Acute catarrhal otitis media ICD code 10. Treatment of chronic otitis

Treatment goals:

Relief of the inflammatory process in the middle ear cavity;

Elimination of symptoms of general intoxication;

Hearing restoration;

Disappearance of pathological discharge from the ear;

Improved well-being and appetite.

Non-drug treatment: regime - general, diet with restriction of sweets.

Drug treatment:
1. Relief of fever (> 38.5) - paracetamol** 10- 15 mg/kg, up to 4 times a day.

2. Toilet the ear (drain the ear with turunda), after which transtymponal injection of local antimicrobial and antibacterial drugs (for example, ear drops withamoxicillin, ciprofloxacin). Topical antibiotics from the group of quinolones andsemisynthetic penicillins are the safest for topical use in children practice.

3. In the presence of an allergic component, desensitizing therapy (for example, diphenhydramine hydrochloride, in an age-specific dosage 2 times a day for 5 days).

4. Antibacterial therapy: Antibiotics are prescribed empirically with the predominant use of oral forms. The selection of antibacterial agents based on the sensitivity of the flora in vitro is carried out only if empirical tactics are ineffective.
The drugs of choice are semi-synthetic penicillins, macrolides, alternatives are cephalosporins of the II-III generation.

Amoxicillin** 25 mg/kg 2 times a day, for 5 days, or protected penicillins (amoxicillin + clavulanic acid** 20-40 mg/kg, 3 times a day).

Azithromycin* 10 mg/kg 1 day, 5 mg/kg per day for the next 4 days orally or clarithromycin* - 15 mg per kg in divided doses, 10-14 days orallyor erythromycin** - 40 mg per kg in divided doses, 10-14 days orally.

Cefuroxime* 40 mg/kg/day, divided into 2 divided doses, 10-14 days orally. For cefuroxime, the maximum dose in children is 1.5 g.

Ceftazidime - powder for the preparation of solution for injection in a bottle of 500 mg, 1 g, 2 g.

For the treatment and prevention of mycosis during prolonged massive antibiotic therapy - itraconazole.

Preventive actions:

Prevention of viral diseases;

Avoid getting water in your ears (up to 1 month);

Permanent nasal toilet;

Do not bottle feed your baby while lying down.

Prevention of complications:

Timely performance of paracentesis;

Timely hospitalization.

Further management: 5 days after treatment if symptoms persist Antibacterial therapy is extended for another 5 days if symptoms persist 2weeks or more, it is necessary to confirm the diagnosis of chronic otitis mediaotoscopically and prescribe appropriate therapy.

List of essential medications:

1. **Paracetamol 200 mg, 500 mg tablet; 2.4% syrup in a bottle; 80 mg suppositories

2. ** Amoxicillin 500 mg, 1000 mg tablet; 250 mg, 500 mg capsule; 250 mg/5 ml oral suspension

3. **Amoxicillin + clavulanic acid, table. 250 mg/125 mg, 500 mg/125 mg, 875 mg/125 mg, powder for suspension 125 mg/31.25 mg/5 ml, 200 mg/28.5 mg/5 ml, 400 mg/57 mg/5 ml

4. *Cefuroxime 250 mg, 500 mg tablet; 750 mg per vial, powder for preparation injection solution

ICD 10 is the international classification of diseases, 10th revision, adopted in 1999. Each disease is assigned a code or cipher for the convenience of storing and processing statistical data. Periodically (every ten years) ICD 10 is revised, during which the system is adjusted and supplemented with new information.

Otitis is an inflammatory disease that is based in the ear. Depending on the part in which the inflammation is localized, ICD 10 divides otitis into three main groups: external, middle, internal. The disease may have additional markings in each group, indicating the cause of development or the form of the pathology.

External ear inflammation, also called swimmer's ear, is inflammatory disease of the external auditory canal. The disease received this name due to the fact that the risk of contracting the infection is greatest among swimmers. This is explained by the fact that exposure to moisture for a long time provokes infection.

Also, external ear inflammation often develops in people who work in a humid and hot atmosphere, use or. A minor scratch on the external auditory canal can also cause the development of the disease.

Main symptoms:

itching, pain in the ear canal of the infected ear;
discharge of purulent masses from the affected ear.

Otitis externa

Attention! If your ear is clogged with purulent masses, do not clean the infected ear at home; this may result in complications of the disease. If you detect discharge from the ear, it is recommended to immediately contact.

According to ICD 10, the code for external otitis has additional markings:

H60.0- formation of an abscess, abscess, accumulation of purulent discharge;
H60.1- cellulitis of the outer ear - damage to the auricle;
H60.2- malignant form;
H60.3- diffuse or hemorrhagic otitis externa;
H60.4- formation of a tumor with a capsule in the outer ear;
H60.5- uninfected acute inflammation of the external ear;
H60.6- other forms of pathology, including the chronic form;
H60.7- unspecified external otitis.

Otitis media H65-H66

Doctors are trying to penetrate as deeply as possible into the secrets of diseases for their more effective treatment. At the moment, there are many types of pathology, among which there are also non-purulent types with the absence of inflammatory processes in.

Non-purulent inflammation of the middle ear characterized by the accumulation of fluid, which the patient does not feel immediately, but only at later stages of the disease. Pain during the course of the disease may be completely absent. The absence of damage to the eardrum can also make diagnosis difficult.

Reference. Most often, non-purulent inflammation in the middle ear is observed in boys under 7 years of age.

This disease can be divided according to many factors, including especially highlight:

duration of the disease;
clinical stages of the disease.

Depending on the duration of the disease, the following forms are distinguished:

, in which ear inflammation lasts up to 21 days. Delayed treatment or lack thereof can lead to irreversible consequences.
Subacute- a more complex form of pathology, which takes up to 56 days to treat on average and often leads to complications.
Chronic- the most complex form of the disease, which can fade and return throughout life.

The following clinical stages of the disease are distinguished:

catarrhal- lasts up to 30 days;
secretory- the disease lasts up to a year;
mucosal- prolonged treatment or complication of the disease for up to two years;
fibrous- the most severe stage of the disease, which can be treated for more than two years.

Main symptoms of the disease:

discomfort in the ear area, its congestion;
feeling that your own voice is too loud;
sensation of iridescent fluid in the ear;
persistent decrease in hearing level.

Important! At the first suspicious symptoms of ear inflammation, contact immediately. A timely diagnosis and the necessary therapy will help avoid many complications.

Non-suppurative otitis media (ICD code 10 - H65) is additionally labeled as:

H65.0- acute serous otitis media;
H65.1- other acute non-purulent otitis media;
H65.2- chronic serous otitis media;
H65.3- chronic mucous otitis media;
H65.4- other chronic otitis media of non-purulent type;
H65.9- non-purulent otitis media, unspecified.

Chronic suppurative otitis media

Suppurative otitis media (H66) is divided into blocks:

H66.0- acute purulent otitis media;
H66.1- chronic tubotympanic purulent otitis media or mesotympanitis, accompanied by rupture of the eardrum;
H66.2- chronic epitympanic-antral purulent otitis media, in which destruction of the auditory ossicles occurs;
H66.3- other chronic purulent otitis media;
H66.4- purulent otitis media, unspecified;
H66.9- otitis media, unspecified.

Internal otitis H83

Doctors consider one of the most dangerous types of inflammation of the hearing organ labyrinthitis or internal otitis (ICD 10 code - H83.0). In the acute form, the pathology has pronounced symptoms and develops quickly; in the chronic form, the disease proceeds slowly with periodic manifestations of symptoms.

Attention! Untimely treatment of labyrinthitis can lead to very serious consequences.

The disease is localized inside the auditory analyzer. Due to the inflammation that occurs near the brain, the signs of this disease are very difficult to recognize, as they can indicate different diseases.

Clinical manifestations:

Dizziness, which can last for quite a long time and disappear instantly. This condition is very difficult to stop, so the patient may suffer from weakness and disorders of the vestibular system for a very long time.
Impaired coordination of movements, which appears due to pressure on the brain.
Constant noise and hearing loss- sure signs of the disease.

This type of disease cannot be treated independently, since labyrinthitis can be deadly and lead to complete deafness. It is very important to start proper treatment as early as possible, this is the only way to avoid consequences.

Thanks to the presence of a clear classification (ICD-10), it becomes possible to conduct analytical research and accumulate statistics. All data is taken from citizens’ requests and subsequent diagnoses.

327 10/03/2019 5 min.

Otitis is one of the most difficult diseases, which is difficult for both small and adult patients to resist. Catarrhal otitis is a common type of disease that can affect the mucous membrane of the tympanic cavity of the middle ear. This disease must be combated quickly and very intensively. In addition to the fact that otitis media brings a lot of discomfort, it can develop into a more severe form, which is fraught with dangerous consequences.

Definition of disease

Catarrhal otitis media usually occurs due to infection. The most common pathogens are streptococci, staphylococci and pneumococci. The easiest way for viruses and bacteria to reach the middle ear is from the nasal cavity through the auditory tube.

Often, catarrhal otitis occurs against the background of diseases such as:

Flu;
Diabetes;
Avitaminosis;
Rhinitis;
acute respiratory infections and acute respiratory viral infections;
Rickets.

Often acute catarrhal otitis media occurs due to improper nose blowing.

Each nostril must be cleaned separately, otherwise all the contents from the nose may enter the middle ear due to a sharp increase in pressure.

Sometimes the cause of the disease is a sharp change in atmospheric pressure during diving or ascent, during scuba diving, or during descent or ascent of an airplane.

Symptoms

The main symptoms of catarrhal otitis in newborns and young children:

Moderate shooting pain in the ear;
Temperature from 38º C or more;
Anxiety;
Decreased activity;
Decreased appetite;
Vomiting and diarrhea;
Redness of the eardrum;
Accumulation of fluid in the tympanic cavity.

In older children, adolescents and adults, sudden onset manifestations predominate, such as:

Soreness, aching of the affected ear;
Noise in ears;
A slight increase in temperature is possible.

Possible diseases

It is worth warning immediately: Self-medication of catarrhal otitis is strictly not recommended. An improperly treated disease can lead to dangerous complications such as:

Meningitis;
Encephalitis;
Sepsis;

Catarrhal otitis in its advanced form can lead to deafness.

Treatment

In most cases, treatment of catarrhal otitis is carried out at home, but under the supervision of an ENT doctor. It is recommended to observe bed rest. Hospitalization may only be required if there is a risk of complications.

Medical treatments

Very often, catarrhal otitis media goes away on its own. The choice of drug treatment is based on the patient’s age, as well as the presence and frequency of previous infections. First of all, they resort to drugs to relieve pain and eliminate inflammation and fever:

Ibuprofen preparations, in age dosage (orally);
Locally - instillation of drops heated to 37º containing the anesthetic Lidocaine (for example, Otipax).

Drops should not be instilled if purulent, bloody, clear discharge appears from the ear. The patient should immediately consult a doctor to identify a possible rupture of the eardrum.

Antibiotic therapy (penicillins, cephalosporins, macrolides) is prescribed if the patient is at least 24 months old. Antibacterial drugs are prescribed to children over 2 years old for high fever (up to 40º), severe pain; in other cases it is not routinely performed. The so-called “wait and see” approach is used.

The effect of taking antibiotics is assessed after 48 hours. In the absence of this and deterioration of health, a doctor’s review of treatment tactics is required. In this case, the doctor may prescribe:

Eardrum puncture;
Bacteriological culture with determination of pathogen sensitivity and other types of examination.

It is prohibited to use for the treatment of children:

Alcohol drops (for example, Levomycetin, Boric alcohol, etc.) due to their toxic effects on hearing and balance analyzers;

Wax candles due to the risk of burns and blockage of the ear canal;

Semi-alcohol compresses due to the ease of absorption of alcohol and intoxication.

Sometimes the doctor prescribes physiotherapeutic treatment:

Laser therapy;
Pneumomassage of the eardrum.

To treat catarrhal otitis media, antihistamines and vasoconstrictors are often prescribed. When using them, you should strictly follow the doctor’s prescription and recommendations, since antihistamines can provoke thickening and make it difficult to absorb the fluid accumulated in the tympanic cavity.

Children under 2 years of age with developing speech should be examined by a specialist after suffering from otitis media approximately 2-3 months after recovery to confirm the resorption of the exudate.

During pregnancy, the same tactics are used: pain relief and only if there is a significant deterioration in health, antibiotic therapy with an approved drug (for example,

Prevention

In order to prevent the development of otitis media in its various forms, it is necessary to promptly treat colds. Improper nose blowing also leads to otitis media. Therefore, when blowing your nose, open your mouth slightly.

During the swimming season, the number of cases of otitis media increases sharply. Doctors recommend placing 1 drop of antiseptic in each ear after bathing at the end of the day. To prevent the risk of otitis in infants, they should be kept in an upright or semi-upright position while feeding.

Measures to prevent catarrhal otitis in infants:

Breast-feeding.
heptavalent pneumococcal for influenza.

Increasing the body's defenses is one of the most important methods of preventing otitis media and other inflammatory diseases.

Video

conclusions

Catarrhal otitis media is a common pathology in childhood. In adults, otitis media is also quite common. This disease must be treated immediately to prevent it. When treating children and pregnant women, it is important to follow the doctor’s recommendations and not use it yourself.

Included: with myringitis

To specify a perforated eardrum, use the additional code (H72.-)

last modified: January 2006

Acute serous otitis media

Acute and subacute secretory otitis media

Other acute non-suppurative otitis media

Otitis media, acute and subacute:

allergic (mucosal) (hemorrhagic) (serous)
slimy
non-purulent NOS
hemorrhagic
serous-mucosal

Excluded:

otitis due to barotrauma (T70.0)
Otitis media (acute) NOS (H66.9)

Chronic serous otitis media

Chronic tubotympanic catarrh

Chronic mucous otitis media

Sticky ear

Chronic otitis media:

slimy
secretory
transudative

Excludes: adhesive middle ear disease (H74.1)

Other chronic non-suppurative otitis media

Chronic otitis media:

allergic
exudative
non-purulent NOS
serous-mucinous
with effusion (non-purulent)

Nonsuppurative otitis media, unspecified

Otitis media:

allergic
catarrhal
exudative
mucoid
secretory
serous-mucosal
serous
transudative
with effusion (non-purulent)

Otitis is an inflammatory disease that is based in the ear. Depending on which part of the hearing organ the inflammation is localized in, ICD 10 divides otitis into three main groups: external, middle, internal. The disease may have additional markings in each group, indicating the cause of development or the form of the pathology.

Also, external ear inflammation often develops in people who work in a humid and hot atmosphere, or use hearing aids or earplugs. A minor scratch on the external auditory canal can also cause the development of the disease.

Main symptoms:

itching, pain in the ear canal of the infected ear;
discharge of purulent masses from the affected ear.

Otitis externa

Attention! If your ear is clogged with purulent masses, do not clean the infected ear at home; this may result in complications of the disease. If you notice discharge from the ear, it is recommended to consult a doctor immediately.

According to ICD 10, the code for external otitis has additional markings:

H60.0- formation of an abscess, abscess, accumulation of purulent discharge;
H60.1- cellulitis of the outer ear - damage to the auricle;
H60.2- malignant form;
H60.3- diffuse or hemorrhagic otitis externa;
H60.4- formation of a tumor with a capsule in the outer ear;
H60.5- uninfected acute inflammation of the external ear;
H60.6- other forms of pathology, including the chronic form;
H60.7- unspecified external otitis.

Reference. Most often, non-purulent inflammation in the middle ear is observed in boys under 7 years of age.

This disease can be divided according to many factors, including especially highlight:

duration of the disease;
clinical stages of the disease.

Acute otitis media

Depending on the duration of the disease, the following forms are distinguished:

Acute, in which ear inflammation lasts up to 21 days. Delayed treatment or lack thereof can lead to irreversible consequences.
Subacute- a more complex form of pathology, which takes up to 56 days to treat on average and often leads to complications.
Chronic- the most complex form of the disease, which can fade and return throughout life.

The following clinical stages of the disease are distinguished:

catarrhal- lasts up to 30 days;
secretory- the disease lasts up to a year;
mucosal- prolonged treatment or complication of the disease for up to two years;
fibrous- the most severe stage of the disease, which can be treated for more than two years.

Main symptoms of the disease:

discomfort in the ear area, its congestion;
feeling that your own voice is too loud;
sensation of iridescent fluid in the ear;
persistent decrease in hearing level.

Important! At the first suspicious symptoms of ear inflammation, consult a doctor immediately. A timely diagnosis and the necessary therapy will help avoid many complications.

Non-suppurative otitis media (ICD code 10 - H65) is additionally labeled as:

H65.0- acute serous otitis media;
H65.1- other acute non-purulent otitis media;
H65.2- chronic serous otitis media;
H65.3- chronic mucous otitis media;
H65.4- other chronic otitis media of non-purulent type;
H65.9- non-purulent otitis media, unspecified.

Chronic suppurative otitis media

Suppurative otitis media (H66) is divided into blocks:

H66.0- acute purulent otitis media;
H66.1- chronic tubotympanic purulent otitis media or mesotympanitis, accompanied by rupture of the eardrum;
H66.2- chronic epitympanic-antral purulent otitis media, in which destruction of the auditory ossicles occurs;
H66.3- other chronic purulent otitis media;
H66.4- purulent otitis media, unspecified;
H66.9- otitis media, unspecified.

Attention! Untimely treatment of labyrinthitis can lead to very serious consequences.

Clinical manifestations:

Dizziness, which can last for quite a long time and disappear instantly. This condition is very difficult to stop, so the patient may suffer from weakness and disorders of the vestibular system for a very long time.
Impaired coordination of movements, which appears due to pressure on the brain.
Constant noise and hearing loss- sure signs of the disease.

The goals of treatment of acute otitis media are: regression of inflammatory changes in the middle ear, normalization of hearing and general condition of the patient, restoration of working capacity.

The indication for hospitalization is the patient’s age under two years, as well as, regardless of age, severe and/or complicated course of acute otitis media.

Physiotherapeutic methods of influence have an anti-inflammatory and analgesic effect in the initial stages of the development of the inflammatory process in the middle ear: Sollux, UHF, a warm compress on the parotid area.

In the first stage of the disease, the use of ear drops, which have a local anti-inflammatory and analgesic effect, and intranasal vasoconstrictors (decengestants), which ensure the restoration of nasal breathing and patency of the auditory tube, is indicated.

The effectiveness of topical antibiotics in the form of ear stones in acute otitis media requires confirmation. This is primarily due to the fact that when an antibiotic solution is instilled into the external auditory canal, its concentration in the middle ear cavities does not reach therapeutic values. In addition, you should be aware of the risk of inner ear complications when using drops containing ototoxic antibiotics.

In the presence of inflammatory changes in the nasal cavity, acute rinsing of the nose with a 0.9% sodium chloride solution and evacuation (aspiration) of nasal secretions are advisable.

Antipyretic drugs are used when the temperature rises to 19 C or higher.

Systemic antibacterial therapy is indicated in all cases of moderate and severe acute otitis media, as well as in children under 2 years of age and in patients with immunodeficiency conditions. In mild cases, you can refrain from prescribing antibiotics. However, if there are no positive changes in the development of the disease during the day, antibiotic therapy should be resorted to. In empirical antibiotic therapy for acute otitis media, preference should be given to drugs whose spectrum of action covers the resistance of the most likely causative agents of the disease. In addition, the antibiotic in an effective concentration must accumulate at the site of inflammation, have a bactericidal effect, be safe and well tolerated. It is also important that oral antibiotics have good organoleptic properties and are convenient for dosing and administration.

For empirical antibiotic therapy of acute otitis media, amoxicillin is the drug of choice. Alternative drugs (prescribed for allergies to beta-lactams) are modern macrolides. In the absence of clinical effectiveness within 2 days, as well as in patients who have received antibiotics over the past month, it is advisable to prescribe amoxicillin + clavulanic acid; alternative drugs are cephalosporins of the II-III generations.

For mild to moderate cases, oral antibiotics are indicated. In case of severe and complicated course of the process, antibacterial therapy must begin with parenteral administration of the drug, and after the patient’s condition improves (after 3-4 days), it is recommended to switch to oral administration (the so-called stepped antibiotic therapy).

The duration of antibacterial therapy for uncomplicated cases is 7-10 days. In children under 2 years of age, as well as in patients with a complicated medical history, severe course of the disease, or the presence of otogenic complications, the duration of antibiotic use can be increased to 14 days or more.

It is mandatory to evaluate the effectiveness of antibiotic therapy after 48-72 hours. In the absence of positive dynamics during acute otitis media, a change in antibiotic is necessary.

An important component of the pathogenetic correction of changes in the mucous membrane of the auditory tube and middle ear cavities is to limit the action of pro-inflammatory mediators; for this purpose, fenspiride can be prescribed.

In the absence of spontaneous perforation of the tympanic membrane in patients with acute purulent otitis media (acute otitis media, stage II a), the increase (maintenance) of hyperthermia and signs of intoxication, paracentesis of the tympanic membrane is indicated.

The approximate period of disability for an uncomplicated course of the disease is 7-10 days, in the presence of complications - up to 20 days or more.

For recurrent acute otitis media, examination of the nasopharynx is indicated to assess the condition of the pharyngeal tonsil, eliminate nasal obstruction and ventilation disorders of the auditory tube associated with adenoid vegetations. Consultations with an allergist and immunologist are also necessary.

Information for the patient should contain recommendations on the correct implementation of medical prescriptions and manipulations (use of ear drops, rinsing the nose) at home, and measures to prevent colds.

Catarrhal otitis usually occurs due to infection . The most common pathogens are streptococci, staphylococci and pneumococci. The easiest way for viruses and bacteria to reach the middle ear is from the nasal cavity through the auditory tube.

Often, catarrhal otitis occurs against the background of diseases such as:

Flu;
Diabetes;
Avitaminosis;
Rhinitis;
acute respiratory infections and acute respiratory viral infections;
Rickets.

It is widely believed that otitis media occurs due to hypothermia or water getting into the ear. However, these factors by themselves cannot cause catarrhal otitis media. But they can contribute to the development of the disease. As a rule, otitis externa develops here.

Often acute catarrhal otitis media occurs due to improper nose blowing.

Each nostril must be cleaned separately, otherwise all the contents from the nose may enter the middle ear due to a sharp increase in pressure.

Sometimes the cause of the disease is a sharp change in atmospheric pressure during diving or ascent, during scuba diving, or during descent or ascent of an airplane.

The main symptoms of catarrhal otitis in newborns and young children:

Moderate shooting pain in the ear;
Temperature from 38º C or more;
Anxiety;
Decreased activity;
Decreased appetite;
Vomiting and diarrhea;
Redness of the eardrum;
Accumulation of fluid in the tympanic cavity.

In older children, adolescents and adults, sudden onset manifestations predominate, such as:

Soreness, aching of the affected ear;
Hearing loss;
Ear congestion;
Noise in ears;
A slight increase in temperature is possible.

It is worth warning immediately: Self-medication of catarrhal otitis is strictly not recommended. An improperly treated disease can lead to dangerous complications such as:

Meningitis;
Encephalitis;
Sepsis;
Neuritis.

Catarrhal otitis in its advanced form can lead to deafness.

In most cases, treatment of catarrhal otitis is carried out at home, but under the supervision of an ENT doctor. It is recommended to observe bed rest. Hospitalization may only be required if there is a risk of complications.

Ibuprofen and Paracetamol preparations in age-related dosages (orally);
Locally– instillation of drops heated to 37º containing the anesthetic Lidocaine (for example, Otipax).

Drops should not be instilled if purulent, bloody, clear discharge appears from the ear. The patient should immediately consult a doctor to identify a possible rupture of the eardrum.

Antibiotic therapy(penicillins, cephalosporins, macrolides) is prescribed if the patient is at least 24 months old. Antibacterial drugs are prescribed to children over 2 years old for high fever (up to 40º), severe pain; in other cases it is not routinely performed. The so-called “wait and see” approach is used.

The effect of taking antibiotics is assessed after 48 hours. In the absence of this and deterioration of health, a doctor’s review of treatment tactics is required. In this case, the doctor may prescribe:

Eardrum puncture;
Bacteriological culture with determination of pathogen sensitivity and other types of examination.

It is prohibited to use for the treatment of children:

Alcohol drops (for example, Levomycetin, Boric alcohol, etc.) due to their toxic effects on hearing and balance analyzers;

Wax candles due to the risk of burns and blockage of the ear canal;

Semi-alcohol compresses due to the ease of absorption of alcohol and intoxication.

Sometimes the doctor prescribes physiotherapeutic treatment:

Laser therapy;
Pneumomassage of the eardrum.

Children under 2 years of age with developing speech should be examined by a specialist after suffering from otitis media approximately 2-3 months after recovery to confirm the resorption of the exudate.

During pregnancy, the same tactics are used as for children: pain relief and only if there is a significant deterioration in health, antibiotic therapy with an approved drug (for example, Amoxicillin). In elderly patients, it is important to consider the presence of concomitant pathologies. Thus, the use of non-steroidal anti-inflammatory drugs can lead to exacerbation of peptic ulcer disease.

It is impossible to cure acute catarrhal otitis media with folk remedies, but it is possible to support and promote drug treatment with “grandmother’s recipes”.

Warming compresses

Mix 50 ml of water and 50 ml of alcohol, heat the solution. Soak gauze in this solution, wring it out and place it on top of the ear, but so that the auricle is open. Lubricate it with baby cream or Vaseline. Leave the compress on for 2 hours.
You can apply baked onion or plantain to your ear. This procedure will help the boil break out as quickly as possible.
Decoction of bay leaf. This method is very effective. You will need 1 glass of water and 5 bay leaves. Mix, bring to a boil and let it brew. Drink 3 tablespoons 2 times a day, and drop 10 drops into the ear.
Steam bath. After the boil breaks through, you can make a steam bath. To do this, you need to boil a kettle, cover the spout of the kettle with something warm and direct the escaping steam into your ear at a distance of at least 50 cm. Warm your ear for about 3 minutes, and then wipe your face with a cold towel. This procedure will need to be performed 10 times. A steam bath helps relieve discomfort in the nose, ear and throat.
Salt. Heat 1 cup of salt in the microwave, then place in a thick cloth bag, wait until it is hot but not scalding, and apply to the area next to the ear. Do not place the bag directly on the ear. Hold for 5-10 minutes. This procedure can be repeated many times until complete recovery. If you don't have salt, you can use rice.
Garlic. This product can kill germs and relieve pain. Take 2-3 cloves of garlic and boil them in water for 5 minutes. Remove, chop and salt. Next, put this mixture in gauze and apply it to the area next to the ear. Also take garlic internally daily.
Apple vinegar. Take apple cider vinegar, alcohol or water and mix in equal proportions. Wet the swab and insert it into your ear for 5 minutes. Then drain all the mixture from your ear. You can also use white vinegar.

Nasal sprays for runny nose

Treatment of chronic pharyngitis in adults with drugs is described in this article.

How many days is sore throat contagious //drlor.online/zabolevaniya/gortani-glotki-bronxov/angina/kak-i-kogda-mozhno-zarazitsya.html

In order to prevent the development of otitis media in its various forms, it is necessary to promptly treat colds. Improper nose blowing also leads to otitis media. Therefore, when blowing your nose, open your mouth slightly.

Measures to prevent catarrhal otitis in infants:

Breast-feeding.
Vaccination with heptavalent pneumococcal influenza vaccine.

Increasing the body's defenses is one of the most important methods of preventing otitis media and other inflammatory diseases.

Catarrhal otitis media is a common pathology in childhood. In adults, otitis media is also quite common. This disease must be treated immediately to prevent complications. When treating children and pregnant women, it is important to follow the doctor’s recommendations and not use medications on your own.

03.09.2016 9200

The inflammatory process in the ear, which is characterized by constant heavy purulent discharge from the organ, changes, is called chronic otitis. Sometimes discharge appears from the nasal passages. This inflammation periodically renews and is localized on the membrane of the eardrum. The disease develops when there is incorrect or lack thereof. Chronic otitis media ICD 10 is dangerous due to its complications that develop in bone tissue and inside the skull. It causes meningitis, which is not always treatable, and the person dies. The chronic course of the disease causes paralysis of the facial nerve. And the most common complication is hearing loss and deafness.

Development of the disease

Chronic otitis media develops against the background of the acute stage of the disease. This happens when the disease lasts for a long time or when it is not treated correctly. The onset of the disease occurs in childhood. This is due to the anatomical features of the structure of the ear in children, in which an infection from the oral cavity easily enters the middle ear area and causes an inflammatory process. Otolaryngologists say that childhood otitis is a common disease that requires urgent treatment. If it is not healed, the infection becomes sluggish and develops into chronic manifestations of the disease.

The disease is provoked by staphylococci, streptococci, yeasts and other microorganisms.

Otolaryngologists identify the main reasons for the development of a chronic disease:

incorrect in the acute stage;
received ear injury;
frequent sinusitis;
acute purulent otitis media, which forms scars on the eardrum;
change in the functional characteristics of the auditory tube;
infectious diseases (flu or scarlet fever).

ICD code 10 is an inflammatory disease that is localized on the outer part of the ear and shell. It causes the infection to spread to the eardrum area.

But why don’t all acute otitis media develop into chronic manifestations? The indirect causes of this stage of the disease are:

inflammatory diseases in chronic stages;
reduced immune conditions (AIDS, diabetes, obesity);
abnormal development of the nasal septum, which leads to impaired nasal breathing;
courses of antibiotic therapy (this leads to weakened immunity and the development of opportunistic microflora);
poor quality diet and lack of vitamins and minerals in the body;
environment.

This type, like all chronic diseases, manifests itself acutely, at times. The cause of the onset of exacerbation is hypothermia of the body, water entering the auricle, and acute respiratory disease. If you avoid provoking factors, you can reduce the number of acute manifestations of the disease tenfold.

Signs of the disease

Acute otitis media ICD 10 code is characterized by acute pain in the ears. Sometimes it becomes unbearable. Patients also note dizziness with otitis media, a feeling of fullness in the ears, and decreased hearing. This disease is not characterized by not appearing immediately. A sign of the presence of the disease is purulent discharge from the ear, which is permanent or temporary, intensifies or is sluggish. Pulsation in the ear and headache at this stage are common and indicate an advanced disease. But the patient does not always associate it with problems in the middle ear.

The patient complains to the otolaryngologist about hearing loss due to chronic otitis media. At the same time, their reversal is noted even with significant impairments of auditory function.

Stages and types of the disease

Acute otitis media ICD 10 code comes in several varieties. Each of them has characteristic differences and requires a competent approach to treatment.

Otolaryngologists distinguish two main types of chronic otitis media.

Benign is characterized by localization of the inflammatory process to the eardrums. Other nearby organs and mucous membranes are not involved. Therefore, this type of disease is characterized by local localization. Such benign otitis is called mesotympanitis. Perforation of the eardrum varies in size, but it is localized in its central part.
Malignant external otitis (epitympanid) is a type of disease that has spread to bone tissue and mucous membranes. This is a dangerous stage of the disease, which leads to the destruction of bone tissue. Purulent masses can reach the cerebral cortex and develop inflammation. This type of otitis media requires complex treatment.

Chronic and adhesive variety. The first is characterized by the accumulation of viscous mucus in the peritympanic cavity. Such purulent otitis media does not violate the integrity of the membrane; it occurs as a result of changes in the integrity of the auditory tube. If exudative otitis media is not treated, then a chronic stage of adhesive disease occurs. It occurs due to scarring on the eardrum. This affects the quality of a person's hearing.

Treatment

An experienced otolaryngologist can diagnose chronic otitis media by MBK 10 after conducting an examination. Purulent discharge does not yet provide a reason to make this diagnosis. If perforation of the eardrum is added to them, then we are talking about a chronic manifestation of otitis media. X-ray or tomography (MRI or CT) helps to determine the spread of the inflammatory process. The pictures show the affected areas and the extent of the infection. In addition, the doctor will prescribe a general blood test, which will help determine the body's ability to fight inflammation. To properly prescribe therapy, bacterial cultures of the purulent contents of the ear are also taken. This laboratory research method will help identify the infection and select a drug that will be more effective in combating it.

Even the most experienced doctor cannot detect a microorganism by eye. Therefore, it is important to consult a doctor at the first symptoms and conduct a full examination. Otitis is an infectious disease that can be treated, and the sooner it is diagnosed, the faster a complete recovery will occur, and the auditory organ will not lose its functional abilities.

Based on the results of the above studies, taking into account the examination and the patient’s complaints, the otolaryngologist prescribes a comprehensive treatment. It removes the external manifestations of the disease and has a detrimental effect on the causative agent of inflammation.

If the disease is diagnosed at the stage of benign otitis media, then after research the doctor prescribes the following groups of medications:

anti-inflammatory;
drugs that relieve pain;
antibacterial (antibiotics).

The patient cleans the ear canals daily and undergoes physical procedures, if prescribed by the doctor. The otolaryngologist drains fluid and discharge from the ear. If the inflammation is caused by overgrown polyps, they are removed.

If, after an examination, the otolaryngologist notes changes in the bone tissue, then taking these drugs will be the first step to surgical treatment.

Dozens of people prefer unconventional methods of treatment. To do this, they are ready to try their grandmother’s recipes, just to get rid of the discomfort of chronic otitis media. Otolaryngologists do not advise wasting time on dubious advice from traditional medicine. Advanced stages of chronic otitis media are more difficult to treat and are accompanied by complete hearing loss. Therefore, treatment of eardrum perforation must be effective and quick. Whether otitis media is contagious or not is not particularly important, but the roots of this inflammation lie in an infection that cannot be cured by any herbs from traditional medicine.

Chronic otitis media is a treatable disease. But it should be prescribed by an experienced otolaryngologist, after conducting a comprehensive examination of the patient and determining the degree of the inflammatory process. At the first signs of illness, consult a doctor and begin treatment. This will help preserve the main function of the ear. If you suffer from frequent inflammatory ear diseases, then avoid hypothermia, eat well, and monitor your immune system.