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Pediatric Recurrent Otitis Media with Effusion

Pediatric Cases
Devadathan S.Gender: MaleAge: 5 years (Pediatric) Chronicity: 2 years

Presenting Complaints & History

  • Recurrent ear pain and high-grade fever
  • Hearing muffling and difficulty listening in class
  • Thick, yellowish-green nasal discharge
  • Habitual mouth breathing and snoring during sleep

Clinical Assessment

A 5-year-old child from Engandiyur presenting with recurrent middle ear fluid and pain. Previous treatments involved multiple antibiotic courses, grommet surgery recommendations, and steroid nasal sprays. Endoscopy showed Grade III adenoid hypertrophy obstructing the Eustachian tube.

Diagnostic Investigations: Tympanometry showing Type B (fluid behind eardrum); X-ray of nasopharynx showing Grade III adenoids.

Homeopathic Therapeutics & Management

Constitutional analysis focused on his mild, sweet disposition, tendency to catch cold from damp weather, history of antibiotic use, and sleeping mouth breathing. After 1 Month: Ear pain resolved; nasal discharge reduced. After 3 Months: Tympanometry changed to Type A (normal); snoring decreased. After 6 Months: Adenoids reduced to Grade I; hearing fully restored. One Year Follow-up: Zero fever or ear infections.

Selected Constitutional Remedies: Pulsatilla Pratensis and Calcarea Phosphorica

Lifestyle & Nutritional Support

Avoided ice creams, cold juices, and deep-fried foods; daily saline nasal drops; head elevation during sleep.

Clinical Outcome

Follow-up Period: 1 year
  • Middle ear fluid resolved completely (Type A tympanometry)
  • Avoided surgical grommet placement and adenoidectomy
  • Hearing restored to normal without blockages
  • Zero recurrences of high-grade throat or ear infections
Medically reviewed by Dr. Navaneeth K. Unni
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