MEAN FEATURES:
1. Mild and easily treatable with very minimal chance of serious complications.
2. Almost always is result of complication of acute otitis media i.e. generally develops after acute otitis media.
SYMPTOMS:
1. Recurrent or persistent mucopurulent ear discharge
2. Mild to moderate deafness
3. Pain if present there must be otitis external also caused by ear discharge.
SIGNS:
1. Mucopurulent discharge.
2. Central perforation of the eardrum.
3. Enlarged tonsils and adenoids may be seen.
4. Otitis externa due to discharge.
5. Swelling of middle ear mucosa coming out through eardrum perforation.
INVESTIGATIONS:
1. Radiographs of sinuses to rule out any sinusitis.
2. Radiographs of mastoids to rule out any mastoiditis.
3. Swab of ear discharge and nasal swab for culture and sensitivity if decided to treat with antibiotics.
GENERAL TREATMENT PLAN: Aimed mainly at following:
1. Treat upper respiratory tract disease if any present or starts. Aggressive treatment is recommended.
2. Local cleaning of ear via cotton swap, suction, and syringing.
3. Medicinal pack or medicine drop.
PRECAUTIONS:
1: No water entry into the ear. This must be aggressive. All things, which may cause water entry to the ear, should be avoided.
2: No blowing of nose (i.e. making effort to through out nasal discharge) this makes the condition worse.
3: Treat any upper respiratory symptoms as soon as they occur with home and homeopathic medicines.
Homeopathic approach for chronic tubotympanic suppurative otitis media: This consists of
1: Treatment during discharging phase.
2: Treatment during dry phase.
3: Treatment of other upper respiratory disease as soon as possible.
A constitutional homeopathic medicine should be used more frequently in discharging phase, in dry phase should be used if indicated (whenever the patient feels somewhat unwell), and new upper respiratory symptoms should be treated according to acute totality of symptoms and constitutional medicine in repeated dose can be used if symptoms corresponds to this also.
Find out your constitutional homeopathic medicine for chronic tubotympanic suppurative otitis media:
Age: _____
Gender: _____
Location: _____
Height: _____
Weight: _____
Ear affected: _____
EAR DISCHARGE STARTED FIRST AFTER
A: Measles.
B: Fever.
NATURE OF DISCHARGE:
C: Bloody discharge.
D: Cheesy discharge.
F: Offensive.
G: Purulent.
H: Thick.
I: Thin.
J: Watery.
K: Yellow
L: Yellowish-Green.
OTHER SYMPTOMS YOU EXPERIENCE
M: Boring the ear with finger.
N: Ear canal seems red.
O: Sensation of fullness in the ear.
P: Itching in the ear.
Q: Hearing decreased.
R: Prone to have persistent thick crusting in nose.
S: History of late learning and easy falling as a child.
T: Dry mouth without thirst.
U: Suffers with chronic thick yellow nasal discharge persistently.
V: Feels exhausted, weak, and chilly always.
W: Tendency to get fresh runny nose very frequently.
X: Enlarged tonsils.
Y: Enlarged adenoids.
Z: Family history of tuberculosis.
At least six symptoms are necessary to find out a constitutional homeopathic medicine for chronic tubotympanic suppurative otitis media. If you do not have six symptoms then we would suggest some further questions according to symptoms given by you.
Important: Best served If contacted via email.
Dr. Rakesh Kumar (B.H.M.S., N.H.M. C., Lko)
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