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Acute Otitis Media (AOM)

Acute Otitis Media Illustration

Acute Otitis Media (AOM) is the inflammation of the middle ear, located between the outer and inner ear. It is a common condition, especially in children. If the condition persists, it can lead to chronic issues lasting at least 3 months.

Symptoms

  • Ear pain on the affected side, which may be accompanied by a feeling of pressure or ringing in the ear (tinnitus).
  • High fever. Young children may cry inconsolably, especially at night, and act restlessly. They may pull at the painful ear. In some cases, nausea, vomiting, or seizures can occur.
  • Muffled hearing or a decrease in hearing levels. These symptoms often follow an upper respiratory tract infection (like a common cold).
  • Pain, fever, and muffled hearing usually decrease once the eardrum ruptures and pus begins to drain from the ear.

Treatment

  • Medication: This includes antibiotics, antihistamines, analgesics (pain relievers), and antipyretics (fever reducers).
  • Surgical Treatment:
    • Myringotomy: A small incision in the eardrum to drain pus from the middle ear. This significantly reduces pain and is usually performed when medication fails or complications arise.
    • Mastoidectomy: Surgery on the mastoid bone, performed if the infection or pus has spread into the mastoid air cells.

Prevention

  • Take precautions against acute upper respiratory infections, such as the common cold or sinusitis.
  • Avoid factors that weaken the immune system, such as stress and lack of sleep.
  • Keep the body sufficiently warm.
  • Exercise regularly (aerobic exercise) for at least 30 minutes a day, three days a week.
  • If you develop symptoms of a cold or respiratory infection, see a doctor promptly to prevent the condition from becoming chronic.
Warning Signs: Seek Immediate Medical Attention
  • Symptoms do not improve after taking medication, the fever does not drop, or you experience a severe headache.
  • Muffled hearing or a further decrease in hearing levels.
  • Fluid or pus begins to drain from the ear.


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