Seeking a doctor again in the middle of the night

Original link: https://zhou.ge/2023-05-01.html

In the past half month, my son has been suffering from bronchial cough symptoms repeatedly, anti-inflammatory drugs and cough drops, and he can’t control the temptation of delicious food, which caused the otitis media last night.
My son got up in the middle of the night and cried and complained of ear pain accompanied by ear scratching. It was the first time he encountered ear pain and was overwhelmed while comforting his son. He tried to search keywords on the Internet to find cases to see if he could find the cause.
So I found this doctor’s sharing on Zhihu:

Waking up at one or two o’clock in the morning to see patients is a compulsory course for our on-duty doctors. A couple must come to see a doctor with a child of a few years old. Most people will say that the child is crying at night and it is difficult to fall asleep all night!

But having said that, parents may not be very clear about whether the child is sick or not. We have to judge this by ourselves. In fact, this situation is already very common. A disease that children often suffer from: acute otitis media; what does the child show: ear Pain, difficulty falling asleep, constant crying; parents can’t find the reason: neither coaxing nor hugging; whether you have a cold or cold in the past 1 to 3 weeks: yes, it’s right! ! !

Let’s talk about it in detail below, or skip it!

First, why do children cry? One word “pain” . When most children suffer from acute otitis media, the ear pain is particularly severe. One side of the ear is more common. It is conceivable that the sleep at night must be seriously affected. The skin and mucous membrane of the ear are congested and swollen. It is unbearable to put it on anyone, and even children are particularly uncomfortable when they drink milk or eat. I hope adults can fully understand this.

Second, what caused it? Minor illnesses such as acute colds, colds, and fever are all pathogenic factors of acute otitis media.

Every time I encounter such a patient, I always have a history of a cold in the previous week or two. In this case, children are more likely to cause acute otitis media. Don’t underestimate these minor illnesses. Serious illnesses are caused by minor illnesses. As a I have seen a lot of doctors, I hope everyone can learn from it.

Third, why don’t you cry? Of course, this is also the most critical point. When it comes to treatment, first of all we understand the source of the child’s problem, and the next step is targeted treatment. How do we deal with it?

Please keep the following points in mind when treating

1. Use ear drops in the ear (currently commonly used clinical drugs include: ofloxacin eye drops, tobramycin eye drops, etc., the first choice is preferred, and the second one can be used for older children); I don’t recommend them one by one! If you don’t know the place, leave a message in the comment area! It is recommended to prepare it at home, otherwise it will be too late when needed, at least it is not a bad thing! (Some used medicines cannot be reused! The efficacy will be poor)

2. Oral anti-inflammatory drugs (most of them can choose cephalosporin anti-inflammatory drugs), anti-inflammatory and pain relief, eliminate edema, reduce congestion and redness;

3. Don’t get water in your ears (to prevent infection, and avoid unclean things from aggravating pain symptoms);

4. Let the children drink more warm water instead of cold water. (Promote basal metabolism, speed up blood circulation, and make the medicine work more quickly).

5. In addition, many children with otitis media often have a lot to do with cerumen (earwax). If you find that there is a lot of earwax in your child’s ears, what should you do: take it if you can, or soak it with medicine for 2 to 3 days if you can’t, and then remove it. come out! Always keep your ears clean! Take it to the hospital if necessary!


After reading the doctor’s description above, my son’s symptoms are basically the same, so it can be confirmed that my son has otitis media. According to the doctor’s recommendation, I happened to have a bottle of ofloxacin eye drops at home. I gave him a few drops in both ears, and then took him to the nearby No. 2 Maternal and Child Health Hospital to see the emergency department, thinking about whether I could give him an IV to relieve the pain.

The female doctor consulted about her son’s relevant information, put on a stethoscope, and was diagnosed with otitis media based on my description. I suggested to her whether I could have an IV, but she refused. The child did not recommend an IV. I said that there were cephalosporin anti-inflammatory drugs and cough drops prescribed by other hospitals at home. I only prescribed Pudilan Oral Liquid and Ear Drops, and told me to continue taking the previous medicines and observe for a few days with the medicines and ear drops prescribed by her. If there is no relief, I will go to the hospital for an examination.

After tossing and tossing for more than an hour, when I got home, my son was too sleepy. When he found out that his ears didn’t hurt so much, he fell asleep on the bed and fell asleep slowly until morning…
When I woke up this morning, I felt my throat was a little dry and I often sneeze. I feel like I have the flu in all likelihood.
This year’s weather is really weird. In a few days, it will be the beginning of summer and there will often be cold air coming down south.

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