How should otitis media with ear pain be effectively treated in children?

Patient's question:

Boy, 13 years old, attending elementary school. Recently, the child said his ears felt itchy and painful. He noticed that the earwax was a bit thick and yellow, and his ears were buzzing. He also had a slightly low fever. Please ask: How should ear pain from otitis media be treated effectively in children?

Doctor's answer:

Currently, in clinical treatment of pediatric otitis media, antibiotics are primarily used as the main therapeutic approach. Symptomatic medications can be administered based on the child's symptoms, which are quite effective. If the child's condition is severe, local treatments such as anti-inflammatory ear drops can be used in conjunction. If the child primarily experiences ear pain, it is recommended that parents provide appropriate analgesics to alleviate the discomfort. If the child also has a fever, fever-reducing medications should be administered. In severe cases, immediate medical attention should be sought. If the child experiences multiple acute severe episodes or has already developed a perforated eardrum, surgical treatment should be promptly performed. During the treatment period, it is important to ensure the child is kept warm to prevent symptoms from worsening due to catching a cold.

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