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Question :

Posted On : 26 Feb 2023

4 month old presented with unilateral mild purulent ear discharge, otherwise comfortable, afebrile, active and feeding well. How do we manage this case?

Expert Answer :

Answer Discussion :

S

sunny dev

0

It is case of Chronic Suppurative Otitis Media(CSOM) it is two types Attic entral granulation and Tubo rypmanic CSOM
Attic entral granulation is danger for brain referal immediately to ENT but Tubu-tympanic should treat by antibiotics drops only.
Management:
1.Non-Pharmocology
2.Pharmocology
-Educate
-Dry Ear
-Ear pulge during Shower/Bathing
-Aural Toilet(Clean Pusy ear)
-Antibiotic Ear drops till pus and infection resolve then refer to surgery for repair tympanic membrane.

1 year ago

S

Smriti Raj

1

no treatment is needed in this case..we need to just educate the mother about breastfeeding

1 year ago

S

Shilpa Rahamatkar

3

seems to be non infectious ....probably it's breast milk as child is comfortable,taking breast feeding,active ..... instead of crying ,toxic ,febrile .

1 year ago

S

SOLAIKUMAR GURUSAMY

0

Oral amoxicillin for ten days

1 year ago

J

John Abiodun

2

Mother should be taught how to properly breastfeed baby, to avoid lying down while breastfeeding.... Reassure parents that it might be breast milk in the ear canal

1 year ago

Answer 1

Use nasal drops(saline) and advocate feeding in the upright position. No need for antibiotics.

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