How should otitis media with yellow earwax in children be treated?

Patient's question:

My child is a boy, 2 years old. This week, the child has been scratching his ears and complaining of itching. Upon observation, there is a lot of yellow earwax, and he also has a headache and fever. Question: How should otitis media with yellow earwax be treated in children?

Doctor's answer:

Currently in clinical practice, the treatment of pediatric otitis media primarily relies on antibiotics. Symptomatic medications can be used based on the child's symptoms, which have shown good efficacy. Bacterial culture of ear secretions can be performed, and anti-inflammatory ear drops can be used according to the test results. If the ear pain is severe, appropriate analgesics can be given. If the child also has a high fever, fever-reducing medication can be taken on a case-by-case basis. However, if the fever persists, it is essential to seek medical attention promptly. If there is a possibility of a tympanic membrane perforation, surgical treatment for the child can be considered. Parents should also pay attention to preventive measures to avoid recurrent otitis media.

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