Question
A nine-month-old baby developed thick discharge in the ear about 10 days ago. Initially, the doctor diagnosed it as earwax, but later found an increase in earwax, particularly in the left ear. After a detailed examination at another hospital, the diagnosis was otitis media, and ear cleaning and otoscopy were performed. The doctor suggested that it might be caused by improper breastfeeding position and recommended hospitalization. Treatment included intravenous azithromycin and ofloxacin, and otoscopy showed fluid accumulation. The fluid did not resolve, and surgery was required. After discharge, the baby took azithromycin orally for 3 days and ear drops three times a day. During follow-up, the doctor found a left ear deformity that might affect hearing. There is now concern about whether the baby’s hearing has been affected.
Answer
The baby may have secretory otitis media. During the acute phase, antimicrobial drugs can be administered along with hormonal drugs and mucus-thinning agents. Nasal decongestants or auxiliary decongestants can also be used. If there is fluid accumulation, consider tympanostomy tube insertion or tympanic membrane puncture and aspiration. The above suggestions are for the question “What should I do if I find a thick substance in my baby’s ear now?” I hope this helps you; wishing you health!