If you have an ever-bawling baby, an ear-tugging toddler or an older child with a constant earache, you may be tempted to blow it off as just another infection. If you are, don’t be. Discomfort like this may be deeper rooted than you think, and if your child is old enough to express the pain in the ear, it’s a good idea to have acute otitis media ruled out as a cause for discomfort. If you aren’t familiar with the condition, this article should have you acquainted with its causes, symptoms and treatments.
Acute otitis media is a middle ear infection that occurs when the hollow space behind the eardrum becomes inflamed. It can cause severe pain, and maybe characterised by irritability and fussiness in babies, ear-clutching in toddlers and constant earaches in older children.
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In babies and toddlers, the Eustachian tube – the tube that connects the middle of the ear to the back of the throat – is shorter and flatter than in older children. Consequently, there is a higher chance of fluids getting trapped and leading to infections. Risk factors for acute otitis media include:
In babies and toddlers, the following symptoms might occur independently, or in conjunction:
Acute otitis media usually recedes on its own, without any treatment or intervention, although antibiotics may be administered in more serious cases. Some home remedies are also effective.
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A warm, damp cloth can work wonders in providing pain relief to your child. Hold one over your child’s infected ear to offer comfort.
Paediatrician-approved ear drops and pain relief syrups are some medicated options you could resort to using at home. If your child’s symptoms don’t improve, your paediatrician may also prescribe antibiotics.
Surgery is always a last resort, but it may be considered if the medication doesn’t elicit the desired treatment outcome. Adenoid removal may be recommended if your child’s adenoids are swollen or infected, or if your child has a history of multiple infections. Another surgical route involves the insertion of fine tubes into your child’s ears to allow for the drainage of fluid.
In general, acute otitis media isn’t a cause for concern. It usually improves without any treatment but does have a tendency to recur. In some cases, the condition can cause temporary hearing loss, inflamed tonsils and adenoids, a ruptured eardrum and speech setbacks. More rarely, it can give rise to meningitis.
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There are ways you can minimise your child’s risk of contracting acute otitis media – avoiding cigarette smoke, washing hands regularly, getting regular vaccinations, banishing the pacifier and breastfeeding as long as possible are some methods. If your child exhibits signs of an ear infection, it’s wise to visit a paediatrician. By taking action early, you can give your child the best of health – and hearing.
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Acute otitis media generally does not cause any serious complications, but the infections may recur. There may be temporary hearing loss for a short time, but the hearing should return after treatment. Other complications it can cause are enlarged adenoids, a ruptured eardrum, enlarged tonsils and speech delays. In rare cases, it can cause meningitis.
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Middle ear infections, or otitis media, last for a few days and should resolve on their own within 2-3 days without specific treatment. However, fluid buildup can occur despite the infection clearing, and if it persists for more than 3 months, additional treatment is required.
Yes. Acute otitis can be cured. It resolves on its own without needing any intervention or treatment. In some serious cases, antibiotics may be prescribed if pain relief syrups and ear drops don’t help. If medications don’t help, the surgical option may be considered, where adenoid removal may be recommended if it is infected or swollen. Another option is draining of fluid using tubes.
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