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Dr. Andrew Rynne

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Exp 50 years

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What to do for traumatic injury in the ear of child?

My daughter is 3 yrs old. She had traumatic injury of the ear with ear swab 12 days before. i.e.,on 20/7/11. There was little bleeding of the ear on the 1st day. then on the 3rd day mucoidal discharge was present. So visited ENT doctor(on 23/7/11) on whose advice -- (A)cephalexin syrup was given 250mg bd and (B)sofracort ear drops( which is framcetin + dexamethasone + gramicfin combination)2 drops bd. He put Ichthamol glycerine pack for the ear. Visited the doctor after one day gap. The mucus discharge was still there. (C)Ambroxol Hydrochloride syrup was prescribed 2.5ml bd. (started on 26/7/11). (D)Levocetirizine dihydrochloride syrup 2.5 ml once daily in the night was started on 27/7/11 as she was scratching in the night putting her finger inside the ear while sleeping. On 30/7/11 the discharge has reduced ,but still present. Doctor said the antibiotic should be changed as well as the ear drops. but to continue with Drugs (C)ambroxol and (D)levocetirizine syrups and he started with (E)Augmentin syrup bd and (F)Betnasol-N ear drops 2drops twice daily. My query is --Is my child undergoing the right treatment and will the medicines affect her adversely. or is there any alternative treatment for her condition.
Thu, 31 Dec 2015
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Pediatrician 's  Response
Hello, welcome to the forum, From your history i understand that your baby had a traumatic ear injury which seems to have secondarily infected. The treatment going on seems to be perfect as regards to choice of antibiotic, ( though some doses you have not mentioned specifically augmentin). I would only like to add one piece of advice. The draining ear can be cleaned regular basis i.e every 4-6 hours, with clean cotton bud, just the external ear canal. Also in future please take care to prevent such incidence by not keeping things in easy reach for kids
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