How should child otitis media with purulent earwax be treated effectively?

Patient's question:

My little girl, who is 3 years old this year, has been feeling a bit painful in her ears recently. I noticed that the earwax is a bit thick and yellowish, and she also seems to have a poor appetite and is very weak. I would like to ask: If it is otitis media with purulent earwax in children, how should it be treated to be effective?

Doctor's answer:

Antibiotics or anti-inflammatory drugs can be used appropriately. An ear secretion bacterial culture can be conducted, and based on the test results, anti-inflammatory ear drops can be applied. Depending on the child's condition, pain relievers can also be given, especially when ear pain is severe, as they can help alleviate the discomfort. Some children may also have a fever, in which case oral fever-reducing medication can be administered. If the symptoms do not improve, medical attention must be sought. In cases of repeated acute severe infections or eardrum perforation, surgical treatment should be promptly performed. After the condition improves, it is recommended to engage the child in appropriate physical activity to boost immunity and prevent recurrence.

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