The most common cause of acute otitis media in children is acute rhinitis due to an acute upper respiratory tract infection that causes symptoms of acute otitis media. At this time, the virus is through the back end of the nasal cavity Eustachian tube pharyngeal orifice down to the middle ear inflammatory reaction. First of all, you need to spray nasal medication Cochlearia or Nezona, together with anti-inflammatory and anti-viral medication, such as Liushen Pill, Blue Scutellaria Oral Liquid or Pediatric Shuangjin Oral Liquid. Hormonal drugs such as prednisone tablets or amoxicillin capsules can be added when the pain is severe. If the pain is not particularly pronounced, you can take some pro-excretory medication Chenol or Mucosolvan along with the application of nasal spray medication.