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Coughing and earache: Earache: Is It a Cold or an Ear Infection?

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Coughs, colds and ear infections in children

Colds and flu symptoms can be very similar to the symptoms of COVID-19. Even if your symptoms are mild, get tested for COVID-19 immediately — use the colds and flu Symptom Checker if you’re not sure what to do.

It is common for young children to get the odd cough, cold or ear infection. Read further to find out more about these common childhood ailments.

Coughs

In children cough is a common symptom which is commonly caused by a cold. Usually a cough gets better on its own and is not serious. If your child is feeding, drinking, eating and breathing normally and there’s no wheezing, a cough isn’t usually anything to worry about.

If your child has a bad cough that won’t go away, see your doctor. Causes of a more serious cough in children can include:

Signs of a more serious cause of a childhood cough can include:

  • high temperature
  • persistent (longer than 2 weeks) or an unusual cough
  • difficulty breathing
  • the child is listless, overly tired or in discomfort
  • your child’s skin changes colour and turns blue or very pale
  • they are not drinking fluids or passing urine

See the doctor if your child has any of these symptoms. If your child seems to be having trouble breathing, seek medical attention urgently or call an ambulance, even if it’s the middle of the night.

Although it’s upsetting to hear your child cough, coughing helps clear away phlegm from the chest or mucus from the back of the throat.

Sore throats

The most common cause of a sore throat is a viral illness, such as a cold, the flu or COVID-19. Your child’s throat may be dry and sore for a day or 2 before a cold starts. Infant or child dosage paracetamol or ibuprofen can be given to reduce the pain.

Most sore throats clear up on their own after a few days. See the doctor if your child has trouble breathing or swallowing, is drooling more than usual, has a stiff or swollen neck or has a fever.

Colds

It is normal for a preschool child to have at least 6 or more colds a year. This is because there are hundreds of different cold viruses and young children have no immunity to any of them as they’ve never had them before. Gradually they build up immunity and get fewer colds.

Antibiotics don’t help with colds as they are a viral illness. Most colds get better in 5 to 7 days. Here are some suggestions on how to ease the symptoms in your child:

  • Increase the amount of fluid your child normally drinks.
  • Saline nose drops can help loosen dried nasal secretions and relieve a stuffy nose. Ask your pharmacist, doctor or early childhood nurse about them.
  • If your child has a fever, pain or discomfort, paracetamol or ibuprofen can help. There are child and infant products that will state on the packet how much you should give children of different ages.
  • Encourage the whole family to wash their hands regularly to stop the cold spreading.
  • Avoid nasal decongestants. They don’t help with a cold and can causes side effects like fast heart rate, jitteriness and insomnia.

Ear infections

Ear infections are common in babies and small children. They often follow a cold and sometimes cause a temperature. A child may pull or rub at an ear, but babies can’t always tell where pain is coming from and may just cry and seem uncomfortable.

If your child has an earache and is distressed but otherwise well, give them infant or child dose paracetamol or ibuprofen. Don’t put any oil, eardrops or cotton buds into your child’s ear unless your doctor advises you to do so. Most ear infections are caused by viruses, which can’t be treated with antibiotics. They will just get better by themselves.

If your child is young or very unwell, your GP may prescribe a short course of antibiotics if there is a risk of bacterial infection.

If you think your child may have an ear infection, take them to see the GP.

Glue ear

Repeated middle ear infections (otitis media) may lead to ‘glue ear’ (otitis media with effusion), where sticky fluid builds up and can affect your child’s hearing. This may lead to unclear speech or behavioural problems.

Your doctor will give you advice on treating glue ear.

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.

COVID-19 and Ear infection | Cooper University Health Care

Coronavirus and ear infection can have similar symptoms, such as fever and headache, but Cooper experts have put together a guide to help you differentiate the two.

Ear infections, often called otitis media, occur when fluid collects behind the ear drum and becomes infected. Middle ear infection is usually preceded by a cold, flu, or upper respiratory tract infection. Children between 6 and 36 months are the most likely to get ear infections, although they can occur in older children and adults as well.

COVID-19 is an infectious disease caused by a new virus that causes respiratory illness (like the flu) with symptoms such as a cough, fever, and in more severe cases, difficulty breathing.

You can protect yourself from COVID-19 by washing your hands frequently, not touching your face, wearing a face mask, and practicing physical distancing by avoiding close contact with people who do not live in your household.

Coronavirus vs. Ear Infection

SYMPTOMS COVID-19 EAR INFECTION
Fever X X
Headache X X
Digestive Discomfort X  
Sore Throat X  
Cough Dry (no mucus)  
Chest Pain X  
Nasal Congestion X  
Shortness of Breath X  
Bluish Lips or Face X  
Chills and Aches X  
Loss of Smell and Taste X  
Conjunctivitis (Pink Eye) X  
Tiredness X  
Fullness in ears   X
Fluid draining from ears   X
Hearing loss   X
Ear pain   X
Trouble sleeping   X
Loss of balance   X

Frequently Asked Questions

Is an ear infection a symptom of COVID-19?

Ear infections and COVID-19 share few common symptoms, most notably fever and headache. Ear infections are not a commonly reported symptom of COVID-19.

Can COVID-19 cause an ear infection?

Otitis media occurs when fluid collects behind the ear drum and becomes infected usually preceded by cold, flu or upper respiratory tract infection. Mucus or pus can build up behind the eardrum, causing pressure and pain. In general, COVID-19 has not been associated with ear infections, and generally these types of infections do not share a great deal of common symptoms.

Are you likely to get an ear infection after coronavirus?

It is possible, but unlikely, to develop an ear infection after coronavirus, as ear infections are not a common symptom related to COVID-19.

Contact Us

If you have flu-like symptoms and think you may have been exposed to COVID-19, review our instructions and information on our testing sites.

If you believe you have ear infection, call 800.826.6737 to make an appointment with an expert from the Division of Otolaryngology—Head and Neck Surgery to discuss your options.

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coughing, wheezing and ear infections

UPMC Pinnacle’s Heritage Pediatrics reports there have been more coughs with wheezing. In many cases these are due to viruses that causes wheezing and a deep cough, and can result in difficult breathing. In younger children and babies this illness is called “bronchiolitis.”

Bronchiolitis starts as a typical cold the first few days with a lot of nasal congestion and nasal discharge and sometimes a fever. Then after a few days to a week, the cough becomes deeper and wheezing begins, Dr. Kathleen Zimmerman said.

Wheezing is caused by a tightening and inflammation of the airways. This can result in fast shallow breathing, a whistling sound with breathing, and coughing spells. If your child is showing any of these signs, call your medical provider.

Treatment for bronchiolitis is supportive, meaning there is not a medicine that will make it resolve faster. However, younger children and babies can worsen to the point of needing to go to the hospital because of low oxygen levels or respiratory distress. If you think your child is wheezing, be sure to call immediately, Zimmerman said.

Prevention is difficult because these viruses are spread through the air and can be easily picked up in public enclosed places such as grocery stores, offices, church, and airplanes. If you have any of these symptoms, you should avoid going to public places as much as possible.

Lancaster General Health Physicians Roseville Pediatrics reported a lot of viral colds, fevers and sore throats. They said less than 10 percent of the sore throats that presented this week for evaluation were strep. The majority were viral in origin or due to rawness caused by post-nasal drainage.

With the increase in colds comes a logical increase in the number of ear infection cases, Dr. Joan Thode said. The number of croup cases stayed consistent with last week, at a moderate amount.

Providers also saw a sharp increase in the number of concussions, mostly in middle and high-school aged athletes.

Thode offered the following advice about ear infections:

“Contrary to some popular beliefs, the sinuses and nasal passages are not connected to the inner ear. The nasal passages and the inner ear both empty into the throat, but at two different locations.

What causes ear infections is not a backup of nasal mucous into the ear but rather a general inflammation of the tissues of the throat that typically occurs as the immune system fights a virus. This inflammation includes the exit tract of the inner ear, causing the fluid that would naturally drain from the ear to get stuck in the ear until the inflammation goes away.

The fluid stuck in the ear, which is a warm place, creates a perfect bacterial breeding ground. This is how an ear infection occurs.

The pain from ear infections comes when the fluid builds up in the ear and puts pressure on the eardrum. The body’s army cells of the immune system also take up space, putting more pressure on the eardrum. The eardrum has a nerve that can take only so much stretch before it sends pain signals to the brain.

This pain is best treated with a non-steroidal anti-inflammatory medications (ibuprofen) to decrease some of the inflammation.”

This week, WellSpan Medical Group providers are seeing cases of bronchitis in York, Adams and Lancaster counties.

Suspected flu cases slowed this week, however, there were suspected cases in York and Adams counties. Providers are still stressing the importance of annual flu vaccinations.

In addition, they’re seeing a number of upper respiratory infections in York, Adams and Lancaster counties. For those affected, over-the-counter allergy medication, decongestants and sinus washes may help.

Summit Health Care providers in Cumberland and Franklin counties are seeing the same upper respiratory viruses as the past few weeks.

As the days get shorter, officials from Summit Health are shining a light on some seasonal challenges.

Although the sun’s rays can be damaging, they also have benefits. Often, the change of season can mean a decrease in Vitamin D. It’s important for children to take a daily vitamin, providers said.

Also, the earlier darkness can trigger seasonal affective disorder, which can trigger depression. A helpful tip can be trying to take a walk earlier in the day to enjoy the suns rays and to get some fresh air.

Earache, Cough, Sore Throat And Tinnitus – What ENT Symptoms Have To Do With Covid-19

Published: 23 February 2021

With the new Covid variant, certain symptoms such as cough and sore throat, seem more frequent, whereas fewer people report loss of smell or taste. Could all ENT symptoms be a sign of Covid-19? Mr Parag Patel, ENT Surgeon at New Victoria Hospital, explains some of the most probable causes for common ENT symptoms and when you should seek medical advice.

Last year, the only officially recognised symptoms of Coronavirus were fever, dry cough and shortness of breath. The list was soon expanded to include the loss of smell and taste, fatigue, headache and gastrointestinal symptoms, among others.

Why do you lose the sense of smell and taste with Coronavirus?

Anosmia and ageusia, the loss of sense of smell and taste, are common to other Sars viruses but are considered frequent symptoms for Sars-CoV-2.

A study on the American Journal of Otolaryngology showed that among 172 Covid patients, the loss of taste and smell was a symptom in about 50% of them, often accompanied by other common Coronavirus symptoms.

Only 4.54% of patients reported the loss of sense of smell, and 1.23% the loss of sense of taste, as the only symptom.

Recent findings from Harvard Medical School research show that the loss of smell seems to be caused by the infection of “support cells”. These cells support the olfactory receptors and they are not the receptors themselves. However, the underlying mechanism is still unclear.

What are the consequences in the long term?

In most patients, the sense of smell and taste recovers in a few weeks. The Harvard study would explain the quick recovery with neuron cells remaining undamaged during the infection.

Very few patients might still experience anosmia and ageusia after months from symptom onset.

Olfactory and gustatory functions can be retrained and reacquired with time. However, if your sense of smell or taste doesn’t come back in a few weeks after recovery from Covid-19, you should speak to your GP or see an ENT specialist.

Is earache always a sign of Covid-19?

Ear infections are very common, especially during wintertime.

Although there are studies that found the presence of Coronavirus in the ear, there is no evidence that it can cause pain or any other symptoms.

However, inflammation of your sinus, throat and eustachian tubes, the pipe that connects the middle ear, the back of the throat, and the nasal cavities can cause symptoms such as pain or discomfort in your ear.

Although further studies are necessary, having earache is unlikely a sign of Covid-19, especially if no other symptoms are present.

Earache can also depend on excessive earwax or a change in pressure.

//h3//Cough and sore throat

Cough and sore throat are indicated as a sign of Covid-19 with cough being usually more frequent. Recently, an ONS analysis found out that cough and sore throat can be more frequent symptoms of the new virus variant.

But having a cough and/or sore throat doesn’t necessarily mean that you have Covid.

They can be symptoms of flu. Sore throat, if associated with difficulty in swallowing, can be a sign of tonsillitis. There could be many other different causes.

If you have these symptoms, you should seek advice from your GP, and the only certain way to exclude Coronavirus is to have a swab test.

If your test is negative, but your symptoms persist, you can book an appointment with an ENT consultant, for specialist care.

Tinnitus

A recent study, involving over 3.000 patients suffering from tinnitus, aimed at investigating if there was any correlation with Covid-19 symptoms and prevention measures, such as social distancing and isolation, and the severity of tinnitus.

Of the 237 patients reporting Covid-19 symptoms, 54% said their tinnitus was stable, it improved for 6% and got significantly worse for 40% of them.

The improvement was explained by the greater patient attention on Coronavirus symptoms, whereas the perceived exacerbation of tinnitus was linked to increased worry, anxiety and stress coming from contracting the virus.

There is no direct correlation between Covid-19 and tinnitus. However, the pandemic’s impact on mental health seems to be a trigger for more acute tinnitus symptoms in some patients.

 

If you experience any ENT symptoms, the general advice is to verify whether other common Covid-19 symptoms are present. In this case, you should stay at home and get a swab test. If symptoms get worse, speak to your GP.

For specialist advice, you can also speak to one of our ENT Consultants by calling our Outpatient Department on 020 8949 9020 to book an in-person or virtual consultation.

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Causes of Postnasal Drip and How to Treat It

Excess mucus in your nose can clog your sinus passages, which may lead to a sinus infection. Postnasal drip can also cause ear or throat discomfort. Your nose is connected to your ears and throat via an open structure called the pharynx, a cone-shaped passageway in the back of the head. Therefore, excess mucus that exits from the back of your nose can flow into your ears and throat from the pharynx. Excess fluid in your ear can cause an ear infection by clogging up the Eustachian tube. An unusual influx of mucus can also irritate your throat, causing soreness or coughing.

What causes excess mucus and postnasal drip?

Postnasal drip may be temporary or chronic, depending on its cause. Potential causes of temporary postnasal drip include the following:

  • Viral upper respiratory infections, such as cold or flu
  • Dry air or cold temperatures, often experienced during changes of seasons
  • Irritating fumes from smoke, chemicals, cleaning products, perfumes or colognes
  • Spicy food
  • Pregnancy

In these cases, postnasal drip typically subsides after the condition runs its course or the irritating stimulant is removed.

Chronic postnasal drip is excess mucus production that persists for a long period of time and may be caused by the following:

  • Side effects of certain medications
  • Allergies
  • Deviated septum, a congenital malformation of the nose

Treatments for postnasal drip

You can take steps to relieve the symptoms of postnasal drip. Exposure to steam, by taking a shower or drinking hot soup, for example, can help to thin the mucus and open the nasal passages. You can also prevent mucus from collecting in your throat while you sleep by lying on propped-up pillows. If your postnasal drip is caused by allergens or other irritants, nasal irrigation (e.g., using a neti pot) can help clear these foreign bodies away.

Postnasal drip can also be treated with medication, but the specific drug you should use depends on what is causing your symptoms. Steroid sprays or certain antihistamines, for example, are common treatments for postnasal drip caused by allergies. If your postnasal drip is caused by a bacterial infection, your doctor will likely treat it with antibiotics. Decongestants (such as pseudoephedrine) and expectorants (a medication to thin the mucus, such as guaifenesin) may also be effective.

If you have persistent upper respiratory symptoms, schedule an appointment with your primary care provider. He or she can help determine the cause and formulate an appropriate treatment plan.

Ear infections: What to do and what to know

Winter is almost here, and so is cold and flu season, which means ear infections.

An ear infection is the result of bacteria growing in the fluid in the of the middle ear. An ear infection is common to get after having a cold. Ear infections are most often seen in children due to the small anatomy of their eustachian tubes.

They are prevalent in the first years of life, and although they can happen at any time, a parent should be more alert of them during the fall or winter when respiratory infections are on the rise.

Symptoms of an ear infection

When your child has an ear infection, it will typically start with a cold. They will most likely have a cough, congestion and a runny nose. A common indication of an ear infection is when your child gets a fever after the cold symptoms appear. If the fever lasts for more than 48 hours, then it’s time to get your child’s ears looked at, said Shannon Carruthers, M.D., a pediatrician at Sanford Children’s in Sioux Falls, South Dakota.

With an ear infection, pain in the ear can be intense. Older children will be able to verbalize this, but obviously babies cannot. Excessive crying might mean that your baby is experiencing pain and it is time to bring them in.

Some other common symptoms your child may display are fussiness and crying, poor feeding and trouble sleeping. The pain is usually worse at night, and lying down can make it worse.

In the meantime, before your doctor visit, you can administer Motrin/Tylenol to relieve the pain, Dr. Carruthers said.

Related: Use this checklist to help diagnose the problem

Treatment and prevention

The doctor will treat your child’s ear infections according to their age and the severity of the condition.

If your child is under 6 months of age, an antibiotic will treat them. If the child is over 6 months, the ear infection will more than likely resolve on its own. The doctor can give something to control the pain until the fluid clears the ear. At home, you can use nasal spray to suction drainage from the nose and keep administrating Motrin/Tylenol as often as the doctor recommends.

You prevent an ear infection the same way you prevent a cold. Good hand washing and proper hygiene are essential. Living in a smoke-free house, being free of second-hand smoke and getting all vaccinations are also good ways to prevent ear infections.

Ear tubes

Some children prone to ear infections may benefit from the insertion of tubes in their ears that drain fluid out of the middle ear, reducing the risk of ear infection. They are small, most often plastic or metal and surgically implanted in the eardrum by an ear, nose and throat surgeon.

Children having prolonged or recurrent fluid-related problems like hearing or balance issues, ear pain or infection are the most likely candidates for ear tubes. Most often these children are between the ages of 1 and 3 years old. Ear tubes don’t affect speech development. They can improve hearing along with ear infection-related problems in behavior, sleep or communication.

Surgery is normally quick and simple, taking place in 15 minutes under general anesthesia on an outpatient basis with patients returning home the same day. Surgeons open a small hole in the eardrum to drain the fluid and relieve pressure from the middle ear. They then place the small tube in the eardrum opening to allow airflow into the middle ear and keep fluid from building up.

Follow-up care is required to monitor the tubes, but the tubes normally fall out on their own six to 12 months after surgery.

Though tubes do provide tangible benefits, there are small associated risks that should be considered. In some cases, they leave a small hole in the eardrum after coming out, which requires a surgical repair. Some children still develop ear infections after they are placed.

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Posted In Children’s, Ear, Nose & Throat, Family Medicine, Health Information, Healthy Living

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90,000 People who have had or continue to get sick with COVID-19 talk about themselves – Society – Rusfond

People who have had or continue to get sick with COVID-19 tell about themselves

Photo: Unsplash.com

More than 200 thousand people have already been infected with the Coronavirus, but few people talk about their own experience – what is it like when you have COVID-19. We have collected stories from people with confirmed diagnosis about themselves and the course of their illness. This is important and, unfortunately, is still very likely to be useful to many. The rubric will be updated. There will be true stories of prevention, life in quarantine and others.

Cough without a runny nose and test the relationship for strength

A passenger of the Diamond Princess ferry, 67-year-old American Karl Goldman, who contracted the coronavirus from another passenger

Karl Goldman. Photo: facebook.com

“On January 17, my wife and I took a cruise from Tokyo, it was two weeks of a wonderful trip.But then we learned that a passenger who got off in Hong Kong went to the hospital and was diagnosed with a coronavirus. ” Passengers were forbidden to leave the cabins. “My wife and I had a large suite with a balcony, we could walk back and forth, it saved our 29-year-old marriage. In Yokohama, Japanese officials boarded, tested and promised two weeks of quarantine. Two military cargo Boeings were sent for the Americans. On the plane, my temperature suddenly rose to 103 degrees (39. 4 degrees Celsius.- Rusfond ), a mild dry cough appeared. I was transferred to the quarantine section of the plane, where there were already nine passengers. Strange: it was the same with others – the symptoms appeared suddenly, as if at the snap of fingers. Unlike the common cold, the nose was not blocked at all. ” At the University of Nebraska Medical Center, the couple were separated. “My wife is separate from me, surprisingly, but she did not catch the virus. And I will be released only if three tests in a row show the absence of the virus. ”

You can read more about Karl in more detail here .And listen to his story – here .

How Deng Danjing survived and Xia Sisi died

The stories of two 29-year-old Chinese women who worked in hospitals in Wuhan were remarkably similar until the very last moment

Deng worked as a nurse, Xia as a gastroenterologist and was the youngest among her colleagues. Both, with the arrival of the epidemic, switched exclusively to the fight against the virus and took all precautions. Both had the same symptoms. Xia did not feel well on January 19, began to recover by early February, but died on February 7.Dan fell ill at the end of January, and by the beginning of the second week of her illness she was on the verge of life and death, but recovered and was discharged from the hospital on February 18.

For more information about two young Chinese women and unexpected turns in their disease, see here . Full translation of this article into Russian – here .

Diagnosis made after recovery

The story of 25-year-old Connor Reed, the first Briton with COVID-19

Connor Reid. Photo: facebook.com

Connor Reed from North Wales worked as a teacher in a school in Wuhan for about a year. He fell ill in November, when the virus was still unknown. It began with chills, runny nose, fog before the eyes. Ears began to hurt badly. “I had the flu several times, it was like it, but much worse,” says Connor. – And it is important that the disease, as it were, went through several stages. You feel better, then it gets worse again, and so on several times. ” Connor did not go to the doctors and was treated with folk remedies, including alcohol, but on the 12th day, breathing problems began: “The feeling that only 20% of your lungs are working, you cannot breathe as needed.By the time you get from the room to the kitchen, you are already suffocating. ” At the hospital, when Connor finally went there, he was diagnosed with pneumonia. Only on the 36th day of illness, the Briton learned that the coronavirus was raging in Wuhan. And on the 52nd he was told from the hospital that he was infected with this particular virus (when the analysis was made, it is not clear from Connor’s story).

He is now staying in Wuhan and can only leave home once every three days. The doors of the shops are closed: the buyer says what he needs, and the seller hands over the already assembled package of groceries.To survive a long confinement, you need to come up with something to do, Connor is sure. Internet communication is not enough. Connor learns to draw, regularly does push-ups and squats, and began to study Russian. However, he believes that the British would not have been able to maintain isolation for so long: “Two weeks, and then they will start breaking the rules.”

Listen to Connor Reed on here . Read about him – here .

Seattle: six cases at one party

Elisabeth Schneider, 37, contracted the coronavirus along with five other guests, but they all recovered pretty quickly

Elizabeth Schneider.Photo: facebook.com

Elizabeth knows exactly when she got infected: on February 22nd she was at a party, and within a few days after her 40% of the guests got sick. It was Saturday, and Elizabeth had symptoms on Tuesday. The head, joints, the whole body ached, she felt terrible fatigue, the temperature rose to 39.4. The friends wrote off, realized that many had a problem, and turned to the Seattle Flu Study, which mailed them kits for self-taking throat swabs. Elizabeth sent a smear on March 2, and on the 6th it turned out that she and five other guests had coronavirus. By this time Elizabeth was already feeling better. Other guests, in addition to the listed symptoms, experienced some nausea, some diarrhea. The illness lasted from 10 to 16 days. Only one had problems with breathing and lungs, but he also did without hospitalization. The age of the sick is from “between 30 and 40” to “over 50”.

The story of Elizabeth Schneider can be read here or here .

Dr. Tun Chhen: Chronicle of the disease on Twitter

Korean doctor Tun Chhen, working in Spain, received the coronavirus from a colleague and reports his condition daily on Twitter with an ultrasound scan of the lungs

Tun Chhen. Photo: facebook.com

Tung Chhen works in the emergency department of a hospital in Madrid. He always wore a mask and gloves when working with patients, so he thinks that he most likely caught the infection from a colleague who tested positive earlier than he did. After being diagnosed, Tun Chhen was quarantined. This gave him the ability to detail his condition on Twitter. There, on Twitter, he posted a video of an ultrasound examination of the lungs. The diagnosis was made on March 8. The doctor counts the days from this date.

“Day 1. Sore throat, severe headache. Dry cough, but no shortness of breath.

Day 2. Sore throat, cough and headache are relieved. There is still no shortness of breath.

Day 3. Neither throat nor head hurt, I cough less.But diarrhea started.

Day 4. The cough intensified, the feeling of fatigue too. No shortness of breath.

Day 5. Cough and fatigue became stronger.

Day 7. The cough has intensified again, the weakness is felt more. ”

On the ninth day of illness, the doctor felt better, but the cough again, for the umpteenth time, intensified. He continues to chronicle. Ultrasound and chronicle can be viewed here .

Athlete and coronavirus: from Kommunarka without details

The 2009 world champion in kitesurfing Pyotr Tyushkevich was diagnosed with a coronavirus, the athlete very briefly talks about himself

Petr Tyushkevich. Photo: instagram.com

Tyushkevich flew in from France, he had no symptoms, but he immediately passed an analysis for the virus (the athlete does not specify how and on what basis). The analysis gave a positive result, and soon there were signs of the disease – sore throat, dry cough, pressure in the upper chest. The athlete was admitted to a hospital in Kommunarka near Moscow. “All the tests and a CT scan were done right away, as the virus primarily causes complications in the form of pulmonary edema or pneumonia.The temperature is knocked down only when it is above 38.5, with paracetamol and ibuprofen (although now the French authorities say that ibuprofen should not be taken). Throat and cough are treated with a common gargle such as stomatofit and chlorhexidine. If the virus has reached the lungs, then according to the situation, they select their own antibiotics for everyone, “Rosbalt reports Tyushkevich’s words.

More details – here . A photo of Tyushkevich in the hospital can be seen in his instagram .

Why does the ear hurt? – PanoramaMed

With ear pains that are very intense, we most often suspect otitis media.And we begin to be treated with home methods. However, otitis media are different, and not only they are the cause of pain and discomfort in the ears. The otorhinolaryngologist of the Panorama Med medical center Lilia Evteeva tells about this in detail.

– Lilia Borisovna, what is otitis media and how does it develop?

– Otitis is indeed the most common cause of ear pain, especially in children. In addition to the fact that they are acute and chronic, otitis media are divided by localization, being less or more dangerous.You need to know this in order not to bring the situation to an urgent hospitalization.

Depending on the site of inflammation, otitis media are external, middle and internal. Most often, otitis media occurs, which in the overwhelming majority of cases occurs as a result of infection from the nasal cavity or sinuses. When a person has a stuffy nose, he seeks to free him from the contents, and when blowing his nose, especially strong, drives the infection inside, into the auditory (Eustachian) tube.As a result, the tube becomes inflamed and eustachitis develops. With Eustachitis, a person experiences pain, noise (ringing, squeaking) and congestion in the ear.

Less commonly, the infection spreads by the hematogenous and lymphogenous route – through the blood and through the lymph, or by contact – through the injured tympanic membrane.

Eustachitis can be cured without consequences. But, if the infection rises higher, there is a catarrhal (no pus) otitis media. At the same time, the temperature rises, there is a sharp shooting pain in the ear, especially when chewing.Symptoms of intoxication are increasing. This condition is already dangerous enough to be treated at home. Moreover, it is impossible to cope with it on your own. You need to see a doctor.

– What will happen if things are left to chance?

– Catarrhal otitis media without treatment turns into a purulent form. The temperature rises even higher, and the pain in the ear becomes constant and intense, so that it hurts a person even to turn his head to the sore side.This inflammation goes through two stages – pre-perforated, when the eardrum is still intact, and perforated, when it bursts. With spontaneous damage to the tympanic membrane, pus comes out and the pain goes away, and the temperature drops. By this time, the pressure in the ear reaches such a degree that the person does not even feel the cotton and pain from the ruptured membrane. But it is very dangerous to wait for the membrane to perforate on its own, as the pus accumulated in the ear can damage the ossicles, leading to irreversible hearing loss.Pus should not be in the ear cavity for more than two days! Treatment of the perforated stage of purulent otitis media is surgical. Since tympanic membrane shunting is a rather traumatic operation, it is most often performed in a hospital and requires antibiotic therapy.

– What are the signs of internal otitis media and how is it dangerous?

Internal otitis media is rare, in which case the infection enters the cochlea of ​​the inner ear.Another name for the disease is labyrinthitis. Its symptoms are very severe dizziness with loss of balance, nausea, vomiting. The patient is shown bed rest, antibiotics, and often surgery.

– And otitis externa, can it be confused with an ordinary boil?

– Otitis externa can indeed proceed as a boil or abscess. Infection in the external auditory canal most often penetrates by contact, including due to damage to the protective covering of the ear when it is cleaned with cotton swabs.If this pitting inflammation is not treated, then pus spreads under the skin and affects the subcutaneous tissue. Otitis externa can also be accompanied by hearing loss. The danger of otitis media of the external ear is that the lymphatic system is nearby and the inflammation can go to the brain. Treatment is surgical and sometimes also in a hospital.

– Apart from otitis media, what else can cause ear pain?

– Ear plug can cause pain in the ear, which presses on the ear canal and eardrum, causing discomfort, hearing loss, noise in the ear.If the plug has been in the ear for a long time and has already dried up, it cannot be removed using home methods.

– And hydrogen peroxide won’t help?

– No, the cork will only get wet, the hearing may temporarily erupt, but when this cork dries up, the condition will worsen. Moreover, if there is a hole in the eardrum from past otitis media, which people do not always even know about. In this case, the instillation of peroxide is not only useless, but also dangerous. Peroxide can enter the middle ear and begin to eat away at the mucous membrane of the tympanic cavity, which will lead to new inflammation and the development of otitis media.

How else can you not try to remove the plug?

– You cannot try to get it with improvised means – pins, matches, etc.

– Do not put phyto-candles in your ears

– Do not put geraniums in your ear.

– It is very dangerous to clean the ear with cotton swabs – there is a risk of injuring the skin or leaving pieces of cotton wool and provoking inflammation. Mothers often come to me who accidentally pierced a child’s ear.Many people do not even know that cotton swabs are not intended for cleaning the ears – they have a different purpose. There are special means for the ears, but it is better to come to the ENT doctor who will competently and safely conduct the toilet of the ear canals.

– What are the reasons for the development of cork?

– Sulfur plug formation is a protective reaction of the ear to environmental factors. Therefore, more sulfur with the formation of a plug is produced in people who work in polluted conditions associated with dust, shavings, etc.p. Junk food, a sedentary lifestyle also contribute to the release of sulfur in large quantities, which clogs the ear.

– How to properly care for your ears?

– Ears do not need to be specially cleaned at all. Sulfur is produced in the amount that is necessary to protect the ear, and leaves it by itself, imperceptibly for a person. This happens while talking and chewing. It is enough for us to superficially wash our ears and pat them dry with a towel.And in case of discomfort and suspicion of a traffic jam, periodically visit an ENT doctor.

– Can severe ear pain occur due to causes other than ear disease?

– Pain from other organs can radiate to the ear due to their anatomical proximity. One of the reasons for this pain is arthrosis of the temporomandibular joint. In this case, in addition to pain in the ear, the person experiences pain with a strong opening of the mouth, clenching of the jaw, and even when talking.

Any inflammatory diseases of the oral cavity – caries of the back teeth, periodontitis, stomatitis – can also give off pain in the ear, not associated with ear disease.

Severe pain and ringing in the ear can cause diseases of the nasopharynx – tonsillitis, tonsillitis, pharyngitis, since the auditory nerves are very close. And, finally, the cause of ear pain is often osteochondrosis of the cervical spine.

– We forgot to mention one more external influence – an insect getting into the ear, which is especially important for summer?

– A mosquito, a fly, even a cockroach can get into the ear.There have been many such cases with my patients. The insect, as a rule, immediately discovers itself – it begins to squeak, crawl, and try to get out. And your task is not to pull it out of your ear, since there is a great risk of driving the fly deep into the depths and causing inflammation, but immobilizing it. To kill the insect, sunflower oil is poured into the ear. The rest will be done by the doctor!

As you can see, it is difficult for yourself to understand the true cause of pain and discomfort in the ear. This can be done quickly and professionally by an otorhinolaryngologist and other specialists, if required.

Otorhinolaryngologist (ENT) in Fryazino | ALLORO

In case of complaints of ear pain, nasal congestion, pain and discomfort when swallowing, sore throat, hearing impairment, it is worth consulting and being examined by an otolaryngologist, since diseases of the ear, throat, nose can not only significantly worsen the patient’s quality of life, but also develop and cause more serious diseases.

Specialists of the ALLORO Medical Center have extensive experience in the diagnosis and treatment of diseases:

  • Otitis media and otitis media (ear pain, ear congestion, temperature)
  • Rhinitis (nasal congestion, nasal discharge, cough)
  • Adenoiditis (snoring at night, hearing loss, nasal discharge, cough)
  • Angina (sore throat, high temperature)
  • Tonsillitis (difficulty swallowing, perspiration, spitting up of white tiny formations, temperature 37.1-37.2)
  • Paratonsillar abscess (severe sore throat, on one side, difficult to open the mouth, swallow)
  • Sinusitis (prolonged runny nose, nasal congestion, headache, temperature 37.2-37.3)
  • Sulfur plugs (ear congestion).

Our specialists

Grigorieva

Ekaterina Sergeevna

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otorhinolaryngologist

Adults and children reception 90,075 work experience since 2010

Dunaryan

Olesya Sergeevna

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otorhinolaryngologist

Reception of adults and children 90,075 work experience since 2010

Schedule of an appointment with an otorhinolaryngologist at the ALLORO Medical Center in Fryazino

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The ALLORO Medical Center is located at Fryazino, Oktyabrskaya st., 9, to the right of the Istok recreation center.

Please pay attention! Yandex-maps and other navigation systems are building a route to the courtyard of residential buildings from Lesnaya Street at the request of “Oktyabrskaya, 9”.The entrance to the ALLORO Medical Center is located on the outside of the building on Oktyabrskaya Street. Convenient parking is located right in front of the entrance.

90,000 Easy breathing – Euromed Clinic

– What ENT diseases are most common in children?

– For childhood, there are more characteristic conditions with which we either do not meet in adults at all or are extremely rare.
A vivid example of this is hypertrophy of the palatine tonsils, adenoids and everything connected with them: adenoiditis, recurrent otitis media and inflammation of the paranasal sinuses (sinusitis), lingering rhinitis and cough.Episodes of recurrent otitis media are more common in children than in adults. According to statistics, about 80% of children in the first year of life suffer from acute otitis media.
In principle, frequent respiratory illnesses in children are a sign of age. Moms worry when their child is too often sick with ARVI. However, there is nothing special or scary, in most cases, this is not. There are physiological periods of the formation of the immune system, and this process is possible only when faced with a new microflora – viral and / or bacterial agents that enter the child’s body.The answer is disease. There is no need to be afraid if the disease consists of a runny nose, sore throat, coughing and does not develop every time into bronchitis, pneumonia and other purulent processes. Today, a child who suffers from respiratory diseases up to 8 times a year is not even considered to be often sick. This is the norm.
In children, more often than in adults, there are sore throats – acute streptococcal tonsillitis (tonsillitis), which is manifested by intense pain in the throat, a characteristic bloom on the tonsils, with a temperature above 38 ° C.Childhood is even one of the criteria for making this diagnosis. This is the same sore throat, which gives complications to the heart, joints, kidneys. This condition necessarily requires the appointment of antibiotics, and not for 5-7 days, but in a course of at least 10 days. In cases of relapse, this disease becomes the cause of the development of chronic tonsillitis.
Chronic tonsillitis is an infectious disease with localization of a chronic focus of infection in the palatine tonsils with periodic exacerbations in the form of tonsillitis.It is characterized by a violation of the general reactivity of the body, a decrease in general immunity due to the intake of toxic and infectious agents from the tonsils into the body, as well as products of inflammation.

– What is not the norm? What conditions require the intervention of an ENT doctor?

– Problems that are quite typical for childhood, in which the child must be shown lore:
When the child constantly does not breathe well through the nose.
When headaches recur against the background of difficulty in nasal breathing.
When a child has otitis media, and not just once a year, but several times a year.
When a child’s hearing is impaired (and not as a result of a sulfur plug).

– Do the above symptoms usually appear with adenoids?

– Yes, including. Adenoids are the growth of the pharyngeal tonsil located in the dome of the nasopharynx. This is one of the ten structures of the Pirogov-Valdeyer lymphoid-pharyngeal ring. An overgrown or hyperplastic tonsil is called adenoids.This condition is most common in children 3–7 years old, although it can be diagnosed at an earlier and later age.
The proliferation of the pharyngeal tonsil is provoked by its active work to protect the body from infections transmitted through the respiratory tract. The more often the child suffers respiratory diseases, the more this amygdala has to work. Thus, its growth (hypertrophy) turns out to be an absolutely physiologically justified moment.

– Is it always necessary to remove adenoids?

– The indications for the removal of adenoids are the appearance of serious health problems for the child – when more harm than good becomes from the overgrown lymphoid tissue.An absolute indication for the removal of adenoids: persistent difficulty in nasal breathing, accompanied by snoring during sleep, obstructive sleep apnea syndrome (stopping breathing during sleep).
The absence of normal nasal breathing leads to hypoxia – a state of chronic lack of oxygen, the consequence of this may be: rapid fatigue of the child, impaired cognitive functions of the brain, delayed psychoemotional and sometimes physical development, impaired anatomical formation of the facial skeleton and occlusion, gothic palate, in some cases, even the development of enuresis is a consequence of severe hypertrophy of the pharyngeal tonsil.
There are also relative indications for the removal of adenoids. These are recurrence of otitis media in a child, the development of hearing loss, recurrence of sinusitis, ineffective treatment of chronic adenoiditis (inflammation of an enlarged tonsil) for six months. The overgrown adenoid tissue creates a permanent obstacle to the movement of air flow, which causes insufficient ventilation of the paranasal sinuses and middle ear cavities, which leads to the above problems.
You should not be afraid of surgery to remove adenoids – modern sparing endoscopic techniques, adequate anesthesia allow you to minimize the risks of intervention, to carry it out with minimal trauma for the patient, and as a result, the quality of life of your baby is significantly increased.
If the tissue of the pharyngeal tonsil does not interfere with normal nasal breathing, then the adenoids do not need to be removed. Firstly, at puberty (after 12 years), sclerosis of lymphoid tissue begins, it begins to thicken and gradually develops into fibrous tissue – this is mainly connective tissue, and secondly, the skull grows and in relation to it, the size of the lymphoid tissue is leveled, occupying less space in the nasopharynx.

– How can the appearance of adenoids be prevented?

– It is impossible to prevent the appearance of adenoids, because this concept essentially accompanies growing up, however, as already mentioned, recurrent inflammatory processes lead to the progression of adenoids.In addition to the concept of “adenoids”, there is the concept of “adenoiditis”, which describes inflammation of the pharyngeal tonsil, and here there are a number of schemes of systemic and local treatment that effectively control the inflammatory process. Of course, systemic treatment should be selected individually and only by the attending physician. At the same time, local treatment schemes are of great importance, the components of which should be selected taking into account the mechanisms of the development of the disease.
The first step is to remove the swelling of the nasal mucosa, which occurs as a reaction to the inflammatory process in the nasopharynx.For this purpose, age-related concentrations of vasoconstrictor drugs are used, which are selected by the doctor depending on the age of the child and the severity of the edema. A few minutes later, upon reaching the vasoconstrictor effect, elimination therapy agents are used, and the intensity of the stream of the agent used should be sufficient to wash off the mucopurulent discharge covering the tonsil, but at the same time, gently so that the solution does not enter the child’s auditory tube. After that, the clean lymphoid tissue of the nasopharynx is exposed to antibacterial, anti-inflammatory drugs of local action or astringent solutions.The duration of such a course is 7-10 days. If it is necessary to continue treatment, the components of the scheme are changed.
So the main advice is not to delay contacting an ENT doctor if your baby often suffers from respiratory diseases.

– One of the most unpleasant and frightening diseases for all mothers is otitis media. What are they, how are they treated and how can they be avoided?

– Otitis is a fairly broad concept. Otitis externa is distinguished – diseases of the external auditory canal and auricle, and otitis media – inflammatory processes in the middle ear, the latter are purulent and non-purulent.
Ear pain with otitis media is not always the case, but it is necessarily accompanied by hearing loss.
Acute purulent otitis media, most often, occurs in children of the first year of life, largely due to the anatomical features of the structure of the auditory analyzer – the Eustachian tube is very short, wide, located almost horizontally, and mucus and food easily flow into it when the child regurgitates, as well as edema develops, leading to a narrowing of the lumen and, as a result, to a violation of ventilation and outflow of mucus.(the Eustachian tube connects the middle ear cavity with the nasopharynx, and through it air is supplied to the tympanic cavity), when free air access is stopped, a thermostat effect occurs, which contributes to the development of pathogenic flora and the inflammatory process.

Purulent otitis media occurs in three stages

First stage – catarrhal, preperforative stage. Symptoms: intense ear pain, fever, hearing loss.
In the second stage , a perforation (rupture) of the tympanic membrane occurs, and the pus that has accumulated in the middle ear flows into the external auditory canal.This, as a rule, immediately relieves the patient’s condition, the pain sensations decrease sharply. This stage lasts for several days.
Reparative stage. The pus is out, the inflammation is stopped, the eardrum must heal to restore its integrity.
If we were very lucky, the parents turned to the otorhinolaryngologist on time, the treatment was prescribed promptly and correctly, otitis media can be stopped at the first stage and perforation of the eardrum can be prevented. This is the ideal scenario.If the perforation does occur, it is important that it does not become resistant, so that the eardrum accurately regains its integrity. Otherwise, chronic suppurative otitis media will develop. It is clear that there is nothing good in this disease, it gives a lot of complications, including persistent hearing loss, and already requires surgical restoration of the tympanic membrane.

– How is otitis media treated?

– One of the widespread myths: you need to drip drops into a sore ear. While in most cases with otitis media, first of all, it is necessary to drip into the nose!
The pathogenesis or development of acute otitis media is associated with problems with normal ventilation of the middle ear due to a violation of normal nasal breathing.As soon as we lose normal nasal breathing, edema occurs in the auditory tube, and an inflammation mechanism is triggered. That is, otitis media is always a consequence of severe nasal obstruction (difficulty in nasal breathing). By the way, sinusitis and sinusitis develop in the same way.

We emphasize once again: just like that, purulent otitis media will not arise. It will not develop from the fact that the child is blown away, from the fact that he walked without a hat, and even the switched on air conditioner does not blow into the ear, but acts indirectly, through a sudden runny nose.
What to do with otitis media? If a child has an ear ache, the first thing any mother can do is to drip vasoconstrictor drops into her nose, observing the rules: tilting her head to the shoulder, drip into the lower half of the nose, then repeat in the other direction; give an antihistamine – because it relieves swelling; give any NSAID (non-steroidal anti-inflammatory drug) – for example, Nurofen. This is something that can be done without looking into a child’s ear. After that, you urgently make an appointment with the ENT, and the doctor prescribes treatment based on the stage of development of the disease, from the type of otitis media, etc.
The basic treatment for otitis media is the appointment of vasoconstrictor drops (in children over two years old – preferably in the form of a spray), antihistamines, anti-inflammatory drugs. In the absence of perforation, alcohol-based ear drops are also prescribed.
Antibiotics are not always prescribed , only if there are strict indications. These include: under two years of age, intense ear pain, hearing loss, high fever. In children over two years of age with normal immunity, anti-inflammatory and decongestant therapy is first prescribed, the effect of which is assessed within 72 hours, and only if it is ineffective, antibiotics are prescribed.In ENT pathology, antibiotics are prescribed for at least 7 days (with rare exceptions). With a shorter course, the flora on which the drug is directed is not suppressed, moreover, antibiotic resistance is developed, that is, the resistance of microflora (bacteria) to the active substance, as a result of which the effectiveness of its subsequent use decreases.
In any case, only a doctor can prescribe an antibiotic and choose a treatment! The choice of drugs for use in childhood is rather limited and complicated, because they can have a lot of contraindications, for example, some drops can slow down the development of bone tissue.Therefore, do not self-medicate!

– How can a mother suspect that a baby has otitis media? Small children can’t complain, can they?

– They complain: the ear pain is very intense, comparable to a toothache. As a rule, the child clings to the ear, the temperature often rises. The pain intensifies when swallowing – especially in infants, this is very clearly manifested when feeding: the baby begins to swallow, the edematous auditory tube sticks together or breaks apart, causing pain, the child is interrupted, cries.
If a child has a prolonged runny nose, fever, he cries, holds on to his ear, does not sleep well – show his Laura right away.
Another group of otitis media is exudative otitis media. They more often occur in older children with hypertrophy of the pharyngeal tonsil or adenoids, which provoke a persistent block of the auditory tube. With exudative otitis media, fluid accumulates in the tympanic cavity (but not pus, as with purulent otitis media). This disease is somewhat more difficult to suspect, because there is no pain, no temperature.In fact, the only thing a mother can pay attention to is hearing loss: the child asks again. Sometimes children complain that their ear is “popping” or “farts” – I’ve heard many different definitions. This is true: air bubbles burst in the liquid in the middle ear with a characteristic crackle – and kids pay attention to this.

– What is the prevention of otitis media?

– The most common causative agents of otitis media are coccal flora (pneumococci, staphylococci), hemophilus influenzae, as well as other pathogenic and opportunistic bacteria that are activated by viral or bacterial inflammation of the nasal mucosa.
Part of these pathogens can be protected by vaccination. Vaccines “Prevenar 13”, “Pnevmo-23”, “Sinflorix” protect against pneumococcal infections. There are monovaccines against Haemophilus influenzae (“Act-HIB”, “Hiberiks”), it is also included in the combined vaccines (“Pentaxim”, “Infanrix Hexa”).
Unfortunately, vaccinations will not give one hundred percent protection against otitis media (because there are much more causative agents of the disease), but they will significantly reduce the risk of its occurrence, as well as the development of complications.In addition, a vaccinated child, in principle, will be less likely to get sick, which also reduces the risk of otitis media as a complication of ARVI.

– Why is it not recommended to use cotton swabs for ear hygiene?

– Cotton swabs are cosmetic and are not intended for the ears. The ear canal is a self-cleaning system. Like the skin all over our body, the skin in the ear canal is regularly renewed. The epidermis sloughs off the skin gradually (and there is a certain direction of desquamation – from the nearest end of the external auditory canal to its distant end – the transition to the eardrum) and with everything that is on its surface: gray, sebum, etc.Most adult Siberians have wide and fairly straight ear canals, and during normal washing of the head, water that gets into the ears washes out all these masses.
In children, especially in children of the first year of life, this is more difficult, since they have an anatomically different structure of the ear canal, it is narrower, at a different angle, and, accordingly, it is cleared worse. If the mother decides to clean the child’s ear with a cotton swab, what happens? She compresses all these epidermal masses, which already accumulate in the external auditory canal.And as a result, we get sulfur-epidermal plugs. As a result, the help of an otolaryngologist is required in order to clear the ear. And you yourself can imagine the reaction of a child whose ear is washed or trying to remove wax mechanically.

– What can you do to cleanse your child’s ears?

– To begin with, it is important to understand that this is not dirt! Sulfur is a normal secret of the human body, a product of the work of the sulfur glands, it is necessary to protect the external auditory canal from infection and otitis externa.We have ideal conditions in the outer ear for the growth of fungal flora: warm, dark and damp. Sulfur also contains a number of antiseptics, even has fungicidal properties – it protects against fungal and bacterial infections.
For the toilet of the ear canal – if the usual washing of the ears is not enough – you can use special means “Remo-Wax”, “A-Cerumen”) – their formula allows you to use them from birth. For the prevention of the formation of sulfur plug, these drugs are recommended to be used once a month, in the case of the formation of sulfur masses – on the recommendation of a doctor – a course of more intensive use can be prescribed.

– What are the ways to prevent ENT diseases in children?

– As we said above, vaccination against pneumococcal infection and Haemophilus influenzae contributes to a partial decrease in the incidence of morbidity.
Elimination therapy is another very important point. Elimination is the removal of particles (viruses, bacteria, allergens, toxins, etc.) that get on the mucous membrane and cause inflammation by rinsing the nasal cavity. Thus, we mechanically get rid of antigens that can provoke the development of the disease.
A small child cannot blow his nose himself; mucus accumulates in his nasal passages, which must be removed. Therefore, it is necessary to carry out daily hygiene procedures: in infants, drip the nose with saline or saline solution (sold in pharmacies) and remove the contents with an aspirator. It is also recommended to rinse the nose in this way for a child when returning from any public places – from a clinic, a store, etc. nose, the so-called nasal showers, which wash away mucus and particles of viruses and bacteria.Pay attention that they have a gradation according to the intensity of the jet entering the nasal cavity. During prophylactic washing, it is not necessary to wash out especially strongly. For this, you can use nasal sprays and showers, gently cleansing the mucous membrane. With a large amount of discharge, it is worth choosing funds with a more intensive supply of fluid, up to a complete volumetric lavage of the nasal cavity.
Another commonplace but effective way to prevent seasonal respiratory infections is to wash your hands frequently and thoroughly.If it is not possible to wash your hands, use wet wipes, antibacterial solutions.
If there is an ARVI outbreak in a kindergarten or school, you can use prophylactically antiviral drugs – interferon inducers.
In order for a child’s body (and an adult’s too) to have the strength to resist infection, it is important that it is not weakened by an unhealthy diet and an unhealthy lifestyle. Accordingly, we pay attention to a balanced diet, daily routine, hardening.If there are no contraindications, take multivitamin preparations in courses.

– According to statistics, with ARVI, about a third of children under three years old suffer from stenosis – laryngeal edema. What is the reason for this?

– Indeed, stenosis is very common.
Stenosing laryngitis / laryngotracheitis (or false croup – these are synonyms in pediatrics) is a violation of normal breathing due to narrowing of the larynx lumen.
False croup or stenosis of the larynx, which develops in children against the background of ARVI, occurs because babies have a very loose mucous membrane in the lining of the larynx, and the submucosa swells very easily.With a viral infection, edema of the mucous membrane of the upper respiratory tract develops, and in case of edema in the larynx, the free space in its lumen sharply narrows, the passage of air is disrupted, it becomes difficult, the inhalation becomes noisy, the so-called inspiratory (difficulty breathing) shortness of breath develops. In children under 3-4 years of age, the features of the anatomical structure are such that they create the prerequisites for the easy development of stenosis of the larynx, therefore, this condition occurs more often at this age.An additional risk is created by the child’s predisposition to the development of allergic reactions. In this case, the incidence of laryngeal stenosis is higher.
Stenosis can be classified according to its rate of occurrence: fulminant, acute, subacute, and chronic.
Fulminant stenosis, as a rule, occurs with allergies or due to a foreign body.
With false croup, most often, acute stenosis occurs. You can remove its manifestations with decongestants. You can’t confuse the sound of stenosis with anything – any mother will hear it: difficulty in inhaling, a hoarse, wheezing sound.As soon as you find that the child has difficulty breathing, you need to give the child an antihistamine (relieve swelling) and inhale with a nebulizer with hormonal drugs and a hot foot bath (provided there is no high temperature). If the child is choking and inhalation does not help, urgently call an ambulance! The doctor will inject a hormone, if this does not help, then stenosis is an indication for hospitalization. The child is placed in a hospital, in intensive care, oxygen is supplied, treatment with hormones, antihistamines, and, if necessary, antibiotics is prescribed, achieving a gradual decrease in edema in all parts of the upper respiratory tract.
After an episode of stenosis for the first time, the child is recommended to be examined for possible allergies – to take allergy tests to exclude or confirm the diagnosis. Unfortunately, in young children, allergy tests can be false negative. If stenosis is recurrent and continues in a child over three years old, it is imperative to repeat the examination.

– What can trigger nosebleeds and how can it be stopped?

– Bleeding from the nose can result from trauma, structural features of the nasal cavity, the close location of blood vessels to the surface of the mucous membrane, blood diseases, increased dryness and thinning of the mucous membrane, the formation of rough crusts on it (which is often due to central heating), when removing which the mucous membrane is easily injured.
There are quite harmless in their intensity nosebleeds, but alarming in their frequency. They are often hereditary in nature. Here I always advise you to get tested. Yes, it is possible that the structure of the nasal cavity, the close location of the vessels to the surface of the mucous membrane, was simply inherited from the parents to the child. But, for example, a violation of the blood coagulation system (thrombocytopathy, thrombocytopenia, etc.) can also be inherited. This must always be dealt with.

How to stop nosebleeds?

The stopping rules are very simple. First and foremost: never throw your head back, keep your head straight, slightly tilting downward. Take cotton wool, apply 3% hydrogen peroxide solution or any vasoconstrictor drug that is at home on it. This cotton wool is inserted in the vestibule of the nasal cavity from the side where the bleeding is, and is pressed against the septum by the wing of the nose.
This will help if the bleeding is not intense. If the bleeding is intense – the blood rolls not only out of the nose, but also into the throat – call an ambulance, with a high degree of probability you will not be able to cope with it yourself and hospitalization will be required.
Sudden, spontaneous, intense nosebleeds in boys 7-11 years old can be symptoms of such an unpleasant disease as juvenile or juvenile angiofibroma of the skull base. This is a benign neoplasm, very rich in blood vessels. This tumor is very aggressive in nature, so it is very important to identify it as early as possible. So, if a boy suffers from recurrent intense nosebleeds against the background of normal health, I recommend urgently contacting an ENT.90,000 Coronavirus, flu, colds: how to understand what you are sick with? | World Events – Estimates and Forecasts from Germany and Europe | DW

At the first stage, the symptoms of the SARS-CoV-2 coronavirus can be easily confused with the manifestations of influenza. In most cases, both diseases are accompanied by fever, cough, joint aches, and headache. Sometimes these symptoms are accompanied by a runny nose, weakness, shortness of breath. But there are at least two signs, having discovered which, one can with considerable confidence assume that we are talking about a cold or flu, and not about a coronavirus: a sore throat and sneezing.

Both symptoms are signs of an upper respiratory tract infection. SARS-CoV-2 mainly affects the lower respiratory tract, and an infected person will mostly have a dry cough, shortness of breath and / or pneumonia, but not a sore throat.

Sneezing is a sign of a cold, not a coronavirus

A sudden lack of smell and taste, in turn, is a very common symptom of COVID-19 and does not occur in the case of flu or colds – even if a stuffy nose and sore throat to some extent and reduce sensitivity to odors and alter taste.

It should be noted that the typical symptoms of coronavirus do not always appear – sometimes the disease can be asymptomatic.

How long is the incubation period for people infected with coronavirus?

According to the Robert Koch Names Institute, the incubation period for COVID-19, the disease caused by the coronavirus, lasts on average 5-6 days, although in some cases it can be up to 14 days. If mild symptoms or weakness appear, it is necessary to take sick leave and limit social contacts, and children should refuse to go to school and kindergarten.

The incubation period is often mild and asymptomatic. If you are unsure or anxious, call your healthcare provider or the COVID-19 Diagnostic Center. If necessary, you will be tested for coronavirus.

How is the coronavirus transmitted?

The SARS-CoV-2 virus is transmitted mainly by airborne droplets – by inhalation of virus-containing droplets or aerosols released when breathing, coughing, talking, singing or screaming. It is for this reason that one of the measures that reduce the risk of contracting coronavirus is maintaining a social distance of 1.5 meters.

Transmission of coronavirus outdoors is possible much less often

The risk of infection increases with prolonged stay in closed small and poorly ventilated rooms. This is why regular and efficient ventilation is so important. Transmission of the virus in the open air is possible much less often – provided that the minimum distance between people of 1.5 meters is observed. It is also impossible to completely exclude the danger of contact transmission of the virus – especially if a person presumably infected with SARS-CoV-2 has touched the surfaces.

The most effective measures to reduce the possibility of contracting the coronavirus are still social distancing, hygiene practices, frequent and thorough hand washing, wearing protective masks, ventilating enclosed spaces, isolating SARS-CoV-2 infected people in a timely manner and establishing contact chains in patients with COVID-19.

Influenza or Cold: How to Distinguish

Even doctors sometimes find it difficult to distinguish the flu from the common cold based on symptoms.A cold usually starts with a sore throat and a runny nose, followed by a cough that can be dry or with phlegm. For several days, a person has a sore throat, a stuffy nose, a slight fever, he feels weak and a headache.

Influenza, unlike a cold, manifests itself suddenly and immediately – “in full”: among its characteristic signs are headache, aching joints, dry cough, pain and wheezing in the throat, the temperature rises to 41 degrees and is often accompanied by chills.The patient experiences general weakness and falls asleep.

Symptoms of flu and colds are often similar.

Symptoms of a common cold subside after a few days and disappear completely in about a week. Influenza usually lasts longer: during the first week, the person is completely incapacitated, and it may take several weeks to fully recover.

The German Standing Commission for Vaccinations (STIKO) advises everyone who is at increased risk of infection to get vaccinated against influenza every year.The risk group includes, in particular, those suffering from chronic diseases, pregnant women and people over 60 years of age. It also makes sense to vaccinate those who, due to professional necessity, constantly communicate with a large number of people (for example, medical workers and employees of public institutions).

When does it make sense to take antibiotics?

The causative agents of most colds and flu are viruses against which antibiotics are ineffective, so it makes no sense to take them in the treatment of such diseases.

Antibiotics act on bacteria in different ways: either by killing them or preventing them from spreading. In doing so, they attack the cell membrane or affect the metabolism of bacteria. Penicillins, for example, interfere with the synthesis of the cell walls of bacteria, and the walls are perforated, which leads to their rupture, and the bacterium dies.

Thus, taking antibiotics only makes sense when it comes to a bacterial infection. In some cases, it can develop against a viral background – bacteria enter the body through a weakened immune system, which leads to complications in the work of the whole body.Diseases such as pneumonia (pneumonia), tonsillitis, cystitis, meningitis are usually caused by bacteria, and the use of antibiotics in these cases is necessary.

See also:

  • How the coronavirus changed the world

    Europe opened internal borders

    Since June 15, most EU member states have restored free movement within the European Union and the Schengen area. The restrictions imposed by the coronavirus pandemic in March this year have been lifted for all EU countries except Sweden.The unfavorable epidemiological situation there, which is the result of the Swedish “special path” in the fight against COVID-19, does not meet the EU’s criteria for opening internal borders.

  • How the coronavirus changed the world

    The EU is saving its economy

    Brussels has allocated 500 billion euros to help the EU member states hardest hit by the pandemic. It is also planned to create a temporary Recovery Fund, the funds from which will be directed to the recovery of the European economy.

  • How the coronavirus changed the world

    130 billion euros to support the German economy

    The German authorities also took measures to overcome the economic consequences of the coronavirus pandemic. The volume of the anti-crisis program for 2020-2021, approved by the German government, is 130 billion euros. By the end of the year, the VAT rate will be reduced in the country from 19% to 16%, families will be paid 300 euros for each child, and the industries affected by quarantine measures will be allocated up to 25 billion euros.

  • How the coronavirus changed the world

    Corona-Warn-App will track contacts with patients with coronavirus

    The official Corona-Warn-App has appeared in Germany, warning of the possible danger of coronavirus infection. It will record the movement of smartphone owners and notify them of contact with a person infected with SARS-CoV-2, which will help track and break the chains of virus infections. You can download the application from the Google Play Store and Apple Store.

  • How the coronavirus changed the world

    Oscars postponed, Eurovision canceled

    Due to the coronavirus pandemic, events planned for 2020 have been canceled or postponed around the world. The Academy Awards ceremony has been postponed from February 28 to April 25. Most film companies were forced to discontinue production of films. The canceled Eurovision 2020 contest took place in the form of online concerts.

  • How the coronavirus changed the world

    Olympics and European Football Championship – no earlier than 2021

    The Olympic Games in Tokyo and the European Football Championship also fell victim to the coronavirus: both events were postponed until 2021.The IOC tried for a long time to save the Olympics, but in the end was forced to postpone it. A similar decision was made in UEFA at a meeting of representatives of 55 national football federations that are members of the European football union.

  • How the coronavirus changed the world

    Coronavirus is not an obstacle to the parade in Russia

    Despite the unfavorable epidemiological situation in the Russian Federation, the coronavirus did not become a reason for canceling the parade on the occasion of the 75th anniversary of Victory. By decree of Vladimir Putin, the event will take place on June 24 – the day the parade was held in the capital in 1945.The referendum on amendments to the constitution, scheduled for July 1, has not been canceled in the country either. WHO warns Russia against holding both events.

  • How the coronavirus changed the world

    Tunisia announced victory over coronavirus

    Tunisia became the first country to declare complete victory over coronavirus. Prime Minister Elias Fakhfah said the possibility of a second wave was minimal, although he urged citizens to remain vigilant. Tunisian authorities intend to open borders on June 27.Tourists arriving in the country will have to provide a certificate of a negative coronavirus test.

  • How the coronavirus changed the world

    There is a new outbreak of SARS-CoV-2 in Beijing

    Despite the fact that in many countries the number of SARS-CoV-2 infections is declining, the danger of a second wave is not excluded. So, in the PRC, an outbreak of COVID-19 was again recorded, the number of cases exceeded 100 people. The Xinfadi food market has become a new focus. The Beijing authorities have limited the capital’s road connections to other parts of the country to reduce the risk of the spread of the disease.

  • How the coronavirus changed the world

    When will the coronavirus vaccine appear?

    The world hopes for a vaccine against the coronavirus. The number of laboratories working on its creation is large. Scientists already have several vaccine options, they are being tested on animals. Germany, France, Italy and the Netherlands have united in an alliance in order to jointly provide all EU countries with a vaccine after the creation of the drug. But, apparently, the vaccine will appear on the market no earlier than mid-2021.

    Author: Marina Baranovskaya

90,000 Ear hurts – what to do: simple methods of treatment

If eyes are the mirror of the soul, then ears are its doors: through hearing we receive a huge amount of information and, most importantly, hear the music of life. And women, as you know, do “love with their ears.” It is all the more offensive if an ailment has encroached on such a vital organ, which often happens in winter, because, according to statistics, the peak of ear diseases occurs precisely in the winter. What to do if suddenly ear hurts ?

Why does it hurt?

First, of course, you need to make an appointment with an otolaryngologist as soon as possible.Only he will be able to establish an accurate diagnosis. And this is important, because there are many reasons why ears can hurt .

Otitis . An inflammatory process that occurs in the ear against a background of reduced immunity. The location is the ear canal (otitis externa), the middle ear area (middle and internal otitis media). Symptoms include severe pain, runny nose, high fever. The main danger is hearing loss, meningitis, intracranial complications.

Periochondritis .An infectious disease resulting from complications from influenza or pneumonia. The location is the ear cartilage tissue. Symptoms include painful swelling, purulent cavity. The main danger is a non-healing fistula.

Lymphadenitis . A disease associated with inflammation of the lymph nodes. The location is the lymph nodes behind the auricle. Symptoms include high fever, severe headache. The main danger is the transition to a purulent form, but alas, these are far from all the causes of pain in the ears.Excess earwax, the pathology of neighboring organs, hypothermia, and microtrauma with inaccurate use of cotton swabs can cause discomfort in the organ of hearing.

See also: Live 2: online issue of 11/19/2015 – childhood diseases in adults (VIDEO)

In addition, inflammation of the tonsils, neuralgia of the cervical plexus nerve and toothache can be the cause of pain. Acute ear pain can be the beginning of very serious problems – such as chronic diseases, complete or partial deafness, and even meningitis.Therefore, once again: it is imperative and urgent to see a doctor!

How to help yourself?

It often happens that you do not get to the doctor: there is a queue at the clinic, there is no money or you are away at all. And anyone who has had ear pain at least once will confirm: the pain is such that it is not easy to endure it. What other means at hand can a person help himself in a similar situation? They are. But the important thing to remember here is that these are just pain relievers.

Drops from a decoction of bay leaves .Take a few bay leaves and steep them in a little water. Let the broth brew for at least two hours. Instill seven drops in a sore ear, and at the same time take a couple of tablespoons inside. The anti-inflammatory properties of the broth will prevent disease from developing.

Tampon based on ammonia and camphor . Dissolve a tablespoon of coarse salt in 1 liter of warm boiled water. In another clean container, mix 10 g of camphor oil and 100 g of 10% ammonia.Mix everything and shake well until the white flakes disappear. In the resulting mixture, you need to wet a sterile cotton swab, wring it out and put it in your ear for a couple of minutes – you don’t need to hold it for a long time. The pain relieving properties of camphor can help numb the pain.

See also: Neck hurts – what to do (VIDEO)

Boiled onion . Take a small onion, wash, peel and cook until soft. Do not pour the broth, but gently wipe the sore ear with a sterile cotton swab, then put a boiled onion on it.Thanks to the sulfur trace elements contained in the onion, it disinfects well and relieves pain. However, not for long. But before going to the doctor, be patient with it. And of course, no one has yet canceled painkillers. To relieve pain, take ketans, analgin, or paracetamol. And, even if there is no runny nose, drip vasoconstrictor drops into the nose. This will help relieve pressure from the inside of the auditory organ on the middle ear and membrane.

What not to do?

Ear pain is also dangerous because the sick person himself can hardly determine what caused it, and the means of treatment that will help in one case can harm in another.For example, with internal otitis media, the ear should never be warmed up. If purulent discharge comes from the ear, warming up can be very harmful. The same goes for other remedies. Therefore, just in case, we will list what absolutely cannot be done with pain in the ear.

Do not bury drops in your ears, chosen on your own initiative or on the advice of your friends. Be especially careful if these are drops that contain antibacterial ingredients. The fact is that some of them, in certain diseases, can have a toxic effect on nerve endings, which can lead to partial deafness.

Read also: Body language will tell you where and what hurts

Do not warm your ears, including with a closed compress or, for example, a hair dryer. So you run the risk of injury to the eardrum.

In no case should you use radical folk methods such as “put a well-heated brick on your ear” or “put a rolled-up newspaper in your ear and set fire to” .
You cannot start taking antibiotics on your own. It will be useless if the cause of your illness is fungus.In the worst case, such actions can weaken the immune system and, instead of preventing, you will help the disease.

However, in any case, it is best not to get sick. Therefore, it is important to say about how to protect your ears. Especially in the cold winter.

The first rule is to keep clean. And you need to clean your ears correctly. The cotton swab should be sterile, and you can insert it into the ear no further than 4-5 mm from the edge of the ear canal. But “digging deeply”, as many people like, do not need to: you cannot take out the sulfur, but push it deep into it, as a result of which a sulfur plug is formed, which can cause pain.It is also not recommended to clean your ears with a wet stick or while bathing in the shower. Water can enter the ear and cause inflammation in the ear canal, including otitis media. An interesting fact: the habit of chewing gum contributes to the self-cleaning of the ears.

The second rule is to maintain immunity . It would seem, where are the exercises, vitamins and hardening, and where are the ears? However, science has proven that weak immunity is at the heart of all ear diseases. So the connection is direct.

Rule three – do not start a runny nose .The fact is that, according to research by specialists, in 95% of cases, harmful microorganisms enter the ear from the Eustachian tube, which connects the middle ear to the nasopharynx. And for this, imagine, even the fact that you blow your nose incorrectly (blowing out not one nostril after the other, but both at once) is enough, not to mention if you seriously start a runny nose, spreading whole battalions of aggressive bacteria in your nose.

See also: For live 2 – STB: online edition of 11.11.2015 – pneumonia (VIDEO)

In winter, especially when there is strong wind and sleet, do not forget to wear a hat.Ideally – a hat with a top made of raincoat fabric, insulated with a single-layer padding polyester, and lined with jersey, a helmet or earflaps.

And it still does not hurt at all for the sake of their ears to treat … food wisely. Yes, yes, ears have their quirks. So, food with an abundant content of fat and cholesterol is harmful to their health, since high pressure and fat on the walls of blood vessels slow down blood flow in the ear area. Caffeine is also harmful to hearing for the same reason.

But what products our ears respect very much:

– carrots – is responsible for good blood supply, including important for the eardrum;
– walnuts – improve the functioning of the inner ear;
– dark chocolate – supplies the inner ear with oxygen;
– chicken – rich in proteins, which are the building blocks of the internal structures of the ear.

Watch online All bude good – a family yoga complex to improve immunity:

Tracheitis | Medical center “President-Med”

Tracheitis is an inflammatory pathology of the trachea of ​​an infectious nature. With the development of the disease, irritation of the mucous organ occurs, as a result of which a paroxysmal dry cough and other ailments appear.

Inflammation of the tracheal mucosa in most cases develops against the background of diseases of the respiratory system of the body, for example, bronchitis, pharyngitis, laryngitis or sinusitis.The following factors can also provoke the progression of the disease:

  • Allergic reaction.
  • Severe hypothermia.
  • Weakening of the immune system.
  • Diseases of the heart and kidneys.
  • Injury to the trachea due to the ingress of a foreign body into the organ.

Inflammation can also develop as a result of inhalation of air contaminated with chemicals. Without treatment, tracheitis becomes chronic, mainly with patients who smoke a lot or suffer from alcoholism.

Symptoms of tracheitis

With tracheitis, inflammation of the mucous membrane of the upper respiratory tract occurs, because of this, patients are worried about a dry cough. Paroxysmal coughing often occurs at night and in the morning. The cough can also appear with a deep breath or laugh, while the patient feels a sore throat and chest pain.

Signs of tracheitis:

  • Rapid and shallow breathing.
  • Enlarged lymph nodes.
  • Sleepiness and weakness.
  • Increased body temperature.
  • Headache.
  • Sore throat.
  • Rapid fatigability.

Since inflammation of the trachea in 90% of cases progresses against the background of colds, symptoms specific to ailments (nasal congestion, sneezing, hoarseness) may also occur. Without timely treatment, tracheitis causes the development of severe and dangerous diseases of the respiratory system: bronchial asthma, acute bronchitis, emphysema, pneumonia of the lungs.

Diagnostics and treatment of tracheitis

If symptoms of inflammatory ailments of the respiratory tract appear, you need to consult a general practitioner, he will perform a physical examination. If tracheitis is suspected, the patient is referred for examination to an otolaryngologist.

During the examination, the doctor must listen to the patient’s complaints, as well as collect an anamnesis of the disease, find out whether the patient has chronic ailments, whether there is an allergy. A blood test is required. In addition, patients are directed to undergo a chest x-ray, it is necessary to exclude other diseases of the respiratory system.To determine the causative agent of the pathology and the selection of the most effective antibacterial drug, sputum examination is carried out, as well as analysis of throat swabs. Rhinoscopy, pharyngoscopy, laryngotracheoscopy or other instrumental techniques will also help to clarify the diagnosis.

Tracheitis therapy is aimed at eliminating factors irritating the tracheal mucosa – viruses, allergens or bacteria. Proper treatment helps not only to stop unpleasant symptoms, but also to prevent the likelihood of complications.

Usually, inflammatory diseases of the trachea are treated on an outpatient basis, hospitalization is indicated only in severe cases. If tracheitis has developed as a result of a bacterial infection, broad-spectrum antibacterial medications are prescribed in the form of aerosols or tablets.

In principle, antibiotics from the penicillin group cope with tracheitis, however, if the course of the disease is complemented by bronchitis, antibacterial agents of the third or fourth generation are prescribed. In an acute viral form of tracheal inflammation (without complications), treatment is carried out with immunomodulatory, antiviral, antihistamines and antitussive pharmacological drugs.

Means produced in the form of aerosols are effective in the fight against tracheitis. Since in this form, the active components of the drugs penetrate into all parts of the bronchial tree, as well as the trachea, and fight inflammation directly at the site of its localization, without adversely affecting other body systems.

Antipyretics are prescribed only if a temperature rise above 38 degrees is diagnosed. Taking medications should be performed as prescribed by the doctor, self-medication can provoke the development of complications.

For the treatment and diagnosis of tracheitis, contact the medical centers “President-Med” in Moscow and Vidnoye

Artist: Mamunts Tsovinar Alekseevna

Chief Physician President-Med Vidnoye

Higher Medical, Perm State Medical Institute, Faculty of General Medicine, specialty-general medicine

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