How Long Does Otitis Media Last and What Are the Treatment Options?

How long does otitis media last?

The doctor prescribed me medication for four days.
Recently, I haven't been in pain, but my hearing seems to be getting worse.
Is this normal? If the medication doesn't work, should I consider surgery? What impact would surgery have on my ears? Also, what should I do about hearing my heartbeat? Thank you, Dr.
Lee, for your response.

Shu Ni Xiao Peng You, 10~19 year old female. Ask Date: 2016/06/01

Dr. Li Jiaxuan reply Otolaryngology

Hearing loss may be caused by middle ear effusion, and it is necessary to visit an outpatient clinic for evaluation by a physician to assess the amount of fluid and the effectiveness of antibiotic treatment.
Surgery is not required for everyone.
Wishing you well.

Reply Date: 2016/06/01

More Info

Otitis media, commonly known as middle ear infection, can vary significantly in duration and treatment depending on the severity of the infection and the individual’s response to treatment. Typically, acute otitis media can last anywhere from a few days to a couple of weeks. In many cases, symptoms improve within 48 to 72 hours with appropriate treatment, which often includes antibiotics if a bacterial infection is suspected. However, some individuals may experience lingering symptoms, such as hearing loss or discomfort, even after the infection has resolved.

In your case, it’s encouraging to hear that the pain has subsided, but the increasing difficulty in hearing is concerning. This could be due to fluid accumulation in the middle ear, which is a common complication of otitis media. This fluid can persist even after the infection has cleared, leading to temporary hearing loss. It’s important to monitor this situation closely. If your hearing does not improve or worsens, it’s advisable to follow up with your healthcare provider for further evaluation.

Regarding your question about surgery, it is typically considered when there are recurrent episodes of otitis media or if the fluid in the middle ear persists for an extended period (usually more than three months) and is causing significant hearing loss. The most common surgical procedure for this condition is the placement of tympanostomy tubes (ear tubes). These tubes help to ventilate the middle ear and prevent the accumulation of fluids, thereby reducing the risk of future infections.

Surgery can have several benefits, including improved hearing, reduced frequency of ear infections, and overall better quality of life. However, like any surgical procedure, it carries risks, such as infection, bleeding, or damage to the structures of the ear. It’s essential to discuss these potential risks and benefits with your healthcare provider to make an informed decision.

As for hearing the sound of your heartbeat in your ear, this phenomenon is known as pulsatile tinnitus. It can occur for various reasons, including changes in blood flow or pressure in the blood vessels near the ear. While it can be benign, it’s important to have it evaluated, especially if it’s persistent or accompanied by other symptoms.

In summary, while otitis media can resolve on its own, persistent symptoms like hearing loss warrant further investigation. If your current treatment does not alleviate your symptoms, a follow-up appointment is essential to determine the next steps, which may include imaging studies or surgical options. Always consult with your healthcare provider for personalized advice and treatment plans tailored to your specific situation.

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