What should be performed to relieve pain in a child with acute otitis media?

In the management of acute otitis media, especially in a pediatric population, immediate pain relief is a crucial component of care. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or acetaminophen (Tylenol) are recommended for the relief of pain associated with this condition. These medications help alleviate discomfort and improve the child's comfort level, which is particularly important in an acute setting where the child may be experiencing significant ear pain.

While myringotomy and surgical drainage may be indicated in cases of severe or recurrent acute otitis media, they are more invasive interventions that are typically reserved for specific clinical scenarios, especially when complications arise or if there is no improvement with medical management. Similarly, antibiotics are utilized for bacterial infections but may not provide immediate alleviation of pain and are not the first-line approach for all cases of acute otitis media, particularly those that are viral.

Therefore, the effective pain management through the use of ibuprofen or acetaminophen is the most appropriate and immediate strategy to relieve discomfort in a child suffering from acute otitis media.