My hearing and ear problems started about a year ago following a loud noise exposure. Initially, I had severe pain in both ears and a clogged sensation, as well as muffled hearing. My ears were super sensitive to any sound. The muffled hearing has improved a lot, but I still have all the other symptoms. I saw the doctor, and upon looking at the ear canal with an otoscope, they thought there might be some evidence of infection, so suggested trying Clotrimazole drops for a week. I did that and also did another week of Acetic acid drops, but no improvement in symptoms. The images I shared are the otoscope images of the external ear canal. There is redness in the canal and also on the tympanic membrane. I am wondering if that could indicate some infection of the external ear, or like you said, if there might be otitis media, or if the continued pain and discomfort is just due to damage to the inner ear structures, due to the noise exposure. I am wondering if I should try some empirical treatment for otitis media, in the hope, that the pain is due to those issues. If it is not it is probably permanent damage from the noise exposure. Is that level of redness in the ear canal normal, or do you think it would indicate otitis? I have been prescribed Ciprofloxacin drops a few months ago, but with no improvement. How about Amoxicillin and Clavulanic acid tablets for otitis media, some other antibiotic, or antifungal medicines? Maybe there could be some type of eczema of the external ear? I do not know. Let me know what you think. I have already been to an ENT and a local doctor but would like to take another opinion, as I am in constant pain. The worst symptom is hyperacusis, which is hypersensitivity to normal sounds. Even the sound of traffic, or sounds that do not bother other people, can leave my ears feeling sore and inflamed.