Patient's question:
For the past three months, my ears have been discharging pus and blood while sleeping at night, and it's very painful. My hearing has deteriorated rapidly.Doctor's answer:
Hello, there are two types of otitis media: one is purulent otitis media, which is often caused by a cold. The initial ear pain is significant and presents as a, with possible fever. Once the eardrum perforates and discharges pus, the pain subsides. The other type is non-purulent otitis media. This type does not discharge pus but may cause a feeling of fullness in the ear, hearing loss, or tinnitus. This is due to inflammation of the eustachian tube, which leads to changes in pressure within the middle ear cavity.The treatment for purulent otitis media includes: if possible, performing pus culture and conducting sensitivity tests, selecting antibiotics based on the test results, either orally or via injection. For the ear locally: if the pus is large and thick, hydrogen peroxide is used for cleaning, followed by the application of sensitive antibiotic ear drops. If it is non-purulent otitis media, the main focus is to reduce edema in the eustachian tube. Nasal drops, anti-inflammatory medications, and appropriate use of antibiotics are applied.