Otitis media is inflammation of the middle ear characterized by ear pain, runny nose, cough, fever and unilateral hearing loss. Findings include reddish ear drum and ear discharge.
Medications:
For suspected bacterial infection
- Tab. Moxikind-CV-625 (Amoxicillin 500 mg, Clavulanic acid 125 mg) 1 tablet thrice a day for 10 days.
- Cap. Velgut (probiotic and prebiotic) 1 capsule twice a day for 10 days.
- If no relief then consider culture and sensitivity of ear discharge and change antibiotics accordingly.
Supportive treatments:
- Tab. Okacet (Cetirizine 10 mg) 1 tablet once a day with dinner for 5 days
- Tab. Combiflam (Ibuprofen 400 mg, Paracetamol 325 mg) 1 tablet thrice a day for 5 days.
- Consider adding tab. Flanzen (Serratiopeptidase 10 mg) 1 tablet thrice a day for 5 days to improve the antibiotic penetration into the infected tissues in middle ear.
- For nasal blockage – Spray Nasivion nasal spray thrice a day for 3 days.
General advice:
- Take adequate rest
- Keep affected ear down when sleeping on the side
- Do not blow nose forcefully
- Drink warm fluids
- Saltwater gargles
Referral:
Consider referring the patient to ENT specialist if there is inadequate response to above therapies or if patient presents with additional complications such as fluid collection, pus discharge or adhesive otitis media.