RECURRENT EAR INFECTIONS
antibiotics or ventilation tubes rarely cure recurrent ear infections ("otitis media"). Surgery does allow the middle ear a
chance to drain, and if the only obstacle to relief is that the mucus has
become so thick and "glue-like" it can not be resorbed
or drain, then a "cure" may be achieved with surgical drainage. Of
course, there are many other factors that promote otitis.
Unless these are addressed, the underlying problem will remain. The analogy is
like a fire that has set off a smoke detector. Surgery only unplugs the fire
alarm. Correcting the causative or contributory factors puts out the fire. My
approach is identify and correct (as possible) any of
the contributing factors:
Allergies – are important in 85-93% by causing
the lining of the eustachian tube and middle ear to
swell and produce more mucus. The result is stagnant and excessive mucus, which
is perfect for bacteria to overgrow. In one study, 14% had food allergies, 16%
had inhaled allergies, and 70% had both. Skin tests are excellent for detected
allergies to things that are inhaled but are not as helpful for detecting food
allergies. There are many ways to try to assess food hypersensitivity. Each has
limitations. Allergy skin tests can be helpful when positive but do not include
non-IgE mediated immune reactions to foods or other ingested agents. Blood
tests include methods to detect allergies caused by IgE or IgG antibodies.
Drawing blood is required, they can be expensive, but have the advantage of having
a wider array of foods available than skin tests. Tests using IgG may help
identify foods that cause delayed reactions but may only indicate recent or
recurrent intake or poor digestion rather than allergic or hypersensitivity
reactions. Other immunologic tests include the ELISA/ACT, Sage, or AlCat method that reportedly reveals other types of immune
reactions. None of the above procedures identifies foods/items that cause
metabolic reactions without an immune basis. Muscle tests or other Applied
Kinesiology techniques can help but are dependent on the skill of the tester
and are considered controversial by traditional medical doctors.
Electromagnetic and resistance type tests use a similar basis for finding
intolerances but also depend on the skill of the tester, the device being used,
and are controversial. A diet diary with food avoidance of
"high-risk" foods or by use of defined rotational diets often
provides the most convincing information and is without any financial expense.
Proper food avoidance works in 92%!
Immunodeficiency – allow even the weakest of
viruses and bacteria to overgrow. May not always be
associated with serious infections.
Re-infection – repetitive exposure to infectious
individuals raises the risk of infection. Wash your hands!
Gastrointestinal – as an outgrowth of the
embryonic gut, the ears, nose and sinuses share innervation
with the gut. Mucus secretion is a natural response to gastrointestinal
irritation and may involve the middle ear and eustachian
Membrane irritation – irritants that injure the
mucus membrane give microbes an entryway past the primary defense barrier into
vulnerable tissues. A healthy mucus membrane is key to
Metabolic – an over-stimulated parasympathetic
nervous system may create congestion & excess mucus.
There are three main
goals in treating otitis in the short run while the real problem is
Decrease eustachian tube
to allow the mucus to drain from the middle ear. A decongestant can be helpful.
Drain the infected mucus. Leaving mucus will
allow the infection to hide from the antibiotic and allow the bacteria a place
to re-grow. Decongestants and mucus thinners may be required.
Eradicate the infection itself.
Anti-microbials drops (available from our nutritional pharmacy) that penetrate
through the ear drum or prescription anti-biotics may be required. They never
are the entire solution if the problem is recurrent.
supportive measures include fresh lemon juice drops put into the outer ear can
often provide relief from pain. Since antibiotics also kill good bacteria in
your gut, acidophilus and/or an anti-yeast product is
advised. Nutritional support to fortify the immune system, help the mucus
membranes heal, and fight the infection can prevent recurrence. Brush down on
the opening to your Eustachian tube at the sides of the back of your throat to