In children with otitis media, how should cerumen with purulent discharge be treated?

Patient's question:

A 3-year-old girl just started attending kindergarten. Recently, she has been scratching her ears and complaining of itching. She occasionally has yellow fluid leaking from her ears, and her ears are buzzing. She also has a slight fever. Could you please advise on how to diagnose and treat otitis media with purulent earwax?

Doctor's answer:

Treatment for pediatric otitis media can involve symptomatic medication based on the child's symptoms. If the child's condition is severe, local treatments such as anti-inflammatory ear drops may also be used. For children with pronounced ear pain, analgesic medications can be applied. If the child has a high fever, medication should be administered according to the symptoms. In severe cases, it is crucial to seek medical treatment promptly. If the patient exhibits severe symptoms, such as a ruptured eardrum, timely surgical intervention in a hospital is necessary. During treatment, it is important to provide the child with adequate nutrition, with a diet focusing on light and easy-to-digest foods. Additionally, adequate rest should be ensured to avoid fatigue.

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