What are the treatments for otitis media?

Otitis Media - USMLE Step 2 Review

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Answers (2)

Answer 1
November, 2020

There is otitis externa. It is usually treated with antibiotic drops or ointments. It happens that taking antibiotics inside is also added to the treatment.

With inflammation of the middle ear, there is a high probability of self-recovery. But the doctor must decide whether and when to prescribe antibiotics. Pain relievers and antibiotic drops are also used. There are also indications for "piercing" the ear membrane (paracentesis).

Answer 2
November, 2020

There are several treatments for otitis media, each of which is due to a specific type of disease. Common to all types of disease - each patient is prescribed pain relievers, since it is very difficult to endure ear pain.

Ear drops are prescribed for the treatment of external inflammation. When a person is healthy and has strong immunity, it is possible to cope without antibiotics. The duration of treatment for otitis media is one week.

Treatment of otitis media should be started with antibiotics. But unlike small patients, otitis media in adults mostly goes away without the use of antibiotics. But if there is no improvement after two weeks of treatment, you need to discuss with your doctor the issue of introducing antibacterial drugs into the therapy regimen (Augmentin, Amoxicillin, Zinnat, etc.) The main thing is to drink a full course of antibiotics, even if there are noticeable improvements.

An additional treatment used in combination with the above drugs is ear drops. If the eardrum is intact, drops will do - “Otipax”, “Otinum”, etc. If the pus has already come out, the use of these drops is unacceptable. Then the ENT doctor will advise you to instill in your ears antibacterial drugs: "Normax", "Ciprofarm", etc.

When conservative therapy does not help, the doctor makes an incision of the tympanic membrane (paracentesis) to release the accumulated pus.

Treatment of chronic otitis media in adults includes taking anti-relieving, anti-inflammatory drugs and antibiotics, as well as performing procedures (washing the ears, removing pus, using special ointments).

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