A 3 year old child presents with fever and ear ache. On examination there is congested tympanic membrane with slight bulge. The treatment of choice is:
Fever + earache + congested and bulging tympanic membrane in a four year old child points towards Acute suppurative otitis media as the diagnosis. Antibiotics (Penicillin) form the mainstay of treatment of acute otitis media and should be administered in a child with Acute otitis media and once tympanic membrane is bulging, myringotomy should be done. Grommet inseion is not indicated in Acute suppurative otitis media. It may be used in cases of myringotomy for serous or secretory otitis media.
Myringotomy with penicillin
Myringotomy with grommet
Only antibiotics
Wait and watch