Ears

Ear infections are common in children because their eustachian tubes are narrow and horizontal; this makes drainage poor and the tubes are easily blocked, leading to middle ear infections.

Waxy Ear

Ear wax is produced by glands in the outer ear canal and protects the ear from dust, foreign bodies, and infection. If wax accumulates and hardens, it can result in hearing loss. Although it’s not usually serious, you should consult your child’s doctor.

Symptoms

Ear wax can become hard and compacted and cause impaired hearing, a ringing sound in the head, or a sensation of fullness in the outer ear. It may be possible to see the buildup of wax.

Treatment Ear drops may be effective. Drops are more likely to be used if the wax has formed a hard plug, as they will soften it, allowing it to come out overnight on soft cotton wool placed at the opening of the canal. You should never try to insert anything into your child’s ear to try to clear wax, not even a fingernail or a cotton bud. They will only push the wax further into the canal or damage the lining of the ear.

Outer Ear Infection

The passage leading to the eardrum from the ear flap can sometimes become infected as a result of excessive cleaning or scratching, the presence of a foreign body in the ear, or after swimming. This can be painful, but is not usually serious.

Symptoms Your child will complain of earache and her ear and outer ear passage may be red and tender. You may notice a puslike discharge from the ear, and a dry scaly appearance. A boil within the ear canal can also cause great pain.

Treatment Home treatment includes keeping the ear clean, giving acetominophen elixir to relieve pain and keep the temperature down, and covering the ear with a cotton pad. Your doctor may prescribe antibiotics or ear drops. Any foreign body or boil in the ear must be dealt with by a doctor.

Middle Ear Infection

Otitis media, or infection of the middle ear, is quite common in children. Until about age six, some children develop such infections with every cold or sniffle. Infections are caused by bacteria entering the middle ear from the nose and the throat via the eustachian tube. Untreated infections can result in permanent hearing loss. Recurrent middle ear infections are often linked with glue ear.

Symptoms The most prominent symptoms are severe earache and loss of appetite. Your child may also have a fever or a discharge from the ear, and there may be some hearing loss. A baby with a middle ear infection may be distressed and pull and rub her ear. She may also have general symptoms such as loss of appetite, vomiting, and diarrhea.

Treatment The usual treatment is antibiotics and pain-relieving medication. At home, keep your children comfortable and cool and give lots of drinks as ,well as her medicines. The child should avoid getting water in the ear until the infection has cleared. Unless she feels very unwell, she can go to school:
ear infections are not contagious.

Glue Ear

If Your child has repeated infections of the middle ear, the middle ear can gradually fill with jelly-like fluid. As the fluid cannot drain away through the eustachian tube, it becomes sticky and impairs hearing because the sounds are not being effectively transmitted across the middle ear to the inner ear, where they are actually heard. It’s important to deal with glue ear promptly, especially when your child is learning to speak.

Symptoms Glue ear generally causes no pain, but partial hearing loss and a feeling of fullness deep in the ear may occur. A child with chronic glue ear may sleep with the mouth open, snore when asleep, and speak with a nasal twang. If glue ear is not treated it can cause permanent deafness, resulting in speech and learning problems.

Treatment The fluid may drain away if left for a few weeks. Your doctor may prescribe decongestants to help drainage. If the fluid does not clear, surgery may be recommended; in this operation, a tiny hole is made in the eardrum and the fluid is sucked out. Then a tympanostomy tube may be inserted; this tiny plastic tube allows air to circulate in the middle ear. Any fluid that forms can drain away through the tympanostomy tube and flow down the eustachian tube.

The tympanostomy tube usually falls out after a few months and the eardrum heals. Occasionally the tube has to be inserted again if the fluid reaccumulates. Doctors usually advise that children avoid getting their ears wet for the first six weeks after the operation, but after that they can usually do anything they like.

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