Acute Adenoiditis with Otitis Media with Effusion
Adenoid Hypertrophy Ayaan Joseph•Gender: Male•Age: 5 years (Pediatric)• Chronicity: 1 year
Presenting Complaints & History
- Recurrent earaches with temporary deafness
- Thick yellowish nasal discharge
- Irritability and sleep crying
- Persistent mouth breathing
Clinical Assessment
A 5-year-old boy from Vadanapilly coastal region suffering from recurrent adenoiditis. Developed middle ear effusion (fluid build-up) after a severe cold, causing temporary hearing loss. Pediatrician recommended grommet insertion surgery in the eardrum. Parents opted for homeopathic treatment first.
Diagnostic Investigations: Otoscopic exam showing dull, retracted tympanic membrane with fluid level; Tympanometry showing Type B graph.
Homeopathic Therapeutics & Management
Pulsatilla was indicated for yellow-green nasal discharge and mild temperament, while Mercurius Dulcis targeted the Eustachian tube catarrh to drain the middle ear fluid.
Selected Constitutional Remedies: Pulsatilla and Merc Dulcis
Lifestyle & Nutritional Support
Avoid exposure to cold winds; blow nose gently; eliminate chilled items from the diet.
Clinical Outcome
Follow-up Period: 8 months- Ear pain and nasal discharge resolved within 2 weeks
- Hearing restored to normal within 2 months; grommet surgery cancelled
- Tympanometry at 4 months confirmed normal Type A graph (fluid fully drained)
- Stable ear-nose-throat health at 8-month follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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