Exploring Middle Ear Infections

What is a Middle Ear Infection?

 A Middle Ear Infection (also referred to as Otitis Media by healthcare professionals) refers to an infection, inflammation or fluid build up behind the eardrum. 

 

 

Middle ear infections can either be acute or recurrent in nature. Recurrent Otitis Media is defined as 3 or more separate episodes of Acute Otitis Media within a 6 month period.  Otitis media with effusion, also known as ‘glue ear’, describes fluid that remains in the middle ear after the infection has resolved. It is usually not painful, but does affect the child’s hearing ability.

Middle Ear Infection is the most common childhood illness and is very common in children aged between 6 months and 4 years. This is due to the Eustachian tube being shorter and more horizontal than it is in older children and adults. The Eustachian tube is meant to help equalize the pressure in the middle ear and drain the fluid in the middle ear – when fluid cannot be drained and stays in the middle ear it is likely that it becomes infected.

Who is at risk for Middle Ear Infections?

  • Children aged between 6 months and 4 years 

75% of children will have at least one middle ear infection by the time they are three years old. Nearly half of these children will have three episodes by the time they are three years old

  • Children who are bottle fed while lying flat

When children are being bottle fed, they should be propped up at a 20 degree angle, at least. This ensures that the milk does not flow back into the middle ear

  • Children who have not been breast fed
  • Children with prolonged dummy use
  • Children exposed to smoke
  • Family history of Middle Ear Infections
  • Children with allergies
  • Children who are more susceptible to colds and flu specifically those prone to sinus infections

Symptoms of a Middle Ear Infection

  • Hearing difficulties
  • Ear pain
  • Tugging of one or both ears
  • Difficulties sleeping
  • Fever
  • Loss of balance
  • Irritability
  • Discharge from the ear 

What should I do? When should I get help?

Most cases of acute Middle Ear Infections should resolve by themselves. It is recommended that the child is treated for pain for the first 48 hours, however, if they symptoms worsen or do not improve then it is recommended that the child be seen by a doctor. The doctor will generally prescribe antibiotics. It is extremely important to complete the course of antibiotics.  A child who has any discharge coming from their ear should see a doctor immediately. 

If your child has had multiple cases of Middle Ear Infections it is recommended that you take your child to an Ear Nose and Throat Specialist (ENT), who will decide if grommets are necessary.  Your child having grommets inserted is a relatively simple procedure that places small ventilation tubes within the ear drum. The grommets allow for drainage of fluid in the middle ear, let air into the middle ear as well as equalise the pressure between the middle ear and the ear canal. 

All children who have suffered with Middle Ear Infections should be taken for a full diagnostic Audiological evaluation with an Audiologist once the middle ear infection has been resolved. 

What to expect from an Audiologists visit

The audiologist will conduct a full comprehensive Audiological evaluation which will include an in-depth evaluation of your child’s outer ear, middle ear and inner ear. The Audiologist will complete the following examinations:

Otoscopy

An Otoscopic examination is used to visualize the ear drum. During this assessment, the audiologist will be able to see if there is still presence of a Middle Ear Infection or if the ear drum has burst during the ear infection. 

Tympanometry

Tympanometry is an examination used to test the middle ear volume and pressure. During this assessment the Audiologist will be able to see if there is a middle ear infection present, if the ear drum is intact and if the pressure in the middle ear is normal. 

Audiometry

The Audiologist will then conduct a pure tone audiometric examination. During this test, the audiologist will be able to determine your child’s current hearing ability and if any damage has occurred to your child’s hearing by the ear infection.  

Middle Ear Infection complications 

The following complications may arise from Middle Ear Infections:

  • Burst ear drum

In severe cases of Middle Ear Infections the fluid build-up puts too much pressure on the eardrum and subsequently causes the ear drum to burst (hole in the ear drum). This can either heal by itself over time or the ENT may deem surgery necessary to repair the hole. 

  • Delayed speech and language

During an ear infection the child’s hearing is reduced by 24-45 dB. Their hearing is similar to how you hear while under water or with foam earplugs in your ears. This is a crucial time for speech and language development. If a child is not getting adequate speech and language input due to their decreased hearing, their speech and language development may become delayed. In these cases, it is important to seek professional help from a speech-language pathologist as soon as possible. 

  • Permanent hearing loss

In some cases when there have been too many occurrences of Middle Ear Infections or the damage from the infections is too extensive, it may cause permanent hearing loss. In these cases a hearing aid may be beneficial. It is important to seek professional help from an Audiologist as soon as possible

Prevention of Middle Ear Infections

  • Never bottle feed your baby, while they are lying flat
  • Avoid exposing your child to second hand smoke
  • Keep up to date with your child’s recommended immunisations

Although some preventative measures can be taken, it is important to note that if a child is susceptible to Middle Ear Infections, there is very little that can be done to completely avoid them. If you are worried about your child’s hearing or speech development, it is important to consult a medical professional. 

Speech and Audio Inc

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Sensory Diet

As a parent you are very aware of giving your toddler a balanced diet.  Five fresh fruit and vegetables a day are what we are aiming at. How many of us even consider that we need to give them a varied sensory diet as well?

Creating a sensory rich environment for your toddler will help them strengthen their bodies and their brains. Mature thinking and learning are based on neural pathways that develop as a child masters physical coordination, balance and skilled movement.  Yet many parents view “child play” as an outdated activity.  We live in a digital age- let them master computers, electronic games so they may conquer the universe!  How wrong they are!

We need to get our children back to the games we played, back to exploring a three dimensional world where they get full of mud and run and jump in puddles.

Let’s look at Emily, a four year old. She is a bossy little girl who tells her parents what to do. She is a fussy eater that would eat yoghurt all day if she could, refuses to dress herself and does not play well with other children. If they brush against her, she pushes and shoves. If she shows affection she hugs too tightly. Dad thinks she needs stronger boundaries from Mom.  Mom feels she is just expressing a strong will.

At school Emily never likes to play with blocks or draw. When she does use the crayon it is with hard strokes which often break the crayon frustrating her even more.  When Emily runs, it is with a clumsy gait and she often falls.  At the end of the day she is tired and irritable. Is Emily just being naughty or is there more to this behaviour?

Research done with children showing similar patterns indicate that this may be a sensory processing disorder. This is a common but very misunderstood problem that affects behaviour, influences the way children learn, move and relate to others and feel about themselves.   Emily needs to learn how to modulate her senses in order to cope with day to day life. She exhibits this bad behaviour when she can’t cope with what’s happening around her, when she feels overwhelmed.  So how do we help Emily and all the little ones like her?

What we need to do as parents is to focus on developing and maintaining a balanced sensory diet for our children. As they develop and grow we need to relax and think about incorporating sensory experiences in to their day to day life.

Let’s begin by looking at tactile stimulation.   A child can be hyper or hypo sensitive to touch. In both cases it will affect learning and the way we interact with people. Emily might be hypo sensitive, hence she pushes or hugs too hard.

Not everyone realises that we have internal senses as well, called the near senses. These play a vital role in our development especially in the early years. Movement is the only way to stimulate this internal sense.  Emily needs more movement to help with her balance.

Smell and taste are interlinked. Expose them to different smells and let them explore different tastes, even ones they don’t like.  Emily is sensitive to the textures of her food and that could be the reason that she is a fussy eater.

The eyes and ears are the senses that can give us the most problems later. If we don’t process what we see and hear we have auditory or visual processing problems which lead to learning difficulties at school. Emily finds the noise of the classroom too much and prefers to be on her own.

For this week don’t just think five fresh fruit and vegetables think five sensory activities to enrich their learning experience.

Speech and Audio Inc
Food’s influence on childhood behaviour and learning

Worldwide, allergies are on the rise, and in South Africa a staggering 40% of sufferers are children, according to the Allergy Foundation of South Africa – affecting quality of life and learning potential. The problem, and solution, to common allergy symptoms, says world-renowned nutrition expert Patrick Holford, is diet.

“One in three children with behavioural problems have allergic reactions to foods. Other than overt physical reactions, individual food allergies can affect thought processing and cause irritability, agitation, aggressive behaviour, nervousness, anxiety, ADHD, autism, hyperactivity and learning disabilities,” says Holford.

A trial study conducted by Dr Joseph Egger, head of the Pediatric University Hospital in Munich, Germany, and his team in 1985, which studied hyperactive children to find out whether diet could contribute to behavioural disorders, found that 79% of the children participating reacted adversely to artificial food colourings and preservatives, but also found that different foods produced the same symptoms in different individuals.

“In the 1980s, researchers found plenty of evidence that allergies affect any system in the body and are behind a diverse range of symptoms, yet this research has largely been ignored since,” says Holford.

Patrick Holford is a pioneer in new approaches to health and nutrition, specialising in the field of mental health. Having suffered throughout his childhood and adolescence with migraines, sinus infections and ear infections, Holford sought a solution and discovered that his troubles were due to milk and yeast allergies.

“The truth is that the majority of people are likely to suffer for years not knowing that they have an allergy – but also not knowing how to treat it,” says Holford.

Not to be confused with an intolerance or sensitivity, an allergy is an exaggerated physical reaction to a substance where the immune system is involved. As our personal defence system, the immune system releases chemicals when it comes across a substance it doesn’t like. The chemicals released by the immune system in response to an allergy result in symptoms such as mood-, attention-, memory- and intellectual impairments, as well as behavioural problems, overt physical ailments and delayed reactions that make pinpointing the allergy difficult. Other symptoms of a food allergy include nausea, cramps, flatulence, fatigue, throat trouble, sweating, skin rashes, acne and boils, migraines, apathy and confusion, depression, and paranoia.

“The good news is that you can grow out of most food allergies and reduce your child’s allergic potential,” says Holford.

According to Holford, the best way to prevent and reduce allergic potential in your child is to stick to the following dietary guidelines:

  1. Completely remove wheat and dairy products from their diet for a month or so and see if their symptoms improve.
  2. Have an IgG ELISA food allergy test done and see a nutritional therapist.
  3. Improve your child’s digestion by including plenty of fresh fruit, vegetables and seeds in their diet.
  4. Ensure you keep antibiotics and painkillers to a minimum, as they damage the digestive tract.
  5. Include fish in their diet to ensure that they are getting sufficient Omega 3 oil, Zinc and Vitamin A.
  6. Avoid foods containing chemical food additives. The most common ones to look out for are aspartame, tartrazine and MSG.
  7. Eat whole, natural foods as much as possible.
  8. Choose organic food (free from pesticide residues).

 

For further information on food allergies, nutrition and childhood behavioural problems, visit www.holforddirect.co.za.

Speech and Audio Inc
SUNUMBRA P – Embrace the sunshine

Sunumbra P is a Natural Sunscreen with Organic Ingredients and a core purpose to make a difference inpeople’s lives as well as the environment by embracing the sunshine.
Don’t damage your skin with chemicals to avoid getting sunburnt. Zinc Oxide, as a mineral sunscreen, is 100% natural, provides a high level protection for both UVA and UVB, plus has excellent healing qualities.

Three of the great Sunumbra P sunscreens available:

Sunumbra P Sport SPF 40+ (RSP: R265.00)
Sunumbra sport is a natural sunscreen containing organic ingredients that is specially formulated for the active outdoors person
Sunumbra sport is a natural sunscreen containing organic ingredients that is specially formulated for the active outdoors person to ensure…

5 Star rating (UVA)

SPF40+ (UVB)

Fully certified ISO/COLIPA for UVA & UVB

Water resistant 40 minutes

High protection Broad Spectrum

Sunumbra P Sunkids SPF 40 (RSP : R299.00)

•Protects against UVA and UVB light at the highest level•Contains natural, organic, photo-protective botanicals
•Contains the powerful anti-radiation properties of zinc oxide
•No harmful chemicals
•Dermatologically tested and approved
•Specially formulated for children and people with sensitive skin•A tinted sunscreen using natural botanicals containing pigments•Tested on human skin only, not animals
•PH in balance with children’s skin
•Can be used by anyone with a dietary or environmental concern

Sunumbra P SPF 30+ (RSP : R299.99)Natural sunscreen

● Organic ingredients
● SPF 30+ (UVB)

● 5 ***** UVA rating (highest level)
● Free of Parabens
● 100% Free of harmful Chemicals
● A tinted sunscreen using natural botanicals containing pigments● Not tested on Animals

● No Animal derivatives
● Water resistant
● Developed, Formulated and manufactured in South Africa

Tip: As this is a tinted sunscreen, any clothing stains that may result from the natural oils can be removed by simply applying dish washing liquid directly to the stain (because regular laundry detergent does not contain oil-removing properties), then launder as normal.

Why you should choose and natural sunscreen?

Natural and organic preservatives do not damage your health. Commonly used Parabens are endocrine disruptors mimicking estrogen, upsetting hormone balance, plus are carcinogenic.
No Petrochemicals or Mineral oils: they clog up skin pores, trap toxins, slow skin cell growth, disrupt normal hormonal functions, rob bones and the nervous system of magnesium, can be estrogenic, plus absorb oil soluble vitamins A, D, E and K from you and then excrete them.

  • Natural Colorants are non-toxic – vs toxic Synthetic ones
  • Natural organic ingredients smell delightful. Added Fragrance can be toxic.
  • Avoid unnatural Polymers for Water Resistance, which coat the skin and prevent it breathing
  • Many Organic plant extracts provide Anti-oxidants, which protect against free radical damage and atmospheric toxins, eliminate chemical reactions, and repair skin cells.

Direct benefit from every ingredient. No fillers are required to counteract negative reactions to chemicals.
Reverse sun damage. Switching from toxic chemical sunscreens to non-toxic sunscreens with added organic ingredients, you can possibly reverse some existing sun damage

What chemicals to avoid and what are their potential health risks:

Octinoxate (Octyl Methoxycinnamate): gender bending (estrogenic)
Oxybenzone (Benzophenone-3): allergic reactions and hormone disrupting.
Avobenzone (Butyl Methoxydibenzoylmethane): becomes toxic in sunlight! Octocrylene: potentially carcinogenic!
Homosalate: Hormone disruptor; forms toxic metabolites
Padimate O (Octyl Dimethyl Paba / Paba Ester): releases free radicals; damages DNA; estrogenic and allergic reactions.
Ensulizole (Phenylbenzimidazole Sulfonic Acid: potentially carcinogenic!
Mexoryl SX: Degrades 40% in sunlight, produces reactive oxygen species.
Octyl Salicyclate: penetration enhancer; allows other chemicals into blood.
Benzophenone (Sulisobenzone): irritates skin & eyes. Penetration enhancer.

Avoid toxic cosmetic ingredients. A healthy lifestyle is vital to combat toxins from modern industries.

Choose cosmetics with healthy ingredients and avoid these toxic ones:

Sodium Laurel, Lauryl Sulfate, or Sodium Laurel Sulfate: Combined with other chemicals this becomesNitrosamine, a powerful carcinogen, which penetrates the skin’s moisture barrier, allowing chemicals in.PEG (Polyethylene Glycol), Polysorbates, or Ethoxyylate alcohol: all contain dioxane, which is carcinogenic and probably one of the most potent toxins known to man.

Propylene Glycol: can cause dermatitis, kidney or liver abnormalities, skin growth prevention, or just plain irritation.
Phenol Carbolic Acid: Can cause circulatory collapse, paralysis, convulsions, coma, and even death from respiratory failure.

Acrylamide: Can cause breast cancer

Toluene (Benzoic; Benzyl or Butylated Hydroxtoluene): can cause anaemia, low blood cell count, liver and kidney damage and birth defects.

Speech and Audio Inc
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