Why does the child have an earache? How can you treat earache in children?

Children's ears ache often, which is associated with the structure of the ear canals. The article reveals the causes of earaches in children and considers treatment options for different causes of pain.

Ears in children hurt often enough, about 75% of children in childhood suffer from this disease. During illness, children become capricious, behave restlessly, sleep is disturbed, they may refuse to eat.

Ear pain is not only unpleasant, but it is also very dangerous. If you do not apply an effective treatment, the child may lose his hearing. In particularly severe cases, a fatal outcome may occur.

Why does the child have a bad earache? Causes of earache in a child

In children, the ear organ is underdeveloped. The Eustachian tube, through which the infection penetrates, is short and wide and practically does not interfere with the penetration of microbes. Baby ears do not withstand mechanical stresses, which can occur, for example, in a sneeze. Therefore, earaches in children are much more common than in adults.

Causes of Ear Pain:

• otitis is the most formidable and dangerous, even for life, cause. It is an inflammation of the inner, middle or outer ear. The cause of otitis may be a bacterial or viral infection
• otomycosis - fungal infection of the outer or middle ear, with a headache, furuncles, pus out
• obstruction of the eustachian tube - more often a complication of various diseases of the upper respiratory tract, can cause inflammation of the middleear. At the same time, a headache is felt, the ears are laid
• sulfur plug - appears when excessive operation of the ears. Excess sulfur does not have time to retire and overlaps the auditory canal. The child feels congestion and pain in the ear, the hearing deteriorates
• bacterial, viral infections of the body for colds, sore throats, acute respiratory infections, influenza, adenoids, when the infection through the blood, lymph gets into the ear. Pain is caused by an inflammatory process due to infection or overexertion and increased pressure in the middle ear
• inflammation of the parotid lymph nodes - lymphadenitis. The state of health worsens, and in the area of ​​the lymph node there is a pain where there are many nerve endings of
• trigeminal neuralgia-a pathological irritation of the facial nerve that provides sensitivity to the jaws and gums. The pain that occurs in these areas can be heard in the ears of
• meningitis - inflammation of the brain envelopes, can lead to bacterial infection of the inner ear( labyrinth), which can lead to complete hearing loss.
• mastoiditis is an inflammation of the mastoid process located behind the auricle and hasa kind of bone protrusion. Infection here comes with blood flow or with trauma. At the same time, a throbbing pain in the ear and in this process is felt, the temperature rises, ears appear from the ears, the hearing decreases

• epidemic parotitis is a mumps. Inflammation of lymph nodes, pain can also be felt in the ears of
• chicken pox - with increasing lymph nodes in the ears,
• parotitis is felt - inflammation located in front of the auricle under the skin of the salivary gland as a result of getting there microbes with blood, lymph, from the aching tooth
• tumors in the earfuruncle, for example) that cause the inflammatory process
• mechanical injuries of the skull, jaws
• teething, gingival inflammation, head and neck diseases can be caused by ear pain
• in case of circulatory disordersin the vessels of the head and neck, which causes an increase in blood pressure, pain can be given in the ears of the
• ear injury - an insect bite, stroke, damage to the eardrum, burn, hypothermia, barotrauma( gunshot, very loud sounds, cotton ears,airplane with differential pressure)
• foreign body, which the children themselves put in their ear. Do not pull yourself, if it is deeply stuck
• water in the ear, which gets in the bath, can cause swelling, increased pressure in the middle ear and pain. If the water is in the ear for a long time, then the otitis media of the middle ear can begin. Also, the liquid can enter the middle ear through the nasopharynx while eating
• allergic reactions that cause swelling of the ear tissues and increased pressure in the middle ear
• prolonged exposure to the ear of the cold wind triggers the appearance of a painful bruise. The auricle and the skin around become cyanotic and hurt. This state passes independently

What if the child has an earache with otitis?

If the ear hurts when taking otitis, the child should be shown immediately, as soon as possible, to the doctor. This is done without fail, even if the preliminary measures have had an effect, so that the process does not remain cured.

Bury anything in your ear is prohibited, even boric alcohol. The point is that if the tympanic membrane is damaged, alcohol will penetrate the eardrum and cause complications.

• First of all, drip your child with vasodilating baby drops in your nose. Any that are at home. Drops will remove swelling in the nose and in the ear canal, which will fall through the auditory tube between the ear and nose. The pressure exerted by the air on the tympanic membrane aligns that will partially or completely relieve the pain syndrome
• If the pain has only appeared, there is neither temperature nor any purulent discharge from the ear, the pain can be alleviated by an alcohol or warm compress from salt, sand. If there is pus and temperature, then any compress is prohibited.
• Alcohol compress: moisten bandage, gauze, cotton cloth in vodka, moonshine or alcohol( ratio of alcohol to water 1: 2)

  doctor measuring temperature cute baby girl isolated on white background

• Place the tissue around the auricle so that the auditory canal is open( cut through the hole where you put the auricle).The second layer has cellophane, the third - a piece of cotton wool to enhance the warming effect. Hold the compress for two hours while the warming effect of the
• Compresses out of salt or sand. In the frying pan, heat the salt / sand to 60 degrees, no more. Pour into a bag and put it to your ear. The temperature of the bag should be about 50 ° C.Top with a warm handkerchief, keep also as long as it warms, also about 2 hours.
• Give a drink of antipyretic and pain medications: Nurofen, Paracetamol, Efferalgan, Ibuprofen
• If there is 100% certainty that there is no rupture of the tympanic membrane( as a rule,this is known to moms whose children have been sick with otitis more than once), then instill with drugs that relieve inflammation: boric alcohol, Otipaksom, Otinum, Garazon, Sofradeks

All the recommendations of the doctor must be strictly observed, before the due date to cancel the medicineIslands, and especially antibiotics can not. The pain syndrome passes earlier than the inflammation passes, therefore, the withdrawal of medications can cause complications or lead to chronic form.

Acute otitis media of the middle ear in children, treatment

Acute otitis media of the middle ear is an inflammatory process followed by accumulation in the middle ear of fluid, exudate. Acute otitis can be caused by streptococci, staphylococci, viruses, fungi.

• Immediately show the child to the otolaryngologist. The doctor will determine the cause of the pain, whether there are purulent formations or it is only the inflammatory process of
• . Such examination will depend on the treatment process, its duration, types of medicines used
• Treatment of otitis lasts about 10 days, although in severe forms it is possible longer. The patient needs absolute rest and bed rest. This measure will prevent complications. Walking in a strong cold, wind in the street can not. It is only allowed to go out to the street after the child's state has normalized and the pain is stopped.
• Anti-inflammatory drugs are used, antibiotics may be prescribed( although many experts consider them unsuitable in some cases).It is also necessary to drip the vasoconstricting drops in the nose and use antihistamines that relieve edema and ease the condition of
• . The doctor can additionally prescribe warming up with a blue lamp, compresses
• . If after 3 months the exudate does not resolve or frequent relapses, then a puncture of the tympanic membrane can be used to release the fluidand insert the drainage pipes. These tubes fall out on their own in 6-12 months. In 80% of cases after such procedure otitis is not renewed

Purulent otitis media of middle ear in children, treatment with

After the development of inflammation and accumulation of exudate, the second stage of acute otitis begins - purulent otitis. This phase is characterized by the formation and accumulation of pus in the middle ear with the subsequent perforation( rupture) of the tympanic membrane and the outflow of pus from the ear.

• With a burst of the membrane, sudden severe pain and ear noise, dizziness, and hearing loss are observed.
• It is necessary to give the child an antipyretic and analgesic. Bury or warm your ear can not. Immediately take the child to the doctor. Delay is fraught with deafness and even death, because the infection can spread to the brain
• If the pus has already started to gather, the doctor can make an incision on the eardrum to facilitate and accelerate the outflow of pus. This must be done, since the inflammatory process can go to the bone tissue of the temporal region, which is treated more difficultly. The procedure is quite painful and delicate, therefore it is often performed in children under anesthesia
• . After puncture, take turunda from cotton wool, moisten in a solution of 70% alcohol and glycerin 1: 1 and insert into the auditory canal. This turunda is changed to a cotton ball with a baby cream, which is put on for 2 hours several times. Such procedures remove edema
• The doctor prescribes anti-inflammatory drugs, antibiotics. Tablet antibiotics: Flemoclav, Flemaxin Solutab, Cyphran, Amoxiclav, Cefazolinum, Ceftriaxone, and also in drops: Otipax, Sofraks. You also need nasal drops and antihistamines, often the same as with acute otitis media. Treatment can last more than 2 weeks
• After a puncture, carefully observe the hygiene of the cavity of the external ear. Pus and mucus immediately remove. Use not matches or ready-made ear sticks that can damage the skin and infect the outer ear, but cotton wool. Pre-moisten them with 3% hydrogen peroxide or 0.9% sodium chloride
• It is advisable to apply thermal physiotherapy: UHF therapy, ultraviolet irradiation, mud treatment, laser radiation
• After recovery, the child needs to undergo a recovery and resorption therapy thatappoints the attending physician

Why do the ears hurt the child at high temperature?

High temperature is a sign of a strong inflammatory process. The temperature and pain in the ear can be with inflammation in the internal( the most dangerous form), the middle or outer ear, mastoiditis.

Since the mouth, nose and ears are interconnected systems, pain can be transmitted in the ears, with such diseases with a high temperature:

• angina
• diphtheria
• measles
• chicken pox
• scarlet fever
• tuboote
• acute pharyngitis

The fever is accompanied by such ear inflammations:

• external otitis, provoked by a furuncle. The hair follicle is most often affected by Staphylococcus aureus. The temperature does not usually exceed 38 ° C, the duration of the pathology is about one week
• purulent perichondritis of the auricle is a damage to the perichondrium of the shell, in which cartilaginous tissue is melted by pus. The skin of the ear becomes hot, first has a reddish hue, then changes to bluish. The auricle gradually wrinkles and loses its shape. Temperature 37 ° С-39 ° С
• acute purulent otitis - purulent inflammation of the middle ear, temperature 38 ° С-40 ° С
• mastoiditis - inflammation of the bone tissue of the mastoid process behind the ear, temperature 37 ° С-38 ° С

Against the background of viral diseasespain in the ear appears after the mucus from the nose through the ear canal enters the ear and begins to exert pressure on the eardrum. If this mucus does not infect the ear cavities, the pain passes by itself.

Why does my child have earaches after ARVI?

In children after acute respiratory viral infection, acute otitis media may occur as a complication. More often this disease occurs in weakened children: often ill, premature, on artificial feeding.

Infection of the short and wide auditory tube from the nasopharynx into the middle ear. This is especially true of the smallest, as they often lie horizontally, which complicates the outflow of mucus and promotes the reproduction of microbes.

What should I do if my child has an ear and a headache?

It is necessary to understand the causes of pain. Often, headaches and earaches are manifested due to the fact that the cranial nerves suffer, usually with an acute inflammatory process.

• If it is a viral infection that gives in the ear and pain is not intense, intermittent, then drip into the nose and give the child antipyretic drugs. If the temperature does not, compress. There is a high probability that complications will not arise. If the pain is expressed and does not pass, then it is otitis
• If it is otitis, otomycosis, lymphadenitis, mastoiditis, purulent labyrinth( inflammation of the inner ear) - relieve the patient's condition and at the first opportunity, without delay, visit the doctor
• If it is meningitis, diphtheria,angina, measles - give painkillers to relieve pain and call an ambulance
• If the pain is caused by a blow to the ear or head, especially if the child has unconsciousness, call for an ambulance. If the ear is bleeding, then the ear should be closed with cotton wool soaked with camphor alcohol, and a bandage on top. Before the arrival of the ambulance, put the child to bed, and apply the ice to the affected part of the head.
• If there is a rupture of the tympanic membrane, which is characterized by sharp pain, tinnitus, short-term disorientation, distortion of sound, close the passage with sterile cotton, apply a bandage and go toto doctor

What to do if a child has an earache without fever?

If there is no temperature, the cause of the pain may be a foreign object or water in the ear, teething, allergic reactions, lymphadenitis, sulfur plug or the onset of inflammation in the ear( otitis media, furuncle).

Examine carefully the baby. Then eliminate the root causes: give antihistamines, pain medications, brush your ears, compress. If you are confident in your actions and there is no possibility of examination by an ENT doctor, take medication with drops. If the ear continues to hurt, it is better to consult a specialist.

What should I do if my child has a sore neck and ear?

The neck and ear can hurt with lymphadenitis. In this case, lymph nodes are inflamed not only on the neck, but behind the auricles, and pain is given in the ears. It is necessary to provide first aid and go to an otolaryngologist who not only prescribes treatment, but also identifies the root cause.

Also, the neck and head ache with circulatory disorders of the vessels of the head and neck. If this condition is often repeated, then the process should be monitored, have ultrasound vessels, visit a neurologist.

Causes of ear pain in a child: advice and feedback

• If the child has an ear, but the pain is not acute or intermittent, and the child is active, it is advised to observe the development of the 48-hour state for children from 1 year old. If the condition does not improve, then visit the otolaryngologist necessarily
• After otitis it is not necessary to swim and dive in order to avoid relapse
• Folk medicine in the treatment of otitis can be used after consultation of an ENT doctor with the agreed methods, otherwise the consequences of self-medication can be catastrophic
• ., as the pain passes, it is fraught with complications: a transition to a chronic form, partial loss of hearing

Katerina:

When flying on vacation with children on the plane, before the flight I drip in butvasodilators drops, and in the ears Otipaks otinum or to make it easier to transfer the pressure drop. Before I began to use this method, when landing and taking off, I felt not just stuffiness, but straight pain. Chewing and swallowing movements did not help. Now it's easier.

Olga:

A small beetle crawled into my ear in 3 years. I saw him, but could not get it. It was a day off. Then I boiled refined sunflower oil( there was no petroleum jelly at that moment) and poured into my ear to kill the insect. After 5 minutes I turned the head of my daughter so that the oil could easily leak out. It emerged with the bug. The next day we turned to LOR, she said that we did everything right.

Video: Otitis in a child. Treatment of otitis

Video: Otitis - Dr. Komarovsky's school