How should otitis media with purulent cerumen be treated better in children?

Patient's question:

My child is a boy, 5 years old. Recently, he has been scratching his ears and complaining of itching. In the morning, yellow earwax was found oozing out. Additionally, he has been experiencing a headache and fever. Could you please advise on the best treatment for purulent earwax in otitis media in children?

Doctor's answer:

Antibiotics and anti-inflammatory drugs are currently the methods and medications used in clinical treatment for pediatric otitis media. Parents can choose them based on the symptoms. Parents can use topical anti-inflammatory ear drops for local treatment. If the symptoms are primarily ear pain, pain-relieving medications can be considered. If the child has a fever, they can be given fever-reducing medication or taken to the hospital immediately. If the patient exhibits severe symptoms, such as a perforated eardrum, it is necessary to seek hospital treatment for surgical intervention. During the treatment period, it is important to keep the child warm to prevent exacerbation of symptoms due to colds.

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