How should the pus-like cerumen in children's otitis media be treated better?

Patient's question:

A 3-year-old girl has just started kindergarten. Recently, she told me her ear hurts a bit, and occasionally, yellow fluid has been leaking from her ear in the morning. Additionally, her appetite isn't good, and her throat feels uncomfortable. Here is the question: How should otitis media with purulent earwax be treated in children?

Doctor's answer:

It is appropriate to use some antibiotics or anti-inflammatory drugs. Ear discharge bacterial culture can be performed, and anti-inflammatory ear drops should be used based on the test results. If the child has severe ear pain, it is recommended to give pain relievers as needed. If the child has a fever, fever-reducing medication can be taken. In severe cases, it is important to seek medical attention promptly. In addition to these medication-based treatments, if the child's condition worsens and results in a tympanic membrane perforation, surgery is required at the hospital for treatment. During the treatment period, it is crucial to ensure the child stays warm and avoid further symptoms from worsening due to cold exposure.

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