Acute otitis media in children is mainly characterized by ear pain, unbearable pain, inability to sleep, and may be accompanied by fever. The onset of the disease is often after 10:00 p.m. when the child wakes up from sleep with pain and comes to the emergency room. The onset of otitis is often preceded by a history of epiglottitis, coughing, etc., 7-10 days before the onset of the disease, and even occurs when pneumonia has been cured by anti-inflammatory drug infusion for 7-10 days. This is mainly because although antibiotics have been applied, the child’s stuffy nose and runny nose still exist. The reason for otitis media is that the middle ear is connected to the rear end of the nose via a tube called the eustachian tube. How to treat acute otitis media in children? 1. Continue to apply antibiotics to the whole body, and apply hormones and pro-discharge drugs if necessary. If the tympanic membrane is acutely congested and there is no pus perforation, phenol ear drops should be used to relieve pain and inflammation; if pus perforation of the tympanic membrane has occurred, the pain is often relieved by the discharge of pus from the perforation. 3. Because blockage of the eustachian tube is the main cause of its development, nasal drops are needed. 2. Does it mean that the acute otitis media in children is not painful anymore? Often, parents think that otitis media is cured because the ear does not hurt within a day after the application of ear drops and other treatments. In fact, the treatment of otitis media has just started, and a large proportion of children then start to have acute middle ear effusion and tympanic membrane congestion that takes a long time to return to normal. Therefore, it is important to adhere to the treatment, avoid catching a cold, take medication as prescribed by the doctor and follow up regularly. What are the criteria for curing acute otitis media in children? The key to the disappearance of tympanic membrane congestion is to check one final audiometric test: acoustic impedance. Only when the acoustic impedance is normal, i.e., the performance is at least type A, the treatment is over. Can acute otitis media in children be eradicated? Because of the anatomical characteristics of the eustachian tube in children, which is shorter, flatter, wider and straighter than that of adults, and because the nasopharynx is often blocked by enlarged adenoids, acute otitis media is more likely to occur after the onset of infection, so whenever a cold occurs, otitis media is likely to occur. However, as we grow older, the chance of occurrence will gradually decrease. Therefore, try to avoid colds, and treat them actively when they occur.