Bilateral eustachitis treatment

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Bilateral eustachitis in children

Eustachitis is an inflammatory disease that occurs in the auditory (Eustachian) tube and is accompanied by hearing loss. With bilateral eustachitis, both the left and right ears are affected.

Table of contents:

Ventilation of the tympanic cavity deteriorates, which can lead to the development of otitis media. Additionally, damage to the ear mucosa is observed, which can increase in volume and completely block the cavity of the middle ear.

Causes

The causes of eustachitis are diseases of the nasopharynx, when inflammation spreads to the auditory tube. Growing adenoids also have a beneficial effect on the development of the inflammatory process and affect the middle ear area. Eustachitis can develop as a complication of the following diseases:

  • Pharyngitis;
  • Purulent sore throat;
  • Sinusitis;
  • Flu;
  • Chronic and acute rhinitis is considered the most dangerous cause. In this case, swelling of the nasal mucosa and auditory tubes occurs, which can lead to their obstruction. This significantly complicates the ability to equalize pressure in the area of ​​the eardrum and impairs the mobility of the auditory ossicles.
  • If the cause of the disease is vasomotor rhinitis, swelling is observed in the area of ​​the inferior nasal turbinates. Next there is a transition to the mouth of the auditory tube. Such eustachitis must be treated quickly and comprehensively.

With a deviated nasal septum or tumor of the nasopharynx, as well as the continuous course of infectious diseases, chronic (bilateral) eustachitis may develop. One of the most common causes of the development of bilateral lesions is considered to be changes in atmospheric pressure.

Symptoms of eustachitis

Symptoms of eustachitis are most often associated primarily with hearing impairment. Additionally, the patient may complain of a feeling of fullness, noise and fluid in the ear, and sometimes purulent discharge occurs. There may be some improvement in swallowing, but then the symptoms return. The patient may also report that his perception of his own voice has increased.

Congestion may be temporary and appear or occur depending on changes in atmospheric pressure. When pressing on the ear, painful sensations can sometimes occur, which go away on their own after some time. Sound transmission is disrupted mainly at low frequencies.

In the acute course of the disease, complaints of headache and ear congestion may occur. An increase in body temperature is rare; in general, the patient feels well. It is important to seek help from a doctor in a timely manner so that the acute stage does not turn into chronic. This way you can prevent the development of bilateral eustachitis.

Symptoms of eustachitis are associated with limited mobility and retraction of the eardrum, which develops as a result of changes in pressure in the middle ear.

Diagnosis

First of all, the specialist conducts an oral survey, which allows you to identify the presence of characteristic symptoms. Otoscopy and audiometry are performed simultaneously. Bilateral eustachitis is diagnosed using a comprehensive examination, which includes:

  • Otoscopy procedure;
  • Hearing research;
  • Detection of patency of the auditory tube;
  • Rhinoscopy;
  • Bacteriological culture of a smear from the pharynx area.

Basic treatment methods

In order to understand how to treat eustachitis, the doctor must determine the stage and evaluate the clinical picture of the disease. Depending on this, a further treatment strategy is formed, which includes the prescription of the following groups of drugs:

  • Antibacterial drugs;
  • Immunomodulators to eliminate the underlying disease;
  • Preparations in the form of nasal drops or sprays that have a vasoconstrictor effect: Otrivin, Tizin, Nazik, Vibrocil;
  • Antihistamines to reduce swelling and itching;
  • Complex action drugs with mucolytic and antihistamine effects: Erespal.

Bilateral eustachitis is treated by starting with eliminating the root cause: a stuffy nose. For this purpose, preparations for rinsing the nasal cavity are used: Dolphin, Aqua Maris, Marimer; Prescribe vasoconstrictors and glucorticoids to eliminate inflammation, as needed.

After eliminating the swelling, the auditory tube is ventilated using the drug Hydrocortisone. The catheterization procedure is considered quite complex and must be performed by a competent, experienced specialist.

Patients often ask the question: how to treat eustachitis comprehensively, using alternative methods of therapy? Pneumomassage of the eardrum, as well as physical therapy: laser and magnetic therapy, and the use of UHF, are considered an effective method of treating this disease. The use of electrical stimulation can significantly expand the ear canal.

After completing the course of treatment, the patient is recommended to undergo additional examination, which allows us to identify the general condition of the tympanic cavity.

Eustachitis in a child

Having gained an idea of ​​what eustachitis is, let’s consider whether there are any fundamental differences in the course of this disease in childhood.

Eustachitis in children can occur without fever or pain in the ear area. General health is assessed as normal, the child is active. The cause of the development of this disease in patients of a younger age category can be various infections: staphylococcal, streptococcal, pneumococcal in nature. The inflammatory process spreads from the nasopharynx to the tympanic cavity and becomes significantly more complicated when breathing becomes difficult.

There are a number of diseases that not only provoke the development of eustachitis, but are also concomitant: scarlet fever, whooping cough, diphtheria, inflammation of the adenoids.

Eustachitis in children is expressed in the form of the following symptoms:

  • Feelings of heaviness in the head and tinnitus;
  • The presence of fluid in the ear, which is clearly felt when the head is tilted;
  • One or both ears are blocked.

To treat eustachitis in children, antibiotics, anti-inflammatory drugs, middle ear lavage and the use of vasoconstrictors are prescribed.

If eustachitis is diagnosed in a child, he should be at rest and on bed rest. As a preventive measure, it is recommended to remove the adenoids (if their active growth is diagnosed).

Forecast from specialists and methods of prevention

Having information about what eustachitis is, the patient can promptly contact an otolaryngologist to prevent the development of unwanted complications. This disease is considered to be quite sluggish, which is not conducive to a quick visit to the doctor. With timely initiation of complex treatment, the prognosis for the patient is very favorable. An advanced disease can cause complications in the form of persistent hearing loss, suppuration of the Eustachian tube, and the development of adhesions in the middle ear.

A severe runny nose can also provoke the development of bilateral eustachitis, so it is recommended to blow your nose correctly: with your mouth open, pinching both nostrils in turn. In order to prevent eustachitis in children and adults, experts recommend timely treatment of infectious, allergic and inflammatory diseases of the nasopharynx. You should also avoid sudden changes in pressure and refrain from sports such as diving and mountain climbing. It is also recommended to limit long flights on airplanes.

Recommended reading

Tuberculosis of the larynx and pharynx is a complication of the main type of tuberculosis - pulmonary. The disease develops due to infection of the patient.

Otitis externa is a disease associated with the development of an inflammatory process in the external auditory canal. Pathology classification.

Sore throat spreads through the oral-fecal and airborne routes. Most often, the virus affects children. Herpes sore throat occurs in children d.

Frontal sinusitis is one of the types of sinusitis. Of all similar diseases, it takes longer and is more difficult to treat than others. Difficult to treat.

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Eustachitis (tubo-otitis): symptoms and treatment

Eustachitis, salpingo-otitis, or tubo-otitis is an inflammatory process that occurs in acute or chronic form with localization in the auditory (Eustachian) tube. This pathology leads to poor ventilation of the auditory tube (often it is completely absent), which is the first reason for the progression of catarrhal otitis media.

Eustachitis: reasons for development

The disease in question can occur for a variety of reasons, but most often doctors diagnose eustachitis as a complication of certain pathologies:

  • acute respiratory viral infection - viruses and pathogenic bacteria penetrate from the nasopharynx into the auditory tube and beyond;
  • fungal infection - the cause of eustachitis can be the contact of pathogens of tuberculosis, chlamydia, syphilis and other nonspecific microflora on the mucous membrane of the Eustachian tube;
  • pathologies of the nasopharynx that occur in a chronic form - for example, tonsillitis, pharyngitis, adenoiditis, sinusitis;
  • allergic reactions - often manifests itself against the background of allergic rhinitis (runny nose) and polyposis;
  • neoplasms of the nasopharyngeal cavity;
  • hypertrophy of the nasal concha;
  • curvature of the nasal septum.

In addition to clearly defined reasons for the development of tubo-otitis, doctors also identify several predisposing factors:

  • low level of immunity in chronic diseases - for example, diabetes or common vitamin deficiency;
  • long-term coughing and sneezing - with these actions, the pressure in the tympanic cavity increases sharply, the ventilation of the auditory tube worsens;
  • improper cleansing of mucus from the nasal cavities during a prolonged runny nose, when a person begins to blow his nose simultaneously with both nasal passages.

In medical practice, it has happened to diagnose eustachitis, the cause of which was sudden changes in atmospheric pressure - the entrance to the auditory tube is compressed, which leads to damage to the structures of the middle ear.

Symptoms of tubootitis

Since eustachitis can occur in two different forms, the symptoms will vary.

Symptoms of acute eustachitis

Most often, this form of the disease in question is diagnosed against the background of influenza or acute respiratory viral infections, in which there is nasopharyngeal congestion. Signs of acute eustachitis are:

  • congestion of the ear (or ears, if the bilateral inflammatory process progresses);
  • autophony – a condition in which the patient hears his own speech in the form of an echo in the ears;
  • constant or periodic presence of tinnitus;
  • feeling of the presence of water in the sore ear - “as if the liquid is overflowing” when tilting or turning the head;
  • headache from the problematic ear.

The acute form of the disease in question is never accompanied by fever or intense pain in the ear/ears - the person feels within normal limits. If treatment for acute eustachitis is started in a timely manner, then the doctors’ prognosis is favorable - the therapy does not last long, no consequences are observed. Otherwise, the inflammatory process in question in the auditory tube becomes chronic - it is less treatable and is fraught with hearing impairment.

Symptoms of chronic eustachitis

The chronic form of the disease in question is characterized by deformation of the eardrum and cavity - atrophic changes occur in their structure. When examining the patient, the doctor will note clouding of the eardrum and the following signs:

  • the eardrum becomes deformed and retracts;
  • some areas become red (they are clearly limited);
  • hearing is impaired.

The patient will complain of a decrease in the level of sound perception, periodic congestion in the ear/ears, and a feeling of heaviness in the head (from the affected ear).

It is worth noting that eustachitis in children develops according to the same principle as in adults - tinnitus, congestion and some hearing loss are not accompanied by a deterioration in general well-being (fever, drowsiness, headaches, and so on). The child may indicate that excellent audibility returns to him when sneezing, after deep yawning and coughing.

Principles of treatment of eustachitis

The disease in question must be diagnosed by an otolaryngologist - it is necessary to exclude other pathologies of the hearing organ. The doctor will also select a treatment regimen - it is always only therapeutic.

What does the doctor recommend for eustachitis:

  1. Take a course of antibacterial drugs . We are talking about antibiotics if the diagnosis revealed the presence of a bacterial infection. Along with such drugs, the doctor may prescribe antihistamines, non-steroidal anti-inflammatory drugs and probiotics.

Please note: if you have symptoms of the disease in question, you cannot take any medications on your own - treatment with powerful drugs is indicated only for bacterial infections. Moreover, all of the above remedies can provoke the development of an allergic reaction, or give side effects - all this will only worsen the patient’s condition.

  1. Constantly make a large number of chewing movements . This method will help improve/accelerate the outflow of fluid that has accumulated in the auditory tube. Regular chewing gum copes well with this task - doctors recommend using it for eustachitis in children. If chewing gum is not suitable for some reason, then you can eat raw carrots; apples are hard foods that require a large number of chewing movements to crush them. http://www.rmolsumsel.com/images/berita/normal/199560_4_Makan-Permen-Karet.jpg
  2. Pneumomassage of the eardrum . This procedure is carried out by an otolaryngologist and involves applying low/high pressure to the membrane with a special device.

Please note: many sources indicate that such a massage can be carried out with the palm of your hand - it is firmly applied to the sore ear and they begin to make opening/closing movements with a certain amplitude. Please note that such self-massage can be carried out only after consultation with a specialist - you need to learn the rules for performing this procedure.

  1. Catheterization of the auditory tube . A solution of adrenaline or hydrocortisone is injected through an installed catheter, which helps improve the patency of the auditory (Eustachian) tube. This procedure is performed extremely rarely when the patient seeks medical help at the stage of prolonged eustachitis.

Physiotherapeutic procedures are important in the treatment of the disease in question. We are talking about magnetic therapy, laser therapy and UHF heating. But which specific procedures are suitable for a particular patient will be decided by the attending otolaryngologist. In many cases, the specialist does not prescribe drug treatment, but manages only with physical therapy. It is well known that magnetic therapy, for example, has a complex effect - it reduces swelling of the auditory (Eustachian) tube, “works” as an anti-inflammatory and antibacterial agent.

In addition to these therapeutic measures, you should take a course of vitamin and mineral preparations - boosting your immunity is important for getting rid of the disease in question as quickly as possible.

Traditional medicine in the treatment of tubootitis

Folk remedies for the treatment of inflammation in the auditory tube can be used only after consultation with an otolaryngologist - you need to make a correct diagnosis and obtain medication prescriptions. You should not perceive folk remedies as a panacea for eustachitis - they are intended only to support the body, increase its immunity and speed up recovery.

Folk remedies for eustachitis:

  1. Mix sweet clover, immortelle, nettle and pine buds in equal proportions. Then take a tablespoon of the prepared dry herbal mixture and pour a glass of boiling water (ml). The product is infused for 5 hours. Take 1/4 cup 3 times a day after meals.
  2. Prepare a mixture of eucalyptus leaves, yarrow, dandelion roots and celandine - all ingredients are taken in equal proportions. Then 2 tablespoons of the collection are poured into a thermos and poured with 1 liter of boiling water, left for 8-10 hours (it is convenient to do this overnight). This remedy is taken 1 glass per day (divided into several doses) simultaneously with the course of taking antibacterial agents.
  3. Pour 1 tablespoon of calendula flowers with a glass of boiling water (ml), leave for minutes and strain. Take 1 tablespoon 3 times a day after meals.

Please note: the above remedies can provoke an allergic reaction, so you must first make sure that the body will adequately respond to medicinal plants. If such drugs are used for the first time, then literally 2-3 sips of the decoction/infusion are first drunk, then the “behavior” of the body is monitored for minutes.

Traditional medicine recommends inhaling boiled potatoes once a day - dry steam will penetrate the auditory (Eustachian) canal and expand it, ensuring the outflow of accumulated fluid. But before carrying out this particular procedure, you must undergo an examination - it is quite possible that the doctor will prohibit any warming procedures.

Prevention of eustachitis

Since the disease in question is a complication of acute respiratory infections and diseases of the nasopharynx, prevention will consist of the following:

  • seasonally take vitamin and mineral complexes to maintain immunity;
  • promptly and fully treat any viral and/or inflammatory diseases of the nasopharynx/upper respiratory tract;
  • during epidemics of colds, regularly rinse the nasal passages with a salt solution;
  • avoid hypothermia.

Eustachitis is considered a fairly safe inflammatory disease, but only if there was a timely visit to the doctor and full treatment was carried out in strict accordance with the prescriptions of the otolaryngologist.

Tsygankova Yana Aleksandrovna, medical observer, therapist of the highest qualification category

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Eustachitis: causes, symptoms, treatment

Diseases of the ENT organs are very common among children and adults of all ages. In this article we will look at a disease that immediately affects the nose and ears, namely eustachitis. You will learn about the symptoms, causes of its occurrence, classification, diagnostic methods and treatment of the disease.

Eustachite, what is it?

Eustachitis (from Latin eustach - Eustachian tube, - itis - this is the ending indicating inflammation) is an inflammatory disease that affects the mucous membrane of the Eustachian (or auditory) tube. It is also called tubo-otitis, although tubo-otitis is an inflammation of the middle ear that is accompanied by inflammation of the eustachian tube. Why are they combined into one name? Because eustachitis certainly moves to the tympanic cavity after a couple of days, it is considered the first stage of otitis media.

The Eutsachian tube is a small canal that connects the middle ear cavity and the nasopharynx. Air flows through it, thereby regulating the pressure on the eardrum from the side of the atmosphere. Only under this condition is normal transmission of sound vibrations into the labyrinth possible.

Another function of this organ is to drain the tympanic cavity. Mucus comes out through the auditory tube, as well as exudate, which is released during otitis media. The close relationship between the tube and the middle ear explains the fact that eustachitis almost always occurs along with otitis media.

During illness, swelling of the mucous membrane occurs, due to which the lumen of the tube narrows. The pressure in the tympanic cavity decreases. Both functions of the Eustachian tube are disrupted: ventilation and drainage. Exudate begins to be released. Therefore, the patient’s hearing decreases and problems arise with the outflow of fluid from the middle ear.

Classification: types and types of eustachitis

This disease is divided into 2 forms. Acute eustachitis lasts several weeks. It is distinguished by the severity of symptoms at the beginning and complete recovery at the end. Chronic eustachitis is a sluggish form. It may periodically disappear from view, but the inflammation does not go away. After some time, exacerbations occur. The diagnosis of chronic eustachitis is made if symptoms do not go away for more than a month. This disease lasts for years. This threatens the occurrence of atrophic phenomena and stenosis (blocking) of the auditory tube.

Eustachitis can be unilateral or bilateral. The first is divided into left-handed and right-handed. In bilateral cases, both auditory tubes are affected.

Eustachitis: causes of its occurrence in children and adults

Eustachitis can be caused by infection or allergic reactions. Infection most often occurs with ENT diseases such as rhinitis, tonsillitis, pharyngitis, sinusitis. Among the infections that cause the disease are various viruses (acute respiratory infections, acute respiratory viral infections) and bacteria (staphylococci, pneumococci, streptococci). In rare cases, the disease appears with tuberculosis or syphilis. The causes of eustachitis in children are diphtheria, whooping cough, and scarlet fever.

The infection can enter the tube directly (through an opening in the nasopharynx or through injury), as well as through the bloodstream, that is, hematogenously. This route of spread is typical for viral diseases.

Predisposing factors to the occurrence of eustachitis are:

  • deviated nasal septum;
  • the presence of polyps or other tumors in the nose or throat;
  • congenital and acquired defects of the auditory tube;
  • adenoids;
  • hypertrophy of the inferior turbinates;
  • Choanal atresia.

Eustachitis in children appears quite often, which is explained by the difference in the structure of the auditory tube (it is shorter and narrower), as well as weak immunity, which is not able to cope with viruses and bacteria.

Chronic inflammation occurs due to:

  • constant relapses of the disease;
  • improper treatment;
  • weakened immune system;
  • uncontrolled use of antibiotics.

Eustachitis: symptoms and manifestations of acute and chronic forms of the disease

Symptoms of eustachitis in an adult include various unpleasant sensations in the ears:

Since the lumen of the tube expands during swallowing, at this time congestion and other symptoms recede.

The eardrum appears retracted due to a lack of pressure in the tympanic cavity. In chronic eustachitis, there are areas of necrosis and atrophy of the mucous membrane. This form of the disease leads to significant hearing impairment, and in some cases, deafness.

After some time, inflammation of the middle ear occurs, as evidenced by severe pain in the ears and hearing loss.

It is quite difficult to detect symptoms of eustachitis in children, and especially in a small child. They are not pronounced, the child will behave as with many other ailments: restless, capricious. Possible fever, refusal to breastfeed or eat. Distinctive signs will appear when tubo-otitis begins: pain in the ear will force the child to fiddle with the ear.

Diagnosis of the disease

Diagnosis of eustachitis includes the following procedures:

Rhinoscopy is an examination of the nasal cavity using a special mirror.

Catheterization involves installing a catheter through the nose, which inserts its tip directly into the mouth of the auditory tube. Medicines can be administered through it and the pipe can be flushed

Computed tomography is a more accurate technique. During a CT scan, radiation is also used, but scanning occurs in several projections, and the image is displayed on a computer

Diagnosis of eustachitis in children is no different. To carry out the above studies, children use special attachments and devices.

Eustachitis: treatment in adults and children

With eustachitis, it is necessary to stop the inflammatory process and restore the patency of the auditory tube. If it is caused by bacteria, antibiotics are prescribed. You should not select such drugs on your own. Antibiotics for eustachitis are often taken orally, but in severe cases injections are prescribed. These may be drugs such as Amoxicillin, Amoxiclav, Augmentin, Rovamycin, Cefuroxime, which are available for both adults and children.

Treatment of eustachitis with antibiotics is indicated in severe cases. For those who do not like to poison their body with such medicines, there are homeopathic medicines. They are based on natural ingredients: plant extracts, minerals, etc. Homeopathy has a gentle effect, in addition, such remedies increase immunity and prevent relapses of the disease.

If the disease is accompanied by a viral infection, you will additionally need antiviral drugs, and if the cause lies in allergies, then antihistamines. It is also necessary to undergo a course of immunotherapy. Visit an otolaryngologist and, after an examination, he will tell you how and how to treat inflammation in your particular case.

In addition to antibiotics, physiological procedures (UHF, UV irradiation) are prescribed for the treatment of eustachitis in adults and children. Heating of tissues, which occurs during high-frequency exposure or ultraviolet irradiation, accelerates blood circulation and the process of tissue regeneration, and has some bactericidal effect.

When inflamed, the mucous membrane swells, causing the lumen of the tube to narrow. Physiotherapy and antibacterial agents, in combination with anti-inflammatory drops, will help relieve swelling and improve the patency of the auditory tube. If eustachitis occurs against the background of diseases of the nose and runny nose, then it is imperative to improve nasal breathing. To do this, rinse the nose and instill vasoconstrictor drops. You will find the names of nasal medications in the table below.

If medications do not help, to restore the drainage and ventilation function of the auditory tube, blowing and catheterization are used, the principle of which is described in the previous subtitle. This method is also used to treat eustachitis in children. You may need to undergo 5-10 sessions, but the symptoms of eustachitis begin to subside after the first procedure. To disinfect the tube cavity, antiseptics are injected through a catheter. This way you can rinse it and destroy germs. Bilateral inflammation requires treatment of both eustachian tubes. Such cases are not uncommon among children.

If you have acute eustachitis, treatment will take about a week. For chronic eustachitis, treatment is carried out in long courses of several months. It is possible that conservative methods will not be enough and you will have to “clean out” the auditory tube surgically.

Medicines for eustachitis

Ear drops are not effective for eustachitis! There is no way they can reach the auditory tube through the eardrum. They are used when there is inflammation of the middle ear, that is, at the stage of tubo-otitis. You can learn more about the disease tubo-otitis by clicking on the link.

Eustachitis: treatment at home

How to treat eustachitis at home? You can use pharmaceutical drugs, which were mentioned in the previous subtitle, or you can use folk recipes.

For example, steam inhalations are highly effective. These are procedures during which you need to bend over warm water with the addition of medicine, cover yourself with a towel and inhale steam through your nose. You can also purchase a special inhaler at the pharmacy. Inhalations for eustachitis help to steam and remove viscous secretions, which can cause blockage of the auditory tube. They improve nasal breathing and improve blood circulation. You can add herbal decoctions to the water for inhalation: chamomile, yarrow, St. John's wort or other herbs with an anti-inflammatory effect.

One of the methods for treating eustachitis at home is to drink herbal infusions that strengthen the immune system and help relieve inflammation from the inside. Here are some herbal recipes:

  • For 1 liter of water, a spoonful of dandelion roots, eucalyptus leaves, celandine and yarrow. Place the broth in a thermos and let it brew. Drink 0.5 glasses a day for a week;
  • You will need pine buds, immortelle, nettle leaves and sweet clover. Take 1 tsp. each herb and pour a glass of boiling water, set aside for 5 hours. Divide into 3 doses, drink before meals.

Important! If you have eustachitis, you need to blow your nose carefully so that snot does not get into the auditory tube. Do this with one nostril and close the other.

Even at home, you can do some kind of exercises that will help open the auditory tube: empty swallows, yawning, inhaling with a closed nose, moving your jaw left and right. Repeat them 10 times every day. You can also chew gum.

For eustachitis, treatment with folk remedies must be combined with traditional medicine, otherwise there will be no effect from the treatment.

Complications of the disease

The most common complication of eustachitis is purulent otitis media. Inflammation of the middle ear certainly affects hearing. In severe cases, hearing loss and deafness develop, which cannot be treated. Chronic otitis in children can subsequently cause speech impairment.

There is also the possibility of intracranial complications, such as inflammation of the meninges, accumulation of pus, etc., because the brain is adjacent to the ears. Bilateral eustachitis is especially dangerous in children.

Prevention of eustachitis in adults and children

Otitis and eustachitis most often occur due to infection from the nasal cavity. Therefore, prevention should first of all include timely treatment of rhinitis, sinusitis and other nasal diseases. On our website you can find all the necessary information on the treatment of these ailments. You can't ignore a runny nose!

To cure it as quickly as possible, try to maintain normal air humidity in the house, ventilate more, and do not overheat the child. Don't forget about nose and ear hygiene.

Also, prevention of eustachitis in children and adults should include strengthening the immune system. To do this, it is important to eat well and get plenty of rest. For newborns, the best way to boost immunity is breast milk.

One tip for preventing fluid from entering the eustachian tube: keep your baby in a semi-sitting position when feeding him.

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Symptoms and treatment of eustachitis at home

A decrease in hearing acuity and a feeling of discomfort in the ears may indicate the occurrence of inflammatory processes, against the background of which eustachitis develops, a disease that impairs the ventilation of the tympanic cavity.

Features of the disease

The formation of eustachitis is related to the peculiarities of the anatomical structure of the ear. Considering the small diameter of the auditory tube, which is about 2 mm, the occurrence of swelling in this area due to inflammatory processes leads to a deterioration in its conductivity and causes eustachitis. Inflammatory processes affect both the auditory tube and the middle ear, which is why the disease is often called tubo-otitis. Eustachitis in both adults and children has specific symptoms.

Eustachitis occurs more often in children than in adults. This is due to the fact that in childhood the auditory tube has a shorter appearance, thereby causing a predisposition to the development of various ear diseases. Also, against the background of diseases of the upper respiratory tract, bilateral tubo-otitis often develops in childhood. In general, the symptomatic picture is similar to the course of the disease in adults. Due to childhood and the rarity of the pain syndrome, diagnosing and making a final diagnosis becomes somewhat difficult. Tubo-otitis in children is supposed to be treated with the same drugs and procedures as in adults.

Causes of the disease and symptomatic picture

Eustachitis very often forms as a consequence of other diseases of the upper respiratory tract. Considering that the auditory and nasal passages are interconnected, various infections and inflammatory diseases are easily transmitted through them.

Causes of the disease:

  • allergy;
  • infections: bacterial, viral, fungal;
  • chronic inflammation in the upper respiratory tract and its pathological changes, resulting in poor air circulation;
  • functional disruption of the auditory tube due to sudden changes in atmospheric pressure - aerootitis.

The symptomatic picture is determined at an early stage:

  • a feeling of congestion persists in the ear for a long time, which is accompanied by noise and the feeling of iridescent fluid when moving the head;
  • there is a decrease in hearing acuity and possible development of hearing loss;
  • In some cases, pain syndrome cannot be excluded, the appearance of which is often caused by changes in atmospheric pressure;
  • symptoms can spread to both ears and be bilateral.

The disease is not characterized by a deterioration in general health and an increase in body temperature. If these symptoms are present, then purulent otitis media develops.

Symptoms of eustachitis can manifest themselves in varying degrees of intensity and severity. It depends on the form of the disease: acute or chronic.

Acute eustachitis develops after infectious diseases. Timely treatment allows you to achieve complete recovery in a short time and without complications.

Chronic eustachitis is accompanied by sclerotic and atrophic changes in the eardrum, and it becomes cloudy. This type of disease is more often observed in adults and is accompanied by the following symptoms:

  • pathology of the eardrum;
  • narrowing of the auditory tube;
  • hearing acuity is steadily decreasing.

It is advisable to treat chronic eustachitis by eliminating the causes of its occurrence in order to prevent subsequent relapses. Therefore, in addition to antibacterial therapy, surgical intervention to remove infectious foci may be necessary: ​​removal of adenoids, resection of benign tumors, rhinoplasty to straighten the nasal septum.

Treatment of the disease

Appropriate treatment for eustachitis should be prescribed by an otolaryngologist after an examination and a set of diagnostic procedures to clarify the diagnosis and exclude other diseases. Self-medication can be not only useless, but also dangerous to health.

When diagnosing, the following is carried out:
  • direct examination, collection of complaints, study of medical history;
  • assessment of hearing acuity - audiometry, hearing testing using a tuning fork;
  • otoscopy, microotoscopy.

Other research methods may be prescribed to clarify the diagnosis and nature of the disease or if other symptoms occur.

It is possible to preliminarily assess your condition at home. For this purpose, Valsalva and Toynbee maneuvers are used.

During the Valsalva maneuver, the patient inhales deeply, then closes his mouth, pinches his nostrils and tries to exhale. The empty sip test or Toynbee test involves the patient taking a sip with the nostrils closed with the hand. In the absence of narrowing of the patency of the auditory tube, a characteristic cracking sound appears in the ears during the test. In the presence of swelling and inflammation, there are external sounds in the affected ear: squeaking, gurgling, etc.

Treatment of the disease consists of a set of measures and medications, the purpose of which is to relieve swelling, improve the patency of the tube and restore hearing.

Drug treatment includes taking several groups of medications:

  • vasoconstrictor drugs in the form of nasal drops;
  • antibiotics – the course of treatment is carried out after identifying the infectious agent;
  • antihistamines, if the cause is allergies.

Treatment of eustachitis must begin with procedures that help increase the patency of the auditory tube:

  • hydrocortisone or adrenaline drugs administered through a catheter into the ear canal;
  • pneumomassage of the eardrum;
  • physiotherapy course.

Treatment is expected to be carried out on an outpatient basis, at home. Medicines can be supplemented with the use of traditional medicine. Boric alcohol is often used for ear diseases. It has established itself as an effective, affordable and practically harmless remedy. Alcohol is usually instilled directly into the ear canal. However, the question of how much it really helps remains open.

At home, aloe juice is often used to treat eustachitis. It is instilled into the nose, 3-4 drops every 3 hours, and a compress is made for the ear. To do this, you need to mix aloe juice with water in equal parts, moisten a cotton swab in the resulting mixture and place it in the auricle overnight.

Despite the fact that eustachitis can be cured quite quickly, including at home, and it occurs easily, complications can arise. The most common development is the chronic form of eustachitis. Also, the absence of any treatment and preventive measures can lead to hearing loss or complete loss. Therefore, it is necessary to treat the hearing aid only under the supervision of an otolaryngologist.

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Source: http://bezotita.ru/vospalenie-uha/evstahiit-simptomy-i-lechenie.html

Noisy disease eustachitis: symptoms and treatment

Eustachitis has several different manifestations, and the essence of this disease is inflammation of the mucous membrane of the auditory tube. This is one of the components of the middle ear, and any inflammatory process in close proximity to the brain is fraught with serious complications. In order not to miss its onset, it is advisable to know everything about this disease.

Clinical picture of eustachitis

Impaired ventilation of the Eustachian tube associated with edema due to the inflammatory process leads to hearing impairment. Initially, it may look like wax, but as the disease progresses, more severe symptoms appear.

The membrane loses the necessary mobility and ceases to vibrate fully, causing distortion of the sound itself and its volume, but hearing problems are not the only symptom of the disease.

Symptoms and methods for diagnosing the disease in adults

Due to the structural features of the auditory tube, the disease in adults manifests itself more clearly and progresses faster. The first symptom, namely hearing loss, is ignored by many until other signs appear. All of them are specific in the initial stages of the disease, and they are also not immediately given due attention.

In addition to hearing impairment, eustachitis may have the following symptoms:

  • Congestion in one or both ears
  • Rapid decline in hearing acuity
  • Echo (resonance) of one's own voice
  • Feeling of heaviness or pressure on the affected side
  • The appearance of extraneous noise or the sound of flowing water in the ear.

The progression of the disease or its transition to the chronic stage may give other signs. Headaches, painful pressure in the ears, and persistent hearing loss up to complete deafness may occur.

To diagnose the disease, an otolaryngologist may prescribe audiometry, otoscopy, ear manometry and related studies to identify diseases of the nasopharynx.

The photo schematically shows the internal structure of the hearing aid.

Signs of eustachitis in children

Tubootitis is one of the names for eustachitis, a frequent companion of babies from the category of ChDI. These are often sick children; common colds lead to the penetration of bacteria and viruses into the Eustachian tube, causing the same symptoms as in adults.

Eustachitis itself rarely gives a temperature; it usually rises when concomitant otitis occurs. Pain syndrome is also almost always absent, so it is quite difficult to suspect the disease at the very beginning in children.

It is worth being wary if a child complains of water in the ear, along with constant requests to repeat something said. Also, some children can directly talk about autophony - more often these are statements about the echo in the ears or children’s stories about someone repeating after him.

Causes of the disease

The most common cause of childhood incidence of eustachitis is weak immunity; colds with a runny nose for fragile children can provoke the disease.

Any nasal congestion not associated with infection can also contribute to the development of tubo-otitis. This could be an allergy, a deviated nasal septum, structural anomalies, or enlarged adenoids.

The development of the disease is also possible due to polyps on the mucous membrane. In rare cases, tuberculosis or chlamydia can cause eustachitis. The same applies to fungal infections of the Eustachian tubes. In such cases, special therapy is needed.

How is the Eustachian tube located in adults and children?

Forms and phases of the disease

The first phase of the disease is the appearance of a symptom of hearing loss, then other symptoms appear. This is typical for all forms of tubo-otitis, although differences will be observed as the disease progresses.

Eustachitis has acute and chronic forms, sometimes differing in symptoms and requiring different treatments. The bilateral form of the disease should also be highlighted. It can be either acute or chronic.

Acute form of eustachitis

The acute form of the disease can go away on its own without treatment, but this does not mean that you should abandon it and wait until eustachitis goes away on its own. Symptoms of the disease may resolve with ordinary vasoconstrictor drops or disappear with chewing or swallowing.

Without treatment, the disease is fraught with serious complications or becoming chronic. Any inflammatory processes in the immediate areas of the brain are extremely undesirable.

Features of the chronic form of the disease

Exacerbation of chronic eustachitis differs slightly in symptoms from the acute form of the disease; only the increasing loss of hearing acuity is noticeable.

In rare cases, headache and slight fever may occur. Ear pain, dizziness and high temperature may appear if otitis media occurs against the background of eustachitis.

At the same time, after examining a doctor, you can know exactly the form of the disease - chronic eustachitis gives specific signs. These include retraction of the eardrum, the appearance of redness and narrowing of the lumen of the auditory tube.

Methods and methods of treating eustachitis

Treatment of acute and chronic forms of eustachitis may require antibiotics or antiviral drugs of varying levels. The duration of treatment, the possibility of using folk remedies and procedures will also differ.

Often, treatment of eustachitis must be combined with strengthening the immune system, so hardening procedures and drugs that support or build immunity are prescribed. Catheterization of the auditory tube and various physical procedures can also be used.

Drug treatment - antibiotics, drops and other methods

Treatment of any form of eustachitis is necessarily accompanied by vasoconstrictor drops or sprays. It is important to reduce swelling of the nasopharynx, thereby restoring the patency of the auditory tube. For the same purpose, antihistamines and drops are used for allergic eustachitis, for example, Otipax.

Depending on the pathogen, various antibiotics or antiviral drugs are prescribed for acute tubo-otitis in the form of tablets or injections. Chronic otitis requires longer treatment, and there is a need to support the immune system. For both forms of the disease, it is possible to prescribe UHF, ultraviolet irradiation, pneumomassage, and laser therapy procedures.

Folk remedies in the fight against eustachitis

The use of folk remedies pursues the same goal - to restore the patency of the pipe. For this, onion or aloe juice, or Kalanchoe juice can be used in the form of drops to help cleanse the nasopharynx of mucus.

Onion juice is also instilled into the ear for eustachitis.

Even doctors recommend using alternative medicine: various herbal infusions and tinctures to strengthen the immune system.

Also, doctors often advise performing steam baths for the ears or inhalation for a runny nose with herbal ingredients or natural oils or lotions with boric alcohol.

In some cases, folk methods are powerless; pathogens are resistant to the careful effects of folk remedies.

Features of the treatment of chlamydial eustachitis

Based on the results of bacteriological culture, a specific pathogen can be identified. According to the standards of medical care, bacterial culture should be carried out immediately, but it is often performed only if there is no positive response to treatment.

Chlamydial pharyngitis or tonsillitis can cause the pathogen to penetrate the auditory tube. In this case, it is impossible to refuse drug treatment; it must be performed with antibiotics - folk remedies cannot help cure chlamydial eustachitis.

Harmful and beneficial actions for eustachitis

The most harmful behavior when the auditory tube is inflamed is vigorous or improper blowing of the nose. This may encourage the reintroduction of infected mucus into the eustachian tube, increasing inflammation and swelling that develops. Also for the same reason, it is not recommended to perform Politzer blowing.

Watch in our video how eustachitis is treated in specialized clinics:

Disease prevention

This disease has quite a few preventive measures; rather, they are associated with concomitant diseases:

  1. The best prevention of eustachitis is the prevention of colds, viral and fungal infections of the nasopharynx.
  2. Timely detection and properly organized allergy therapy will also help prevent eustachitis.
  3. In order to prevent any ENT diseases, it is advisable to carry out general hardening of the body, vitaminization and mineral therapy. This will help strengthen the immune system and reduce the likelihood of any inflammatory processes.
  4. Another preventative measure can be considered proper training in blowing your nose.

A simple acute form of eustachitis caused by a common cold can go away completely on its own without consequences for the body. However, this disease often becomes chronic or otitis media, and can also lead to complete or partial hearing loss.

Therefore, the treatment of eustachitis should be taken seriously, using medication, folk remedies and following advice on the use of preventive measures.

Source: http://gidmed.com/otorinolarintologija/zabolevanija-lor/bolezni-uha/otit/shumnaya-evstahiit-simptomy-i-lechenie.html