Dr. Shyam Kalyan. N
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have had ear problems now for a long time. The problems occur when I am outside in the fresh air, even for a short period. As soon as I am outside in fresh air, I get a red-spotted rash in the ear canal that eventually secretes some fluid. After a while, it gets filled with so much fluid that the doctor has to suck out all of the secretions as the ear canal gets plugged. My ENT doctors do not have any suggestions on this matter. Do you have any idea what this might be?
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. Your problem does appear rare. Can you help me with more details on it? 1. Do you have any prescription papers or photographs of the ear? 2. Does this happen to both ears? 3. Does it occur every time you venture out in fresh air? 4. How do you know you get such a rash inside the ear canal? We normally cannot see the inside of our ear canal. 5. How much time does it take for the ear to discharge after exposure to fresh air? Is it immediate, or does it take some time? 6. Do you have any hearing loss? 7. Has any doctor looked into the ear and checked the condition of your eardrum? 8. Do you get vertigo or an earache or nose block, or throat pain? 9. Have you inserted Q-tip or any other sharp object into the ear? 10. Do you hear any ringing noise inside the ear? 11. Have you done any blood investigations recently? If so, can you please share the reports? 12. Is the secretion subjected to any culture sensitivity test or other examination? 13. Do you take medicines for any other condition? If you provide me with answers for these, it will help me make a definitive diagnosis. I will help find a solution to your problem. Thank you.
Patient's Query
Hello doctor,
Thank you for replying. Yes, it affects both ears and happens whenever I am outside. The doctors have discovered the rash in the ear canal. It occurs almost immediately after being exposed to fresh air. Yes, I experience hearing loss on both sides. The eardrum looks normal, and I do not have vertigo. Yes, I experience an earache. No, I did not insert Q-tip or any sharp objects. I do not have a ringing noise, and my blood samples look normal. No, I do not take any other medications. The secretions were examined, and there were no bacteria, virus, or fungus traces. I hope this helps. Thank you.
Hello,
Welcome back to icliniq.com.
I understand your concern. I appreciate your patience and answering all the questions. We need to check if you are allergic to any substance in your area. It will be prudent to do skin prick allergy testing or immunoCAP blood allergy testing to identify the offending allergen. Next, we want to identify what hearing loss you suffer from. Whether it is a conductive type or deafness, or neural type, for the same, you must get a pure tone audiogram testing done. Also, a tympanogram is required for us to understand the middle ear pressures. Till we arrive at a diagnosis, I suggest you avoid direct exposure. You may wear masks and earplugs when you venture outside. Do revert with the reports. Regards. Thank you.
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Otolaryngology (E.N.T)
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