How to diagnose and treat otitis media with yellow fluid in children

Patient's question:

Boy, 7 years old, has started primary school. Recently, the child told me his ears are a bit painful. Upon observation, it was found that the earwax is purulent, a bit yellow, and he also has poor appetite and a sore throat. Question: How should otitis media with yellow fluid in the ear be diagnosed and treated in children?

Doctor's answer:

Treatment for pediatric otitis media can involve symptomatic medication based on the child's symptoms. Bacterial culture of ear discharge can be performed, and anti-inflammatory ear drops may be used based on the test results. Pain relievers can also be given depending on the child's condition, especially when the ear pain is severe, to help alleviate the discomfort. If the child also has a high fever, antipyretics can be administered if necessary. However, if the fever persists, it is essential to seek medical attention promptly. In addition to these drug treatments, if the child exhibits severe conditions such as a ruptured eardrum, immediate treatment is required. It is recommended to maintain a light diet during daily care, and focus on a liquid diet during the treatment period.

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