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Six year old with a swollen face after falling. Severe ear infection with high temperature. Fluid discharge from the ear

My six year old son knocked himself on the side of his face just above his right ear. After three days it still very swollen. And he is battling to open his mouth wide. He has also had a severe ear infection for the last two weeks battling with 40 deg temperatures. His ear (right) now is perforated mad leaking hugely. I have drops for the ear. I'm concerned about the head and the continued high temps even after the ear burst.
Asked On : Mon, 22 Apr 2013
Answers:  2 Views:  25
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Pediatrician 's  Response

Your son is suffering from Otitis Media and in addition he has incurred injury on the same side of face hence the swelling .

The ear drops you mentioned at present might not be of any help because his ear is already leaking and the drops you try to administer will come out as well.

Since he is still running fever and not able to open his mouth wide he will need to urgently be re examined and most probably will have to be started on a good oral or intravenous antibiotic to treat the infection.Sometimes the infection of the ear can spread to the jaw joint also hence the urgency of re examination is required.

Take Care.

Answered: Mon, 22 Apr 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013

Thank you for your query on Healthcare Magic.

You are having two issues with your child.

Coming to first issue your child got injured just above the ear leading to swelling and inability to open his mouth wide.

So there may be injury to his temperomandibular joint as child is having difficulty in opening mouth or pain may restricting the opening.

You can give a painkiller like ibuprofen in prescribed dose for fever.

And child require physical examination by the doctor to look for any joint dislocation and any bone injury with X-rays.

Coming to the second issue your child is suffering from a middle ear infection which is resulted from bacterial infection.

It requires antibiotics to control the infection and to get relief from the fever.

Protect his ear from water entering into it while taking bath and keep the ear clean and dry.

And consult the doctor for examination for both issues and for appropriate management.

Hope I have answered your query.

Answered: Mon, 22 Apr 2013
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