How Is An Ear Infection Diagnosed
Once youre at the doctors office, a medical professional will look inside your ear with an otoscope to determine whether you have an infection.
Typical signs include fluid buildup in the ear canal and middle ear, along with a red and inflamed eardrum.
Depending on the severity of your symptoms, your doctor may recommend waiting a few days to see if your ear infection improves.
Some infections resolve on their own. But if the infection is severe, or if symptoms dont improve after this time, then antibiotics may be warranted.
Chronic fluid buildup without an infection warrants additional testing from an ear, nose, and throat specialist.
Its especially important to diagnose young children so that they dont encounter speech and language delays from loss of hearing.
If your doctor recommends antibiotics to treat a severe ear infection, they will likely recommend an oral treatment, such as amoxicillin .
Utis & Urine Bacteria In Aging: How To Know When Antibiotics Are Needed
Q: An elderly acquaintance, who is in her 90s, has been experiencing bacteria in her urine but has not shown any signs of illness. Due to her continued urinary infection after treatment with antibiotics, the doctor prescribed chronic antibiotics and sent her to urology for further evaluation and treatment. What can be done if an older woman has germs in her urine but no signs or symptoms of illness or disease? Is it possible to benefit from an urological consultation? A: I think this is a fantastic question.
Asymptomatic bacteriuria is something that every elderly person and family caregiver should be aware of.
- It is quite frequent among older folks. According to estimates, this disorder affects around 20% of women over the age of 80, and it also affects older men. It is more prevalent in older people
- The older the individual, the more common it is.
- Its frequently mistaken for a urinary tract infection . This can result in antibiotic therapy that is unneeded and even hazardous
- If this happens,
This will save you and your elderly loved ones the expense and inconvenience of unneeded tests and antibiotic treatment.
Final thoughts are some practical suggestions for older persons and their family caregivers who are concerned about urinary tract infections and/or germs in the urine.
How Can I Make Sure My Kidney Infection Is Completely Gone
If you recently had a kidney infection, the health care professional will often repeat urine cultures after your treatment ends to make sure your infection has completely gone away and has not come back. If a repeat test shows infection, you may take another round of antibiotics. If your infection comes back again, he or she may prescribe antibiotics for a longer time period.
If your health care professional prescribes antibiotics, take all of the antibiotics as prescribed and follow the advice of the health care professional. Even if you start to feel better, you should finish all of your medicine.
Read Also: Bladder Infection Symptoms No Infection
Also Check: How To Tell If Tooth Infected
Dosage For Stomach And Intestinal Ulcers
Adult dosage
- Typical dosage for triple therapy: 1 g amoxicillin with 500 mg clarithromycin and 30 mg of lansoprazole, all given twice per day for 14 days.
- Typical dosage for dual therapy: 1 g amoxicillin and 30 mg of lansoprazole, given three times per day for 14 days.
Child dosage
This drug has not been studied in children to treat stomach and intestinal ulcers.
Senior dosage
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects.
Your doctor may start you on a lower dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
Can Amoxicillin Not Working For Ear Infection
Likely causes of amoxicillin-unresponsive AOM include infection caused by amoxicillin-resistant bacteria, inadequate dosing or absorption of amoxicillin, poor penetration of amoxicillin into the middle ear space, reinfection with a second organism, and AOM caused by viral infection or viral and bacterial co-infection.
Read Also: Can Strep Cause An Ear Infection
Read Also: Best Over The Counter Tooth Infection Medicine
What Types Of Treatments Are Available For Ear Infections
Many children recover from ear infections without medical intervention. However, your doctor may prescribe a course of antibiotics depending on the cause and extent of your childs infection. Usually, treatment includes several days of amoxicillin, azithromycin, or augmentin. You may also need to treat a ruptured eardrum with antibiotic or anti-inflammatory eardrops.
If your child is experience severe ear pain, your doctor may suggest using an over-the-counter pain reliever like ibuprofen or acetaminophen to manage discomfort and aid in sleep. If pain continues, prescription eardrops may be available to anesthetize the eardrum so long as there is no drainage from the ear.
Some parents find that home remedies are effective for alleviating discomfort during an ear infection. Examples include applying a warm compress to your childs ear or putting a few drops of warm olive oil into the ear canal. However, you should never place anything inside your childs ear without first consulting his or her doctor.
Do Ear Infections Clear Up On Their Own
Some ear infections may clear on their own. Middle ear infections are often cured by the bodys immune system when left alone. However, inner and outer infections may require medication. If patients are experiencing more than just the common symptoms of ear infections then they should seek medical attention.
Don’t Miss: Can You Get A Yeast Infection After Antibiotics
Dangers Of An Unresolved Dental Abscesses
Leaving an abscess untreated will lead to serious medical complications in addition to severe pain. The infection will spread to other parts of your body, including your brain and nearby organs.
A dental abscess infection that travels to the brain is very difficult to treat because of the blood-brain barrier. Its also common for infections to spread into the sinuses.
An infection in your teeth or gums might indicate that you have heart health problems. Researchers believe gum disease is linked to heart disease and heart attack risk.
The infection can also spread to the surrounding bones. Facial bones are especially intolerant to infection. There is a high risk that bone removal will be needed to stop the further spread of the infection.
Even if you have a mild abscess, it can spread and weaken the bones, which creates problems in the future for your teeth.
An untreated abscess also poses a risk for tooth loss. Usually, a root canal and crown are enough to save the affected tooth. However, left untreated, theres a high likelihood your dentist will need to pull the tooth.
One of the most serious issues linked to untreated dental abscesses is . This is an infection in the bloodstream and it puts your entire body at risk.
If the abscess is not treated in time and it ruptures, the infection can spill into your blood and circulate throughout your body. and requires IV antibiotic treatment and long-term hospitalization.
Summary
Who Gets An Ear Infection
At the highest risk for ear infections include those children who:
- Have a strong family history of otitis media
- Were not breastfed during the first 12 months of life and/or
- Reside in a smoking household.
Children with a cleft palate or HIV have particularly severe problems with recurrent ear infections.
Age affects the rate of acute otitis media, with a dramatic decline in frequency in children older than three years. However, some children with a history of ventilating tubes or frequent recurrent otitis media, severe allergies, or large adenoids may still be plagued with ear problems.
Typical dosage is 500 mg every 12 hours, or 250 mg every 8 hours.
Child dosage
Typical dosage is 25 mg/kg/day in divided doses every 12 hours, or 20 mg/kg/day in divided doses every 8 hours.
The dosage listed here is meant for children who weigh less than 88 pounds . Children who weigh more than 88 pounds should be dosed according to the adult recommendations.
Child dosage
Maximum dosage is 30 mg/kg/day. Your childs doctor can tell you more about dosage.
Senior dosage
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects.
Your doctor may start you on a lower dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.
You May Like: What Can Treat Urinary Tract Infection
Cause Of Ear Infections
- A bacterial infection of the middle ear
- Blocked eustachian tube, usually as part of a common cold. The eustachian tube joins the middle ear to the back of the throat.
- Blockage results in middle ear fluid .
- If the fluid becomes infected , the fluid turns to pus. This causes the eardrum to bulge out and can cause a lot of pain.
- Ear infections peak at age 6 months to 2 years. They are a common problem until age 8.
- The onset of ear infections is often on day 3 of a cold.
- How often do kids get ear infections? 90% of children have at least 1 ear infection. Frequent ear infections occur in 20% of children. Ear infections are the most common bacterial infection of young children.
Antibiotics For Uti: Will A Uti Go Away On Its Own
While the body can resolve minor infections without the assistance of medicine, for any serious UTIs, antibiotics are highly recommended.
If a UTI goes untreated the infection can spread from the urethra and bladder up into the kidneys.
Here, it becomes a much more serious infection as the risk of bacteria spreading into the bloodstream increases.
UTIs in the kidneys are dangerous and in some cases considered a medical emergency. If the infection reaches the bloodstream, your condition can become fatal and you should seek medical attention immediately.
Its for this reason that antibiotics for UTI are highly recommended.
Also Check: Do Antibiotics Help Yeast Infections
How Should Augmentin Be Taken
For Adults:
- The usual adult dose is one 500-mg tablet of Augmentin every 12 hours or one 250-mg tablet of Augmentin every 8 hours. For more severe infections and infections of the respiratory tract, the dose should be one 875-mg tablet of Augmentin every 12 hours or one 500-mg tablet of Augmentin every 8 hours. Adults who have difficulty swallowing may be given the 125 mg/5 mL or 250 mg/5 mL suspension in place of the 500-mg tablet. The 200 mg/5 mL suspension or the 400 mg/5 mL suspension may be used in place of the 875-mg tablet.
- Two 250-mg tablets of Augmentin should not be substituted for one 500-mg tablet of Augmentin. Since both the 250-mg and 500-mg tablets of Augmentin contain the same amount of clavulanic acid , two 250-mg tablets are not equivalent to one 500-mg tablet of Augmentin.
- The 250-mg tablet of Augmentin and the 250-mg chewable tablet should not be substituted for each other, as they are not interchangeable. The 250-mg tablet of Augmentin and the 250-mg chewable tablet do not contain the same amount of clavulanic acid . The 250-mg tablet of Augmentin contains 125 mg of clavulanic acid, whereas the 250-mg chewable tablet contains 62.5 mg of clavulanic acid.
How To Cope With Side Effects Of Amoxicillin
What to do about:
- feeling sick â stick to simple meals and do not eat rich or spicy food. It might help to take your amoxicillin after a meal or snack.
- diarrhoea â drink plenty of fluids, such as water or squash, to avoid dehydration. Signs of dehydration include peeing less than usual or having dark, strong-smelling pee. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor. If you take contraception and you have severe diarrhoea for more than 24 hours, your contraceptive pills may not protect you from pregnancy. Check the pill packet to find out what to do.
Also Check: Medicine For Kids Ear Infection
What Are The Possible Side
It is not possible in this leaflet to list all the possible side-effects of each antibiotic. However, as with all medicines, there are a number of side-effects that have been reported with each of the different antibiotics. If you want more information specific to your antibiotic then you should read the information leaflet that comes with the medicine.
Most side-effects of antibiotics are not serious. Common side-effects include soft stools , diarrhoea, or mild stomach upset such as feeling sick . Less commonly, some people have an allergic reaction to an antibiotic and some have died from a severe allergic reaction â this is very rare.
You should tell your doctor if you have any of the following side-effects:
- Severe watery diarrhoea and tummy cramps: signs of a serious bacterial infection of the gut âClostridium difficile infection.
- White patches on the tongue: signs of oral thrush.
Some antibiotics may interact with other medicines that you might take. This may cause reactions, or reduce the effectiveness of one or other of the treatments. So, when you are prescribed an antibiotic you should tell a doctor if you take other medicines.
How To Take It
Try to space the doses evenly throughout the day. If you take it 3 times a day, this could be first thing in the morning, mid-afternoon and at bedtime.
You can take amoxicillin before or after food.
Swallow amoxicillin capsules whole with a drink of water. Do not chew or break them.
Amoxicillin is available as a liquid for children and people who find it difficult to swallow capsules.
If you or your child are taking liquid amoxicillin, it will usually be made up for you by your pharmacist. The medicine will come with a plastic syringe or spoon to help you measure out the right dose. If you do not have one, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not measure the right amount.
Read Also: Antibiotics For Lymph Node Infection
Dosage Intervals Of Amoxicillin For The Treatment Of Acute Middle Ear Infection
Acute middle ear infection is a very common disease in children and may cause pain and hearing loss. Delayed or ineffective treatment may lead to serious complications such as ear drum perforation, sensorineural hearing loss or the disease becoming chronic. Amoxicillin, with or without clavulanate, is the most commonly used antibiotic for treating acute otitis media. Currently, a reduction in the dosing interval to one or two daily doses is being used, in preference to the conventional three or four daily doses, to aid compliance.
We identified five randomised clinical studies with 1601 children comparing two dosing schedules. Participants were aged 12 years or younger with AOM. The primary outcome was clinical cure rate in terms of resolution of otalgia and fever at the end of antibiotic therapy . The secondary outcomes were clinical cure rate in terms of middle ear effusion during therapy, clinical cure rate post-treatment in terms of resolution of middle ear infection, AOM complications and adverse events to medication. The results showed that treating acute middle ear infection with either once/twice daily or three times daily amoxicillin, with or without clavulanate, has the same results using our outcome measures, including adverse events such as diarrhoea and skin reactions.
The evidence is current to March 2013.
We searched CENTRAL 2013, Issue 2, MEDLINE , EMBASE and the Science Citation Index .
How Can I Tell If My Child Has An Ear Infection
Most ear infections happen to children before theyve learned how to talk. If your child isnt old enough to say My ear hurts, here are a few things to look for:
- Tugging or pulling at the ear
- Fussiness and crying
- Fluid draining from the ear
- Clumsiness or problems with balance
- Trouble hearing or responding to quiet sounds
You May Like: Sinus Infection Lower Tooth Pain
Empiric Antibiotic Selection Without Tympanocentesis
The major considerations in empiric antibiotic selection for acute otitis media include comparative drug efficacy, safety, compliance potential and cost.1 Sources of information on antibiotics are often confusing and conflicting. Pharmaceutical representatives produce brochures touting their drug as effective and perhaps better in some other way .
There is little to distinguish one antibiotic from another in terms of safety profiles. All of the antibiotics used for acute otitis media are generally quite safe. Compliance, duration of therapy and cost are important issues. The main determinants of compliance appear to be frequency of dosing, palatability of the agent and duration of therapy. Less frequent doses are more desirable than more frequent doses, which interfere with daily routines. In many instances, palatability ultimately determines compliance in children.
Patients prefer a shorter course of therapy rather than the traditional 10- to 14-day courses often used in the United States. One recent survey verified that many patients and parents only continue antibiotic therapy until symptoms resolve, perhaps followed by an additional one or two days.29 The remainder of the prescription is usually saved for future use when similar symptoms arise.29
How Is An Ear Infection Treated
The intense ear pain of acute otitis media can be partially relieved by adequate doses of ibuprofen or acetaminophen. For more severe earaches, some doctors may prescribe codeine. Numbing eardrops provide minimal relief, and only for a short time. A warm washcloth or sweet oil directly instilled in the ear canal may temporarily distract from the childs ear pain.
Nearly all doctors in the United States believe that acute otitis media should be treated with antibiotics by mouth, particularly if the child has symptoms. Antibiotics generally provide prompt and dramatic relief of the ear pain. Oral antibiotics for acute otitis media are safe and effective, with exceedingly rare serious side effects.
In a few European countries, ear infections are not treated in children older than two years, unless symptoms persist for more than 48 hours. A few U.S. physicians recommend this same tactic.
Amoxicillin is the drug of choice for initial ear infections, except in the penicillin allergic child. In an attempt to enhance the effectiveness of this inexpensive and safe antibiotic, many doctors are now prescribing amoxicillin twice a day and in double the daily standard dose. Effectiveness for initial therapy with most antibiotics approaches 70% to 80%. There are other antibiotics to treat children who do not respond to amoxicillin or who never seem to respond to initial amoxicillin therapy.
Tympanocentesis:
Also Check: How To Treat Severe Yeast Infection