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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Hearing Problems In A Child?

my 5 years old daughter had cough and cold early in the november 13 and the cough lasted upto 10th of december. Later she had started problem in hearing. ENT had given her solvin and ascoril syrup and cleared the ear. However, problem still persist. i have shown her to another ENT who had suggested solvin for 10 days and stated that she has phlegm in ear. There is improvement. Again i have shown her he has suggested Alspan AM for 15 days. Is it ok or needs something else.
Wed, 16 Dec 2015
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ENT Specialist 's  Response
Hello dear,
After going through your history, I believe you have some genuine concern and I will try to help you out of this situation.

For understanding your problem you have to first understand the anatomic relation of ear and nose. Please click on the following link for an image.

http://www.kids-ent.com/resources/clinical/ear.jpg

The space behind the ear drum (Middle ear) is connected to the behind of nose through a slender tube called as Eustachian tube. It drains the fluid from the middle ear to the nose and supplies air from the nose to the ear. Both of these processes are very much essential for proper hearing.
As you said, your problem started with the flu. What happens, with every infection the lining mucosa of the nose and the Eustachian tube gets swollen. This leads to blockage of the tube. So the usual function of drainage of fluid and supply of air by the tube do not happen. This leads to deposition of fluid in the middle ear which presents like heaviness in the ear and decrease in hearing. When persists for long, it may plastered the drum to inside and a permanent partial hearing loss will occur.

Our aim is to make the Eustachian tube work. In my clinic along with medications, I advise the mother to give the baby warm liquids with a small spoon because when we swallow, the Eustachian tube opens and closes. So we have to swallow again and again to make the tube work. If the situation is longer, then the accumulated fluid inside the ear become glue like. This takes time to improve.

Regarding medication, your ENT specialist is the best person to guide you. But in addition to what prescribed, you should take a steroid nasal spray which your doctor will not forget to prescribe.

I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation.

Thank you for the way you are in my life.
Dr Ipsit Panda
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What Can Cause Hearing Problems In A Child?

Hello dear, After going through your history, I believe you have some genuine concern and I will try to help you out of this situation. For understanding your problem you have to first understand the anatomic relation of ear and nose. Please click on the following link for an image. http://www.kids-ent.com/resources/clinical/ear.jpg The space behind the ear drum (Middle ear) is connected to the behind of nose through a slender tube called as Eustachian tube. It drains the fluid from the middle ear to the nose and supplies air from the nose to the ear. Both of these processes are very much essential for proper hearing. As you said, your problem started with the flu. What happens, with every infection the lining mucosa of the nose and the Eustachian tube gets swollen. This leads to blockage of the tube. So the usual function of drainage of fluid and supply of air by the tube do not happen. This leads to deposition of fluid in the middle ear which presents like heaviness in the ear and decrease in hearing. When persists for long, it may plastered the drum to inside and a permanent partial hearing loss will occur. Our aim is to make the Eustachian tube work. In my clinic along with medications, I advise the mother to give the baby warm liquids with a small spoon because when we swallow, the Eustachian tube opens and closes. So we have to swallow again and again to make the tube work. If the situation is longer, then the accumulated fluid inside the ear become glue like. This takes time to improve. Regarding medication, your ENT specialist is the best person to guide you. But in addition to what prescribed, you should take a steroid nasal spray which your doctor will not forget to prescribe. I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation. Thank you for the way you are in my life. Dr Ipsit Panda