e-NEWSLETTER Volume 2, Issue 4
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Earaches:  A Common Children's Condition
Earaches are commonly seen in children from as early as 6 months of age until 7 years.  These can be broken down into 3 types otitis; serous, infective and external.  Both infective and serous otitis often follow upper respiratory infections, but are also seen in children who bottle nurse while lying down and those who have been exposed to cold, windy weather.  A strong association with chronic earaches and food allergies has been made, especially milk, dairy products and wheat.  Breast fed children have less incidence of ear infections than do those who received formula or cow's milk.  Younger children tend to get earaches more often than older ones because of the anatomical position of their eustachian tubes.

The eustachian tube runs from the inner ear to the throat and helps to equalize the inner ear's pressure.  In infants and younger children this tube is shorter and more horizontally placed than in older children and so does not drain as well.  If it is blocked due to swelling from allergies or enlarged adenoid tissue, a back pressure is created which causes a fluid buildup in the ear which becomes a good place for bacteria and viruses to grow.

An acute infective earache will more likely occur during the winter months and may be announced with a high fever, throbbing of the ear, irritability, tugging at the ear and pain.  Fever may or may not be present and the person affected may be lethargic and complain of not feeling well.  If a discharge is seen from the ear canal, then the eardrum has ruptured and there will be some hearing loss for a period of time until it has been able to repair itself.

Serous otitis is accompanied by a sense of fullness, hearing loss, ringing in the ears and little or no pain.  This type can be most damaging to a developing child as it may go unnoticed for a longer period of time which can lead to a slower development in school.  In this condition, there is a buildup of fluid behind the ear drum which causes the hearing loss.  If left untreated, it can develop into an infective condition.

External otitis is characterized by an inflammation of the external ear canal.  Otherwise known as swimmer's ear, it is caused by repeated wetting of the canal which allows for more bacterial or fungal growth.  High chlorine content in swimming pools also adds to the problem by destroying friendly bacteria and allowing unfriendly organisms to grow.  In part, it is also related to the high dietary intake of saturated fats.

Antibiotics have been shown in studies to be an ineffective therapy for the treatment of earaches, especially serous otitis.  Mastoiditis, an inflammation of the bone around the ear is a rare occurrence and most bouts of earaches will clear on their own in 10 to 14 days without therapy. 
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