Does otitis media require a special diet?

Written by Li Rui
Otolaryngology
Updated on May 21, 2025
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Patients with otitis media are advised to have a light diet and avoid spicy, stimulating foods and allergenic foods, as these may exacerbate the condition. Some patients may also develop acute pharyngitis or acute tonsillitis. Therefore, after the onset of otitis media, it is necessary to visit an otolaryngology (ENT) department, where a routine blood test and otoscopy can be conducted to assess the severity of the condition. Generally, the use of antibiotics for anti-infection treatment should be considered. During treatment, it is essential to keep the external ear canal dry and water-free. The treatment period is usually about one week. With timely treatment, most patients will gradually recover.

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Written by Deng Bang Yu
Otolaryngology
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What ointment is used for otitis media?

Clinically, otitis media primarily refers to the acute and chronic infections of the middle ear caused by various reasons, mainly acute infectious inflammation of the middle ear. The treatment of otitis media primarily involves the local and systemic use of anti-infection drugs, such as local use of ofloxacin ear drops, and systemic treatment with cephalosporin antibiotics. Ointments are generally not used for treatment. Ointments are difficult to apply to the external ear canal; once an ointment enters the external ear canal, it can block it. This blockage can prevent the timely expulsion of secretions from the ear canal, potentially exacerbating the inflammation. Currently, ointments are not used in the treatment of otitis media.

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Written by Deng Bang Yu
Otolaryngology
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How to drain fluid from otitis media

Otitis media with effusion refers to the fluid in the tympanic cavity of secretory otitis media. Clinically, the methods for draining or reducing the effusion mainly include the following: First is pharmacological treatment, which primarily involves antibiotics, steroids, and medications that promote the secretion of fluids. This is the pharmaceutical approach to treatment. There is also invasive treatment, which includes procedures such as tympanocentesis, tympanostomy tube placement, and eustachian tube balloon dilation, with the aim of draining or extracting these fluids. Clinically, treatment generally begins with pharmacological approaches, followed by invasive procedures.

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Written by Zhang Jun
Otolaryngology
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Can otitis media heal itself?

Otitis media is difficult to heal on its own because it is caused by an acute bacterial infection that leads to reduced eustachian tube function, resulting in fluid accumulation in the middle ear cavity. Patients will experience sudden high fever, with body temperatures above 38.5°C, severe pain in the ear, and symptoms of hearing loss, tinnitus, and a feeling of ear fullness. Upon examination, the eardrum appears significantly congested and swollen, and a large amount of fluid can be found in the middle ear cavity. In terms of treatment, otitis media initially requires symptomatic anti-inflammatory treatment. Patients can take oral medications such as cefaclor, amoxicillin, and potassium penicillin V tablets. At the same time, the ear should be treated locally with ofloxacin ear drops twice a day, which can reduce local congestion and swelling. During treatment, patients also need to maintain a light diet, avoid vigorously blowing their nose, and prevent water from entering the outer ear canal. Generally, recovery can gradually occur within a week. (The use of medication should be under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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What should be paid attention to for otitis media?

Otitis media requires careful attention to avoid water entering the ear and patients digging into their ears, as well as keeping warm to reduce the chances of catching colds and coughing. Otherwise, otitis media may recur and fail to heal. Otitis media is a common disease in otolaryngology and can be divided into several types, including acute otitis media and chronic suppurative otitis media. For acute otitis media, it usually follows a cold or cough, and patients often exhibit clear symptoms of bacterial infection. Treatment typically involves antibiotics and ear drops, and patients' otitis media can usually be cured. The causative factors for chronic suppurative otitis media mainly include infection of the middle ear cavity and cholesteatoma. Treatment often requires a radical mastoidectomy to achieve cure. (Please use medications under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Does otitis media spread?

Otitis media is a common and frequent disease in the field of otorhinolaryngology, mainly caused by bacterial infections, such as Streptococcus pneumoniae and Staphylococcus aureus. Therefore, otitis media is generally not contagious. In certain situations where families live closely together, it is possible for two children to be sick at the same time; however, this is often related to the living environment or other upper respiratory infections, which does not indicate that otitis media is contagious. On the other hand, some specific infections may be contagious, such as tuberculous otitis media. The secretions from tuberculous otitis media are contagious, so it is important to differentiate between types of otitis media to determine whether they are contagious. Generally, otitis media is not contagious.