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

Patient's question:

My boy, who is 3 years old, has been scratching his ears recently, saying they itch. I noticed that there is yellow earwax coming out, and his ears are buzzing, with a slight fever. Could you please advise on how to diagnose and treat otitis media (middle ear infection) with ear pain in children?

Doctor's answer:

Antibiotic drugs are commonly used for the treatment of otitis media and can be selected as needed. While taking medication, local treatments can also be applied, such as anti-inflammatory ear drops. If the symptoms are primarily ear pain, pain-relieving drugs may be considered. Children with fever symptoms can take fever-reducing medications. If the condition is severe, it is important to seek medical attention promptly. In addition to these medication-based treatments, if the child's condition worsens and an eardrum perforation occurs, surgical treatment in a hospital is necessary. During treatment, it is advisable to maintain a light diet and focus on liquid foods.

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