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Ear infections hell

 
 
Reply Wed 20 Sep, 2006 07:16 am
It's been a while since I've been here - we've been moving across the country for my husband to go to school, I'm back at work after being a SAHM for 1 yr. +, and baby M (almost 15 weeks) will complete her 8th week at daycare. Life is very different from what we're all used to. Particularly because M never fell sick while she was home with me, and now she can't seem to recover from a tenacious ear infection.

In the second week at daycare, she contracted her first cold, and in the third/fourth, her first ear infection. Basically, she's been on antibiotics for almost five weeks (including a week's gap in between), and this morning, I suspect she's got her third ear infection. I have yet to confirm this - trying to see the doctor today (hopefully, I'll be wrong). The most frustrating thing is that she had her last dose of antibiotic for the second EI just last morning. This antibiotic, don't remember the name, was stronger than the amoxycillin (sp?) she was given for the first, and she had it for a longer time period as well - 14 days as opposed to the 10 days of the amox. And this time, she doesn't even have a cold or a cough, and she's been with me for 4 days and not at the daycare. First at home for the weekend, then for a 2-day conference out-of-town. So I can't blame this one on the daycare.

I'm writing here to vent (I can't stand her being sick & in pain and not her normal happy self, or the way she woke up crying this morning instead of being happy and chirpy as is usual), as well as to beg advice/shared experiences from the other more experienced moms here. Not one of the 4 moms & 1 dad at my office has had a similar experience. Everyone else's kids seem to miraculously recover at the first introduction of an antibiotic, and seemed never to get another EI.

Has anyone else been through this?
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sozobe
 
  1  
Reply Wed 20 Sep, 2006 07:23 am
OH yeah.

Have I ever.

Sorry you're going through this, Heatwave, it's really tough.

I can give a loooooooong answer or a short one, I'll try to start short...

Basically, how ear infections work is that because of a cold, the Eustachian tube doesn't drain correctly. That is the tube that goes from the ear to the back of the nose/ throat. Then fluid backs up into the ear, and an infection results.

HOWEVER, once the ear infection has passed, if there hasn't been a rupture of the eardrum (less scary than it sounds), it often takes quite a while for the fluid to be reabsorbed into the body. So the fluid is still there, hanging around from the last infection even if it is no longer an infection, and is a tinderbox ready for the spark of new bacteria/ germs. So a new cold is not necessary.

My daughter started getting her ear infections when she started preschool. (She wasn't in childcare or anything before that, and was fine.) Childcare/ preschool is either the number one or one of the top risk factors.

I know she's a bit old for this, but if breastfeeding is an option, it's one of the best protective mechanisms. Two aspects to it -- the way the baby sucks helps drainage (bottles don't help as much), and the protective aspects of breastmilk itself.

Antibiotics are a whole big long story that I'll wait on for just a bit.

edit --- 15 WEEKS, not 15 months (which is how I first read it). Wow, that's young. The breastfeeding advice is redoubled, then, but also if the baby is THAT little I'm not sure if my advice will be as pertinent (as opposed to a 3.5-yr-old+).
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Heatwave
 
  1  
Reply Wed 20 Sep, 2006 07:28 am
Sozobe, thanks for your response. Just wanted to quickly say that M is 15 months, not weeks - that was a typo in the first post.

I will now go back and read your post peacefully. Thanks again.
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sozobe
 
  1  
Reply Wed 20 Sep, 2006 07:37 am
Oh good, that's how I initially responded (15 months not 15 weeks). Trying not to overwhelm you with a book's worth of info, will let you respond first.
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Heatwave
 
  1  
Reply Wed 20 Sep, 2006 08:02 am
sozobe wrote:

HOWEVER, once the ear infection has passed, if there hasn't been a rupture of the eardrum (less scary than it sounds), it often takes quite a while for the fluid to be reabsorbed into the body. So the fluid is still there, hanging around from the last infection even if it is no longer an infection, and is a tinderbox ready for the spark of new bacteria/ germs. So a new cold is not necessary.


Ok, that makes sense. But jeez louise!- she's been on drugs for almost a month! I think she never got over her first infection in the first place, and it continued into her second and now, probably, her third. Does it take that long, and that many drugs to clear up fluid?


Quote:
My daughter started getting her ear infections when she started preschool. (She wasn't in childcare or anything before that, and was fine.) Childcare/ preschool is either the number one or one of the top risk factors.


Yeah, that's what the doctor's first response to my telling her that M had just started daycare: "welcome to daycare hell."

Quote:
I know she's a bit old for this, but if breastfeeding is an option, it's one of the best protective mechanisms. Two aspects to it -- the way the baby sucks helps drainage (bottles don't help as much), and the protective aspects of breastmilk itself.


I'm still breastfeeding her in the mornings and through the nights. (That is going to be whole another topic as & when I find the time.) You refreshed my memory because I had Totally forgotten that the suckling action helps the ears! Thanks. Question: do you think that suckling actually relieves some pain/pressure in the ear? She seems to want to do it as much as I will let her when she's sick, but I thought that was merely for comfort. (And some sustenance, because her appetite goes straight through the window!)

Quote:
Antibiotics are a whole big long story that I'll wait on for just a bit.


Yeah - just read a whole report in Time (?) Newsweek (?), can't remember, on how EIs are over-treated. And doctor's push antib's to simply cure the symptoms. And how simple pain medication is ok to give, because the body will take care of itself, fight the infection off. Not sure what approach to take. What did you do? Or is this something new (don't give antib's)?

Your responses are very much appreciated. Just read on another thread that your daughter, Sozlet, has been unwell too. Hope you're all doing better! Nothing feels worse than your sick child.

PS: Just got off the phone with the doctor's office. They advised me to watch her for the next 24 hours, and if she continues to feel poorly, call to make an appointment for tomorrow. I explained that she doesn't get a fever right away (at least, hasn't come down with one right away after showing other symptoms: crankiness, as though in pain, crying, etc.) I'm going to check with her daycare mid-morning, and if she's still not doing ok, will push to bring her in to doc today itself.
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Native Soil
 
  1  
Reply Wed 20 Sep, 2006 08:09 am
It might be wise to consult a Pedi doc, who's also a specialist in EENT.
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sozobe
 
  1  
Reply Wed 20 Sep, 2006 08:18 am
Hi there,

_Heatwave_ wrote:
Ok, that makes sense. But jeez louise!- she's been on drugs for almost a month! I think she never got over her first infection in the first place, and it continued into her second and now, probably, her third.


That's very possible. That's the way it happened with us the winter that sozlet started preschool -- one after another. It was never completely clear if it was a single ear infection that never cleared up, or a whole series. She had an infection in one ear, went on antibiotics -- and got an infection in the other (WHILE on antibiotics!!) Then another and another and another, with ever-increasing strengths of antibiotic, winding up with a shot in her leg. At that point, having done some research, I decided enough with the antibiotics. For the next ear infection, I didn't give her any. That one resolved fine, and was the last one she had until the following year; I also didn't give her antibiotics for that one, and that one was the last one she's had (knock on wood, fluid in her ears now).

Quote:
Does it take that long, and that many drugs to clear up fluid?


The fluid can definitely take a LONG time to drain/ be reabsorbed. It's taken her up to six months.

Drugs don't really clear up the fluid. It plain has to be reabsorbed. Drinking a lot helps in terms of making it more diluted and more able to reabsorb/ drain.

Quote:
Yeah, that's what the doctor's first response to my telling her that M had just started daycare: "welcome to daycare hell."


Yep. At one point, when things were at their worst, we considered taking sozlet out of preschool, as a preventive. Hopefully you can get a handle on this, but may be something to consider if other methods don't work.

Quote:
I'm still breastfeeding her in the mornings and through the nights. (That is going to be whole another topic as & when I find the time.) You refreshed my memory because I had Totally forgotten that the suckling action helps the ears! Thanks. Question: do you think that suckling actually relieves some pain/pressure in the ear? She seems to want to do it as much as I will let her when she's sick, but I thought that was merely for comfort. (And some sustenance, because her appetite goes straight through the window!)


Yes, I think it really helps a lot. It's the trifecta -- comfort, antibodies, and helping deal with the ear infection itself.

Quote:
Yeah - just read a whole report in Time (?) Newsweek (?), can't remember, on how EIs are over-treated. And doctor's push antib's to simply cure the symptoms. And how simple pain medication is ok to give, because the body will take care of itself, fight the infection off. Not sure what approach to take. What did you do? Or is this something new (don't give antib's)?


It's hard to give a simple answer. I'm very hesitant to say "don't give antibiotics".... I now regard them with a great deal of suspicion based on our experiences, but there are definitely situations in which they are called for. There was one really good article that Noddy sent me that goes into the more subtle problems with antibiotics -- it's not just that they're overprescribed (though that's a big problem), but that they overwhelm the immune system in a certain way. If they happen to be exactly what is called for, great -- if not, they actually impede the body's ability to solve the problem itself. That's a rough paraphrase, I'll try to find and send it to you/ link to it here.

But again, at this point I avoid antibiotics for sozlet's ear infections. We found a really wonderful ENT guy who supports that completely... I highly recommend finding an ENT who you like and trust. Pediatricians often go with the highly interventionist approach, which may not actually be the best idea.

Quote:
Your responses are very much appreciated. Just read on another thread that your daughter, Sozlet, has been unwell too. Hope you're all doing better! Nothing feels worse than your sick child.


Ain't that the truth.

Quote:
PS: Just got off the phone with the doctor's office. They advised me to watch her for the next 24 hours, and if she continues to feel poorly, call to make an appointment for tomorrow. I explained that she doesn't get a fever right away (at least, hasn't come down with one right away after showing other symptoms: crankiness, as though in pain, crying, etc.) I'm going to check with her daycare mid-morning, and if she's still not doing ok, will push to bring her in to doc today itself.


Sounds good. Best of luck!
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Heatwave
 
  1  
Reply Wed 20 Sep, 2006 01:16 pm
Sozobe, thanks for your thoughtful responses. They/you were *very* helpful. As advised by the doc's office, I'm going to watch her for 24 hours. So far, she's been doing ok at the daycare. She's had her normal naps, she's been chatty (gibberish Smile) and has been playing around. Hasn't eaten very much at all though - and I'm worrying over that one. (Though she does have some good days, some bad days - food wise. And it could also be attributed to the re-adjustment of being back in daycare after being with mom for 4 days.) Don't know, will find out soon enough, I guess.

Anyhoo - it seems that Ped. ENTs are a rare breed where we live. So I'm going to take her to her Pediatrician tomorrow (though hopefully, I won't need to), and see if they can refer someone. (Thanks, Native Soil!)

PS: I wish I had the option of taking her out of daycare and being home with her. We just can't afford to do that, unfortunately, and hopefully (I say that a lot!), it won't come to that.
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sozobe
 
  1  
Reply Wed 20 Sep, 2006 06:07 pm
That all sounds good, Heatwave, I hope you find a great pediatric ENT.

Keep us posted -- I'll be hoping for the best for your little girl.
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Heatwave
 
  1  
Reply Thu 21 Sep, 2006 09:58 am
My 'hopefullys' came through! No ear infection - Yay! It's inexplicable - her behaviour yesterday. She seemed to have had a pretty normal day at daycare when I picked her up last evening, was bright & chirpy at home. This morning was normal as well. She's not eating very much, but I think she may be cutting another tooth.

But..All's well. For now. Smile

Sozobe, I know who to look up now when next time comes around. Having more information is winning half the battle, and I can see you're a knowledge powerhouse on the subject. Many thanks for your thoughtful & informed responses! <hug>
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sozobe
 
  1  
Reply Thu 21 Sep, 2006 10:09 am
More than happy to help! Here's hoping that you won't NEED to ask any more questions on this particular subject...!

Teething could well be the culprit, but also, sometimes there are pressure issues when the fluid is on its way out but not gone yet. It can cause discomfort (same idea as when you're on an airplane), without being about an ear infection per se.

Best wishes...
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