In these cases, a tiny bulb or a water pick can be helpful. Should medication be necessary , apply after cleaning. In those cases, either waiting 4 hours or applying alkalinizing agents will be of assistance. Repeating Steps 3 and 4 should then be more rewarding. Some people add .5-1 ml of medical grade DMSO b.
Some people add ivermectin for a topical treatment.
If inflammation, Step 3A and short acting corticosteroids. Step 3 plus ear cleansing under anesthesia. Visualization of the ruptured ear drum or swollen tympanum should confirm otitis media. At this stage, some people do culture and sensitivity. Step 4 and culture and sensitivity.