Anyone who has suffered from an earache can tell you that they are awful. Both for the parent and the child. Up all night wailing and holding their little ears…this kind of pain isn’t for the weak. Fortunately, acute ear infections usually come on fast and furiously and hopefully with correct treatment, retreat just as quickly.
The Science: What exactly is Otitis Media? Otitis media refers to inflammation of the middle ear. This happens when a cold, allergy, or upper respiratory infection, and the presence of bacteria or a virus lead to the accumulation of pus and mucus behind the eardrum, blocking the Eustachian tube.
Incidence: Acute and chronic ear infections account for 15 to 30 million visits to the doctor each year in the U.S.
Otitis media with effusion: OME is the chronic build up of fluid behind the ears that creates pressure and can affect hearing. This often causes the eardrum to bulge outwards and sounds may become more muffled. This is the most common reason children undergo surgery to receive ear grommets or tubes to release the fluid build up. I am not sure about you but I thought Grommets were little surfer dudes?
Earaches & Traditional Chinese Medicine:
TCM looks at earaches a bit differently. While Western medicine mainly observes external causes, Traditional medicine investigates both internal and external causes of disease.
In Traditional Chinese Medicine there are three main reasons why a child would have an earache:
1) An external attack of wind, heat or cold entering the ear. Translation: virus or bacteria.
2) Internal causes of earaches are usually heat or cold accompanied by dampness. Translation: diet, stress, lifestyle and anatomical differences can all affect how one responds to a pathogen.
3 ) Lingering Pathogenic Factor. Translation: repeated bouts of antibiotics, a lingering virus that has never completely cleared like Lyme, or from a vaccine.
One major culprit for earaches is systemic inflammation.
Inflammation can cause a swelling of the tonsils, sinuses, adenoids, lymph nodes and parotid gland. This creates an obstruction and fluid builds up which often leads to infection. Inflammation also slows down the healing process.
How does inflammation occur?
Dietary factors such as dairy, wheat, gluten, artificial colors and sweeteners.
Allergies to animals, dander, mold, pollen, grass, pesticides, hormones
Emotional volatility and stress can lead to stagnation which impedes blood flow and circulation.
Vitamin D deficiency
Overuse of antibiotics
Chronic ear infections may present with:
Supplementing your child’s treatment at home:
Dietary therapy: It is important to immediately look at the child’s diet. There may be an allergy to dairy or wheat that is contributing to phlegm accumulation.
Try a challenge by removing an offender ( I would start with cows milk ) for two weeks and see if you see a reduction in symptoms. Reintroduce the milk two weeks later in a small dosage and see if the symptoms return or get worse.
If there are no changes then try eliminating wheat and then sugar.
Adding supplements and foods:
Quercitin: I found a great Vitamin C and Quercitin powder by Designs for Heath that works seamlessly into a smoothie. Note this is very tart.
Bee pollen (high in quercitin and flavinoids)
Bee Propolis: cant say it tastes great but worth a try.
Boswellia (AKA Frankincense) & Myrrh: The OG of anti-inflammitories.
Omega fish oil: I like Nordic Naturals. They are very tasty. Just make sure to floss afterwards as gummies are notorious cavity makers.
Probioticsto boost the immune system and help fight against dampness and phlegm. Klaire labs makes a great powdered probiotic. I find it very easy to slip the powdered probiotics seamlessly into smoothies and yogurt. My kids hated the chewable kind but my husband liked them so that was easy.
Herbal Therapy: Jia Jian Xiao Chai Hu Tang. Please check in with your acupuncturist about this classic formula.
Rub Castor oil along the lymph nodes around the throat and neck. I like to apply this at night with a little massage on the nape of the neck. Because castor oil is so goupy I make sure to put on old towel on the pillow and tie up my kid’s hair.
Acupressure:the goal is to clear heat and relieve pressure.
Try these acupressure points. I would apply a light tapping pressure with a small spoon.
Treat acute pain:
Acupressure on SJ 5
Large intestine 11
Large intestine 4
Cranio Sacral Therapy
Shonishintreatment is a great way to reduce the pain and swelling around the ear. Make an appointment with your acupuncturist.
Sometimes that pain is so intense that any sensation around the ear feels like torture. For these I avoid the local area and focus on these points on the arms and feet.
Hearing loss can be sudden or gradual and can be caused by infection, trauma, changes in atmospheric pressure, earwax buildup or impaction.
Two types of hearing loss: Conductive hearing loss: passage of sound waves in impeded in the external or middle ear. This can be due to:
a. Earwax buildup
b. Middle ear infection
d. Excessive rigidity of the tiny bones in the middle ear that convey information to the inner ear
Sensorineural Hearing loss: damage to the structures of the middle ear
a. damage to the 8th cranial nerve or the acoustic nerve
b. can be present from birth or can be caused by certain drugs, illnesses, exposure to loud noises, smoking or trauma
Infection or inflammation after a respiratory tract infection
Trauma (often from cotton swabs)
Microorganisms from swimming or bathing
Hearing loss with ear pain may be associated with:
1. Eardrum damage
2. strain or perforation
3. an infected cyst in the eardrum or middle ear
Tinnitus is the continuous buzzing or ringing in the ears with no obvious cause. It may occur by itself or as a symptom of another issue/
Otitis media or middle ear infection is the most common cause for hearing loss for children. Otitis media is usually a temporary issue but chronic ear infections can cause permanent damage.
Hearing loss in babies can be detected by:
A failure to startle or blink at loud noises
Failure to babble, coo, squeel, monotonal babbling
Ability to sleep through loud noises consistently
Toddlers: failure to speak clearly by age two
Showing no interest in being read to
Habitual yelling & shrieking when playing or communicating
Suggestions for helping ear issues:
Coenzyme Q10: 30 mg. daily. Powerful antioxidant that boosts immunity and increases circulation to the ears.
Manganese: 10 mg. daily
Essential fatty acids to reduce earwax buildup
Vit E: 600 IU daily, antioxodant, increase circulation
Vit D: 400 IU daily
Zinc lozenges 50mg daily: quickens immune response
Echinacea helps poor equilibrium and reduces congestion as well as helping the body to fight infection.
Eucalyptus, hyssop, mullein and thyme have decongestant properties, which may alleviate ringing in the ears.
Gingko biloba helps reduce dizziness and increase blood flow to the head.
Mullein oil can be used as ear drops to help soothe infection.
Eat fresh pineapple to reduce inflammation. Include garlic, kelp and sea vegetables to your diet.
For ear wax buildup:
Use 1 part vinegar and one part warm water, place a dropper full in the ear and let it settle then drain. You can also use hydrogen peroxide. Repeat in the other ear and do 2-3x a day. If the wax is hard apply warm garlic oil to the ears instead for a few days. Make sure to flush out the ear with warm water.
For ear infection use a few drops of warm garlic oil to the ear.
Any hearing loss that does not resolve on its own in two weeks should be evaluated by an ENT.