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Otitis media treatment and prevention - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 638 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   actually the problem is that discharge is coming from ear
Doctor :   Since how long?

User :   & the consulting doctor is asking to have an EUM
Doctor :  
Ok
User :   since 10 days
Doctor :  
How is the color of the discharge?
User :   he said there is some infection & he has to clean it up
Doctor :  
How much in amount?
User :   dark yellow
User :   & it is coming frequently
Doctor :  
Do you have pain and fever?
User :   no
Doctor :   Is it on both sides?
User :   no
User :   on
Doctor :  
How did it start ?
User :   1 side
User :   left one
Doctor :  
first
Doctor :  
How did it start?
Doctor :  
Did you have cold, cough etc?
User :   actually i use to clean my ears with buds
User :   yep
Doctor :  
Ok
User :   i had cough & cold
Doctor :  
Is it before the discharge of 10 days earlier?
User :   yes
Doctor :  
Ok
User :   i want to ask one thing
Doctor :  
Yes
User :   that whether there is any pain inEUM
User :   & if done once i need to undergo this EUM process frequently
Doctor :   Ok
Doctor :  
I shall explain you everything correctly
User :   ok
Doctor :  
Do you have hearing loss?
User :   i still dont know
Doctor :   Okk

User :   bt sometimes i feel that my left ear is blocked
Doctor :  
After listening to you
Doctor :  
I felt that you might have something called Otitis Media ( which is better known to the doctor who examined you through Otoscope)
User :   ok
Doctor :  
If there is profuse discharge from the ear
Doctor :  
then the doctor shall prefer to examine the ear under Microscope in the OR
User :   ok
Doctor :  
for better visualisation if there is some complication
Doctor :  
This otitis media starts with Upper resp infection by virus
Doctor :  
then with secondary bacterial infection
Doctor :  
It blockks the tube btw the ear and the nose
Doctor :  
and cause the source of infection
Doctor :  
which eventually spread to the middle ear
User :   ok
Doctor :  
The middle profusely discharge pus
Doctor :  
and finally opens to the external ear
Doctor :  
through a membrane called TM
Doctor :  
Eardrum
Doctor :  
the treatment is with good antibiotic cover for 7 days
Doctor :  
with pus to be sent for cultrue and sensitivity for
Doctor :  
better antibiotic
Doctor :  
initiation
User :   ok
Doctor :   This EUM is also called

Doctor :  
Tympanocentesis and myringotomy
Doctor :   where the doctor sterilises
Doctor :  
with isopropyl alcohol or povidone-iodine solution
User :   ok
Doctor :  
I hope you followed me
User :   is there any pain while doing EUM & when the doctor sterilises
Doctor :   Usually not

User :   & how much time it takes usually
Doctor :   Less than 15 minutes

Doctor :  
if done by a skilled ENT surgeon
Doctor :  
It depends on the extent of the discharge
Doctor :  
so I cannot say tht
User :   ok
Doctor :  
If there are more pockets of pus
Doctor :  
then it takes more time
Doctor :  
Did you follow?
User :   & after this process how much time wd the solution take to settle down & enable to clear hearing
Doctor :  
THis is only a cleaning procedure
Doctor :  
actual tretment is Antibiotic
Doctor :  
which kill the bacteria
Doctor :  
The hearing loss is because of the thick pus obstructing the hearing
Doctor :  
So if it is cleaned you should be able to hear clean
Doctor :  
But the main treatment is antibiotic
User :   ok
Doctor :  
Is there any thing else I can help you with?
User :   & one thing more if EUM done once i need to do it at regular intervals
Doctor :   That is what I am saying, if there is more pus coming out and interupting your hearing then it is needed to clear the pus
Doctor :  
for better hearing
User :   okk
Doctor :  
The pus actually stops if we kill the bacteria with good medicines
User :   ok
Doctor :  
Please fill the feedback form say done when done
Doctor :  
Get back to me after the EUM is done with the doctor
Doctor :  
Keep me update about yur progress
User :   one last thing
Doctor :  
while I can give you tips
Doctor :   Please proceed

User :   once eum is done the effect of those solutions wd last how many hrs? or i may able to hear clearly as the eum is completed
Doctor :  
You should be able to hear better than now after cleaning
User :   ok
Doctor :  
The solutions are to maintain the sterility of the procedure
Doctor :  
They do not actually kill the bacteria
Doctor :   completely
User :   ok
User :   thanks doctor
User :   u were giving some tips
User :   can u plz give?
Doctor :   Antibiotics should be taken as per schedule
User :   k
Doctor :  
Personal cleanliness
Doctor :  
Do not allow water to get inside
Doctor :  
the ears
Doctor :  
Do not clean your ears with buds
Doctor :  
These things you have to keep in miind
User :   then if i wish to clean my ears myself then what shd i do? any drops
Doctor :   One should not clean the ears by oneself

Doctor :  
This is a major mistake done by many
Doctor :  
Actually the wax in ears should never be cleaned and no need to
User :   ok & is there any harm to ears if i eat too sweet or too sour things?
Doctor :  
unless there is a hearing problem because of obstruction
User :   okk
Doctor :  
Not
Doctor :  
really related
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   Do you have some questions to ask?
User :   no thanks bt if i want to read this chat then how can i read later
Doctor :   Ok

Doctor :  
You can go to the Accounts and Settings
User :   k
Doctor :  
and you can email the chat history to your email Id
User :   thanks
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