How to treat secretory otitis media in children symptomatically

  The child’s disease: exudative otitis media Description of the disease (onset, main symptoms, hospital, etc.): 35-month-old boy, started kindergarten on September 1, 2010, but started coughing on September 16, during which there were recurrences, the cough did not stop, and he took western medicine and Chinese medicine. On October 8, 2010, he had a high fever and was given 2 days of water, which improved. However, on 2010-11-14, she had a fever again, but this time she didn’t hang water in time and used antipyretics. The adults were negligent. On 2010-11-19, his ears swelled up and he had a fever. On 11-29, he was discharged from the hospital with a report that he had recovered from otitis media and paranasal sinusitis.  Previous treatment and results: After being discharged from the hospital, I had ultrashort wave treatment for 10 days. He has been taking cephalosporin, syrup for rhinitis, and oral solution of Ambroxol Hydrochloride. Reviewed weekly and each time said a little red in the ear. Continue to take medication. I had a cold during this period, and the ENT doctor took a look at it before 2010-12-31, and there was fluid in it. Because of the medication I have been taking. On 2011-1-11, I went for a follow-up examination. The doctor said there is still fluid in the ear. I have uploaded the results of the acoustic conductivity test done on 12-31. I had one done last time when I was discharged from the hospital, but unfortunately I couldn’t find it. Last time there were peaks and valleys. This time there were none. The doctor’s preliminary diagnosis was written: osmogenic otitis media (both seem to have fluid). The child is now in a normal state, and he does not feel that his hearing is abnormal. In addition, the child likes to play in circles. I don’t know if this is the cause of the ear.  What can I do to help: 1. How can I get rid of the fluid in my child’s ears?  2. How to treat this otitis media?  3. Is this acute or chronic? Will ultrashort wave treatment work for us now? I’ve read online that it’s not effective for chronic ones?  4.If we have a tube surgery, can we cure the otitis media?  5.What do I need to pay attention to in general, do I need to eat, drink and sleep?  6.What are the best medicines to take for conservative treatment? The doctor told us to take two kinds of medications: syrup for rhinitis and oral solution of Ambroxol Hydrochloride.  7. In addition, the child likes to play in circles. I don’t know if this is the cause of the ear.  Answer: 1. For newly discovered otitis media, use half a month of medication, such as anti-inflammatory drugs, dotted nose drops or nasal sprays, and then stop the medication for observation. We observe bilateral secretory otitis media for three months, and if it is still bad, we should place tubes, but most of them will be absorbed by themselves.  2. It is acute at the beginning. Treatment with ultrashort wave has no obvious effect.  3.The effect of tube placement surgery is good, but otitis media is a common disease in children, which is easy to develop, mainly related to low resistance and immature anatomy and physiological development of children. Most people don’t get otitis media after tube placement, but it can’t be said to be a cure, because even adults can get otitis media.  4. There is nothing to pay attention to in terms of eating, drinking and sleeping, but the main thing is to try to catch as few colds as possible.  5.There is no need to take the syrup of rhinitis and oral solution of aminoglutethimide hydrochloride for a long time.  6. Playing in circles has nothing to do with otitis media.