Ear infections: When to consider tubes?
Today's Monday Consult is in answer to KMT, who wrote:
My 8 month old has her 3rd ear infection in 3 months. I'm concerned we're going down a road toward ear tube surgery. When does that become a discussion item with the pediatrician? What can be done to prevent infant ear infections? I believe they're fairly common. Thanks.
I got this reply from Mercy Medical Center family practice physician Dr. Thomas Vento:
Any child with recurrent otitis media will typically be evaluated for tympanostomy tubes (ear tubes) after 3 or more episodes in a 6-month period or 4 or more episodes in a year. In your child's case, I would likely discuss this with your pediatrician now and get their opinion on whether they think it is necessary.
Younger children tend to be more prone to ear infections due to developing anatomy, and the position of the Eustachian tubes. They are quite common as you stated, but aren't always treated with antibiotics. It is very important to be evaluated by your family physician or pediatrician prior to taking any antibiotics.
One of the main things that can be done to prevent ear infections is to avoid exposure to smoking in the home. Another important method of prevention is to be sure and receive all recommended immunizations.
Comments
I would also add to consider a possible food allergy. Friends with kids with recurrent ear infections cut of wheat and dairy and voila! No more infections.
Or chiropractic care. Mainstream docs are often resistant to alternative methods that don't involve meds or surgery, but again, I have friends who used chiro care for their child's recurrent ear and throat infections with much success.
Posted by: Kayris | April 26, 2010 4:22 PM