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Middle Ear Effusion in Children-Pootikarna

कफोविदग्ध: पित्तेनसरुजंनीरुजंत्वपि l
घनपूतिबहुक्लेदंकुरुतेपूतिकर्ण्णकम् ll

The middle ear is the part of the ear behind the eardrum. It is a cavity where somequantities of fluid are usuallyformed. Generally, this fluid flows out of the ear through the Eustachian tube which connects the middle ear and the back side of the throat.Fluid when gets accumulated in the middle ear result in the condition called middle ear effusion, otitis media with effusion (OME), or serous otitis media. This is common in children of two years or younger age and is rare after eight years of age. In Ayurveda, the condition is called Pootikarna.

Causes of Middle Ear Effusion

Middle ear effusion occurs when the Eustachian tube gets blocked and/or the middle ear secretes large quantity of fluid. This results in accumulation of fluid in the middle ear. 

Other risk factors include:

  • After a cold
  • After an ear infection
  • Children with a cleft palate

Signs and symptoms of Middle Ear Effusion

The most common symptoms are:

  • Hearing problems
  • Inattention or unresponsive to calls or talks
  • Decreased learning rate

Ayurveda explains the symptoms of Pootikarna as painful or painless ears, presence of large quantity of copious, bad smelled fluid in the ear.

Ayurvedic Reference of Middle Ear Effusion in Children-Pootikarna

Ayurvedic Reference of Middle Ear Effusion in Children


Dr. Gupta’s IAFA is offering effective management for middle ear effusion in children.  Institute of Applied Food Allergy® is a prestigious institution that ensures the best Ayurvedic treatment for various illnesses”.

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Ayurvedic Treatment of Middle Ear Effusion in Children

Ayurveda suggest effective treatment for middle ear effusion by combining internal medicines and external therapies. 

Internal Medicines for Middle Ear Effusion in Children

  • Amrutotharakashaya
  • Panchatiktakakashaya
  • GuggulutiktakaKwatha
  • Nimbamrutasava
  • Gorochanadigulika
  • Kaisoraguggulugulika
  • Guggulutiktakagrita
  • Sirasulaadrivajra rasa
  • Rasagandhimezhuk

External medicines for Middle Ear Effusion in Children

  • Nirgundyaditaila
  • Ksharataila
  • Dasamooladitaila
  • Thriphaladitaila

Treatment Procedures for Middle Ear Effusion in Children

  • Virechana (Purgation)
  • Karnapoorana (filling medicated liquids in ears)
  • Lepana (Application of medicated paste)

Single Herbs in the Management of Middle Ear Effusion in Children

  • Tulsi (Ocimum sanctum)
  • Vibheetaki (Terminalia bellerica)
  • Nirgundi (Vitex negundo)
  • Guggulu (Commiphora mukul)
  • Haridra (Curcuma longa)
  • Nimba (Azadirachta indica)
  • Vilwa (Aegle marmelos)
  • Asana (Pterocarpus marsupium)
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Diet in Middle Ear Effusion in Children

Pathya (Do’s)

  • Use of well ventilated rooms 
  • Frequent intake of small amounts of warm water
  • Consume hot & fresh food only
  • Light and easily digestible food
  • Intake of lesser quantity of food
  • Green gram
  • Take vegetables with bitter taste
  • Mild exercises
  • Take enough rest

Apathya (Don’ts)

  • Cold water 
  • Non vegetarian food
  • Fatty food
  • Fried and bakery food
  • Head bathing
  • Day sleep
  • Application of oil on head
  • Use of A/C room
  • Journey to long distances, especially on window seat

Yoga and Pranayama in Middle Ear Effusion in Children

Yoga practice helps to reduce severity of infection.

  • Savasana
  • Paryankasana
  • Sasangasana
  • Seetalasana
  • Karnapidasana
  • Makarasana
  • Simhasana

Pranayama helps to control movement of air inside the body. It keeps all organs energetic and fresh.

Frequently Asked Questions

Question: What is Middle Ear Effusion?

Answer: Middle Ear Effusion is the condition where the space or cavity inside the ear gets blocked due to accumulation of fluid.

Question: What are the main symptoms of Middle Ear Effusion?

Answer: The major symptoms of Middle Ear Effusion are lack of response, reduced hearing, unresponsiveness etc.

Question: Is Ayurvedic treatment effective in Middle Ear Effusion?

Answer: Yes, Ayurveda has detailed treatment methods with internal as well as external medicines, treatment procedures etc. that offer effective result in Middle Ear Effusion.

Dr. Gupta’s IAFA is a prestigious institution that ensures the best Ayurvedic treatment for various illnesses. IAFA is always focused in improving the health of its customers in the best possible way.

Give ears to IAFA and hear the music of well-being

Dr. Sahil Gupta completed his Bachelor of Ayurveda in Medicine and Surgery (B.A.M.S.) and Master’s Degree in Health Administration (MHA) India. He is Registered Ayurvedic Doctor & Vaidya in India having Registration No. 23780. He is the CEO and founder of IAFA. After completing BAMS, Dr. Sahil Gupta started practicing Ayruveda by giving prime importance to allergic disorders management. He became the first Ayurvedic doctor to cure Food Allergies through Ayurveda. Read More About Dr. Sahil Gupta.

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