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    Glue Ear, (Otitis Media with Effusion) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Glue Ear, (Otitis Media with Effusion) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Glue Ear, (Otitis Media with Effusion) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook119 pages51 minutes

    Glue Ear, (Otitis Media with Effusion) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Glue Ear, Diagnosis and Treatment and Related Diseases

    Glue ear or Otitis media with effusion (OME) is thick or sticky fluid behind the eardrum in the middle ear.
    It can happen without an ear infection.
    The Eustachian tube joins the inside of the ear to the back of the throat.
    This tube helps drain fluid to prevent it from building up in the ear.
    The fluid drains from the tube and is swallowed.
    OME and ear infections are joined in two ways:
    1. After most ear infections have been treated, the fluid (effusion) remains in the middle ear for a few days or weeks.
    2. When the Eustachian tube is partially blocked, the fluid builds up in the middle ear.
    Bacteria inside the ear become trapped and begin to grow.
    This may cause an ear infection.
    Causes
    These disorders can cause swelling of the Eustachian tube lining that leads to more fluid:
    1. Allergies
    2. Irritants (mostly cigarette smoke)
    3. Respiratory infections
    These disorders can cause the Eustachian tube to close or become blocked:
    1. Drinking while lying on the back
    2. Sudden rises in air pressure (such as descending in an airplane or on a mountain road)
    3. Getting water in a baby's ears will not lead to a blocked tube.
    It happens most often in children under age 2 but is rare in newborns.
    Younger children get OME more often than older children or adults for several reasons:
    1. The tube is shorter, more horizontal, and straighter, making it easier for bacteria to enter.
    2. The tube is floppier, with a tinier opening that's easy to block.
    Young children develop more colds because it takes a longer time for the immune system to be able to recognize and ward off cold viruses.
    The fluid in OME is often thin and watery.
    In the past, it was believed that the fluid got thicker the longer it was present in the ear.
    ("Glue ear" is a frequent name given to OME with thick fluid.)
    Symptoms
    Unlike children with an ear infection, children with OME do not pretend to be sick.
    OME often does not have evident symptoms.
    Older children and adults often complain of muffled hearing or a sense of tightness in the ear.
    The start of signs and symptoms of ear infection is normally rapid.
    Children
    Symptoms frequent in children are:
    1. Ear pain, especially when lying down
    2. Tugging or pulling at an ear
    3. Difficulty sleeping
    4. Crying more than usual
    5. Acting more irritable than usual
    6. Difficulty hearing or responding to sounds
    7. Loss of balance
    8. Fever of 100 F (38 C) or higher
    9. Drainage of fluid from the ear
    10. Headache
    11. Loss of appetite
    Adults
    Frequent symptoms in adults are:
    1. Ear pain
    2. Drainage of fluid from the ear
    3. Reduced hearing
    Diagnosis:
    The doctor can normally diagnose an ear infection based on the symptoms the patient describe and an exam.
    The doctor will likely use a lighted otoscope to look at the ears, throat and nasal passage.
    The doctor will examine the eardrum and look for:
    1.Eardrum that does not seem to move when little puffs of air are blown at it
    2.Fluid behind the eardrum
    A test called tympanometry is accurate for diagnosing OME.
    Treatment
    Most doctors will not treat OME at first, unless there are also features of an infection.
    1. Watchful waiting for 3 months from the date of effusion onset
    2. Autoinflation is a method where the Eustachian tube is reopened by raising pressure in the nose.
    This appears to be the best method for treating glue ear instead of antibiotics, decongestants.
    3. Tympanostomy tube insertion is done if there is no improvement after 3 months.
    Patent tubes help to equalize the pressure on both sides of the eardrum.
    This treatment is used only if other treatments do not succeed, because of danger of complications.

    TABLE OF CONTENT
    Introduction
    Chapter 1

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 7, 2018
    ISBN9780463450710
    Glue Ear, (Otitis Media with Effusion) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Glue Ear, (Otitis Media with Effusion) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Glue Ear,

      (Otitis Media with Effusion)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2018 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Glue Ear, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Glue Ear)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Glue Ear

      Glue ear is another cause of Eustachian tube blockage.

      What is Glue Ear?

      Glue ear or Otitis media with effusion (OME) is thick or sticky fluid behind the eardrum in the middle ear.

      It can happen without an ear infection.

      The Eustachian tube joins the inside of the ear to the back of the throat.

      This tube helps drain fluid to prevent it from building up in the ear.

      The fluid drains from the tube and is swallowed.

      OME and ear infections are joined in two ways:

      1. After most ear infections have been treated, the fluid (effusion) remains in the middle ear for a few days or weeks.

      2. When the Eustachian tube is partially blocked, the fluid builds up in the middle ear.

      Bacteria inside the ear become trapped and begin to grow.

      This may cause an ear infection.

      What are the causes of Glue Ear?

      Causes

      These disorders can cause swelling of the Eustachian tube lining that leads to more fluid:

      1. Allergies

      2. Irritants (mostly cigarette smoke)

      3. Respiratory infections

      These disorders can cause the Eustachian tube to close or become blocked:

      1. Drinking while lying on the back

      2. Sudden rises in air pressure (such as descending in an airplane or on a mountain road)

      3. Getting water in a baby's ears will not lead to a blocked tube.

      OME is most frequent in winter or early spring, but it can happen at any time of year.

      It can involve people of any age.

      It happens most often in children under age 2 but is rare in newborns.

      Younger children get OME more often than older children or adults for several reasons:

      1. The tube is shorter, more horizontal, and straighter, making it easier for bacteria to enter.

      2. The tube is floppier, with a tinier opening that's easy to block.

      Young children develop more colds because it takes a longer time for the immune system to be able to recognize and ward off cold viruses.

      The fluid in OME is often thin and watery.

      In the past, it was believed that the fluid got thicker the longer it was present in the ear.

      (Glue ear is a frequent name given to OME with thick fluid.)

      The fluid thickness is now believed to be related to the ear itself, rather than to how long the fluid is present.

      Middle ear

      An ear infection is produced by a bacterium or virus in the middle ear.

      This infection often occurs from another illness (cold, flu or allergy) that produces congestion and swelling of the nasal passages, throat and eustachian tubes.

      Role of eustachian tubes

      The eustachian tubes are a pair of narrow tubes that run from each middle ear to high in the back of the throat, behind

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