Treatment of external otitis media, drops, ointments

In order to cope with external inflammation of the auditory canal, a comprehensive treatment aimed at sanitation of infectious foci should be carried out.

It includes:

• Toilet of the auditory canal:

It is necessary to clear the auditory canal of sulfur, purulent secretions and exfoliated skin particles before using various drugs to increase the effectiveness of their action. To do this, the doctor, with the help of turunda, impregnated with a solution of hydrogen peroxide, boric alcohol or furatsilina, conducts the toilet of the acoustic passage, clearing it of unnecessary particles.

• Use of local medicines: The doctor will suggest using drops for the ears with otitis, which contain antibacterial agents - to fight infection and hormones - to reduce inflammation, swelling and itching. If the acoustic passage is very swollen, a tampon moistened with drops is inserted into it. Local antibacterial agents can be used only after removal of the centripetal, if there is an abscess boil. It is also topical to use ointments that are also injected with a tampon.
• Antibiotic therapy : for patients who have reduced immunity, or when the infection spreads, the doctor may prescribe antibacterial agents for oral or injecting.
• Anti-inflammatory therapy: appointed to reduce pain and relieve inflammation. You need to eat them during meals.

How much is otitis externa treated?

The duration of treatment depends on the type of inflammation of the external auditory canal. So, for example:

1. Limited form - due to the presence of boils, requiring an autopsy, treatment will last at least one week;
2. Diffuse form - since with this form the inflammatory process can reach the tympanic membrane, the therapy will last from two to three weeks. After this, the symptom severity decreases and the patient begins to recover.

Medication Therapy

In the acute period of external ear lesions, mainly local medications are used. To remove the overgrazing, swelling and inflammation - hormonal, analgesic and anti-allergic drugs. Antimycotic and antimicrobial drugs are used to influence the cause of the disease (microbes and fungus).

The scheme of treatment can include such medications:

1. Normax, Polidexa are antibacterial drops that inhibit the development of bacteria, due to a decrease in membrane synthesis of pathogenic cells;
2. Fluid Burov, Furotalgin - alkaline drops to increase the level of acidity in the ear and the effect of local immunity;
3. Miconazole, clotrimazole - antimicrobial ointments, which are directed to the destruction of fungal microorganisms, the products of which contribute to the development of inflammation;
4. Chlorhexidine, miramistin - antiseptic agents, the necessary days of disinfection of the foci of inflammation, thereby increasing the rate of epithelial coating of tissues that were affected;
5. Ketanov, ibuprofen are analgesic agents that reduce pulsation and aching soreness, preventing its spreading inside the labyrinth;
6. Ibuklin, Nise - belong to the group of NSAIDs, reduce inflammation and pain, thereby facilitating the symptoms of pathology ENT-organ;
7. Acriderm, Triderm - a normal ointment for the removal of signs of inflammation, puffiness, the normal of such functions of the acoustic passage as, drainage and ventilation.
8. Cetirizine, Telfast - drops against allergies, thanks to which the swelling and redness in the auditory canal is eliminated, due to the decrease in synthesis, a mediator of inflammation.

The choice of medicines for treatment can be done only by the doctor, carefully analyzing the cause of the disease and the course of its course.

Otipax with external otitis

In the composition of this medicine are two active substances:

1. Lidocaine is an anesthetic, which reduces pain, itching and other negative sensations;
2. Phenazone - analgesic, which relieves the symptoms of inflammation, removes soreness, swelling and reduces fever.

Use drops can not more than ten days, dripping four drops two or three times a day.

Levomekol with external otitis

Levomekol in the therapy of this pathology has been used for many years. And for this period has not once proved its effectiveness. A lot of actions are characteristic for him. For example:

1. Antibacterial;
2. Anti-inflammatory;
3. Regenerating.

Levomekol is practically an ideal remedy, which has a minimum of side effects and has practically no contraindications. But, like any medical device, you can use it only after consulting a doctor. Moreover, in conjunction with other prescribed medicines, its effect will increase at times.

And so, if in the list of medicines that you prescribed a doctor, there is a Levomekol ointment, you can use it according to the following scheme:

1. Form a turunda from gauze or cotton wool;
2. Turundu should be thoroughly soaked with ointment;
3. Lay the turunda in the affected ear for twelve or fourteen hours.

If the doctor did not appoint otherwise, then this sequence of actions should be conducted from eight to eleven days. In neglected cases, the duration of therapy may increase. Basically, after a specified period of time, the patient begins to experience symptomatic relief. If this does not happen, you should immediately contact your doctor for advice and correction of treatment.

Dioxydin with external otitis

Dioxydin is a very strong antimicrobial agent, which has high efficiency against microorganisms of anaerobic type. Studies of this drug have been conducted for fifteen years, but to this day because of its undesirable effects, it causes significant disagreement among specialists. Indications for the appointment of this drug are purulent pathologies, the causative agents of which are different bacteria.

Use it for otitis can be in the form of drops that can be buried in the nose and in the ear.

Dioxydin in the nose:

• The sinuses of the nose are thoroughly cleared of pus and mucus by means of isothermal or physiological solutions;
• Dioxydin is needed in ampoules. We need a 0.5% solution diluted with hypertonic solution to 0.1-0.2%. To dig in, you need one or two drops to children, or three drops of an adult twice a day;
• To increase the effect, you need to throw your head back.
• Store the prepared solution in a day. Duration of treatment is maximum one week, on average - three to four days.

Dioxydin in the ear:

• The auditory canal with the help of special sticks from cotton wool is completely cleared of sulfur and pus (with purulent otitis);
• You can also clean the ear canal with peroxide and a moistened cotton pad or swab that is wrapped around a match and inserted into the ear. Keeps such a turunda for at least five minutes. After that, the ear shell must be thoroughly wiped. If care of the auditory canal occurs regularly, this will be enough.
• Dioxydin is digested in the ear.

For children, you can choose the first and second way.

[1]

Boric acid

Boric acid is an antiseptic with a disinfectant effect. For the treatment of external otitis it is used in the form of a turunda moistened with its solution.

[2], [3], [4], [5]

Antibiotics for external otitis

During therapy of inflammation of the external ear, the following antibacterial medicines can be used:

• Ampicillin - 0.5 mg per knock for a day, divided into two to six uses. Children - at the rate of 100 mg / kg of weight;
• Oxacillin - 0.6 mg four times a day. Up to six years of age - the dose depends on the weight and age of the child;
• Amoxicillin - half a gram per day, dividing them into three doses. For children, the daily dose will be 0,125-0,25 grams.
• Cefazolin - from a quarter to one gram in six to eight hours. Children 20 - 50 mg.
• Cephalexin - 0.25-0.5 grams, divided into four uses;
• Augmentin - 0.75-2 grams per day, dividing the dose into two to four uses.

In addition to pills, ear drops or injections with antibacterial medication can also be prescribed.

The medicine and the necessary dosage are determined by the doctor.

[6], [7], [8], [9]

Drops with external otitis

Most often, to cope with the otitis of the external ear used such drops as:

• Sofraks is a medicine with a fried action aimed at suppressing infection and inflammation. It can also relieve swelling. Because of the presence of hormonal substances in the body, it requires accuracy in following the doctor's recommendation. It should be borne in mind that with the use of these drops there is a chance of side effects, manifested in the form of allergies (runaway). These drops can not be used in treatment in the gestational period, infants, as well as people with pathology of kidney and liver function.
• Otypax is one of the most popular medicines used to treat this pathology. It is characterized by high efficiency and speed of activity in the removal of pain symptoms, swelling and inflammation. You can use women in the gestation period and infants. To increase effectiveness, it is desirable to use it at the beginning of the disease. Contraindication will only break the eardrum and before the otoscopy procedure.
• Normax is a drop used in the treatment of external otitis media as an antimicrobial agent. May cause negative effects, in the form of sensations of whirling, burning and rashes to the ear. It is worth to repeatedly apply to the treating doctor, in case there will be at least one of their negative effects.
• Kandibiotik - is characterized by a wide spectrum of antibacterial action, which is effective against many pathogens of this pathology. In addition, it also exhibits antimicrobial activity. It is forbidden to use it in the gestational period and up to six years of age. Medication can cause allergic reactions.

[10], [11], [12], [13], [14]

Ointments with defeat of the outer ear

The use of ointments in the therapy of this pathology is a frequent enough phenomenon, since they are quite practical.

Most often doctors prescribe such medicines:

1. Levomekol - ointment, which has antibacterial or anti-inflammatory effect. The medicament includes - levomitsetin, antibacterial agent, and methyluracil, which facilitates the speedy recovery of tissues and the production of interferon. Ethylene glycol, also part of the ointment as an additional substance, is responsible for adsorbing agents of the drug.
2. Tetracycline ointment is a medicine that refers to antibacterial agents with a large spectrum of action. Thanks to the active substance, the integrity of the exciter protein is suppressed and the regeneration of the affected skin segments is carried out as soon as possible.

Corticosteroids in therapy of external otitis media

Hormonal remedies for the treatment of external ear damage are used as ear drops, mostly in combination with antibiotics.

For example:

1. Dexamethasone with Ciprofloxacin - used in the form of a solution, which includes 0.1% dexamethasone and 0.3% ciprofloxacin. Sometimes as a hormonal drug, the same hydrocortisone can be used.
2. Neomycin with polymyxin and gyrocortisone - in this combination often acts as a suspension or solution. Thanks to the interaction of all components among themselves, the effectiveness of this drug is greatly improved. Antibacterial drugs expand their effects, and corticosteroids reduce inflammation.

[15], [16], [17], [18], [19]

Treatment of external otitis without antibiotics

In the world community there is an opinion that if the ear is only blushed, there is no reason to use antibacterial drugs without the appearance of pus or other secretions in it. In this case, only analgesic medications are required to reduce the manifestations of the disease.

Indication for antibiotic therapy is an increase in body temperature above 39C, the appearance of purulent discharge, rupture of the tympanic membrane, bilateral otitis. In other cases, you need to monitor the patient and use drugs that have analgesic efficacy.

Compresses for external otitis

If the treating doctor permits, you can use warming compresses with otitis, which are based on heating alcohol or vodka to 40C.

Stages of the formation of the compress:

1. The affected ear needs to attach gauze, previously soaked in vodka;
2. On the cheesecloth you need to make a cut into which the ear is passed;
3. On top of the gauze, you need to put polyethylene and cotton wool;
4. Secure the formed compress with a bandage.

[20], [21]

Physiotherapeutic treatment

Medical workers advise combining standard treatment regimens for inflammation of the external ear with physiotherapy. Because of this, positive results of treatment will be achieved much faster, and the likelihood of complications will decrease many times. Physiotherapeutic methods that can be used in combination therapy to increase trophism and reduce the number of catarrhal processes can be:

1. UHF therapy  - treatment, which is based on the use of high-frequency currents, to improve the circulation processes in tissues for their early regeneration;
2. UV-therapy is a treatment that has an antibacterial and anti-inflammatory effect, affecting the foci of damage by ultraviolet radiation;
3. Autohemotherapy - treatment aimed at reducing the symptoms of diffuse otitis and furunculosis. Treatment is based on the patient's blood injected subcutaneously.

In addition, procedures aimed at heating up can be used to reduce the symptoms of external ear infection. However, if the pathology is accompanied by a purulent discharge - use of thermal procedures is prohibited! Since this will help stimulate the "growth" of bacteria and increase the likelihood of complications.

Treatment of external otitis media at home

The main goal of treating the external part of the ear is to get rid of the disease. In addition to the treatment that the doctor who prescribes can be prescribed, after informing him to use the following procedures at home:

• Warming compress. It is done this way: a heated solution of alcohol (50 ml of alcohol (or vodka) + 50 ml of water) to wet the gauze cut, put it on the ear sink so that the shell itself, lubricated with cream (vestigial) or petroleum jelly, remains open. Keep the compress for two hours.
• You can also apply a leaf of plantain or baked onions to the affected ear, until the breakthrough of the boil;
• Also, from the alternative methods, the lauretic leaf has a wide use in this pathology: pour a glass of water on five pieces of bay leaf and bring it to a boil and insist. Eat 3 tablespoons twice a day, and drop 10 drops into the ear canal.

After the breakthrough breakthrough, you can make a steam bath: boil the kettle and, throwing on his nose a towel from the mahra, and set the direction so that from the emerging pair to the ear was not less than fifty centimeters. Heat the procedure for about three minutes, then wipe the face with a cold towel. Repeat up to ten times. Negative sensation in the field of ENT organs will be held for five minutes.

Alternative treatment

Sometimes, as an additional therapy for a speedy recovery, you can use alternative recipes. But it is advisable, before using these methods, to consult a doctor in order to reduce the likelihood of deterioration. Especially this advice is relevant for children.

For example, as an alternative therapy, you can use such recipes:

1. Aloe juice should be squeezed and moistened in its juice with a cotton swab, which must be inserted into the ear for the whole night until recovery;
2. Spoonful of St. John's wort needs to be poured a glass of water and insist for an hour. Then the infusion strain and rinse your ear twice a day.
3. Garnet leaves (fresh) thoroughly rinse, form a small lump from it and put in the ear. Leave a leaf in your ear for two to three hours.
4. Tincture of propolis diluted with water in a ratio of 1: 2, moisten the resulting solution with a cotton turunda, and insert into the affected ear. Leave it for one hour, repeat it twice a day.
5. Garlic must be crushed to the state of cereal, and in a ratio of 1: 1 mixed with vegetable oil. Lubricate such a family auditory canal twice a day.

[22], [23], [24], [25], [26]

Homeopathy

To treat inflammatory diseases of the ear, sometimes homeopathic remedies are used. And although this method of treatment is still controversial among medical personnel, this does not allow us to draw accurate conclusions about the benefits or harms of this method. Nevertheless, sometimes the treatment with homeopathic remedies brings the necessary result.

For example, you can use Aconite in such pathologies as: earache, tingling sensation, or "drops of water in the ear."

Surgery

The surgical method of treatment can be used in this type of pathology, such as necrotizing inflammation of the external ear, furunculus of the external ear. In this case, resection of tissues that have undergone necrosis is performed.

In addition, this urgent surgical intervention may be required in the event of an abscess in the external auditory canal (with a limited type). In this case, a cut and installation of abscess drainage, which will be performed by an otolaryngologist, will be required.

To remove purulent discharge or plaque in severe or fungal types of pathology, there may also be a need for surgical treatment.