How to diagnose and treat children's ear pain from otitis media

Patient's question:

A 3-year-old girl has just started kindergarten. Recently, she has been scratching her ears and complaining of itching. Upon observation, her earwax appears thick and slightly yellow. Additionally, she seems to have little appetite and lacks energy. Here's the question: How should otitis media (middle ear infection) with ear pain be diagnosed and treated in children?

Doctor's answer:

If a child gets otitis media, they can first use some symptomatic antibiotic medication. If the child's condition is more severe, local treatments can be supplemented, such as anti-inflammatory ear drops. When the child has ear pain, they can also be given some analgesics. Some children may also have a fever at the same time, in which case oral fever-reducing medication can be given. If it cannot be relieved, medical attention must be sought. If there are multiple acute severe episodes or if an eardrum perforation has already occurred, surgical treatment should be performed in a timely manner. After the condition improves, it is recommended to encourage the child to engage in appropriate exercise to boost their immunity and prevent recurrence.

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