Ear Infection Protocol
What is otitis media?
Although otitis media is most common in young children, it also affects adults occasionally. It occurs most commonly in the winter and early spring months.
Is it serious?
Otitis media is also serious because the infection can spread to nearby structures in the head, especially the mastoid. Thus, it is very important to recognize the symptoms (see list) of otitis media and to get immediate attention from your doctor.
How does the ear work?
A healthy middle ear contains air at the same atmospheric pressure as outside of the ear, allowing free vibration. Air enters the middle ear through the narrow eustachian tube that connects the back of the nose to the ear. When you yawn and hear a pop, your eustachian tube has just sent a tiny air bubble to your middle ear to equalize the air pressure.
What causes otitis media?
Sometimes the eardrum ruptures, and pus drains out of the ear. But more commonly, the pus and mucus remain in the middle ear due to the swollen and inflamed eustachian tube. This is called middle ear effusion or serous otitis media. Often after the acute infection has passed, the effusion remains and becomes chronic, lasting for weeks, months, or even years. This condition makes one subject to frequent recurrences of the acute infection and may cause difficulty in hearing.
What will happen at the doctor's office?
Two other tests may also be performed:
This tests if hearing loss has occurred by presenting tones at various pitches.
This measures the air pressure in the middle ear to see how well the eustachian tube is working and how well the eardrum can move.
The Importance of Medication
Sometimes the doctor may recommend a medication to reduce fever and/or pain. Analgesic ear drops can ease the pain of an earache. Call your doctor if you have any questions about you or your child's medication or if symptoms do not clear.
What other treatment may be necessary?
The surgeon selects a ventilation tube for your child that will remain in place for as long as required for the middle ear infection to improve and for the eustachian tube to return to normal. This may require several weeks or months. During this time, you must keep water out of the ears because it could start an infection. Otherwise, the tube causes no trouble, and you will probably notice a remarkable improvement in hearing and a decrease in the frequency of ear infections.
Otitis media may recur as a result of chronically infected adenoids and tonsils. If this becomes a problem, your doctor may recommend removal of one or both. This can be done at the same time as ventilation tubes are inserted.
Allergies may also require treatment.
Otitis media is generally not serious if it is promptly and properly treated. With the help of your physician, you and/or your child can feel and hear better very soon.
Be sure to follow the treatment plan, and see your physician until he/she tells you that the condition is fully cured.
What are the symptoms?
- pulling or scratching at the ear, especially if accompanied by other symptoms
- hearing problems
- crying, irritability
- ear drainage
In young children, adolescents, and adults look for:
- feeling of fullness or pressure
- hearing problems
- dizziness, loss of balance
- nausea, vomiting
- ear drainage
Remember, without proper treatment, damage from an ear infection can cause chronic or permanent hearing loss.