnose and prescribe treatment.

It is advisable to refer to the doctor before the advent of pus, since it can be copied for a long time inside the ear, without causing membrane.

Pushing accumulations cause severe pain.Sometimes otitis is preceded by the diseases of the nose and throat, which must be treated in order to prevent complications.W. baby You can see movement through the eyes towards the sick ear, attempts to take it with your hands, break the ear of the pillow. During breastfeeding and sucking pain, as a rule, the child throws his chest, begins to cry.

The heavy form of otitis can be accompanied by such symptoms as vomiting, heading of the head, tension in the field of spring (in children up to year), diarrhea. When such signs appear, it is necessary to call an ambulance.It is worth remembering that the catarrhal otitis can go into a purulent form within one or two days, so it is necessary to diagnose as early as possible and begin treatment.

Medical treatment: drugs, species and description

Any drugs must be appointed by a child a doctor. Medicines, especially more age restrictions and contraindications. The duration of the course of treatment is also determined by the doctor.

It is very important to recognize otitis on time and do not put cotton swabs with boric alcohol, as they will only enhance inflammation.

Medications:

. Choosing an antibiotic and his dosage should a doctor. Depending on the age and condition of the child, the pediatrician (or ENT) will select the appropriate preparation in the form of a minimum side Effects. Often, amoxiclav, Sumamed, Ecomeda are prescribed to small children. They are sold in the form of suspensions and have a pleasant taste. Antibiotics give 1-3 times a day at the same time, observing the dosage prescribed by the doctor. Often moms are afraid to give breastfish Antibiotic because of, but in other ways to overcome bacterial infection It is impossible. If you follow the rules of admission, continue to feed the child with breasts and give prescribed probiotics for the prevention of dysbacteriosis, all side effects will be reduced to a minimum.
Ear drops. Ear drops have strict age limitations. A completely small, newborn children are not recommended to drip in any dosage due to the high risk of side effects. and anesthetics type drops can be assigned to breast. They simultaneously remove unpleasant symptoms and reduce inflammation. Drops with antibiotics, for example, Tsipromed, are prescribed at the severe form of otitis to children older than the year. Combined ear drops, such as Phalidex, are prescribed for children from 2.5 years.
Antipyretic drugs. Because when otitis often rises, the doctor may prescribe. However, if when taking antibiotics, the temperature lasts more than 3-4 days, it should be informed about this doctor. Nurofen syruphes and Panadol syruphes are most popular among children's antipyretic drugs. They have a pleasant taste, well tolerated by children at any age. The dosage is determined by the instructions for weight. Cefecon candles can also be used as an antipyretic drug. They quickly remove the temperature and unlike the syrup and do not cause joining in infants.Do not give a small child preparations like aspirin and analgin. They aggressively act on the gastric mucosa and can cause various side effects.

Folk recipes for the treatment of purulent otitis

Treatment of purulent otitis exclusively by means of traditional medicine without consulting a doctor can lead to very sad consequences, up to meningitis and fatal outcome. Folk remedies should be appointed by a doctor as part of treatment. Some means and herbs are contraindicated with small children and can cause a strong allergic reaction.

You can not try on the child unverified or suspicious recipes, tips of acquaintances and neighbors. If a visit to the doctor in this moment For some reason, it is impossible and at hand without any drugs, you can resort to the safest and proven methods of treating and facilitating pain at.

It is impossible to warm your ear. No warming procedures for purulent otitis are not allowed. Do not have a habit of getting a boric alcohol in your ear, it can cause a burn. You can apply tampons with alcohol to the ear only with outer otitis.
Often otitis in a child is accompanied by various other ENT diseases. Easy the situation can. Little child It is possible to flush the nose with a pipette with the help of soda solution or special drops, but in no case with a jet of water. If the child in the nose has accumulated mucus, it must be removed as a aspirator or a children's pear.
Sometimes it is recommended to bury the juice of baked onions in the ear. Luke juice is also mixed with butter and insert a tampon with this mixture in the ear with purulent otitis. It is difficult to say how safe is this method for a small child. In the chest and newborn, it is better to abandon this method of treating otitis, so as not to cause a mucosa burn and do not enhance inflammation.
A relatively safe for the child is the decoction of a laurel sheet. A couple of leaves need to boil in the water, insist 2-3 hours and drip in each ear. Bay leaf It has anti-inflammatory action.
Natural almond oil has a painful effect. It can be buried in the ear in a small amount.

Exist folk recipes With the heating on paper in the child's ear, instillation of alcohol tinctures. Such tips are advised to avoid and always consult with a doctor about the treatment and selected methods.

Possible complications

Acute purulent otitis pretty quickly flows into a chronic form in the absence of treatment.

Purulent otitis in a child is cunning diseasewhich at first easily confuse with the usual, but the effects of otitis can be very serious:

Deafness. For severe course Hearing diseases may be irreversible. After the disease, small can be maintained up to 3 months, but then hearing should come back. If the rumor remains low enough for a long time, the child may need additional examination and treatment.
Perforation of the eardrum. Perforation of the eardrum can be both the cause and the consequence of otitis. With an inflammatory process in the middle ear, the outflow of the fluid is disturbed, it accumulates and presses that it can lead to its rupture. Pump begins to stand out after perforation, causing irregularities, noise in the ears. The main danger of such a break is the lack of a barrier between the middle ear and external environment. As a result, inflammation can enhance and spread to nearby fabrics.
Meningitis. Highly dangerous diseaseassociated with inflammation of brain shells. With purulent otitis the likelihood that the infection will reinflect on the brain shell, is quite large, therefore such a disease, as cannot be launched. It is believed that meningitis is most often found in children. The first signs of this disease are high, lowered appetite, thirst, sinusia in the mouth, the pallor of the skin, headaches. Then the child begins to respond sharply to light and noise, headaches enhanced, vomiting begins, cramps. Meningitis develops very quickly, death in the absence of treatment occurs within 1-2 days, so when the first signs, it is necessary to cause ambulance.
Mastoid. This is inflammation of the mucous and bone tissue temporal bone In the area of \u200b\u200bthe temple, swelling appears, headaches are enhanced, the body temperature increases. This is the most frequent consequence otitis.

Purulent otitis in a child proceeds very quickly and requires immediate treatment. With timely and proper treatment, the risk of complications to the minimum can be reduced.

The best prevention of otitis in children is the strengthening of immunity. That absence cold illness, strong immunity and ultra of vitamins helps the body to cope with any infection.A newborn and pectoral child has immunity depends on breastfeeding. The longer mom feeds the child with breasts, the stronger his immunity.You can harden the child from the first months of life, but this does not mean that it immediately needs to be accustomed to low temperatures. Air and sunbathing will be enough.

The room in which the child is located is to regularly venture, carry out wet cleaning. Most often, children begin to hurt in the cold season. Not only frosts, but also heating in homes, which overcourses air, creating favorable conditions for breeding bacteria. In the child's room, it is advisable to put a moisturizer.

If nevertheless, the child fell ill, it is necessary to begin to treat before it tries to a more serious type of otitis.

No need to believe that the cold itself passes in seven days, treatment is still needed. The nose of a diseased child needs to be regularly rinsed with moisturizing solutions of the type of Aqua Maris and the deryvin, remove the liquid and watch it so that it does not thicken.

Useful video - purulent otitis in a child: causes and treatment.

Be sure to remove snot in a child by illness. For this, there are comfortable nasal aspirators and children's pears. If the mucus in the nose will accumulate, it will fall into the throat, the infection will spread further.The child must drink enough. Even he is on breastfeeding, besides breast milk He must drink water, and after 5 months, children's teas and juices. A sufficient amount of liquid helps the body to deal with infections, increasing it protective properties, and establishes the work of the intestine.

In infants, inflammation in the ear can begin after bathing and getting there. Before bathing, it is desirable to insert cotton swabs into the ears and watch the water to do not register there. Older children are not recommended in summer to dive into river water.The child needs to regularly clean the ears, but very carefully not to damage the eardrum. Best use special children cotton buds With limiter.

Purulent otitis in a child often develops between the ages of 5 months to 5 years, when the hearing organs are still not fully formed. For this reason pathogenic microorganisms Can easily get inside. In order for the therapy to be effective, you need to know the first symptoms of the disease, as well as classical methods of treatment. If you do not visit the doctor on time, it is possible to develop even more serious pathologies.

Fresh otitis in a child is a fairly common phenomenon, since it provokes this disease various infections. Purulent form otitis is acute inflammation Parts hearing systemwhich includes the eardrum. The relatively small area is inflamed, which has the temporal bone, where direct sound conversion takes place. The purulent otitis in the child also develops the inflammatory process of the mucous membrane, which leads to the accumulation of purulent discharge. Mine education can cause deafness, so it is important to start treatment in a timely manner.

The physiological structure of the ear of the child has been different anatomical featuresTherefore, microorganisms are easier to get inside the middle ear. The auditory passage in children of this age is wide, and the lumen of the pipe is narrow. Also, the auditory tube is located in a horizontal position, and not at an angle.

To quickly remove inflammation, you need to know how to treat purulent otitis. To do this, you must visit the otolaryngologist.

Without medical care, therapy may be ineffective, in addition, the treatment of children implies the use of only safe medicinal compositions and procedures. To say how long the purulent otitis is treated, since it all depends on the status running.

Symptoms otitis in a child

Pump in the ear of a child is only exterior sign otitis, so it is important to recognize the disease for a whole complex of symptoms. As soon as purulent discharge begin to form, the child begins to feel strong pain in the ears. Pain syndrome is distinguished by constant, cutting or pulsating character. The overall feeling of the kid sharply deteriorates, the following symptoms may arise:

Severe weakness;
Pallitude of the skin;
Increasing body temperature;
Pain in the head, jaw;
Reduction of hearing;
Convenience and noise in the ears;
The appearance of the discharge from the avenue with an admixture of blood.

If the baby is already saying, then he can simply ask him where it hurts him, which cannot be said about breast children. Breasts when otitis can often cry, capricious. Due to ear pain, such kids can be observed:

Bad appetite;
Bad sleep;
The child's desire to lie on that side where the ear hurts;
The appearance of vomit urges;
Frequent scratching ear handle;
Increase body temperature.

What if the pus does a child appear immediately in both ears? Purulent otitis in children of the first months of life often flows this way. Each fifth case of bilateral otitis is converted to purulent. Doctors divide the symptoms of purulent otitis in children at once into several stages.

The famous Dr. Komarovsky purulent delivers the first step towards the development of chronic otitis, so it is important to learn to distinguish the stages of the development of this disease:

Development of primary signs in the form of constant noise in ears, light dizziness, light weakness.
The rise of pain. With a horizontal position, the pain is enhanced, the body temperature rises.
Pain strengthening. Breakfasts in the ears are becoming brighter, the pain is in mind, the jaw. When applied to the ear, the condition worsens even more.
Peak pain. The noise is becoming louder, the rumor is reduced, the pain is difficult to endure, they begin to hurt the eyes in parallel, the nasophack is inflated, the temperature does not fall.
Reducing pain after bringing in pus. Noise and mortgage are preserved, but the temperature comes back to normal. Allocations can be observed within 5-7 days.
Scarring perforations. Inflammation decreases, soreness and noise pass, hearing acuity is restored.

Such frequency of the development of purulent otitis is possible with proper treatment. If medical assistance is granted not in time, then the pus can spread through the neighboring tissues and vessels, causing inflammation of the brain, and eye, etc. If the child was delivered to the doctor on time, then often Otitis does not reach the stage of tissue perforation.

Do you need antibiotics?

To install an accurate diagnosis of the doctor, it is necessary to inspect the child's ears with an otoscope. This equipment is a small probe that is installed in ear shell. With its help, the doctor is easier to see the condition of the tissue inside the organ. If the alleged diagnosis was confirmed, then initial stage Diseases are permissible homemade treatment, but under medical supervision. Strong immunity able to cope with otitis in just a few days, but taking into account the parallel reception of antipyretic, painkillers and antihistamine drugs. If Otitis is diagnosed with moderate severity, it is reasonable to connect to basic therapy and antibiotics.

How much purulent otitis is treated with a child can only say the otolaryngologist, as each organism is individual. Antibiotics with purulent otitis in children are prescribed only after laboratory research Selection. Laboons must accurately determine the nature of the microorganism, which caused an inflammatory process.

It is necessary to prescribe antibiotic therapy with a severe form of the disease, when the temperature is above 38 degrees, is observed strong acute pain and intoxication of the body. Children up to 2 years old antibiotics can be assigned only after the exact diagnosis installation. Before appointment, the doctor must learn everything possible contraindications To receiving the selected drug to minimize the risk of developing complications and side effects. For the treatment of purulent otitis in children use the following medicinal antibiotic products:

Augmentin. Suppose to receive from 3 months of life. The maximum time of admission is 14 days. The drug has a semi-synthetic composition, is distinguished by a wide range of action on pathogenic microorganisms.
Sumamed. The drug has a pleasant fruit taste, but it can not be prescribed to children up to 6 months.
Dioxidine. He also has wide spectrum Actions, but contraindicated to children under 7 years old. Patients older than this age can be used in the form of droplets.

If the treatment with antibiotics was short-term, then the appearance of repeated otitis is possible in a week. It is important to deal with the main causative agent of the disease. If the antibiotic was correctly accepted and was selected qualified doctor, it will quickly remove inflammation, reduce swelling, stops the release of purulent masses. There are cases where the appointed antibiotic does not give the expected result, then the doctor is forced to change the prescribed drug treatment.

Medicia treatment

Frequent otitis in a child - a direct signal about weak immuniteteTherefore, for treatment, and for prevention is appropriate to give the baby immunostimulating drugs. Protective forces children's body Are subject to frequent attacks of viruses and infections, so this fact should be taken into account during the epidemics during the cold season.

Symptoms of purulent otitis in children are directly related to methods of treatment, but self-medication in this case is simply unacceptable. If it is wrong to choose a drug, then a transition is possible acute form Otitis in chronic. In the running situations, purulent otitis can lead to disability or even death.

Otolaryngologists advise to adhere to the following treatment algorithm for purulent otitis:

Receiving antipyretic preparations based on paracetamol - Calpol, Panadol, Effergangan;
The use of nasal vesseloring drops, but they cannot be used to treat children under 1 year (Drops Ottipaks, Nazivin, deryvin) ;
Reception of immunomodulators (Viferon);
Receiving antihistamine drugs in the event of otitis on the background of allergies;
Appointment of antibiotics.

It is strictly forbidden to use aspirin and analgin for children. During the treatment period, the street walking in the pool, supercooling is contraindicated. Symptoms and treatment are always interrelated, so it is important for effective therapy to consult a doctor.

Besides medical treatmentThe doctors necessarily assign a number of physiotherapy procedures:

Heating ultraviolet raysbut not in the case of purulent otitis;
Pneumatic massage;
Washing and purging the ears.

Only the attending physician should choose the exact type of procedure, since the heating of ear tissues with purulent form is contraindicated. When heated it is possible to spread infection by brain vessels, eyeballs, internal organs.

Folk remedies

To treat bilateral purulent otitis in children is sometimes appropriate and folk methods, but before their application, it is necessary to consult with the doctor. Not all components unconventional recipes Treatment is permissible for a children's body, it is necessary to take into account their high sensitivity and individual intolerance to the compositions. Options for folk treatment:

Tourunds from camphor oil. It is enough just to moisten a cotton tampon in the form of tourands in camphor oil. It should be slightly moistened. Place in the ear for 3 hours. Top to cover your ear with a warm scarf or put on the cap. Repeat the procedure 1-2 times a day. For children from 2 years, camphor oil is better to breed in equal proportion to water.
Boric acid compress. Finished cotton turund moisten in a boric acid and put in the ear for 30 minutes. At the time of the procedure to occupy horizontal position. Repeat a day 2-3 times.
Carrot juice drops and butter. Butter pre-melt and cool a little, add 1: 1 in proportions carrot juice. You prepared a mixture of 1-2 drop in the child's ear. The procedure is permissible to conduct children over 5 years old.

Any recipes folk healers You can not use without prior consultation with your doctor. You can not use those compositions where beekeeping products are present for those children who have allergies on honey. Drops with any makeup are contraindicated for all kids up to 2 years.

Possible complications

If you do not start therapy on time, then the development of a number of complications is possible:

Transition acute otitis in chronic;
Meningitis;
Antrit;
Mastoid;
Paralysis of facial nerve;
Hearing loss;
Spikes on the eardrum;
Choleateatom (tumor).

It is impossible to launch such a disease, because it is a characteristic quick transition from one form to another. The probability of a stroke appeared sharply increases, as damage to the brain vessels can happen.

Preventive measures

To secure the child from the development of otitis, parents need:

Follow the frequency and duration of walks in the fresh air, not to overeat a child.
The head of the baby should always be warm, but without overheating.
Strengthen the child's immunity with complex vitamins and proper nutrition.
Do not attend pools and open water sources when primary symptoms Colds.
Treat viral infections under the doctor's supervision so that there is no recurrence of the disease.
In a timely manner of the child's easter hygiene, do not bring to a great accumulation of ear sulfur.
Nasopharynx diseases treat comprehensively so that there is no complications.

Parents are important at first symptoms otitis to apply for medical helpSince every day without proper treatment exacerbates the course of the disease.

The aircraft of purulent otitis in a child is unacceptable, so do not trust people's methods Treatment. This disease is fraught with serious complications, it is not necessary to expose the health of the kid's danger once again.

Purulent otitis is often found in children, and this disease is often recurrent. Provoking factors can be infectious diseases, weakening the immune system, an increase in adenoids.

In any case, the alend's symptoms should be the basis for accessing a specialist. Only a doctor will be able to appoint effective treatmentwhich will help defeat this disease.

Purulent otitis in a child

Under this term, the purulent defeat of the middle ear is a component of the hearing system, the main link of which is considered a drum cavity. It is a small space in the temporal bone, which is responsible for treating sound oscillations.

The appearance of purulent otitis in children can cause problems in the formation of speech. Often, this disease violates psycho-emotional development, creates difficulties with the perception of information and reduces the quality of life.

With purulent form otitis, the mucous membrane of the ear is inflamed, which is accompanied by the production and accumulation of pus. This species Diseases are much more dangerous than catarrhal, because it may cause hearing loss and intracranial complications.

Causes

The main reason for the appearance purulent form Otitis is considered to be inflammation of the nasopharynx, the appearance of adenoids, chronic forms of rhinitis and sharp respiratory viral infections. All these pathologies lead to an overpressure of the mucus in the nose.

With a strong player, the release data penetrate the pipe and overlap it. As a result, ventilation is disturbed, which leads to infection and inflammatory affecting of the mucous membrane.

When the inflammatory fluid is selected, the child appears and the hearing is worse. Bacteria that penetrate into the middle ear are starting active development. As a result, in a few days or even hours, the baby occurs purulent discharge.

Stock Illustration Changes in the ear during purulent otitis

Then, his well-being is seriously deteriorating - the temperature increases, increases with pain syndrome. With a strong pressure on the eardrum, it breaks down, which entails the hypnation.

This disease is significantly more often diagnosed in children than in adults. This is due to objective reasons:

Eustachiyeva Pipe in a child has already been much already, rather than in an adult. Therefore, the violations of its passability arise significantly more often.
Many children have enlarged adenoids. These formations lead to the compression of the Eustachius pipe, which makes the lumen in it much less.
Children are more likely than adults, they suffer with sharp viral infections.

In addition, there are additional factors that significantly increase the risk of purulent otitis in a child. These include the following:

supercooling;
lack of vitamins;
continuous use of antibacterial drugs;
penetration of fluid in the ear;
reducing the protective forces of the body.

Symptoms

The appearance of purulent otitis in children is accompanied by a pronounced pain syndrome in the ears. This symptom is accompanied by constant fooling. Pain may be cutting, buttering or pulsating.

At night, discomfort significantly increases, provoking sleep disorders. In addition, children often occur such symptoms:

pallor skin;
general weakness;
reduction of hearing;
purulent discharges with bloody impurities;
temperature increase.

If the baby is asked what it hurts, he will indicate in the ear. To identify the pathology in infants is much more complicated.

With purulent otitis, newborn kids are constantly crying, they have serious problems with sleep. The following symptoms may also appear:

failure to eat;
the emergence of vomit reflexes;
attempts by a child to lie on the side where the accuracy of the ear.

With this form, Otitis in kids increases the temperature. This is considered a reason for the emergency call, since there is a threat to the emergence of serious complications.

How to recognize

The doctor detects the disease on the basis of complaints, studying the history and data of the otoscopy. Usually prescribed the following types of research:

Common inspection, endoscopic examination of the ear cavity, nose and nasopharynx - is usually performed after cleansing the channels.
Audiological and vestibular examination.
Waltzali maneuver - in this case, the exudate is pushed into a hearing aisle.
Laboratory analysis of the secret is carried out to assess susceptibility to antimicrobial means.
Estimation of the state of immunity.
and radiography.

Views

There are a number of varieties of purulent otitis in children, for each of which are characterized by some features.

Acute

The acute form of the disease is accompanied by pronounced pain syndrome and leads to the appearance of purulent discharge in the ear cavity. If you cannot immediately start adequate treatment, there is a risk of chronic process. It is characterized by a steady defeat of the eardrum. Also, the child may gradually decline the rumor.

Bilateral

For this form of purulent otitis, the inflammatory defeat of both ears is characterized. This is a very serious illness that is a special danger to young children.

Almost 90% of all Otites have a bilateral nature. A few years later, the number of such diseases decreases. This is due to the development of the hearing aid.

Recurrent

This diagnosis is made if repeated disease It occurs after a short period of time after the first. It is the result of incorrect therapy or violations of the doctor's recommendations. Also to relapses often leads inflammation of adenoids.

Treatment

To cope with pathology, prevent the development of dangerous complications and loss of hearing, you need to diagnose pathology in time. The treatment must select a doctor, depending on the stage of illness and its manifestations, and how long it depends on the stage and complexity of the disease.

Medicate

When purulent otitis, especially in children under 3 years old, antibiotics are usually prescribed. Such drugs can be used in the form of tablets, injections or suspensions - it all depends on the age of the patient and the stage of the disease.

For the treatment of this form of the disease, penicillins, as well as their combinations with clavulanic acid, are most often used.

To the most effective means Amoxicillin, Augmentin, Amoxiclav, etc.

If penicillins cannot be used or treatment with their help does not give results, the cefalosporins are discharged - ceftriaxone, cefazoline.

With the inefficiency of the listed means or availability allergic reactions Doctors prescribe macrolides. To the most popular medicinal preparations This category includes azithromycin and clarithromycin.

If the child has purulent otitis, it is sure to prescribe vasoconstricting drops for the nose. With their help, it is possible to cope with the swelling of the mucous membrane and make the absurpenix of the hearing pipe are wider. Typically, doctors are prescribed Galazolin, deryvin, naphtizin.

To combat swelling mucous membranes, it is often used and antihistamines. Claritin, Tavagil, Loratadine can be attributed to the most effective drugs from this group.

With intense pain syndrome Prescribe anti-inflammatory agents - paracetamol or ibuprofen. These drugs also contribute to a decrease in temperature. The doctor may write tablets, syrup or candles.

In the absence of perforation of the eardrum, discharge drops into the ear. Otipax has excellent anti-inflammatory and painkillers. This harmless drug can be used even for infants.

If the baby is observed chronic form purulent otitis, it shows the use of immunomodulators. These include Viferon, biopreparations, soaring medicines.

Folk methods

Before using any folk remedy At home, it is necessary to obtain a consultation of a pediatrician and a otolaryngologist.

When purulent otitis appears in the diet, the baby needs to include many products with vitamin C. It helps to strengthen the immunity and provides fast recovery. This substance is present in Kiwi, sweet pepper, citrus.

An excellent means of this form otitis is a decoction made from raspberry roots. It has pronounced anti-inflammatory properties.

Rhizome need to grind, take 3 spoons of raw materials and add 1 liter of boiling water. The tool must insist 12 hours. Take twice a day for 3/4 cups for a month. During this time, damaged refill will be successfully lit.

Frequent purulent otitis in a child what to do

If a child often has similar problems, you need to establish the reasons for their appearance. Quite often, immune failure leads to this. Therefore, treatment will be negotiated by the introduction of Gamma Globulins, ascorbic acid, lysozyme, etc.

During the remission, hearing pipes are often prescribed. An eardrum massage can also be carried out. If necessary, puncture is performed to eliminate the sinusitis. The doctor may assign a tonsillotomy or remote adenoid.

How to avoid complications with purulent otitis, will tell an experienced doctor in our video:

Prevention

To prevent the occurrence of purulent otitis, you need to deal with its prevention. It includes a number of components:

preventing viral infections;
strengthening immunity;
water procedures;
proper nutrition;
timely therapy of nasopharynx diseases.

Purulent otitis is considered very dangerous violationwhich can provoke a decline in hearing. So that this does not happen, you need to turn to a specialist in time and clearly adhere to its recommendations.