Everything you should know about middle ear inflammation
Very often an acute middle ear inflammation starts with a snuff. In most cases, viruses are responsible. They get into your middle ear via the nasal cavity and your ear trumpet, also called tube. There, the Pauken cave mucosa ignites. This automatically creates changed pressure conditions in your middle ear. This in turn impairs your eardrum in terms of vibration capability. The transmission of the sound is correspondingly restricted.
In this guide, you'll learn everything about middle ear inflammation, symptoms, treatment, and diagnosis, and learn more about the entire development and possible complications.
Symptoms of middle ear inflammation
Basically, middle ear inflammation is always associated with severe ear pain. In addition, there may be further symptoms and subsequent complaints, which may then be an indication of middle ear inflammation:
- Dizzy spell
- Pressure feeling
- Feeling in the ear
- Redness and swelling
- Weak feeling
- Ear noises and tinnitus
- Sound line treacly bondage
- Liquid behind the eardrum
- Ear outflow
- Crack or hole in the eardrum
Diagnosis of middle ear inflammation
Let your neck-nose ear doctor examine you, who makes a diagnosis with a magnifying glass and a light source. Most likely you'll take a hearing test. This helps with the diagnosis. The doctor then decides which treatment is necessary for you. Acute middle ear inflammation may be detected and then sound conduction hearing is detected. In addition, the neck-nose ear doctor takes a swab and does a bacteriological examination. This is preferably handled when you have an immune deficiency. The swab may help if no improvement has occurred in spite of therapy with antibiotics. The bacteriological examination determines the specific pathogen from your doctor. Thus, a specific antibiotic can be used in a targeted manner. Before your ear pain is treated, any allergies or diabetes must be considered. That's why you should describe all the details.
A smear in middle ear inflammation
The swab is taken directly from your middle ear mucosa using a sterile tucker. Alternatively, a small spatula or a small brush is often used. The smear can then be used to determine the pathogens.
The course of antibiotic therapy in case of middle ear inflammation
In the case of middle ear inflammation, antibiotics are very often used. There are differences in therapies when it comes to the pathogen. As a rule, such antibiotic therapy lasts seven days. Your doctor will discuss the therapy with you.
How is middle ear inflammation treated?
In the first one to two days, the symptoms of middle ear inflammation are treated by a nose-ear doctor, but the causes themselves are not. Most of the time, you get a remedy for swelling. This remedy is available either as a drop or as a porridge.
You will also receive a painkiller such as paracetamol.
Possible complications in middle ear inflammation
Multiple complications can occur in the case of middle ear inflammation. In general, however, such undesirable incidents are rather rare. However, this can severely affect your health.
The inflammation of the wart extension is a typical complication. This continuation is located directly on the sleeping leg behind your ear shell.
The skin is mostly swollen and reddened. If you very often suffer from middle ear inflammation, it can also become chronic. As a result, your eardrum will become scarred, and the eardrum will also be damaged. Your ears are only a few millimeters tall. In the case of chronic middle ear inflammation, they can be intergrown or even completely destroyed. Then there may be a permanent hearing disorder. Therefore, you should go to your neck-nose ear doctor at the first signs of middle ear inflammation.
The inflamed wart extension
This peg-shaped bone behind your earmuff can ignite if the middle ear inflammation only heals poorly or not at all. The symptoms are similar to middle ear inflammation, but they are more pronounced.
How do I handle my hearing aid in case of middle ear inflammation?
Hearing loss can result from chronic middle ear inflammation. Then you can get more quality of life with a hearing aid. As a wearer of a hearing aid, however, note certain rules when you have middle ear inflammation.
It is best to avoid devices with a closed otoplasty, i.e. with an ear buckle. In this case, an open hearing aid supply is much better. You preferably combine these with a behind-the-ear device. This means that you will continue to provide sufficient ventilation for your ear. In no case can a hearing aid cause a middle ear inflammation, because the infection takes place via the mouth and throat space.
How does a middle ear inflammation develop?
There are different ways in which middle ear inflammation can occur.
The infection usually originates from the nasal throat and is transmitted via the ear trumpets into the middle ear.
Sometimes the pathogens also get directly into your middle ear via a defect of your eardrum from the outside. In the rarest cases, pathogens from the bloodstream can also enter your middle ear.
There are two causes that are basically involved in the development of middle ear inflammation:
- previous or present infection
- constant ventilation of the middle ear
If the so-called tube, i.e. your ear trumpet, is not properly ventilated and there is a ventilation disorder, it always comes to problems. Previous infections are usually bacterial or viral infections of your upper respiratory tract.
How can pathogens get into my bloodstream?
Bacterial pathogens or even poisons can spread to the surrounding bones if your middle ear already has an infection. When the poison or pathogens enter the bloodstream, they spread and can even attack your brain.
Which pathogens cause middle ear inflammation?
The following viruses and bacteria may be the cause of middle ear inflammation:
Streptococcus pneumoniae: Triggers pneumonia.
Haemophilus influenzae: The nasal throat is lit feverishly.
Beta-hämölysierende Streptokokken: Trigger especially in premature infants pneumonia, brain inflammation and blood poisoning.
Very rarely, flu viruses are also responsible for middle ear inflammation. Sometimes a flu actually ends in numbness.
The same applies to viruses that cause scarlet or measles. They cause inflammation and then destroy the cells of the mucous membrane.
In infants, middle ear inflammation is often associated with upper respiratory tract infection. These are usually caused by a flu or cold. The course is usually comparable to the usual middle ear inflammation of an adult.
A middle ear inflammation in a child
Children up to the age of six are very often affected by middle ear infections. In the first year of life, about half of all infants have a middle ear infection. In the third year of life, it is as high as 80%.
Therefore, it is essential that children's complaints are taken seriously and that the disease should not be carried away. Then there is a great danger that the child may experience persistent hearing loss.
Notes and signs:
- Pain in the abdomen
- the child touches his ears
- Body temperature rises
- Fever above 39 °C
If a toddler or infant very often has middle ear inflammation, the throat almonds are often enlarged. It may then make sense to remove the almonds. The operation is recommended if the following situations occur:
- Within a year, there are several middle ear infections.
- Liquid accumulates behind the eardrum.
- The child has problems breathing through the nose.
The protection of babies and children
It has been shown that children often fall ill when their parents smoke. The same applies to children who have already had middle ear infection, because then the risk of recurrum disease increases. An infant breastfed by the mother is less likely to develop middle ear infections.