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

Patient's question:

My daughter, who is 8 years old, has been scratching her ears recently and says they itch. Additionally, the earwax is a bit thick and yellowish. She also seems to have no appetite and feels very tired. Please advise: How should we treat middle ear infection and ear pain in children?

Doctor's answer:

To treat pediatric otitis media, parents can first give their child some anti-inflammatory medication. In addition to systemic medication, local treatment can also be performed using anti-inflammatory ear drops. If the child has severe ear pain and yellow discharge, it is recommended to use some pain-relieving medication to alleviate the symptoms. If high fever is present, medication should be used based on the child's symptoms. In severe cases, it is important to seek hospital treatment promptly. If there are multiple acute severe episodes or if an eardrum perforation has occurred, surgical treatment should be performed in a timely manner. Parents should also pay attention to proper preventive measures to avoid recurrent otitis media.

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