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

Patient's question:

My little girl is 2 years old. Recently, she has been scratching her ears and complaining of itching. Additionally, there is yellow earwax discharge, and she is also experiencing poor appetite and a sore throat. Could you please advise on how to diagnose and treat middle ear infection with pus in children?

Doctor's answer:

Antibiotics and anti-inflammatory drugs are the current methods and medications used in clinical treatment for pediatric otitis media. Parents can choose based on symptoms. Ear secretion bacterial culture can be performed, and anti-inflammatory ear drops can be used according to the test results. If the child's ear pain is severe, appropriate pain relief medication can be given. If the child also has a high fever, fever-reducing medication can be considered. However, if the fever persists, it is essential to seek medical attention promptly. Otitis media is characterized by recurrent episodes. If there is a case of eardrum perforation, timely medical treatment is required. After the condition improves, it is recommended to encourage the child to engage in appropriate exercise to boost immunity and prevent recurrence.

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