Healthy ears mean happy days!

Understanding middle ear infection

Introduction

How do you get a middle ear infection?

Will a middle ear infection affect hearing?

What is the medical name for chronic middle ear infection with a hole in the eardrum?

How long does FLOXIN Otic or FLOXIN Otic SINGLES need to be used for middle ear infections?

What about allergic reactions after taking FLOXIN Otic or FLOXIN Otic SINGLES?

Important Safety Information


 Introduction

This web site will help you to understand more about middle ear infections. Middle ear infections are more common in colder weather but can occur year-round. You will learn why children get ear infections, sometimes over and over again, and you will learn how important it is to treat this condition.

Feel free to read parts of this web site with your child if he or she is curious to learn about his or her ear infections.


 How do you get a middle ear infection?

Ear infections are one of the most common childhood illnesses, so you may take some comfort from knowing that you and your child are not alone. In order to understand how these infections come about, you need to know something about the different parts of the ear, and how a child’s ear is different from an adult’s ear.

The middle ear is a part of the ear that you can’t see. It is located at the inside end of the outer ear canal and is made up of several different parts. The middle ear begins with the eardrum, a layer of material that is thin like the “skin” of a drum. The space on the side of the eardrum opposite the outer ear canal is called the middle ear chamber. In this space, there are three tiny bones named for their shapes—the hammer, the anvil, and the stirrup (also called the malleus, the incus, and the stapes). The deepest part of the middle ear is a tube called the eustachian tube. This tube leads from the middle ear chamber to an area deep inside the nose that is above and behind the roof of the mouth. The eustachian tube provides a connection between the middle ear and the nose. This means that not only air but also bacteria can move from deep inside the nose into the middle ear. This is actually one of the most common ways for a child to get a middle ear infection.

You may wonder why, then, middle ear infections aren’t common in adults, too. This is partly due to the way the eustachian tube changes as children grow up. In adults, the eustachian tube is more sloped, which allows for easier drainage.
 
In children, the eustachian tube is much shorter than it is in adults. This makes it easier for bacteria to move from deep inside the nose to the middle ear. In addition, young children tend to get more infections of the nose and throat. These infections can be spread to the middle ear. As children get older, the eustachian tube changes and middle ear infections become less common.

 Will a middle ear infection affect hearing?

Hearing is a complicated process that involves parts of the outer, middle, and inner ear. When a child has a middle ear infection, fluid and pus may fill the middle ear space and affect the ability of the eardrum and the bones in the middle ear to move the way they normally do. This may affect a child’s ability to hear. Fluid can actually remain in the middle ear space for weeks or even months. You should discuss any concerns you have about hearing with your doctor.


 What is the medical name for chronic middle ear infection with a hole in the eardrum?

Occasionally, adolescents and adults will develop a chronic form of middle ear disease. Such a condition usually occurs in a person with recurring acute middle ear infections during their infancy and childhood. This condition can be inherited or caused by an immune deficiency. It is called chronic suppurative (meaning pus-generating) otitis media - CSOM for short. This condition is accompanied by a chronic hole, or perforation, of the eardrum.


 How long does FLOXIN Otic or FLOXIN Otic SINGLES need to be used for otitis media?

The time period you or your child will usually need to use FLOXIN Otic or FLOXIN Otic SINGLES will vary from 10 to 14 days for otitis media (middle ear infection). Be sure to use FLOXIN Otic or FLOXIN Otic SINGLES exactly as your doctor has told you. Even if you or your child start to feel better after a few days, be sure to keep using the medication for as long as your doctor has ordered. It is very important to use the medication for the right number of days. This will help ensure that all the bacteria causing the infection are killed.

The next section explains the rare times when you or your child may need to stop using FLOXIN Otic or FLOXIN Otic SINGLES.


What about allergic reactions after taking FLOXIN Otic or FLOXIN Otic SINGLES?

Before prescribing FLOXIN Otic or FLOXIN Otic SINGLES, a doctor will probably ask you if your child has allergies, in order to decide if FLOXIN Otic or FLOXIN Otic SINGLES is the right medicine.

It isn’t always possible to know if an allergic reaction will occur. However, sometimes allergic reactions do happen. For example, you or your child may develop something as simple as a rash or as serious as trouble breathing. At the first sign of an allergic reaction, stop the medicine and contact your doctor immediately. In addition, it is possible that you or your child’s ear will itch a little from the medication. If this happens, the itching shouldn’t last long. However, if this itching continues or gets worse, call your doctor before continuing the medication. Itching may be a sign of an allergic reaction.

 
 

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® Otic or FLOXIN® Otic SINGLES® is right for you.
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