If a child has ear pain, does it have to be otitis media?

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Otitis media refers to inflammatory lesions involving all or part of the structures of the middle ear (including the eustachian tube, tympanum, tympanic cavity, and mastoid air cells). Most of them are non-specific tissue inflammation, especially in children, and can be divided into non-suppurative forms. and purulent two categories. Common ones include secretory otitis media, acute suppurative otitis media, cholesteatoma otitis media and barotrauma otitis media.


Could a child’s earache be due to otitis media?

Is pain in the ear otitis media? Not necessarily. Common causes of pain in the ear are as follows:

1. Ear neuralgia
1. Great auricular nerve and trigeminal neuralgia may cause earache, which is often stabbing, severe, and painful. The duration varies from seconds to hours.
2. To clarify ear neuralgia, organic lesions of the brain and nerves should be ruled out through MRI (that is, there should be no tumors or the like).

2. Temporomandibular joint pain (how many scapegoats have been blamed for earache)
1. The temporomandibular joint is located in front of the external auditory canal. Pain here can also be mistaken for earache. This is This pain often occurs when chewing something hard.

2. Diagnosis requires an otolaryngologist or stomatologist to diagnose the temporomandibular joint and exclude parotid gland lesions.


3. Earache caused by acute otitis media
1. It is more common in children, especially after upper respiratory tract infection, and often occurs in the middle of the night. The pain is severe and I can't sleep, but the pain doesn't last long.
2. If there is no fluid in the external auditory canal, the pain will often be severe. If there is fluid flowing out, the eardrum may have been perforated.

4. Cancer of the external auditory canal and middle ear cancer can cause severe and long-lasting pain
1. A small number of patients have long-term otitis media that cannot be treated, or they suddenly experience otitis media bleeding. Pay attention to the middle ear cancer risk.
2. Pain is often the first symptom of middle ear cancer. Imaging examination is necessary. If it is highly suspected, pathological tissue biopsy is required.

What are the symptoms of otitis media
1. Ear canal pus: Ear canal pus refers to the phenomenon that patients may experience ear canal pus when inflammation occurs in the external auditory canal or middle ear. In traditional Chinese medicine, diseases with the main symptoms of eardrum perforation and pus discharge in the ear are collectively referred to as purulent ear.
2. Pain behind the ear: The mastoid area behind the ear is the location where the facial nerve runs. The facial nerve runs in a very narrow facial nerve foramen. When the facial nerve is attacked by the virus and becomes edematous and compressed, pain will occur.

3. Tinnitus: Tinnitus refers to the abnormal sound sensation that people have without any external stimulation. It is often a precursor to deafness. It is caused by auditory dysfunction and is often caused by ear lesions. Deafness or vertigo occur simultaneously.


More possible symptoms areEarache, fever with chills, fever, etc. If you have the above symptoms, you need to pay attention to it. If you have otitis media, you need timely treatment to protect your hearing.

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