Nurofen - for ear pain in a child
Many people recommend using Nurofen as a pain reliever. But not everyone knows whether Nurofen is effective for ear pain. Many people use this popular ibuprofic drug only as an antipyretic, forgetting about its ability to quickly relieve pain.
Table of contents:
- Nurofen - for ear pain in a child
- Treatment tactics
- Features of using Nurofen
- Comments on the article
- We recommend reading
- Otitis. Tell me how to quickly relieve pain?
- Nurofen otitis
- Otitis media during or after acute respiratory infections
- Who's at the conference now?
- Painkillers for otitis media in children and adults
- How to reduce pain from otitis media in adults
- Pain-relieving ear drops and tablets for otitis media
- How and how to numb the ear for otitis media in a child
- Add a comment
- How to take Nurofen for ear pain?
- What is Nurofen?
- How to take for otitis media and ear pain in a child?
- Girls, help. Otitis media, can Nurofen be given as a painkiller?
- Popular questions!
- They're reading now!
- Charity!
- Nurofen otitis
- Mom won't miss
- Otitis media, its symptoms, signs and treatment in a child
- Signs and typical symptoms of the disease
- Risk factors and possible complications
- Diagnostics
- Treatment of acute otitis media
- Nurofen otitis
- Comments
- What to do if your child has ear pain?
- How to clarify the diagnosis?
- What can you do before the doctor arrives?
- How does a specialist act?
Treatment tactics
Otitis media is an inflammatory disease of the ear. By the age of three, most children experience this disease. Therefore, parents should know how to provide first aid to their child.
Considering that many people have painkillers and anti-inflammatory drugs in their medicine cabinets, many are interested in whether they should take Nurofen for ear pain or not.
Typically, otitis media begins with the appearance of acute pain in the ear, reminiscent of lumbago. Timely taking of an anti-inflammatory pain reliever relieves pain and allows the condition to slightly normalize. But Nurofen cannot cure otitis media. This drug can only temporarily relieve ear pain.
Treatment for the child must be prescribed by a doctor. First of all, you should contact your pediatrician. If he confirms that the child has ear problems, the parents will receive a referral to a pediatric otolaryngologist. After all, it is this doctor who treats otitis: he will conduct an examination and select the most appropriate treatment tactics.
Ibuprofen or paracetamol-based drugs can be used for pain relief. But paracetamol does not relieve inflammation, it only lowers fever and relieves pain. Therefore, it is often recommended to take Nurofen for ear pain.
In addition to systemic pain medications, the doctor will prescribe vasoconstrictor nasal drops. This is one of the components of complex therapy for inflammatory diseases of the ears. If necessary, the doctor will recommend using Otipax or another analgesic and anti-inflammatory medicine intended for topical use. This remedy is prescribed to children aged 1 month and older.
Features of using Nurofen
The instructions for use indicate that Nurofen helps get rid of severe headaches, dental and other types of pain. It is effective even for pain of inflammatory origin, because the main active ingredient of Nurofen is ibuprofen. This is a non-steroidal anti-inflammatory drug.
Ibuprofen inhibits the production of prostaglandins in the body. Thanks to this, it helps:
- relieve pain;
- relieve inflammation;
- remove swelling;
- relieve high fever.
The onset of antipyretic and analgesic effects is observed within 30 minutes after administration.
Nurofen for ear pain in a child is prescribed in a standard dosage. Children under 6 years of age are given it in the form of a suspension. Everyone else is allowed to use the drug in tablet form for ear pain.
Even if after taking Nurofen your ear stops hurting, you still need to visit a doctor. After all, otitis media can become chronic. In this case, it will be more difficult to figure out what to do. Patients who were unable to completely cure otitis media in a timely manner are constantly faced with relapses of this disease.
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IMPORTANT. The information on the site is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.
Source: http://pillsman.org/24695-nurofen-pri-boli-v-uhe.html
Otitis. Tell me how to quickly relieve pain?
And ear drops strictly until the membrane is perforated
Just 20 minutes ago I gave ibuprofen in syrup and dripped boric alcohol, thank God the pain went away!
I haven’t seen you for a long time, and - wow, what a coincidence! - we met again in the topic about otitis media. I remember how we argued about Moscow and St. Petersburg approaches to treating this disease
But now I absolutely agree with your words!
Author, listen up! The writer is an emergency room doctor.
Moscow and St. Petersburg standards are generally different in many positions, but at least they are justified. Unlike such antediluvian and most importantly dangerous and harmful actions
Well, the doctor should take a look. The bottom line is that if the membrane has burst, then you can’t drip anything.
The ENT specialist will most likely prescribe Anauran for the first week + a general antibiotic such as Auglumentin, and continue treatment with Otipax for the second week.
I have had otitis media since childhood.
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Nurofen otitis
Since 5 am he has been crying with breaks for sleep. the mood is tearful, sometimes better. Runny nose + cough. No appetite. On year Throughout the day he nursed. Didn't poop and farted constantly. Usually poops 2 times (morning and evening)
Betnesol was prescribed to relieve (or rather prevent) swelling of the pharynx and possible suffocation.
They stopped taking steroids.
We doubt whether it was necessary to give an antibiotic? (for the future)
And most importantly, is it possible to stop taking the antibiotic (not take it anymore)?
If you are already taking it, then you cannot stop, finish the full course.
for the future: the advisability of using an antibiotic can be shown by a blood test.
Pus in the throat is a sore throat, as I understand it? Or not?
She discovered inflammation of the ears and pus in the throat.
And then start reading Komarovsky’s book. This is for the future. It's on the website.
I mean the book “Child's Health. "
It just seemed to me from your post that you didn’t read it, because
The doctor's diagnosis is laryngitis. Inflammation of the ears is otitis media. But you don’t have it in your diagnosis? I don’t know what kind of pus the doctor meant in the throat. And what is AVM? Somehow everything is unclear.
Perhaps he meant a sore throat, but then what is the use of the diagnosis “laryngitis”?
This is true if you have no doubt that the antibiotic is in order. But if you took three pills, and then it suddenly dawned on you that you have a virus, then why finish it?
By the way, this is not what the book is about. And about the fact that you should not suddenly stop drinking at the first signs of improvement, so that there is no deterioration.
And the development of resistance is the second reason.
I think that we can talk about the development of resistance when interrupting a course when this course is prescribed to fight a bacterial infection. And if it is prescribed incorrectly, then I still remain in my opinion: interrupting it is definitely more useful
The dispute ended, like all similar disputes: everyone remained with their own opinion.
Is the diagnosis still valid? What did you decide with AB, how are you feeling?
Otitis media during or after acute respiratory infections
We drink Panadol, Lazolvan, drop drops into the nose. The condition is not improving. Today they started giving me augumetin. The district police officer insists on injecting antibiotics again and going to the hospital.
We get sick often, twice a month consistently since September. We went to the garden, started to get sick, we abandoned the kindergarten, but we still get sick.
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Painkillers for otitis media in children and adults
Treatment of otitis comes down to the use of antibacterial, antiseptic and painkillers. The pain syndrome during this inflammatory process is often so severe that it is impossible to do without pain medication for otitis media. Not only the ear, but also the head can hurt, since the auditory canal in humans is located in the temporal bone of the skull. The pain can be shooting, aching, sharp or dull in nature; if a person cannot tolerate it, painkillers should be taken.
How to reduce pain from otitis media in adults
When diagnosing an inflammatory process in the tympanic cavity, a specialist will tell you how to relieve pain from otitis media in adults. It is especially difficult to manage without pain medication in moderate and severe forms of this disease.
Pain relievers for otitis media for adults may come in the form of drops or tablets. There are several types of medications that eliminate the pain syndrome that occurs with this infectious disease.
Among analgesics in otolaryngology, NSAIDs (non-steroidal anti-inflammatory drugs) are most often used.
Such products are considered relatively safe because they are not addictive, effective, and can be purchased at an affordable price. After using non-steroidal drugs, tissue swelling decreases, blood stagnation is eliminated and the temperature at the site of inflammation decreases.
Medicines such as ketorolac, analgin, paracetamol, and propyphenazole have the highest analgesic effect. It is on the basis of these active ingredients that painkillers are prescribed for otitis media in children and adults.
If nonsteroidal anti-inflammatory drugs were prescribed in order to reduce the pain of otitis media, adults should be aware that at high dosages they can cause a number of side effects. To prevent treatment from causing some complications, it must be carried out as prescribed by a specialist.
Another group of drugs that relieve pain during inflammation in the ear cavity are local analgesics. In otolaryngology, such drugs—anesthetic ear drops for otitis media—are used in the treatment of the external form of this disease. Most often, such drugs contain lidocaine, which has a powerful analgesic effect. The pain is relieved 10–15 minutes after instilling the medicine into the ears; lidocaine is recommended to be taken only in case of severe pain. However, the drug also has its drawbacks - short-term action and toxicity of the drug.
Pain-relieving ear drops and tablets for otitis media
With the development of an inflammatory process occurring in the ear cavity, you should know how to relieve pain from otitis media, since pain can occur suddenly. Recently, drops such as Anauran, Garazon and Normax have proven themselves well.
When treating otitis media in adults, otolaryngologists often prescribe pain-relieving drops such as Anauran. The drug is prescribed for the treatment of acute and chronic otitis externa, exudative otitis media. It contains lidocaine. The drops must be instilled into the external auditory canal using a special pipette that comes with the drops. It is used not only in the treatment of adults, but also children. Adults take 4-5 drops two to three times a day, children – 2-3 drops at least 3-4 times a day. Anauran should not be used for more than a week; long-term use of the product can cause side effects such as peeling and itching in the area of the external auditory canal. In addition to the analgesic effect, Anauran has an antibacterial effect.
Garazon will also help cope with pain during the development of an inflammatory process in the middle ear. The product contains gentamicin and betamethasone. The drug is a potent medicine, so an overdose can cause serious consequences.
In addition to ear drops, painkillers can also be prescribed for otitis media in adults. These are tablets based on components such as paracetamol and ibuprofen. How do these substances affect the patient’s body? Ibuprofen stops the production of substances that cause inflammation and the development of pain. When paracetamol enters the human body, the transmission of pain signals to the central nervous system is blocked. Paracetamol is the most affordable and popular painkiller tablet for otitis media for children and adults.
How and how to numb the ear for otitis media in a child
With the development of an inflammatory process in the tympanic cavity, parents must know how to relieve pain from otitis media in a child at home. Treatment of this infectious disease in children is carried out using safe drugs. Analgin-based products are prescribed extremely rarely, and they must be used with extreme caution.
As a rule, pain relief for otitis in children is prescribed in the form of drops, since this method is considered the most convenient and safe for the child’s body.
The most popular drugs widely used in pediatrics are the following drops:
Otipax. These drops have a double effect - analgesic and anti-inflammatory. The product contains lidocaine and phenazole, so it also has a disinfecting effect. You need to instill the medicine into the child's ear two to three times a day, 3-4 drops. The course of treatment is 10 days. If you follow the rules for using the medicine, without violating the dosage and course of administration, the drug does not cause side effects. The main advantage of treating otitis with Otipax is the possibility of using the drug in patients of all age groups - newborns and the elderly, in addition, the drug is not contraindicated during pregnancy. Otipax is prohibited for use in cases of perforation of the eardrum.
Otinum. It has an analgesic and anti-inflammatory effect, which is achieved thanks to a component such as choline salicytate. The drug also has antibacterial and antifungal effects, so it is effective for all forms of otitis.
You can also relieve pain in a child with otitis media in the inflamed ear canal using Anauran ear drops. Ear drops should be at room temperature, so you can hold the cold bottle in your hand before use.
How to relieve ear pain with otitis media without using ear drops? You can eliminate pain caused by inflammation in the ear cavity using syrups based on ibuprofen or paracetamol. This could be Nurofen, which is indicated for use even in newborn children. Patients over 12 years of age can be given Saridon tablets, which have a pronounced analgesic effect. The dosage of this remedy is 0.5–1 tablet two to three times a day.
Pain relief for otitis media is one of the mandatory therapeutic actions in the treatment of this disease when it causes severe pain.
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How to take Nurofen for ear pain?
Hospital patients often include people with developing hearing pathologies. Otitis is considered a widespread disease, which in most cases occurs in children under three years of age. Such a disease is simultaneously determined by many symptoms, but only three manifestations remain pronounced: attacks of pain, inflammation of the affected part of the auditory organ, and increased body temperature.
When it comes to treating otitis media, you need to act quickly. It is advisable to immediately use the “correct” drugs that can simultaneously suppress the main part of the symptoms. Nurofen has been used for ear pain in children for a long time and has established itself as a multifunctional effective remedy.
What is Nurofen?
Nurofen is a modern medicine, a prominent representative of non-steroidal anti-inflammatory drugs. The medicine selectively affects the desired organ. Thus, the remedy allows you to reduce the symptoms of otitis media without negatively affecting the functioning of other organs.
In medicine, Nurofen has found wide application both in independent use and in complex therapy.
The main active substance used to create the drug is Ibuprofen.
Nurofen is available in several forms, all of which form a single whole of the same drug.
The difference lies in the dosage and release form (capsules, gels, suppositories, tablets, suspensions), which allows you to select the drug individually depending on age and pathology.
Nurofen for ear pain in a child can be used in tablets, capsules, syrup, suspension.
The use of the drug allows you to suppress the initial symptoms of the disease, thus alleviating the patient’s condition, but does not provide any medicinal effect. That is why it is advisable to use Nurofen in complex treatment.
Doctors often prescribe Nurofen for children to treat otitis media. The disease affects the hearing organs and causes severe pain, inflammation of the affected areas, and fever in the first stages of the pathology. Such symptoms can be suppressed simultaneously with the correct use of a non-steroidal drug.
How to take for otitis media and ear pain in a child?
Capsules and tablets that do not need to be chewed or dissolved are taken strictly after meals. The medicine must be swallowed with plenty of water. Otherwise, heaviness in the stomach and discomfort appear.
Soluble tablets are placed in a glass of warm water, half full. You need to drink the resulting solution within the next fifteen minutes.
Drugs that indicate a long-term effect are taken no more than twice a day, 300 mg. For children whose age falls within the range of 6-12 years, the permissible daily dose of the drug is mg.
If the child’s weight is more than 20 kg, then the use of “adult” Nurofen is allowed in the treatment, in other cases only for children. When taking tablets and capsules at the same time, you must wait at least 6 hours between them.
To reduce the temperature and at the same time relieve pain, Nurofen is used in the form of a suspension for otitis media in children. The substance is measured with a special spoon and given to the sick child at least 3 times a day, 150 mg.
The dosage can be increased to 300 mg. As soon as pain and inflammation begin to subside, the dosage is reduced to 100 mg, while the frequency of administration remains the same.
Nurofen for ear pain can be used in the treatment of infants, starting from the age of three months:
- children under six months are given 50 mg 3 times a day;
- a child under one year old is allowed the same dosage, but the medicine can already be given 4 times a day;
- for children from one to three years of age, the dose can be increased to 100 mg with the same frequency of administration;
- from 4 to 6 years it is allowed to use no more than 150 mg;
- for older children, starting from 7 to 9 years old, the maximum dose remains 200 mg;
- starting from nine years of age, the dosage increases to 300 mg, the frequency remains the same (4 times a day).
The dosage and frequency of administration can be adjusted depending on the patient’s condition and the severity of the disease. In no case should you increase the dose.
You can also reduce the heat with the help of candles. For children up to nine months, starting from the age of three months, suppositories are allowed to be administered three times a day, one suppository per procedure. Up to two years, 4 times, with a period of six hours.
You need to understand that when taking three days does not give results, you need to stop taking Nurofen and go to the hospital. You should especially not take the drug if, after the first doses, side effects appear or there is individual intolerance.
Directory of main ENT diseases and their treatment
All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!
Source: http://gorlonos.com/ushi/otit/kak-prinimat-nurofen-pri-boli-v-uhe.html
Girls, help. Otitis media, can Nurofen be given as a painkiller?
While I was writing, my son fell asleep)) Girls, help, tell me! How else can you relieve the pain of otitis media?
and drank Cefix Syrup.
In any case, go to the doctor today.
- Thank you 1
- Thank you 1
Panadol is paracetamol, Nurofen is ibuprofen, but the indications are similar medications, temperature, pain, inflammation.
- Thank you 1
- Thank you 1
Dentokind as in the instructions for the scheme, it does not matter what it is during teething. Great for otitis media.
You may not need anything else)
Health to you and your baby!
We saw the doctor on Monday, then we had complaints about the left ear, but we also had tempa and gave Nurofen, maybe that’s why he didn’t cry in pain... we were prescribed antibiotics, antivirals and nasal drops, of course. Well, last night everything is fine, but as soon as I went to bed, I started crying, and then straight up screaming and pointing in my ear. And I’m a sucker, I sent my husband to the pharmacy for Otipax... it would be better if I gave Nurofen and fell asleep right away, and money for an unnecessary Otipax saved b. I was so confused.
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Nurofen otitis
• Decreased physical activity
• Lack of appetite or difficulty eating
• Vomiting and/or diarrhea
Treatment for otitis media may include:
• Combination of these approaches
• If the child is over 24 months
• If ear pain and fever are mild
• If, apart from ear symptoms, the child is completely healthy
However, there is practically no serious research on the use of these methods in children proving their effectiveness and safety. Accordingly, these approaches are not recommended for the treatment of middle ear infections in children.
Complications of otitis media
This operation is performed in a specialized ENT hospital under general anesthesia (anesthesia).
• inflammation of the meninges (meningitis), or
• temporary numbness of the face (neuritis of the trigeminal and/or facial nerve).
* the child has allergic diseases (especially allergic rhinitis)
* horizontal position of the baby when feeding
* passive smoking (regular contact of a child with tobacco smoke)
* visiting kindergarten
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Otitis media, its symptoms, signs and treatment in a child
Frequent causes of pain and fever in a child are infectious diseases of different parts of the hearing organ. Parents need to know the symptoms and treatment of otitis media in children in order to provide timely first aid to their child. In most cases, the cause of the malaise is an infection that has penetrated the auditory tube from the nasopharynx.
Signs and typical symptoms of the disease
Initially, the infection “nests” in the inflamed nasopharyngeal tonsil and upper respiratory tract. Pathogenic viruses and bacteria can spread through the eustachian tube, from where they enter the middle ear. Acute otitis media (AOM) develops, to which young children are more susceptible.
The most likely cause of catarrhal otitis in a child is a viral infection of the middle ear. During the ARVI season, typical “inhabitants” of the nasopharynx penetrate through the auditory tube: influenza viruses, parainfluenza, respiratory syncytial virus, rhinoviruses, adenoviruses. The mucous membrane of the middle ear turns red, however, unlike purulent otitis, there is no liquid discharge from the ear canal.
How does acute catarrhal otitis manifest in a child:
- sudden onset, weakness, fatigue;
- severe, constant pain in the ear;
- hearing loss (not always);
- heat.
Acute otitis media in a child is caused by bacterial pathogens: pneumococcus, Moraxella catarrhalis, Haemophilus influenzae, and less commonly, Staphylococcus aureus. The middle ear mucosa becomes inflamed, red and swollen. Mucus accumulates and acute serous otitis media develops.
Viscous pus forms and accumulates, which does not flow from the middle ear into the nasopharynx, but presses on the walls of the cavity. The pus melts a section of the eardrum and flows out of the ear canal. From this moment on, the child’s pain and fever decrease. Perforation of the tympanic cavity is reversible: the damage heals within two weeks.
Risk factors and possible complications
Infants and young children are especially sensitive to pathogens in cold air. The Eustachian tube in babies is relatively short and wide. The infection spreads freely from the upper respiratory tract into the middle ear cavity.
Enlarged adenoids in children are a constant source of infection and a risk factor. An inflamed and swollen nasopharyngeal tonsil impedes or blocks the flow of air into the Eustachian tube. This does not prevent the spread of infectious agents.
When the inflammatory process moves into the cavity of the inner ear, dizziness appears and ringing in the ears bothers you. Signs of hearing loss are getting worse. Mastoiditis develops as inflammation of the adjacent part of the temporal bone. Painful redness and swelling occur behind the ear. In the absence of adequate treatment, the infection provokes inflammation of the membranes of the brain (meningitis).
Diagnostics
Parents of the baby should contact a pediatrician or pediatric otolaryngologist if the child develops symptoms of acute otitis media: pain, high temperature. The specialist uses an otoscope to carefully examine the inside of the ear canal. A doctor diagnoses acute otitis media by looking at a red and bulging eardrum. Sometimes the process is more advanced, purulent or bloody fluid flows from the ear.
Microbiological culture may be necessary to accurately identify the pathogen and test its sensitivity to various antibiotics. Samples are taken for examination through a small incision in the eardrum (paracentesis).
Treatment of acute otitis media
A child with a fever is given an antipyretic drug with ibuprofen or paracetamol. These components also have an anti-inflammatory and analgesic effect (paracetamol to a lesser extent). Babies can take medications in the form of syrup (Nurofen, Panadol). For the treatment of infants, it is better to use Tsefekon rectal suppositories.
It is necessary to relieve inflammation of the mucous membrane of the upper respiratory tract in order to improve the passage of air through the Eustachian tube. For this purpose, vasoconstrictor nasal drops and a spray for inflammation in the throat are used. Use nasal drops for catarrhal otitis media for no longer than a week, so as not to harm the nasal mucosa. Antibiotics and ear drops with antimicrobial and anti-inflammatory components should be prescribed by a doctor.
Antibacterial therapy is prescribed if the following symptoms are present:
- otitis media in infants up to 6 months;
- bilateral catarrhal otitis in children under two years of age;
- temperature 39°C and above;
- severe ear pain;
- leakage of pus from the ear canal;
- immunodeficiency in a child.
The drug of choice and recommended antibacterial agent for otitis media for children is amoxicillin. The daily dose of 50–60 mg per 1 kg of body weight is divided into three doses. Amoxicillin is effective, relatively safe, has a wide spectrum of antimicrobial activity and a small number of side effects. Another plus is the low cost of drugs.
Average duration of antibacterial treatment for acute otitis media in children of different ages:
- From birth to two years - 10 days;
- From 2 to 6 years - 7 days;
- 6 years and older - 5–7 days.
Doctors often prescribe a combination drug for angina and otitis media: amoxicillin + clavulanic acid. The second component protects the antibiotic from the destructive effects of bacterial enzymes. If you are allergic to penicillins, macrolides and ceftriaxone can be used as an alternative.
It is easier to prevent middle ear disease than to treat it. The best protection is provided by a strong immune system, but in childhood the body’s defense system is just developing. Parents should protect their child from hypothermia and upper respiratory tract infections.
Nurofen otitis
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Girls, whose children had otitis media, were you prescribed Nurofen, even if there was no fever? and for how long? We were discharged for just 5 days, but already on day 2 there was no fever and the child did not complain of pain.
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Comments
- Nurofen is not only antipyretic, but also analgesic
— @eseniyas, I know its properties, whether the question was prescribed or not!
— @eseniyas, @mashazl @irina80 thank you, it’s just that our temperature drops to 34 from Nurofen.
— @irina80, were you prescribed 100? Drops and antibiotic?
— Nurofen also acts as an anti-inflammatory drug.
— They prescribed it to us, but I never gave it 5 days
- prescribed an antibiotic, ear rinsing and drops in the ear. Nurofen was not prescribed
- we were also prescribed
- yes, but I don’t remember which one @julia0809
— @kuguk_newbornfoto, I also think not to give so much @777olga@mironbaron @irina80 thank you
— We often have otitis media. But Nurofen was never prescribed to us. Antibiotics and ear drops. This is the first time I’ve ever heard that Nurofen is prescribed for otitis media.
— @saida_k are you prescribed antibiotics even if you don’t have a fever? Or just with temperature? And what about the drops? otipax? We’ve been treating otitis media for half a month now, but we can’t cure it in any way (((((
- Wow😳 so long🙈 In any case, we are prescribed antibiotics for otitis media. And otipax drops 4 times a day.
— @saida_k they just told us if there is no pace, then there is no need for antibiotics, like there is no inflammation. I’m already thinking, maybe I should start drinking suprax or tzedek myself. Which one are you prescribed for otitis media?
— @embi, otitis media is an inflammatory process in the ear. We took different antibiotics. Flemoxin solutab or suprax.
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What to do if your child has ear pain?
Due to the immaturity of the immune system, children are more susceptible to colds than adults. Banal acute respiratory viral infections are often complicated by otitis media. How to determine that a baby has an ear infection, and how to alleviate his condition?
How to clarify the diagnosis?
Children of kindergarten age and older may complain of ear pain on their own. The situation is more difficult with very young patients.
You can suspect that your baby has an earache based on his restless behavior: he screams, rubs his head on the pillow, and cannot sleep. If the pain is severe, the child refuses to eat, because the discomfort in the ear increases during sucking (or chewing). Inflammation may be accompanied by fever and sometimes vomiting or diarrhea.
To clarify the diagnosis, you can lightly press the child’s ear tragus (the protrusion covering the ear canal). If he tries to turn away and whimpers, it means that the cause of ill health is otitis media. It is better to carry out the test while the baby is sleeping.
What can you do before the doctor arrives?
Before the pediatrician arrives, the parents have one task - to relieve the child of pain. For this purpose, any syrup based on paracetamol or ibuprofen (Panadol, Nurofen, Efferalgan) is suitable. If you have a fever, this mixture will help reduce the temperature. The medicine is given according to the instructions, but not more than 4 times a day. The maximum permissible duration of treatment is 5 days.
It is useful to instill vasoconstrictor drops into the nose (Nazivin 0.01-0.025%, Otrivin Baby, Ximelin 0.05%). They eliminate swelling of the mucous membrane and help maintain normal patency of the auditory tube. The use of nasal drops for otitis media has its own characteristics. The solution must be administered in a lying position. The child's head is turned to the side by 45-60 degrees. A drop of the drug is instilled into the lower nostril. The baby should maintain this position for 1-2 minutes. Then the procedure is repeated with the other nostril.
If there is no pus, you can apply a warm compress. To do this, take a wide bandage and fold it 4-6 times. A hole is made in the middle, slightly smaller than a child's ear. A napkin is moistened in vodka and placed on the child’s ear. Polyethylene and a thick layer of cotton wool are placed on top. The head is covered with a scarf or scarf.
You can use ear drops only if your baby's ear remains dry. If pus or mucous discharge appears, any local remedies are used only as prescribed by a doctor.
Otinum and Otipax pain-relieving drops are available in pharmacies without a prescription. For safety reasons, it is better not to instill solutions into the ear, but to apply them to a cotton swab and insert it into the child’s external auditory canal. Re-wetting the liner is carried out every 3-4 hours, but no more than 4 times a day.
In case of purulent otitis media, fluid leaking from the ear is systematically removed with cotton wicks. The skin of the auricle is treated with antiseptic solutions (for example, 3% hydrogen peroxide or Chlorhexidine).
If you plan to go to a specialist on your own, rather than wait for a doctor at home, then put dry cotton wool in the child’s ear, put a cap or (in hot weather) a scarf on his head, and in this form go to the doctor.
How does a specialist act?
To treat purulent acute otitis, the doctor will most likely recommend taking antibiotics (Augmentin, Amoxiclav suspensions). The course of treatment is from 7 to 10 days. Ear drops with antibacterial drugs (Anauran, Otofa) are prescribed locally.
If exudate accumulates in the middle ear canal and does not rupture the eardrum, the doctor may perform an artificial puncture (paracentesis). The pus will drain from the ear, the pain will go away, and the healing process will speed up. The procedure is carried out on an outpatient basis in a couple of minutes. After rupture, the membrane heals within a few days.
In mild forms of otitis media, therapy with anti-inflammatory drugs (Otipax, Otinum) is continued until complete recovery. Otitis of the external ear is treated by introducing cotton wool with antiseptics (boric alcohol) into the external auditory canal.
The program “Dr. Komarovsky’s School” talks about otitis media in children:
Source: http://otolaryngologist.ru/1021