Avoid using ear buds to clean the ear, it is dangerous.
Ear canal is akin to a curved tube closed at one end by
a thin paper [Ear drum]. The tube is narrow in the
middle. Hence complete cleaning of the ear with ear bud
is not possible. Attempt at cleaning with ear bud, will
remove the wax partially only. The rest of the wax is
pushed onto the ear drum. It is also prone to accidental
damage to ear drum. Always get the ear wax cleaned by an
expert.
Very irritative / painful. Kill the insect by drowning
the insect, pour water / spirit / oil into the ear. Once
the insect is dead the emergency is over. See the ENT
specialist the next day.
Insect in the ear
When children have mild to moderate hearing loss they
will show diminished performance. When ever a child’s
response is inadequate to expectation, is naughty, is
inattentive and or lazy, do not blame the child. The
handicap your child faces can be easily appreciated by
you with this simple test.
Close both your ears tightly with your index fingers.
Now listen to other talk "with and without" the ear
plugged. Get the child investigated for mild to moderate
hearing loss in a good ENT / audiological centre.
Known as giddiness also. Ear ailment is the commonest
cause of giddiness. In ear giddiness, hallucination of
movements is the main symptom. It should be
differentiated from Dizziness / Blackout / fits /
weakness. Ideally for giddiness you should see an ENT
specialis
When there is infection in the ear with a hole
[perforation] in the ear drum which does not heal with
medical treatment it is called CSOM. Once confirmed CSOM
can be cured only by surgery [Tympanoplasty].
CSOM
Normal
The majority believe in the philosophy “Delayed speech
give Speech therapy”. This is not the ideal management.
You have to analyze the cause of delayed speech and then
if the cause is -
Hearing loss - refer to ENT
specialist / hearing aid fitting / AVT.
Mental retardation - IEP by
Special educator for Mentally challenged.
Learnig disability - IEP by
Special educator for Learning Disability.
All children prior to being referred to the special
educator for evaluation have to be evaluated for hearing
by an objective test [OAE / Threshold BERA]. As far as
possible all challenged children should be habilitated /
trained in a normal school [inclusive education]
setting. Specialized school should be for the very bad
cases only.
No ear drops. Keep sterile cotton in the ear. Avoid
water entry to the ear. See the ENT specialist the next
day.
Wax is a normal secretion in the ears, like tears in the
eyes. It helps in keeping the ear clean. Wax collection
in the ear is abnormal and has to be removed. Hard wax
has to be softened by using drops before cleaning.
Cleaning is done by syringing / suction / by ear hook
under vision. Always go to an expert for the same. Never
indulge in self cleaning it can be dangerous.
