Dr. Syed Peerzada Tehmid Ul Haque
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 need help with my left ear. I have been diagnosed with otitis media. I have used an acetic acid solution, ointment Cortisporin, and Neomycin drops. However, none of them have worked. Also, my ear had a white coating when examined. Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern. I have done through your attached pictures (attachment removed to protect the patient's identity). The pictures you have attached show a discharge in the canal. You need systemic antibiotics in addition to topical ones. If the discharge is not settling, you might need irrigation with 2 % acetic acid w/v (weight by volume) and suction under a microscope followed by administration of Clotrimazole ear drops. Also, you must prevent water from entering the ear. I hope this helps. Thank you.
Patient's Query
Hello doctor,
Thank you for the response. Should I start an antibiotic like Amoxicillin? Also, should I continue my previous course of medicines?
Hello,
Welcome back to icliniq.com.
I suggest you do irrigation with glacial acetic acid 2 % w/v solution, or you may instill 2 % acetic acid drops. Also, you can simultaneously use Neomycin and Polymyxin drops and systemic antibiotics like tablet Amoxiclav. I hope this helps. Thank you.
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Otolaryngology (E.N.T)
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