Name: Hetal
here are somethings you can do :
1. check at your creche, if ne baby is having severe or repeated ear infections,,try to reinforce and see if they rule out that ne kids with viral infection are to stay home until recoverd,,
also if you find, that they are unable to do it,,please check with the number of kids suffrng from such infection,,because if the place where your child stays for most of time in day,,is not safe or healthy,,its worth changing it and go to a better place where they take care of kids esp the sick kids in a way that they dont mingle much with healthy kids,,in US most licensd day care have this practice,,the sick child area and healthy child area are diff. in reputed one...so you can look into it.
avoid sending your kids to ne such places where the number of kids are more than 5-6 or more than 3-4 kids with 1 caretaker in one place....
2.bottle and sippy for 2.5 year old is way too much,,try to get him to glass now..its high time for you,,most causes of ear infection is bottle and sippy,,esp if the child has habit of drinking milk in sleeping position,,where in the fluids pass thru the ent passges,,and instead of passng thru it,,they happen to stick in there,,causing ear infection, nasal congestion,,so try to work on gettng rid of bottle or sippy cups. Supu,start weaning your baby from bottle to sippy cup or to glass. kids with bottle, sippy are more prone to ear infections..some get it bacterial(thru deposits sittingg in the tube,,and thn creatng disturbances with regular functions of tube,,and others get is viral(like from public places,creche,daycares) which finally leads to bacterial if proper care of not taken.
3. poonam,,your child has got bacterial ear infections, and so its treated by antibiotics,,and so the most probable reason is infection caused by bacteria due to deposits of milk or liquids in the tube..,,and other could be that your dr has prescribed antibiotics,,as a conservative measure,, and this infection is caused by viral infection from creche.
3. prevent ear infectionssss :
3.1.raise the head of bed or the crib to help the eustachian tube drain naturally.
(this is the tube that normally adjusts the pressure in middle ear and drains the fluid from it,,and this tube is shorter in children thn in adults and are more likely to be clogged)
3.2.give your child lots of fluids,vit c drinks(natural, fresh citrus juices, at room temperature,,pref mosambi/sweetlime or sweet orange juice),,the more he drinks fluids, the faster the action of swallowing happens and these tubes keep flushing at a good speed because of sucking and swallwng,,and these fluids will drain out the infection !
3.3. put a warm mist humidifier in your child room,,moisture helps to thin out the mucus or liquids clogged in the there,,and so it drains out easily.supu, try this out,,this will make your child sleep better.check the side effects of medication you are giving or let me know the names,,,if at all required,,and this does not work, we will do something else. give him warm-next to abit hot bath before sleep,,make sure to keep the room temperature warm enough at the same time, dont heat the room while bath..keep him fresh, he will like it..avoid ne fragrancs in your room,,as of now..put a couple drops of eucalyptus oil on your child clothes(mostly put on bedsheet),,just 2-3drops,,it will soothe his congestion,,he is crying because of congestion at night..he needs to take adequate sleep. rock him,soothe him with massage if that helps...keep me updated.
3.4. keep your child away from cold,cough, reflux, digestive upsets,too much of milk products(offer only regular milk products with required amt,,not more is req for 2.5yrs old) or ne other problems that causes congestion..remember ne congestion can easily lead to ear infection,,so keep him mucus free !
after all the heead baths,,make sure to clean and dry his ears with as many ear buds you would need until the ear buds comes out totally dry ! sometimes even if the dirt comes out with ear buds,,the ears are still havng some water content/moisture,,so keep the ears clean..whnever in cold,practice this more often !! this will give you rough idea from the amt of wax that comes out of ear,,if wax is in large amts, your child needs to be seen by your dr immediatly...,
3.5. avoid gving head bath during colds, coughs too freqeunt,,once a week is enough,,keep the hair well managed and make sure to put minimal oil thats only required,,rem ne greasy thing catches dirt and once dirt sets in hair,,,there are pssbilities of bacterial growth or infections or allerrgens,,due to which,,,there are high chances of mild colds due to natural response from body and might cause ear infection,,eliminate that cause.mild colds are bad, they are not visible outside the body and most of the times, the children are not affected physically,,thus they are left untreated,,,causing mucus deposits in the tube,,,finally all leading to severe ear infection....so whenever you your child having a mild congestion,,treat it with home remedies(for 3days,if not recover in 3days,,check with your dr),,some links below to treat regular cold,coughs :
http://www.indiaparenting.com/boards/showmessage.cgi?messageid=1791&table_name=dis_healthissues
please go thru all of them..consider age of baby as an important factor.
3.6. make your child wear clothes that doesnt attract dirt/pollens or small insects,,,,same reason as above,,avoid wool,,and 100% terries,,,,that makes dirt stick to it,,and stays with kids...its better to opt for 2-3 inner thermals or inner woolen(though 50%cotton or combined cotton liners), or 2-3layers of cotton with a wind jacket,,,thn to opt for a thick wool.rem its not the cold temp that givs cold or cough,,its the cold air most of the times thats the culprit for cold, cough,allergies,flu or ear infection...cold just adds to the temp and it causes most of the times fevers,chills and thn leads to colds and coughs,,or just fever,sore throats,,,,thats all it goes..so keep your baby head, feet, chest, and so to say full body cover with proper inners and outside a good jacket that will protect him wind,,make sure the jacket has a woolen liner inside,,make sure to cover the head/ears in a way that from neck to head,,that lil space is also covered.
4.since your child is having middle ear infection,,its quite pssoble that diarrhea or loose motions is noticable,,which is case if the place you are living has winter weather !
poonam,,its unlikely that ammoxillin causes diarrhea...keep well hydrated so that he recovers well..
5. if your child is taking water, give him juices,,vit c soups,,full of tomatoes,beets and lots of carrots,,throw in some pieces of multigrain pasta,,and also some jaggery(makeit abit sweetish,,but not sweet,,most of the times if tomatoes are sweet cherry salad tomatoes or carrots arer fresh,,jaggery wont be required),,,do tadka of crushed jeera, garlic(very lil,crushed or let me say pwderd with be best),a bit of onions)same as garlic,,minced or pwderd),some curry leaves, corainder leaves,,and add in some vegies to it,add in a light sprinkle of ginger pwder if you feel taht your child likes some chilli taste,,but avoid chilli as he is having cough...,the quantities for onion garlic pwder should be in accordance to your baby comfort,,,,
add in some chopped,,tomatoes,squash(yellow)carrots,beeets, and some sweet potato(to avoid jaggery),,do this tadka in ghee, and add in desired water to this,,salt, cumin corinader pwder,,and whistle this to 5-6 times,,once cool,,blend it well to desired consistency by your baby/child.,,,,offer this as often as needed,,its very healthy and your child will regain apetite,,also because of sweet potato,i expct him to recover from loose motions as well..make sure to keep this soup very mild,,not sour, not too sweet, but a pleasant sweetish and good taste,,if required add in pwderd jaggery(avoid sugar compltly).offer this.
---offer your child fresh room temperature yogurt, once a day..it will prevent your child from ne diarrhea conditions,and will also soothe your child stomach discomfort caused by antibiotics.
----offer alot of zinc food to your child diet,like chickpeas,baked beans,lentils(in form of soups, with lots of vegies,),hard cheddar cheese-just 1oz not more,,wholemeal bread,peanut butter,frozen or canned peas,drried figs,potaotoes,oranges,around a dozage of 6almonds,,dried dates,,raisins,tahini(a paste made from sesame seeds,,only if your child does not have allerrgies),,include wheat germ pwder in his soups and such,,great source of zinc) all these should be included in his diet....
if possble offer your child more of iron fortified soy products in replacement of dairy foods...if your child makes a fuss,,keep trying,,empty stomach just add in to recovery time,,so keep trying,,does not matter if he happens to eat something even out of his schedules...
6.Supu,,,keep environment around your child at your home,,fresh and clean,,though its an indirect cause of ear or nasal infection,,it can help to prevent,m, ! fresh air //ciculatng fresh air or let me say,,cross ventilatn, HEPA filters help,,to prevent from airborne allergens,,and this prevents ear infection or ne cold attacks or such for ne infections.
7.give him flu shot every season,,also ask your dr if your child needs pneumococcal vaccine,,some kids who have not been given these shots are more prone to ear, nose, lung or throat infections repeatedly,,parents dont give shots but in longer run end up giving more medications thn the dosage of these shots,,,
8. bad hygne, disturbed sleep, late bedtimes or late night snacks,,often leave children vulnerable to such infections,,so avoid that,,and practice good habits like brushing, mouth rinsing before sleep, a good bath before sleep or atleast changing to fresh clothes before sleep,,,early dinnerrs by 830/9..early bedtime by 1030/11...avoid givng night feeds as much as you can after 6months and thn avoid totally after 1 year,,bf babies are exceptional but make sure to keep your baby elevated while feeding via ne source,bf,bottle,sippy or straw.
all this will help your child recover early,,,,if he takes liquids,,never mind,,its expected and let him take more and more liquid,,just change the type of liquids,,make it more appealing with diff colours of vegies and lots of tiny interesting things like pastas, breadcrumbs, biscuit pieces or just vegetable colourful pieces in itt !!! i know its alot of hard work to make such,,but if that makes your child recover at faster speed and gives him good apetite,,well,,,,,worth a try !!!!
Hope it helps you guys,,,
good luck.