With otitis media temperature

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Temperature during otitis as one of the main symptoms of the disease

Temperature during otitis media, which is a serious disease, is considered one of the main signs of otitis media.

Otitis media can be acute or chronic.

Table of contents:

In the acute form, which lasts two to three days, patients experience constant or intermittent pain.

Body temperature can rise to 38-39° C and higher.

In addition to temperature, otitis media also exhibits other, no less pronounced symptoms, namely:

  • severe headache and dizziness;
  • nausea;
  • hearing loss;
  • feeling of stuffiness and pressure in the ear;
  • general deterioration in health;
  • purulent discharge from the ear.

It is important to know

Despite the severity of the signs of the disease, a qualified otolaryngologist must make a final diagnosis and prescribe treatment!

If treatment is incorrect or untimely, there is a possibility of the disease becoming chronic, which is quite dangerous. In this case, the symptoms will not be as pronounced, and the disease itself will go away with a slight rise in temperature or without it at all.

The temperature with otitis in children does not always increase, however, if other symptoms are present, it is necessary to check the ears for disease. To do this, you should immediately consult a doctor who will make the correct diagnosis and prescribe treatment.

Temperature during otitis in children and adults: treatment features

Treatment of otitis in a child is most effective at the onset of the disease. Since the temperature during otitis in children can rise quite quickly, before the doctor arrives, you can give the child an antipyretic drug in a dosage appropriate for the age and specified in the instructions for the drug.

Only a competent doctor knows how to treat otitis media in a child. Before prescribing medications, parents can offer the child plenty of fluids.

You can also put vasoconstrictor drops into your nose. It would be a good idea to ventilate the room and carry out wet cleaning. But prescribing more serious medications on your own is categorically unacceptable, since there are a number of contraindications for otitis media.

So, if the temperature during otitis in children rises above 38 ° C, warming compresses, heating pads and inhalations are contraindicated. They can significantly worsen the patient’s condition and lead to the most unexpected consequences.

How long does a child's temperature last with otitis media? Temperature is an important symptom of otitis media in a child. If treatment is already being carried out, the temperature should gradually drop to normal within 4-5 days.

At normal temperatures, dry heat may be prescribed. In this case, you can apply a cloth bandage to the sore ear (it should not be heated).

It is important to know

A temperature above 39° C is an indicator for hospitalization of a child, since in a hospital setting he will be provided with proper treatment and care.

In the presence of a bacterial infection and a decrease in the body's protective functions, children under two years of age are advised to take antibiotics, which are prescribed exclusively by the attending physician. In order for treatment to be effective, before prescribing antibiotics, it is possible to conduct a sensitivity test to various drugs. Antibiotics are also recommended for patients with moderate and severe forms of the disease, since taking them will significantly speed up the recovery process and reduce the temperature.

Children over two years of age who have otitis media without fever can be prescribed symptomatic therapy to normalize the condition and eliminate pain. If after two days after the start of treatment there is no positive dynamics, it is necessary to take a course of antibiotics, which lasts five to ten days.

Treatment of this disease in adults, especially if otitis media without fever, is carried out in a traditional way and does not require any special methods.

At the initial stage of otitis, the patient may be prescribed vasoconstrictor drugs for the nose, which improve the patency between the nasopharynx and the ear.

For severe pain in the ear, ear drops are recommended, which should be warmed with your hands before dripping into the ear canal.

Adults can be prescribed paracetamol or non-steroidal anti-inflammatory drugs as antipyretic and analgesic drugs.

Can there be otitis media without fever?

Since otitis media is a fairly common disease, many are interested in the answer to the question: “can there be otitis media without fever?”

Situations when otitis media begins with severe pain, but without an increase in body temperature, occur quite often.

Such non-standard symptoms can be observed at the very beginning of the disease, when painful sensations have just begun to appear.

Considering the nature of the disease, regardless of the presence of elevated temperature, the patient must be prescribed adequate drug treatment. In the case of a mild form of the disease, symptomatic treatment may be prescribed, along with which it is necessary to adhere to a certain regimen and the instructions of the attending physician.

Answering in the affirmative the question whether there can be otitis media without fever, doctors also note the fact that it is the absence of an increase in temperature that very often leads to patients’ misperception of the disease. In this case, there is a possibility that the patient will misdiagnose himself, which in the future can lead to a chronic form of the disease.

Many people are concerned about the question: is it possible to walk with otitis media without fever? It is possible, but only if the disease is not in an acute form, and the patient does not have purulent discharge or general malaise. When walking, you should avoid overheating and hypothermia, wet and windy weather.

It is important to know

In the event of painful sensations in the ear, which are not necessarily accompanied by fever, it is imperative to contact a qualified otolaryngologist. In this case, you will protect yourself from the consequences of improper treatment and quickly restore your health.

Specialty: Otorhinolaryngologist Work experience: 29 years

Specialty: Audiologist Work experience: 7 years

Source: http://gajmorit.com/otit/temperatura-pri-otite/

Temperature during otitis: how long can it last and whether it needs to be brought down

When is temperature an indicator of normal functioning of the immune system, and in what cases is it a signal to urgently seek medical help? Can there be otitis media without fever? To get answers, you need to find out what causes hyperthermia.

Why does the temperature rise with otitis media?

Body temperature is a parameter whose main role in regulation is played by the hypothalamus. Its nuclei, formed by a specific accumulation of cells in the brain, are responsible for the thermal constancy of the body. The regulation process is carried out due to the production of transmitters (intermediary substances) that have a stimulating or suppressive effect on the structures subordinate to the hypothalamus.

Elevated body temperature during otitis is a normal physiological response of the body to the invasion of bacterial, viral and other foreign particles. The symptom indicates the activation and mobilization of one’s own immune forces aimed at destroying the source of infection.

Processes caused by hyperthermia:

  1. Suppression of the growth of infectious pathogens. Bacteria have a temperature “comfort” point required for active reproduction and development. A shift in temperature indicators can cause the death of pathogens.
  2. Production of own interferons. These substances are a group of proteins with antiviral activity.
  3. Increasing the speed of metabolic processes. An increase in body temperature promotes an intense immune response of the body to a foreign irritant, helping to quickly defeat the infection.

How many days does it last?

Hyperthermia is a signal that an active immune process has been launched in the body. As long as the temperature during otitis lasts, the fight against the infectious pathogen lasts. When the foreign stimulus is suppressed, the hypothalamus will give a signal to normalize the thermal indicator. The duration depends on individual characteristics (age, immunity strength). Usually the temperature lasts from 3 to 7 days.

If your child has a fever

Children are a special group of patients. The thermoregulatory system in a child is at a developmental stage and is unstable. The range of the temperature curve sometimes reaches a wide range against the background of a relatively mild infection. Hyperthermia up to 39° C can last up to 3-4 days without treatment.

The second feature is the possible lack of temperature response. This is caused by an imperfect immune system: the body is too weak for an adequate protective response. A rise in body temperature to 39° C does not always indicate the presence of a severe infection (the danger will lie more in hyperthermia). A child’s normal temperature does not guarantee the absence of a serious illness. Children with otitis media of any form need to be examined by a pediatrician. Read more about otitis media in children→

When should the temperature be lowered?

Not all cases of hyperthermia require the use of an antipyretic. The prescription of therapy depends on how many days the elevated temperature during otitis lasts, and what numbers its indicators reach. It is worth considering the presence of serious somatic diseases in the patient (cardiovascular, neurological pathology). The general recommendation for adults is the use of antipyretic drugs when the temperature reaches 38.5° C. If your health suffers significantly, or there are concomitant diseases, it is permissible to use the medicine after the mark of 38.0° C.

It is believed that temperatures below 38.5° C in children do not require the use of drugs. This applies to initially healthy patients who do not suffer from febrile seizures. Weakened children should be given antipyretic drugs after crossing the threshold of 38° C. Due to the peculiarities of thermoregulation, a child under 2 months of age and children suffering from febrile convulsions should lower their temperature earlier. Caution should be exercised in treating children: a persistent increase in body temperature to high levels is grounds for calling an emergency medical team.

How to do this correctly?

Elimination of hyperthermia is not limited to the prescription of antipyretics. Temperature during otitis in children and adults requires an integrated approach to therapy.

  1. Drink plenty of fluids. Drinking teas and fruit drinks helps to cope with intoxication of the body and reduce body temperature by increasing sweating.
  2. Use of external treatment methods. It is effective to apply cool heating pads to areas of passage of large vascular networks (elbow creases, popliteal fossae). Rubbing with diluted alcohol or vodka is acceptable. After treating the skin, you should wait for it to dry completely, then cover yourself with a blanket.
  3. Elimination of warming up. During hyperthermia, heat compresses are contraindicated.
  4. Strict adherence to prescription regimens. Abuse of antipyretics can be harmful: excessive amounts of NSAIDs suppress one’s own immunity and cause a number of side effects.

In what cases does temperature indicate complications?

Several signs will indicate the occurrence of adverse consequences. You should pay attention to how the temperature changes during otitis (to what numbers it rises, how many days it lasts), whether new symptoms have appeared.

  • Hyperthermia does not disappear after 7 days of intensive treatment.
  • The temperature reaches high numbers and does not go down.
  • The main complaints have increased.

Treatment for fever

To eliminate hyperthermia, NSAIDs (non-steroidal anti-inflammatory drugs) are used.

Taking NSAIDs leads to suppression of symptoms rather than elimination of the underlying pathology. For example, a purulent form of the disease requires the prescription of antibiotics that can overcome the source of infection. To reduce inflammatory edema and improve the patency of the Eustachian tubes, vasoconstrictor nasal drops are prescribed. Forms of medications, active ingredients, dosage are determined by an otolaryngologist.

The type of treatment depends on how severe and how long the elevated temperature during otitis media lasts. In some cases, normalization requires the release of accumulated pus through a gap in the ear membrane. More often this happens without outside intervention. If perforation does not occur, the pressure on the membrane increases; tympanocentesis (puncture of the ear membrane) is used under local anesthesia.

Can otitis media occur without fever?

Normal body temperature will be observed against the background of uncomplicated external otitis. The immune system manages to localize the site of inflammation and suppress its activity. An increase in temperature will be observed exclusively in the affected area.

The situation is different with middle ear infection: hyperthermia is systemic in nature due to the peculiarities of the blood supply to the specified anatomical region. If otitis media occurs without fever, it is usually possible to avoid prescribing antibacterial drugs. Treatment is based on watchful waiting with symptomatic therapy.

Fever is a symptom that requires careful attention, not panic. An increase in body temperature serves as a signal that the body's defenses are in an active state. You should not interfere with the functioning of the immune system when the thermometer reading barely exceeds 37.0° C. The key to successful treatment is the competent use of anti-inflammatory drugs and following the basic therapy regimen prescribed by the doctor.

Source: http://moylor.ru/uho/otit/temperatura-pri-otite/

Fever and otitis media in a child

The inflammatory process of the middle ear is sometimes accompanied by fever, runny nose, headaches and general weakness in the body. Such symptoms are most pronounced in children, since the young body is not yet strong and the immune system is quite weak. A child's temperature with otitis media is considered normal. This phenomenon indicates the development of an inflammatory process in the body. However, there are times when medical assistance is needed. When to sound the alarm will be given in this article.

What does elevated temperature mean?

A feverish state with ear inflammation is one of the signs of intoxication syndrome. It is most pronounced during the inflammatory process of purulent etiology. Fever and otitis media in a child are interrelated concepts. There are also forms of ear pathology that are not accompanied by fever.

  • fungal infection of an external organ;
  • transition of the disease to a chronic course;
  • eczema of the ear canal.

Otitis and fever in a child usually occur in the early stages of the disease. Fever is a persistent symptom; it can persist until complete recovery. Sometimes, such a symptom is accompanied by pain in the hearing organs. With the appearance of suppuration, body temperature decreases. The inflammatory process of the middle ear is poorly tolerated by children, and the disease is fraught with complications. This is due to the fact that a child’s tympanic membrane is thicker than that of adults, making it difficult for pus to escape. When the ear hurts due to an ear disease, the child’s temperature sometimes rises to 39 or 40 degrees, anti-inflammatory and antipyretic medications should be taken.

How long does the temperature last for otitis media?

All parents are interested in how long should the temperature last for otitis media in a child? Normally, the temperature decreases 3-4 days after the start of treatment with traditional methods. If this does not happen, you need to take the child to the doctor. The doctor will prescribe a series of examinations that can identify the cause of this pathological process. When a child has a temperature of 38, otitis has just begun to develop - there is no reason to worry. It is necessary to create the most favorable conditions in the room for the child’s recovery. It will be useful to avoid drafts and ventilate the room where the baby is at least 2 times a day. It should be noted that otitis media also occurs without fever in a child. Usually this symptom is inherent in the chronic course of the disease, the catarrhal form of the pathology.

Otitis without fever

The inflammatory process in a child’s hearing organs often occurs without hyperthermia. The disease is called otitis media without fever. Also, the absence of fever is observed in chronic otitis media.

Symptoms that appear in ear pathology without hyperthermia.

  1. With this type of otitis, pain is felt in the ear.
  2. The sink turns red and swelling appears.
  3. The patient hears worse and has difficulty breathing.
  4. There is discharge from the ear cavity.

The absence of fever does not mean that the disease can be treated at home. Medical assistance is mandatory, since it is necessary to establish the cause of the disease and prescribe competent therapeutic measures. The younger the child, the higher the risk of complications.

To determine that a newborn has otitis media, you need to listen to his feelings:

  • the baby shakes his head, cries;
  • no appetite;
  • the ear canals have acquired a reddish tint.

With such signs, you need to consult a doctor. Timely medical care is mandatory, since otitis media in children without fever can spread to the brain, causing meningitis, which can be fatal. Ear inflammations do not occur on their own; they are a consequence of colds, hypothermia, and infectious attacks. For example, when a baby has a runny nose, swelling of the Eustachian tube occurs, which serves as a connecting channel between the middle organ of hearing and the nasopharynx. This contributes to the occurrence of the inflammatory process. The entry of bacteria into the nasal cavity provokes otitis media of a purulent nature. The cause of inflammation in the ear canal without fever is often dental problems and injuries to the hearing organs. It is necessary to treat caries in a child in a timely manner, since bacteria can spread to the hearing organs.

Is it possible to bathe a child with otitis media without fever?

  1. Children are allowed to do water treatments 7-10 days after the development of the pathology.
  2. Before washing your child’s hair, it is better to put a cotton wool soaked in cream in his ear.
  3. Glue a postoperative plaster over the hearing organ; it will prevent moisture from getting inside.
  4. After bathing, you need to wipe the baby dry and put him in a warm bed.

Such measures will help you buy a baby without harming his health. Hypothermia can aggravate the course of the disease and should be avoided.

When to shoot down and with what

Increased body temperature during otitis is eliminated not only with the help of antipyretic medications. Hyperthermia must be brought down using complex methods if the temperature has risen to 38 degrees or higher. It is also important to eliminate fever when it lasts longer than 5 days. This case is considered dangerous, there is a risk of disruption of the water-salt balance in the body, improper functioning of the kidneys and liver. It is important for parents to know how long the temperature lasts during otitis media in children. Usually, hyperthermia goes away on its own after a week, when the infection clears from the body.

What medications are effective in reducing fever?

  1. "Nurofen" for otitis media in children due to fever. This remedy has a high antipyretic and analgesic effect.
  2. "Paracetamol". This medication effectively lowers temperature and stimulates the body's protective functions.
  3. "Ibuprofen." This product is an analogue of the drug "Nurofen". The medication has the same effect, the only difference is the price and speed of action. Expensive “brother” has a faster effect than Ibuprofen.

Taking antipyretic drugs helps eliminate hyperthermia, but does not treat the underlying problem. For example, the purulent course of the disease requires the use of antibiotics, which can eliminate the source of infection. To reduce swelling and improve the patency of the Eustachian tube, vasoconstrictor nasal drops are prescribed. The dosage is determined by the doctor. The type of treatment depends on how high the temperature rises and how long it does not drop. In most cases, when the pus drains from the perforated ear membrane, the fever goes away. This process happens on its own, without outside intervention. If the membrane is not perforated and pus remains in the ear canal, surgery is necessary to remove the accumulations.

Additional recommendations for lowering a child's temperature.

  1. Frequent drinking. It is important to drink plenty of fluids so that the body can cope with intoxication. By sweating, the fever is eliminated.
  2. Using cold compresses. It is necessary to apply bandages to the area of ​​large vascular networks (elbow, popliteal dimples). It is also recommended to wipe with alcohol. After the manipulations, you need to cover yourself with a blanket and lie down warm.
  3. Do not overuse antipyretic medications. They suppress the body's protective functions and cause a number of side effects.

It should be noted that using heat compresses during fever is prohibited. This causes an increase in body temperature, and microbes begin to multiply. After otitis media, the child’s temperature should not remain above 37 degrees. If such a phenomenon is present, most likely the source of inflammation has not been extinguished.

Features of the disease

Hyperthermia during otitis media causes a lot of discomfort for both the child and his parents. In some cases, urgent hospitalization is necessary.

When should you go to the emergency room for ear inflammation in your baby?

  • if a temperature above 38 degrees is observed in a child under 6 months;
  • not affected by antipyretics;
  • accompanied by vomiting and headache.

Such signs may indicate not only otitis media, but also other dangerous diseases. Ear infections are more common in children than in adults. This is due to the susceptibility of the child’s body to viruses and frequent colds. When a child begins to “sniff” his nose, snot slowly moves into the ear canal, swelling and pain occur.

What should you do if your baby develops hyperthermia that lasts for several days?

  1. Check the ear for the presence of purulent masses. You should clear any buildup from your ear using cotton swabs, but don't go into the sink.
  2. It is worth putting children's vasoconstrictor drops into the child's nose.
  3. Give your baby an antipyretic medicine.
  4. Carry out a wet cleaning in the room, ventilate the room.
  5. Give your child plenty of fluids to drink.

Doctors do not recommend using folk remedies, as this can cause even more harm to the child’s body. A feature of otitis with fever is the possibility of a sharp transition of the pathology into a purulent form. To prevent this from happening, timely treatment should be started.

Source: http://yhogorlonos.com/temperatura-i-otit-u-rebenka/

Temperature with otitis media in a child

Otitis media, or inflammation of the ear canals, is a disease that often occurs in childhood. Doctors say that by the age of three, 90% of children experience this disease at least once. Otitis has a number of characteristic symptoms, one of them is fever, which is very worrying for parents of sick children. How long does the fever last for this disease and how to alleviate the child’s condition?

Temperature with otitis media in a child

Causes and symptoms of otitis media

An infectious-inflammatory process in the ear canal occurs as a complication of viral and bacterial infections of the respiratory system and nasopharynx. The causative agents of the disease are usually adenoviruses, influenza viruses, Haemophilus influenzae and pneumococci. Due to the fact that the functioning of the immune system in childhood is not very well established, otitis often accompanies diseases characterized by difficulty in nasal breathing - sore throat, sinusitis, rhinitis, laryngitis, etc.

In infants, the reason for the development of the disease lies in the special structure of the hearing organs. A small tube, called the Eustachian tube, passes close to the pharynx in infants, which allows pathogenic microorganisms to easily penetrate the ear. In addition, children under the age of one year are constantly in a horizontal position, which is why mucus flows into the Eustachian tube, causing inflammatory processes. With age, the auditory tube becomes longer, narrower and located at a greater angle to the pharynx, as a result of which mucous secretions practically do not enter the ears.

The first symptoms of otitis

Important! Otitis has a number of characteristic signs by which it is quite easy to recognize the disease: ear pain, weakness, dyspeptic symptoms (nausea, vomiting) and increased body temperature, but in general the baby’s condition depends on the form of the disease.

Table. Main forms of otitis.

Purulent otitis in a child

In addition to the above classification, otitis media is divided according to the localization of the inflammatory process, which can occur in the outer or middle ear, in acute or chronic form, etc.

On a note! The most difficult to diagnose is exudative otitis media, since it is practically asymptomatic, and children and parents practically do not pay attention to slight hearing loss and tinnitus.

Exudative otitis media in children

It also causes some difficulties in identifying the disease in infants who cannot talk about their condition. Signs of otitis media in this case include moodiness and restlessness, breast refusal, constant crying for no apparent reason and hearing loss (the child does not respond to the parents’ voices or extraneous sounds). You can diagnose the disease in infants using a simple test - just lightly press on a small protrusion (tragus) next to the baby's ear. If the child cries a lot after this, it means that this movement caused an increase in pain, which is typical for otitis media.

Why does the temperature rise with otitis media?

An increase in temperature is a natural reaction of the body to inflammatory and infectious processes in the body. The numbers on the thermometer for this disease depend on the clinical course, the state of immunity and the age of the child - infants tolerate the disease much more difficult than older children.

What to do if your child has a fever due to otitis media

Most often, a high temperature occurs with a purulent form of otitis, and the fever lasts until the pus comes out of the ear, on its own or after appropriate medical procedures. The duration of the hyperthermic stage can be from 3 to 7 days, after which the temperature drops to normal limits.

Another reason for the increase in temperature during otitis is complications of the disease that develop as a result of improper treatment. The most dangerous consequences of ear inflammation are mastoiditis (damage to the tissue of the mastoid process, accompanied by the development of osteomyelitis), meningitis and otogenic sepsis. The development of complications is characterized by the following clinical picture: the patient’s condition improves for several days, after which ear pain, fever and other manifestations of the disease reappear.

Can otitis media occur without fever?

Otitis is not always accompanied by an increase in temperature - there are several forms of the disease for which fever is not characteristic. Most often, this course of the disease is observed during an inflammatory process caused not by infectious infection, but by mechanical damage to the skin of the ear canal. A wound forms at the site of damage, causing a burning sensation and pain, which intensifies if microbes enter the wound, and an abscess forms in its place.

In addition, if ear pain occurs without hyperthermia and other general symptoms, a differential diagnosis of otitis should be made with otomycosis (damage to the structures of the hearing organs by fungal microorganisms), eczema of the ear canal. Fungal ear infections can be distinguished from inflammatory processes by the presence of itching, which is characteristic of fungal infections. There is no increase in temperature in diffuse external otitis and atypical course of the inflammatory process.

Child has ear pain

In what cases should you consult a doctor immediately?

Temperature with otitis media causes a lot of discomfort for both the baby and his parents. In any case, this symptom requires contacting a doctor, but in some situations the child needs medical attention immediately. You need to call an ambulance when the temperature is high:

  • observed in a child under six months of age;
  • is not affected by conventional antipyretic drugs;
  • accompanied by dyspeptic disorders (nausea, vomiting, diarrhea) or skin rash, severe headache, weakness.

The above signs may indicate not only otitis media, but also other dangerous diseases, so it is best to consult a doctor as soon as possible.

Diagnosis of otitis in a child

Treatment of otitis media with fever

It is recommended to lower the temperature only in cases where it exceeds 38-38.5, and in children suffering from convulsive syndrome, cardiovascular disorders or other concomitant diseases, the permissible figures are 37-37.5. If the fever is not too severe and the child feels well, the use of antipyretics is not recommended in order to give the body the opportunity to fight the infection on its own. In order to bring down the temperature, it is better to use drugs containing ibuprofen or paracetamol in the appropriate dosage - they will not only eliminate the fever, but also reduce pain in the ear.

Ibuprofen for children

The main component of the treatment of otitis accompanied by fever is antibacterial agents, which can be local (used at the site of inflammation) or systemic. In cases of mild disease - the disease is accompanied only by pain in the ears and low-grade fever - the fight against the pathological process is usually limited to the use of local drugs. If such treatments are ineffective, you should switch to systemic therapy.

For purulent otitis, the use of antibiotics (Amoxicillin, Flemoxin Solutab), which are prescribed by a doctor, is indicated. An increase in temperature during otitis plays another important role - it helps to evaluate the effectiveness of the chosen treatment regimen. With proper therapy, an improvement in condition and a decrease in temperature is observed within the first day. If the fever remains unchanged for several days, it is necessary to select other drugs. With proper treatment, catarrhal otitis takes an average of a week, purulent otitis – in two weeks.

General principles of treatment of otitis media in children

In order to get rid of the disease and its symptoms as soon as possible, it is necessary to adhere to the general rules for the treatment of ear diseases.

  1. Antibiotics for oral administration are prescribed exclusively by the attending physician. As a rule, therapy includes cephalosporins and penicillins, and in the presence of allergies, macrolides.
  2. It is not advisable to use drops containing antibiotics in the first stages of the disease - drugs with an analgesic and decongestant effect are better suited. They are used in the acute phase of the disease in the presence of perforation, as well as in cases of chronic otitis.

Compress for otitis in a child

You should not bathe a child with otitis media - it is better to rub it with warm water. Meals should include light but nutritious meals with sufficient vitamins. Walking is allowed only after the temperature has returned to normal, and ear pain and purulent discharge have disappeared, and the baby needs to wear a hat while he is outside.

How to treat otitis in children

Prevention of otitis

The development of otitis media in children can be prevented with simple preventive measures. First of all, it is necessary to avoid colds and increase immunity: take vitamin complexes, eat fresh vegetables and fruits, and harden the child. If the baby does get sick with a cold or acute respiratory viral infection, treatment should be carried out in a timely manner and under the supervision of a doctor. Under no circumstances should you clean out earwax with objects not intended for this purpose - pins, matches, bobby pins. Children under three years of age require constant adult supervision - children of this age often insert foreign objects into their ears, as a result of which purulent otitis media develops.

Children often put foreign objects in their ears

Inflammation of the ear canals is a common problem that many parents face. This disease is not dangerous to the health and life of the child, but, nevertheless, requires timely diagnosis and proper treatment.

Video - When should otitis media be treated with antibiotics?

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Source: http://med-explorer.ru/otolaringologiya/lechenie-detej/temperatura-pri-otite-u-rebenka.html

Is there a temperature with otitis or not?

Otitis is an inflammatory process of the hearing organs. Temperature during the inflammatory process is normal. The temperature during otitis media in a child can rise above 39 degrees.

Fever is not the only symptom. Other symptoms may also indicate the development of pathology, for example: headaches and dizziness, nausea and vomiting, purulent discharge from the ear cavity with a foul odor, a feeling of squeezing in the ear cavity. These symptoms appear not only in children, but also in adults.

Ear inflammation without fever cannot be considered a rare phenomenon. That is why it is still necessary to consult a doctor if there are no high indicators, but if other symptoms appear.

What to do if you have a fever during otitis media

It is necessary to begin treating inflammation, regardless of the patient’s age, as early as possible. This is especially true for children, because their temperature tends to rise rapidly. The antipyretic drug must be given in a clearly calculated dosage based on the child’s age.

  • During this period, the child must be provided with plenty of fluids.
  • At elevated temperatures, it is extremely important to ensure a flow of fresh air into the room. You need to ventilate your baby's room 2 times a day. In this case, it is necessary to exclude the presence of a small child in the room at this moment.
  • During the entire period of the disease, it is important to maintain an optimal balance of humidity in the room.

Ensuring a comfortable environment in the apartment is the task of the parents, and prescribing treatment is the responsibility of the doctor. You should not try to treat otitis in a child on your own; it is extremely important to consult a doctor at the first suspicion of pathology.

The pediatric otolaryngologist will select the appropriate medication. It is important to remember that many anti-inflammatory drugs have a fairly wide range of contraindications, and only a doctor can reduce the risk of their occurrence to a minimum.

How long does the temperature last for otitis media in a baby? This is the question that worries parents most often. It is quite difficult to establish certain limits, but if the treatment is chosen correctly, the indicators should gradually decrease and return to normal within 3-4 days from the start of therapy. If this does not happen, the baby should be shown to the doctor again.

Not all thermal procedures for otitis media will have a positive effect. The doctor should inform the parents about this. He should recommend applying dry compresses after the temperature drops.

Can there be an ear infection without fever?

Otitis without fever is no exception. Symptoms of the disease in the form of ear pain and general deterioration in health often appear without increasing values ​​at the initial stage of development of the pathology.

It is important to remember that even if there is no fever with otitis, treatment should be started as early as possible. You should not think that the baby’s body will overcome the pathology on its own. At this point, the success of treatment depends on timely diagnosis, initiation of treatment and the attentiveness of parents. Hospitalization of a child with otitis media without fever is not required.

Doctors say that otitis media without fever is often the cause of complications. This is due to the fact that parents cannot recognize the disease and hesitate to contact a specialist. Ear inflammation is a disease that can rapidly progress, and the result of delay can be a chronic process.

Important information!

If a child's temperature rises above 39 degrees with otitis media, hospitalization is indicated. Specialists from the children's hospital department will be able to provide the baby with the right help.

If otitis is caused by a bacterial infection, antibiotics are indicated. Such drugs should be prescribed only by a doctor after determining the sensitivity of individual microorganisms to a number of antibiotics. When taking antibiotics, indicators decrease on the 2nd day from the start of therapy. Other symptoms of the disease quickly disappear. Despite this, the course of treatment with antibacterial drugs must be completed and cannot be interrupted.

In children over 5 years of age, otitis media is often less acute. The child is not bothered by the temperature. In such cases, symptomatic therapy is indicated, aimed at suppressing pain and eliminating symptoms of intoxication. If such an effect does not give a positive result after 2-3 days, and the symptoms of otitis media begin to intensify, antibiotics are indicated. The course of taking such drugs is 7-10 days.

Source: http://gaimorit-sl.ru/otit/temperatura-pri-otite.html

How to recognize otitis media in a child

Otitis is an infectious disease that can affect the middle, inner or outer ear. Most often it occurs during an infection or is a complication of it. How to recognize otitis media in a child is presented below.

Types of disease

It is children who are most often exposed to inflammation in the ears. This disease can manifest itself for several reasons of infectious or non-infectious origin, be the result of injury or a complication of acute respiratory viral infection or influenza. In the practice of ENT doctors, otitis media and inner ear are more common, and the external form of the disease is less common. Clinical signs of any form of otitis are pronounced and cause a number of discomfort to the child.

Internal otitis

With labyrinthitis, the infection seeps through the middle ear. Otitis in adults can develop with meningitis. There are several forms of internal otitis:

The necrotic form manifests itself in patients with tuberculosis and measles. This stage is rare.

  • Hearing impairment, tinnitus.
  • Balance problems due to damage to the inner ear.
  • Head pain, frequent dizziness, vomiting.

Otitis media

The inflammation mainly occurs in the tympanic cavity. It also occurs in children, mainly under two years of age. Since infection occurs in the middle part, purulent accumulations have nowhere to go. Because of this, otitis media is often accompanied by partial hearing loss. But with frequent relapses, tissue is formed that further reduces hearing.

It is also possible to distinguish between acute and chronic forms of the disease. The acute form includes:

  • Eustachian tube problem. The patient hears a false echo.
  • The appearance of purulent accumulations. Because of the eardrum, the pus has nowhere to go. The patient feels an accumulation of fluid in the ear.
  • One of the ear symptoms is inflammation of the middle ear in adults. The ear swells and the pain intensifies.
  • After the eardrum ruptures, the patient feels better. Pus comes out of the ear, but temporary hearing loss occurs.
  • A protective tissue is formed. The hearing is gradually returning to normal.

Otitis externa

Compared to the two previous stages, otitis externa passes much easier and mostly without complications, if you consult a doctor in a timely manner. The inflammation occurs in the outer part of the ear. With improvement, pus comes out of the ear freely.

Inflammatory signs in children and adults:

  • Itching in the ear area.
  • Slight increase in temperature.
  • Ear pain.
  • Formation of pus in the ear cavity.
  • When pressing on the ear, the patient feels pain.

This type of disease mainly occurs in children under 3 years of age.

Characteristic signs of the disease

Otitis media is one of the most common diseases affecting the ear cavity. The disease can appear in both infants and children of preschool or school age. Regardless of the form of the pathology, the localization of the inflammatory process, the symptoms are pronounced, which allows you to notice changes in the behavior and well-being of the child.

  • During feeding, the baby is calm, but often throws the bottle or breast. This may occur because it is painful for him to swallow.
  • Towards evening, an increased temperature is noticeable, the child constantly cries.
  • The color of the ear changes.
  • Copious discharge from the ear.
  • Diarrhea, nausea. Accompanied by elevated temperature.

It is important for parents to know that they should not resort to self-treatment of their baby. You need to see a doctor as soon as possible. It is important to understand that medications for the treatment of otitis media in adults and children are different.

Main symptoms of otitis media:

  • Pain and noise in the ears.
  • Weakness of the body.
  • Mucous discharge from the ear.
  • Body temperature reaches 39 degrees.
  • Hearing loss.
  • Sleep patterns are disrupted.

There are different signs and symptoms during different stages of otitis media. But there are also the main ones:

  • Acute pain in the ear.
  • Noticeable hearing loss.
  • Feeling of stuffiness in ears.
  • Frequent headaches and dizziness.
  • Nausea, vomiting.
  • Severe weakness.
  • Minor loss of balance.

How to treat otitis media in a child

There is a possibility that otitis may go away on its own. Don't count on it. The disease is unpleasant and accompanied by severe pain; you should not torment your baby. The more you delay, the more likely it is that the disease will develop into an acute form with serious consequences. For example, mastoiditis, meningeal syndrome, brain inflammation. It is important for parents to consult a doctor as soon as possible.

Treatment of the acute stage in children is complex, but if you go to the hospital on time, conservative treatment is also possible:

  • The doctor will prescribe antibiotic therapy for up to one week.
  • Symptomatic therapy.
  • Physiotherapy.
  • Various exercises to strengthen the immune defense.

Mostly, preschoolers take antibiotics in a liquefied state, while schoolchildren take them in tablets. Should be taken:

In case of elevated temperature in a child, antipyretics are prescribed:

If complications associated with rhinitis occur during otitis, drops with a vasoconstrictor effect are dripped into the nose.

  • Tizin 0.25%;
  • Nazivin;
  • Otrivin.

Ear drops are first aid for otitis media. Their use allows you to relieve pain and eliminate the inflammatory process. Some drops in the ear act within 5 minutes after instillation (Otipax). In addition, the doctor may prescribe:

It is forbidden to use ear drops if the eardrum is damaged, so before using such drugs, you should consult a doctor.

How to recognize complications of otitis media

One of the complications of otitis is the transition to the acute phase, damage to the vestibular apparatus. Also complications are:

  • Meningitis.
  • Damage to the facial nerve.
  • A rupture of the eardrum and filling of the cavity with pus.
  • Mastoiditis.
  • Frequent vomiting, diarrhea.
  • Impairment of the hearing aid, up to complete hearing loss.

Prevention of otitis in children

The main task of prevention is to free the Eustachian tube from mucus accumulations. It is necessary to eliminate foci of spread that increase the chances of infection with otitis media - pharyngitis, tonsillitis. After water treatments, both at home and outdoors, it is necessary to completely dry the ear cavities to prevent bacteria from entering. For children with chronic otitis media, special drops have been developed that must be instilled after each bath. Clean your ears from wax and dirt. However, you should not clean your ears as much as possible; you should leave some of the wax, as it prevents the entry of bacteria.

Otitis is a complex disease that is directly accompanied by severe pain in the ears. You shouldn’t blame everything on immune defense. At the first symptoms, you should immediately consult a doctor. If treatment is not started promptly, the outcome can even be fatal.

Source: http://stopillness.ru/kak-raspoznat-otit-u-rebenka/

Otitis and temperature

The occurrence of fever is a universal variant of the body's protective reaction. It is aimed at activating the mechanisms of the immune system, preventing the reproduction and destruction of the infectious agent, weakening its pathogenic properties. Otitis is an infectious-inflammatory process, and elevated body temperature with this disease is a common symptom. It cannot be called absolutely expected, since not all forms of otitis are accompanied by fever. Nevertheless, recording body temperature is of great importance for the differential diagnosis of ear lesions. By how many days the temperature lasts for otitis media, one can judge the severity of the patient’s condition and predict the likely outcome of the disease.

Fever with otitis media

Temperature during otitis is one of the main manifestations of intoxication syndrome, which also includes weakness, headache, feeling of weakness, and general malaise. The pathogenetic basis for the development of intoxication is the absorption into the blood from the source of inflammation:

  • toxins;
  • infectious agents;
  • products of the inflammatory reaction.

Intoxication syndrome is most pronounced in the purulent form of inflammation. Otitis and temperature are concepts inextricably linked with each other. Since fever performs a protective function, you should worry about its appearance only in certain cases (for example, with hyperthermic syndrome).

Can there be otitis media without fever? Options for the course of inflammatory ear diseases without the presence of fever in the clinical picture do exist. Among them are otomycosis (fungal infection of the structures of the outer ear), eczema of the external auditory canal. There may be no fever with a diffuse external form of the disease and even with an atypical course of inflammation of the middle ear.

An increase in body temperature depends on the etiology, form, and severity of the disease. Fever is not a mandatory finding but can be extremely helpful in differential diagnosis in some cases.

Detection of fever before the onset of suppuration is important to confirm the diagnosis of otitis media.

Otitis externa and fever

Inflammation of the outer ear cannot be considered solely as otitis media without fever. A febrile reaction in this disease is observed very often and may become an indication for drug correction if the patient’s condition significantly worsens.

Limited external otitis is characterized by the appearance of a purulent formation in the external auditory canal - a boil. Body temperature can be subfebrile (up to 37.9 °C), febrile (more than 38 °C). The temperature reaction is much more pronounced in children.

With a diffuse external form, body temperature indicators most often remain within subfebrile values. In this case, even if there is a fever with otitis media, the patient’s general condition is moderately impaired. Complaints of fever cannot be called predominant over other manifestations that worry the patient.

Fever with otitis media

Otitis, the temperature at which is considered one of the key manifestations, is a purulent form of inflammation of the middle ear. As mentioned earlier, intoxication syndrome is of great importance for differential diagnosis. Fever combined with severe ear pain suggests that the patient may have otitis media.

How long does the temperature last for otitis media? Fever is a persistent symptom of the pre-perforative stage of the disease, which lasts until spontaneous perforation of the eardrum (or tympanocentesis, paracentesis performed by an otolaryngologist). The duration of this stage of flow can range from several hours to several days.

You should know that with the appearance of suppuration, the temperature in otitis media decreases down to normal values.

Is there a fever with otitis media in children? Inflammation of the middle ear in childhood is quite difficult to tolerate. The younger the child, the worse his condition. Since the eardrum in infants is thicker than in adults, a peculiarity of the course can be called difficulty in perforation and release of pus. At the same time, there is no doubt what temperature is expected during otitis - fever reaches 39–40 ° C, often remaining resistant to the use of symptomatic antipyretic drugs.

Temperature and complications of otitis media

Fears associated with the disease are explained not only by the severity of clinical manifestations, but also by the high probability of severe complications. The dynamics of changes in temperature indicators is one of the simplest and most accessible ways to determine how effective antibacterial therapy is and whether the patient’s condition should be expected to worsen or improve. The disappearance of fever with cessation of otorrhea is a favorable prognostic sign, while a repeated increase in body temperature after a short-term improvement indicates the need to suspect complications.

A high temperature with otitis media is alarming if:

  • cannot be eliminated with the help of antipyretic drugs;
  • quickly increases against the background of unbearable headache, photophobia;
  • accompanied by nausea, vomiting;
  • accompanied by abdominal pain, stool upset;
  • accompanied by the appearance of a rash on the skin and mucous membranes.

A complication of acute purulent inflammation of the middle ear can be mastoiditis - damage to the bone tissue of the mastoid process with the development of osteomyelitis. This is a secondary disease, the occurrence of which is explained by irrational therapy and a decrease in immune reactivity. How many days does the temperature last for otitis media complicated by mastoiditis? In this case, the patient's condition temporarily normalizes, and signs of recovery persist for several weeks. Then the fever, pain in the ear reappears, and the discharge of pus resumes.

Among the complications of a purulent process in the middle ear, otogenic meningitis and otogenic sepsis are also considered. There is an increase in temperature to 39–40 °C and higher. In this case, sepsis is characterized by hectic fever, accompanied by severe chills.

Tactics for fever

Has otitis media developed and you still have a fever? Every patient needs to know what to do in this case. The basis of treatment is antibacterial therapy, which can be:

Topical therapy is used in the treatment of the external form. Fever in this case requires emergency care only at febrile levels, when the patient complains of severe headache and weakness, his feet and palms become cold to the touch, pale.

For purulent otitis media, systemic use of antibiotics (tablets, injection forms) is indicated. A decrease in body temperature may be required if there is a sharp deterioration in the condition, an increase in fever values ​​​​to 38.5 ° C or more.

Low-grade fever with a satisfactory general condition of the patient cannot be controlled with medications.

In all situations described above, antipyretic drugs (antipyretics) are used - paracetamol or ibuprofen. They are available in various dosage forms (tablets, syrups, injections), which allows you to choose the optimal method of administration and quickly reduce the temperature. The general rules are also relevant:

  • a sufficient amount of liquid (tea, compote, mineral water - neither cold nor hot);
  • bed rest, limitation of physical activity.

In addition to the antipyretic effect, paracetamol and ibuprofen have analgesic properties, which allows them to combine antipyretic and analgesic effects. If, some time after taking the drug, the temperature remains at the same level or increases, it is necessary to assess the patient’s condition.

Lethargy, drowsiness, lethargy, severe headache, vomiting, marbling of the skin of the extremities are indications for emergency medical care.

How many days does the temperature with otitis persist after the start of antibacterial therapy? The temperature curve values ​​help determine whether the selected drug is effective. Monitoring changes in indicators over 24–48 hours is necessary to make an informed decision on continuing therapy or adjusting its composition and dosage of medications. An improvement in the condition with proper therapy is expected already on the first day of treatment, however, normalization of temperature values ​​is possible only after the infectious-inflammatory process has stopped, which takes at least several days.

Author: Torsunova Tatyana

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