OverviewAcute otitis media is a bacterial or viral infection of the middle ear.
What is going on in the body?The three parts of the ear are the outer ear, the middle ear, and the inner ear. The eustachian tube connects the middle ear to the back of the throat. The eustachian tube keeps equal ear pressure between the middle ear and the throat.
Any secretions formed in the middle ear flow into the throat through the esutachian tube.
Otitis media often begins when a virus, such as the one that causes colds, or a bacteria, enters the nose and travels into the eustachian tube and causes it to swell. The infection can also travel up the eustachian tube to the middle ear, causing an acute infection.
What are the signs and symptoms of the condition?The symptoms of otitis media vary depending upon the age of the child. An infant with an acute infection of the middle ear may show the following symptoms:
• fever
• inconsolable crying
• loss of appetite
• painful swallowing
• restlessness and interrupted sleep
• tugging or batting at the ear
• vomiting
In an older child, symptoms of an ear infection can include:
• ataxia, or loss of balance
• drainage from the ear
• ear pain
• fever
If the infection is more severe, the eardrum may bulge. There may be pus behind the eardrum. If the drum has ruptured, there is often clear or pus-like material in the ear canal.
What are the causes and risks of the condition?
Otitis media is an infection caused by a virus or bacteria. The following children are at higher risk for this type of infection: children in day care
children under the age of 3 or 4 years
children who live with smokers
children who take bottles to bed
children whose parents had childhood otitis media
children with chronic allergies
or sinusitis
Native American and Eskimo children
What can be done to prevent the condition?
If a child has abnormalities of the eustachian tube, there is often no way to prevent the disease. These children often need ventilation tubes placed through their eardrums to bypass the poorly functioning eustachian tube.
How is the condition diagnosed?
Diagnosis of acute otitis media begins with a medical history and physical exam. The healthcare provider will look at the child's eardrum through an otoscope.
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HEALTH CENTERS
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