How should otitis media with yellow discharge in children be diagnosed and treated?

Patient's question:

A 3-year-old girl has just started attending kindergarten. This week, the child told me her ears are a bit painful, and occasionally, yellow fluid is leaking out in the morning. At the same time, she has a headache and a fever. Please advise: How should otitis media with yellow discharge be diagnosed and treated in children?

Doctor's answer:

Treatment for pediatric otitis media can use symptomatic medications based on the child's symptoms. In addition to systemic medication, local treatment can also be performed using anti-inflammatory ear drops. If the child primarily exhibits ear pain, it is recommended that parents give appropriate analgesics to alleviate the pain. If the child also has a fever, they can take fever-reducing medication. In severe cases, it is important to seek medical attention promptly. The above methods are commonly used for treating otitis media currently. Additionally, if there is a case of a tympanic membrane perforation, it is necessary to undergo surgical treatment promptly. During the treatment period, it is important to maintain dietary hygiene and ensure sufficient rest.

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