In the article, we consider the symptoms and treatment of acute tubo-otitis.
Among a number of diseases of the auditory organs, there are those that many know, for example, inflammatory processes in the outer ear or otitis media. But there are pathologies that cover the deeper structure of the auditory system, and one of them is tubootitis. This disease in medicine is also called eustachitis or otitis media. Treatment of tubo-otitis is aimed at eliminating its causes, which are inflammatory processes that develop due to the penetration of infectious particles into the ear region.
Diagnosis of the disease
In case of suspicion of tubootitis, the doctor finds out the anamnesis, since the development of this pathology is characterized by a previous infectious disease of the nose and throat. A standard inspection of the ears is mandatory. At the same time, otoscopy is performed, and, in addition, the work of the auditory tube is examined by increasing the pressure on its opening. During the study, the process of blowing a Politzer balloon is carried out and physical tests are applied. With otoscopy, doctors observe retraction along with hyperemia of the eardrum.
Other techniques
Other possible examination methods in the presence of tubootitis include:
- Taking a smear from the nasopharynx in order to identify a particular type of pathogen.
- Conducting allergy tests and tests for specific immunoglobulins. Such a study is usually carried out with allergic tubootitis.
- Endoscopic examination of the nasopharynx.
- Perform tympanometry, which is the study of the motor functions of the membrane.
Treatment of tubo-otitis
In the presence of inflammation of the Eustachian tube, first-aid drugs should become local drugs that are injected through the tube itself, this process is called catheterization. To conduct treatment and procedures, the patient does not need to be in the hospital, because absolutely all actions are easily carried out by the otolaryngologist within the framework of outpatient conditions. As a rule, glucocorticosteroids in solutions are introduced into the auditory tube. This helps to quickly relieve inflammation. In addition, proteolytic enzymes are used in the treatment of tubootitis, helping to thin the edematous fluid.
Procedures and medicines
The following procedures and medicines are also prescribed:
- Vasoconstrictors from the edema of the auditory tube in the form of Nazivin, Otrivin and Sanorin are instilled into the nose.
- Boric alcohol is instilled into the sore ear to reduce unpleasant symptoms and disinfect the inflamed area.
- Ear blowing along with pneumatic massage to remove serous fluid from the tube.
- The use of sprays with glucocorticosteroids for the treatment of ear tubotitis that are introduced into the nose and help to cope with inflammation in the nasopharynx, for example, Nazonex.
- Treatment with antihistamines and desensitizing agents in the form of "Diazolin", "Tavegil" and "Claritin".
- Treatment of tubo-otitis with immunomodulators to increase the body's overall resistance. In this case, funds are used in the form of “Taktivin”, “Half-Dan”, “Immunorix” and “Amiksin”.
- Antibiotic treatment for a severe form of the disease with a tendency of the disease to go into purulent otitis media. In this case, usually doctors prescribe either macrolides or penicillin group preparations.
- Conducting physiotherapy using microcurrents, magnetotherapy, UHF, electrical stimulation and laser exposure.
Chronic form
In the event that the treatment of acute tubo-otitis was started at an early stage, then the patient will be able to fully recover in six days. In the presence of chronic tubo-otitis, treatment and its effectiveness directly depend on the degree of hearing impairment, and, in addition, on the timely elimination of the factors provoking the disease. Such factors may be, for example, sanitation of the nasopharynx, correction of the nasal septum, removal of adenoids and the like.
Antibiotic treatment
Only a doctor should decide how to treat such a pathology as tubootitis. At the same time, any medications are selected individually, depending on the symptoms and characteristics of the course of this disease. So, as a rule, such types of drugs are used as anti-inflammatory, vasoconstrictive and antipyretic drugs, as well as antibiotics. Let us dwell on antibiotics.
Antibiotics in the treatment of tubootitis in adults are prescribed when severe pain, fever and purulent discharge from the middle ear appear. Usually these are medicines with a wide range of effects. But in order to enhance their effectiveness, it is advisable to perform an analysis on the microflora in order to choose the most suitable drug. Most often, Amoclicillin is prescribed for the treatment of tubo-otitis along with Amoxil, Gentamicin, Biseptol, Ceftriaxone, and so on.
Standard course
The standard course of therapy is usually from five to fourteen days. It is very important that the patient goes through to the end. It often happens that pain symptoms and severe inflammation on the background of complex treatment disappear on the third day, but this does not mean that a full recovery has come. In case of self-discontinuation of the drug, a relapse can be caused, which can lead to serious complications. Antibiotics for tubootitis are not considered an essential component of therapy, very often you can do with conventional anti-inflammatory drugs.
Now we find out which folk remedies are suitable for the complex treatment of tubo-otitis.
The use of folk remedies for tubootitis
At home, immediately after a medical consultation, you can treat tubootitis with folk remedies. But it is important at the same time not to forget about the prescribed medications, since in such a case there is a risk of the disease becoming chronic. Recipes for the appearance of inflammation of the auditory tube should be recommended as follows:
- A yarrow harvest is being prepared, where lavender, dandelion roots and a eucalyptus leaf are added. A collection spoon is brewed with one glass of water. The resulting product is taken orally at 50 milliliters three times a day.
- Grind the garlic head into gruel and pour the product with 120 grams of vegetable oil. Leave the product for one day in the heat, then the prepared medicine should be dripped in the ear three drops. It’s best to do it at night. Treatment of tubootitis with folk remedies is not limited to this.
- Four drops of tea tree juice should be dripped into a spoon with olive oil. Then the cotton turundas are moistened in the product, after which they are inserted into the ears all night.
- Calendula tincture is diluted with water one to three. The resulting medicine is dripped into the sore ear three drops up to two times a day.
- Insist two tablespoons of lingonberry leaves in 300 milliliters of boiling water and leave for an hour. It is recommended to drink the drug 100 milliliters three times a day before meals.
Treatment of tubootitis with boric alcohol
A proven and, at the same time, widely used remedy among folk recipes for the treatment of tubootitis is boric alcohol. He is able to effectively eliminate pain. Apply this tool as follows: warm alcohol is instilled into the ears in three drops, and then the ear is closed with a cotton swab.
Treatment with boric alcohol must begin with cleaning the ear canal from accumulated sulfur. This will enable the drug to better penetrate the sink, in order to subsequently effectively affect the focus of inflammation. Against the background of inflammation, a person can shoot in the ear and there is also severe pain. In order to clean the ears, you should use hydrogen peroxide in 3% concentration. After the instillation procedure, excess solution is removed from the ears with a cotton swab.
Contraindications
But not everyone can use a solution of boric alcohol without harm. Below we consider a list of contraindications, in the presence of which this tool should be excluded from its treatment:
- The presence of individual intolerance.
- The period of gestation or feeding.
- Presence of renal dysfunction.
- Patient is less than one year old.
The use of this drug implies that certain consequences are likely, by the way, this is also confirmed by the reviews that people leave on the Internet about this tool. Thus, adverse reactions in the form of clouding of consciousness, muscle cramps, dizziness, impaired renal function, nausea or vomiting can be observed.
Next, we learn how to treat pathology in children.
Rules for the treatment of children
In childhood, this disease can occur with a significant increase in body temperature, especially when it comes to babies. The most common cause of the development of the disease is the use of nasal sprays with a powerful jet, and, in addition, improper washing of the respiratory organ against the background of bacterial rhinitis or otolaryngological diseases.
Treatment of bilateral tubootitis should always begin with the elimination of edema by instillation of vasoconstrictor drugs. Very often pediatricians recommend that children use local antibacterial drugs in the ear, for example, Polydex. Without fail, children need to be given antihistamines that will help cope with puffiness and reduce the production of transudate. Following the subsidence of the acute phase of the disease, it is necessary to purge the auditory tube, a number of various physiotherapeutic measures are also carried out.
Tubo-otitis prophylaxis
In order to prevent the development of this disease, the following recommendations must be observed:
- To strengthen immunity.
- Regularly harden the body.
- Blow your nose one after the other, for example, first the right and then the left nostrils, but not both together and at the same time.
- Children should rinse their nose in accordance with medical recommendations.
- You can use nasal sprays in children exclusively from the age specified in the instructions.
- It is necessary to sanitize foci of infection in the area of otolaryngological organs.
- In no case should ear injury be allowed.
- It is necessary to try to reduce the likelihood of infection with otolaryngological diseases and other infectious pathologies.
Thus, this disease is best treated comprehensively with the use of drugs and alternative methods, but first the course of therapy must be agreed with the doctor.