Congested ears with hearing loss may be associated with acute secretory otitis media, herpetic tympanitis, acute suppurative otitis media and other diseases. It is necessary to choose the appropriate treatment according to the cause of the disease and the characteristics of the disease.
1. Acute secretory otitis media: a non-purulent inflammatory disease of the middle ear mainly characterized by conductive deafness and tympanic effusion. In the acute stage, the tympanic membrane is congested and invaginated. Select appropriate antibiotics according to the degree of lesions; 1% ephedrine solution and glucocorticosteroids such as tretinoin nasal spray alternating nasal spray, pro-excretory drugs such as eucalyptus-pin enteric soft capsule; glucocorticosteroids such as dexamethasone, etc., orally.
2. Herpetic tympanitis: caused by viral infection, with earache, ear stuffiness and hearing loss. It can be observed that the tympanic membrane and the external auditory canal are congested, and one or more large blisters appear above the back of the tympanic membrane. If the blisters are not broken, a sharp needle can be used to puncture them. If the blister has been broken and there is still secretion in the ear, 0.3% of oxfloxacin ear drops can be used; amoxicillin, cefuroxime and other anti-infective treatment can be applied.
3. Acute suppurative otitis media: acute suppurative inflammation of the middle ear mucosa. It is mainly caused by Streptococcus pneumoniae, Haemophilus influenzae, Haemolytic streptococcus type B, Staphylococcus, Pseudomonas aeruginosa and other infections. On the basis of the aforementioned anti-infective treatment, nasal decongestants such as hydroxymetazoline can be sprayed nasally. Sometimes tympanotomy is feasible to drain pus.
When the ear is congested and you can’t hear, you can actively seek medical treatment, and follow the doctor’s instructions for standardized treatment after systematic examination and clear diagnosis.