31 answers

Seeking Info on Care of Recurring Ear Infections

My 15 month old keeps having recurring ear infections. He has had 4 since Nov. '08 and his latest ended with his left ear drum rupturing. We have tried three different antibiotics and none of them really work. Anywhere from 1-3 days after finishing the antibiotic, he is back to having low grade temps (99.9-100.9), pulling at his ears, crying alot, and putting his ear on the cold hard wood floor. Our doc. wants to put him on a daily dose of low grade antibiotics. When he first mentioned it he said for 3 months, but when we went in for the last infection, he said a year. His reasoning is that studies show that tubes don't work as well as they once thought they did. I have several problems with this: 1. I had tubes as a child, so did my 2 nephews, brother and niece, and they took care of the problem. 2. My son has very sensitive stomach and skin and antibiotics just lead to him not eating well, and constant diarrhea, then to diaper rash/yeast infection. So, I guess what I am asking is has anyone had success with this treatment, should I just find and ENT myself and go to them or what. I really like this doc. and he has always been very helpful with every problem we have had with both of our sons, so I am not sure if I should just trust him and go with his plan or push for tubes. I am not really excited about him having another surgery (had a bilat. inguinal hernia repair-Jan. '08), but I am tired of him being sick, hurting and crying.

What can I do next?

So What Happened?™

I did get a second opion and she also agreed with the antibiotic treatment. So, we started a 2 month antibiotic treatment and within 8 days he had another infection. We are scheduled to see an ENT at Children's Mercy on April 17th to have tubes placed. Thank you to everyone who responded. I am hoping this will be over soon. I will let you know how things go.

April 17th
We went and saw the ENT today. He has mild hearing loss and fluid still in his ears. He can hear voices well, but not other sounds, especially low tones. He is scheduled for surgery on May 8th, for tubes. The doctor feels this will allow his hearing to return to normal.
Suzanne

May10th

Surgery went well. We have already noticed a difference in him. He is imatating sounds now and "talking" more. He also heard his first train yesterday. They can be heard in our backyard and when one went by he ran over to me with wide eyes and grabbed my let. Thank you for all your help.
Suzanne

Featured Answers

This may sound crazy, but I took my son to a chiropractor and that help him with ear infections We have not had any problems since going & I have been able to keep him off the antibiotics. I was a little nervous at first, but am glad I tried it. Good luck!

My son got tubes in his ears when he was 10mos old and hasn't had an ear infection since. (He is now almost 2) He had a never ending ear infection for 3 months and antibiotics were not working. You should see an ENT and maybe consider a new general doctor if you are not happy.

I would definitely see an ENT. If you live in St. Charles/St. Peters area I could give you the name of one. She is great, especially with kids. She put my sons tubes in, I think she was done in 5 minutes. He was a little goofy initially from the gas, but like someone else said, after their nap, he was fine. I, too an RN, and the long terms effects of being on antibiotic and resistance later is correct. ENT is definitely the specialist for this, and not the pediatrician. Hope he feels better soon!

More Answers

I have experience in healthcare. Two words. Antibiotic resistance. Choosing this route will ensure that your child will never be able to use that particular antibiotic for any other infection ever. It is done for certain conditions, such as children with certain respiratory or cardiac conditions to take a constant low dose of antibiotics, but even then, it still isn't terribly common. I would recommend finding and visiting an ENT. Find your own! Anyone your doc recommends may just be of the same opinion and that may be why he would send you there. YOu may have to call and request a referral from your doc. If your request is denied, I would take it as a sign that you shouldn't trust that doc. I have seen a lot of success with tubes in the ears, I have also seen a lot of success with chiropractic treatments (my children's doc took his own daughter that route to avoid tubes). Either way, you need another opinion, by someone not associated with your doctor. I don't know how much yogart he eats, but that may help with some of the digestive/diaper rash issues. Good luck!

1 mom found this helpful

talk to your doctor about tubes cause my daughter was always having ear infections and with the tubes she hasnt had any infections

1 mom found this helpful

I would recommend taking your child to an ENT. If in KC, the ENT clinic at Children's Mercy is good, but you may have a long wait for an appt, so if you want to get in there, call ASAP. My daughter (now 5) had 5 ear infections between 6-12 mos of age and got tubes at 14 months. After that, she did not have any ear infections until last year.

My son is now a year and had his first ear infection at 8 mos of age. He started seeing an ENT for a seperate issue but in November when he was 10mos old, he passed a hearing test and his ears looked good. The ENT told me at that time that once my son had 3 more infections, she would put tubes in (based on family history) so I've just been waiting.. I took him back last week for a follow up for the seperate issue and he now has fluid in both ears and failed the hearing test (just 3 months later). I have taken him to the dr on at least 2 occassions thinking he had an infection based on symptoms, but never proved to be true and he has been seen by several other drs for various reasons who checked his ears during part of the exam and never noticed anything of concern. Anyway, he's now scheduled for tubes in April (the earliest it could be scheduled). My son has a 6 month speech delay, which may be attributed to other things going on, but I'm sure the hearing loss is not helping.

Anyway, if nothing else, I think your child needs to have a hearing test to make sure he's hearing OK. Your child is at a critical age for language development and if he has fluid in his ears that may be causing the re-occuring ear infections, that may hinder his ability to hear accurately (I've been told it's like trying to hear under water). You can mention that as a concern when setting up your appointment and see if that "bumps" you up in getting an appt. It may also help validify your reasons for taking him to an ENT. If you are in the KC area, I was just given the name of a highly recommended ENT.. since we have already established a relationship w/ one at Children's Mercy, I'm not able to use it, but would be happy to pass the name along if interested. I was told he is much easier/quicker to get an appt with and understands urgencies...

Good luck!

Totally time for tubes! Especially if his ear drum is rupturing... My daughter went through the same thing - ear infection after ear infection. I finally had had ENOUGH after her last ear infection caused her ear drum to rupture. She FINALLY got tubes put in and has been an totally new little girl. Too many ear infections AND the rupturing of your ear drum can cause permanent hearing lose - I know, it happend to me. Get the tubes!!! Good luck!

Please dont feel bad about getting a second opinion. My friends daughter finally got tubes and all is well. No antibotics where helping this poor baby. It is really worth it.

This may sound crazy, but I took my son to a chiropractor and that help him with ear infections We have not had any problems since going & I have been able to keep him off the antibiotics. I was a little nervous at first, but am glad I tried it. Good luck!

There is a formula when discussing recurring ear infections and it sounds like you might need to start looking into PE tubes?! My son, who is now 3 years old, has already had 2 sets of PE tubes and actually has a double-ear infection now that he is taking antibiotics for. He will return to the doctor next week to verify if the PE tubes are still in place or not. If they have fallen out, I will suggest another set of PE tubes. My son feels so much better and is well when he has those tubes. I understand that some people may not like the idea of surgery for their little one, but I am a big advocate for it as it will help the kiddos hear those surrounding sounds and noises that are necessary to hear, when they are still learning words, etc.
We go to Dr. Metz at Olathe Medical Center and he and his staff have been wonderful!
Best of luck to you!

Try a chiropractor, a little adjustment could prevent him from getting future ear infections and tubes.

Good luck!

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