How should ear wax and pus in the middle ear of children be treated?

Patient's question:

Boy, 10 years old, has started elementary school. Recently, the child has been scratching his ears and complaining of itching. It was noticed that yellow earwax was leaking out. Additionally, he seems to have no appetite and is also weak. Question: How should otitis media with purulent earwax be treated in children?

Doctor's answer:

Currently, in clinical practice, the primary treatment for pediatric otitis media involves the use of antibiotic drugs. Symptomatic medications can be administered based on the child's symptoms, which are quite effective. Parents can use topical treatments such as anti-inflammatory ear drops for local therapy. If the symptoms are primarily ear pain, pain-relieving medications can be considered. If the condition is accompanied by high fever, medications should be used according to the child's symptoms. In severe cases, it is important to seek medical treatment promptly at a hospital. If your child develops a perforated eardrum, timely surgical treatment at a hospital is necessary. While undergoing treatment, it is also important to ensure your child follows a light diet and receives adequate nutritional support to aid in early recovery.

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