Patient visited doctor and asked about an otitis to cure.

 At professor cabinet in Michael Nikolaev a slim, young patient  as student a girl from a one Moscow university. When am learned on first course , am endured a flu, as visited sessions with a high temperature, in two weeks pus otitis displayed from left, since  again if a flu or cold having otitis is acuting. Bad hearing by left ear, pus secretions with and ,like filled. 

1.Am having it three years, am again having this condition, and doctor prescribed me to visit  you, and shared, that otitis cures by surgery way.

Does it true?

Yes, we are doing surgeries in a so calling  epitympanitis ,that inflamed   process spreading on mucus membranes  top regions  of middle ear on the bone tissue, that lead to hard complications .

And in you  is not mesotympanitis   is having otitis, as with favourable prognosis, inflammation caught just mucus membranes of middle regions of middle ear, not complications risks. But for you ,as  acutings having not without reasons, as after cold, flu, over cooling, and you am sure not avoiding theirs, as am saw ,that on winter with temperature plus 0 C,  but  teenagers not wore hats, and do you   used it?

Yes.

Am advise  you, do not it to do that you are not interesting all winter feeling sick.

2.  And what is to do, doctor?

Am advice you a few recommendations, that you need going for physiotherapy course, at home for 2 weeks in a day wash ear by peroxide  ammonium, her 3 perc.sol. Buying at pharmacy, drip are 5–10  drops in left ear, incline head right, and in `1-2 min with rolled cotton on stick care remove from ear secretions  with formed foam. Doing this, changing cotton till she will be a dry.

 After this toilet drip drops, which  will prescribe by me, and you must  to know about a how to do it?

3.As here is not a new, incline head to right, drip drops in left ear and enough.

No, you are wrong, as seriously  this is doing as lie on the right side, put head on the not high pillow, or sit for table, incline head to right and support by wrist in a putting on table  hand. Drip in left ear drops, and lie, or sit for 10-15 min, periodically by left hand pressing on the tragus ,that drops are better entering in middle ear and effecting healing process. And drops avoiding using as cold, as from refrigerator theirs ,add in warmed tea sp. and from her take in pipette.And,   you must drip drops in the nose.

4.Am sorry, dear professor, am not having right now stuffy nose, am free breath by nose.

I see it, when am prescribing drops in nose in otitis, are patients true wondering, but in otitis involving in inflamed process and mucus membranes of auditory tube, through a which a middle ear messaging with nasopharynx. Space of tube narrowing and in all closing ,thus a secretion pus are destroying from  a middle ear, that is supporting inflammatory process here. And next question for you, are you ability a drip drops in nose?Am head bending back and drip remedy.

And not just head back leading , but on begin her in one after in other side as matching for nostril, in which dripping drops. For  you is importance,  head away back and to the left. And in 2 weeks acuting for inflammatory   process will calm, but after all will depend on from you, as you must avoid  repeated acutings,as to forget when you are sicked of otitis, and if  will be to do frivolously, thus will pay for all life.

5. Am understand, am will try to avoid  over cooling  and cold, but from flu epidemic  a how to avoid?

And you must to do as all for this,that  immunity rise against infections with hardening, slow and soft will be for you, with wash water as warm and low temperature till room s very slowly, care.

When flu is in process, rise, grease nose and nose wings, bridges, inside with oxaline ointment, drip in nose interferon, less visit cinemas, markets, theatre, flu for you is very dangerous. As, like icebreakers as beating way in ices for a following theirs ships, flue viruses , suppressing protected barrier of mucus membranes nasopharynx , hearing tube is road opening for other infections and microbes. They are entering in middle ear and again waking up inflamed process.

6.  And if am not ability prevented flu, what i must to do?

And in high temperature not visiting university, stay in bed at home, all advices asking in doctor, for immunity rising drinking lemon tea or with lemon, eat lemon with sugar, use vitamin C , garlic, onion, that phytoncides  here killing microbes. Activity cure stuffy nose, drip drops, a how am shared for you as vasodilation :Galazoline, Sanorin, nose is not must  to be a stuffu. If otitis  acuting attacked you, with   aches call a doctor.

And still rule, which  you must to use, avoiding entering in ear a water, that is acuting inflammatory process.In asking bath or shower wear rubber hat, and when you are washing head, in wetted pads of Vaseline entering in ears , or Vaseline oil. Same doing if you are swimming. Avoid diving, and not swallowing water.

7.  Am using swimming times as in section and avoiding entering water in ear, nose, or  mouth is not possible, and what is to do?

An am sorry, that a kind of this sport you will leave for all time, use better volleyball, tennis , basketball, but swimming, jumps in water in otitis chronic are avoiding, and still advice: cure teeth, use checking teeth ,as caries teeth is nidus infection,from which microbes with blood current enter in middle ear.

9.  With teeth am OK, teeth are good, visited dentist. And asking again you ,that on my summer holidays am flying to my parents, they are living at Siberia, but here in plane my ears are plugs , would   it  a too harmful for my ears ?

Yes, you can to fly, but in plane before starting flying drip in nose any vasodilations  drops, when you at bus, train, or car avoid drafts ,that not winding from an opened window in ears, as care for this. For 1-2 times/year  visit  otolaryngologist.