How to diagnose and treat ear itching in children with otitis media

Patient's question:

My son is one year old. Recently, he has been scratching his ears and says they itch. In the morning, yellow earwax came out. Additionally, he seems to have no appetite and feels weak. Could you please advise on how to diagnose and treat middle ear infection with itchy ears 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 are quite effective. Additionally, local treatments can be administered, such as using anti-inflammatory ear drops for the child. For children with significant ear pain, analgesic medications can be applied. If the child also has a fever, fever-reducing medications can be taken. In severe cases, it is important to seek medical attention promptly. If there are multiple episodes of acute severe otitis media or if a tympanic membrane perforation has occurred, surgical treatment should be performed in a timely manner. During treatment, it is also important to arrange a light diet for the child, enhance nutritional supplementation, and help promote early recovery.

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