Is there ear pain? How would you describe the pain - mild, moderate or severe?.What signs or symptoms have you noticed?.Questions for adults will address most of the same issues. If your child is old enough to respond, before your appointment talk to the child about questions the doctor may ask and be prepared to answer questions on behalf of your child. You may be referred to a specialist in ear, nose and throat (ENT) disorders if the problem has persisted for some time, is not responding to treatment or has occurred frequently. You'll likely begin by seeing your family doctor or your child's pediatrician. Talk with your doctor or pharmacist about what to do if you accidentally miss a dose. Failing to take all the medicine can lead to recurring infection and resistance of bacteria to antibiotic medications. Children 24 months and older with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102.2 F (39 C)Ĭhildren younger than 6 months of age with confirmed acute otitis media are more likely to be treated with antibiotics without the initial observational waiting time.Įven after symptoms have improved, be sure to use the antibiotic as directed.Children 6 to 23 months with mild middle ear pain in one or both ears for less than 48 hours and a temperature less than 102.2 F (39 C).Children 6 months and older with moderate to severe ear pain in one or both ears for at least 48 hours or a temperature of 102.2 F (39 C) or higher.If your child has had multiple ear infections or fluid buildup in the middle ear, your doctor may refer you to a hearing specialist (audiologist), speech therapist or developmental therapist for tests of hearing, speech skills, language comprehension or developmental abilities.Īfter an initial observation period, your doctor may recommend antibiotic treatment for an ear infection in the following situations: This can be helpful if an infection hasn't responded well to previous treatments. The fluid is tested for viruses and bacteria. Rarely, a doctor may use a tiny tube that pierces the eardrum to drain fluid from the middle ear - a procedure called tympanocentesis. However, the more pressure there is from fluid in the middle ear, the more sound the eardrum will reflect. Normally, the eardrum absorbs most of the sound. This test measures how much sound is reflected back from the eardrum - an indirect measure of fluids in the middle ear. The device measures how well the eardrum moves and provides an indirect measure of pressure within the middle ear. The device, which seals off the ear canal, adjusts air pressure in the canal, which causes the eardrum to move. This test measures the movement of the eardrum. Your doctor may perform other tests if there is any doubt about a diagnosis, if the condition hasn't responded to previous treatments, or if there are other long-term or serious problems.
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