Q. Do ear infection and constant ear pain indicate any eardrum problem?

Answered by Dr. Shyam Kalyan N and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Ruptured Eardrum or Ear Pain? We have medical experts to help you right away. Ask a Doctor Now »
 

Hello doctor,

The patient had three tympanoplasty surgeries in the past, the most recent being a decade ago. She has 10 % hearing in one ear where surgery was performed. Recently, the patient developed an ear infection. Black and white fungus detected in the air. ENT used a micro-suction device to remove the fungus which was successful, but the suction device caused some bleeding in the ear. ENT prescribed Tobrex for the ear. This caused the patient extreme pain and was discontinued after three days. The ear canal became very inflamed. A yellow discharge started coming out of the ear. The new doctor prescribed Levofloxacin antibiotics, Prednisolone, and Naproxen for pain relief. The patient still continues to suffer from extreme pain in the ear.


Related Questions:
Why is there some discomfort after using Q-tip?
Why the ear pain increased after using prescribed ear drops?
Can mold exposure cause an ear infection?
 

Dr. Shyam Kalyan N
MBBS (MADRAS MEDICAL COLLEGE)., DLO., CERTIFICATE IN ALLERGIC RHINITIS MANAGEMENT., DNB
Allergy Specialist, Otolaryngology (E.N.T

Hello,

Welcome to icliniq.com.

I need some details. Are the CT scan films those are attached (attachment removed to protect patient identity) taken after the development of the latest problem or are those taken during the tympanometry surgery in the perioperative period? Do you have the details of the surgery? Is it just a tympanoplasty or does it include mastoidectomy as well? Can you attach the hearing reports taken most recently? What medicines is the patient currently on? Is the course of Levofloxacin complete and does the patient feel any improvement? What are the complaints faced by the patient? Is the patient a diabetic and what is the age? Any medical condition for which the patient takes any medicines regularly? Otitis externa seems apparent but we need to find out the status of eardrum as well as sugar control. Kindly provide all details and we shall guide you on how to proceed further.

 

Thank you doctor,

CT scans have been recently taken. There are no details of the past surgeries. The only information I have is: Patient had 10 % hearing on the operated ear for the last 10 years. The patient said the doctor has mentioned that her inner ear bone was improperly placed. She feels pain if any fluid enters her ear and often uses an earplug if swimming at the beach. She has scar marks in her ear that may seem to indicate a perforated eardrum that was not fully healed in past surgeries.

Levofloxacin was started today. There seems to be a slight improvement, but I am not sure if that is attributed to an increase in pain medication prescribed. Before the patient took Esomeprazole for three days and there was no change in symptoms. The patient complains of ear pain, and pain in her bone by her jaw and under the ear. The patient is not diabetic and age is 29 years old. She takes medication for anxiety but not regularly. Eardrum seems to have lacerations from past surgeries that may not have fully healed. Is it possible the there may be small openings in her eardrums? Any fluids entering the patient's right ear causes severe pain.

 

Dr. Shyam Kalyan N
MBBS (MADRAS MEDICAL COLLEGE)., DLO., CERTIFICATE IN ALLERGIC RHINITIS MANAGEMENT., DNB
Allergy Specialist, Otolaryngology (E.N.T

HI,

Welcome back to icliniq.com.

Now, let the patient be aware of and follow the instructions below:

1. I think, based on details that the drum is not intact. So, at all costs, the patient should not let water enter the said ear. While bathing they have to keep a cotton plug with a drop of vaseline inside the ear canal. The vaseline will act as a perfect seal for water to not enter. After bathing they should remove the cotton plug which may have got wet. Swimming needs special precautions as well. Plugs may help. If not helping consider not swimming.

2. Now, let the patient complete the course of Levofloxacin. I hope the frequency and dosage of the medicine have been checked by an appropriate doctor. If you have any doubt regarding that write to me and I shall guide you.

3. Esomeprazole helps in removing reflux related symptoms which indirectly worsen ear problems. Esomeprazole 40 mg tablet may be taken once daily in empty stomach, say half an hour before breakfast.

4. In the current scenario, in addition to Levofloxacin and Esomeprazole, the patient needs a good decongestant and antihistaminic. Something like Sudafed (Pseudoephedrine) and Allegra (Fexofenadine). These drugs produce sleep as the side effect and can be taken half a tablet twice daily. If you need something for pain relief, Sinarest LP and Recofast plus have an additional Tylenol (Paracetamol) component in their combination medicines. If you get these drugs where the patient is I can guide regarding the dosage and frequency.

5. An anti-inflammatory medicine like Chymoral forte (combination of Trypsin, Chymotrypsin, Bromelain, Rutopside) will be helpful in accentuating the healing and removal of dead cells and clearing out inflammatory products from the site of the problem. Other alternatives to this drug are Phlogam, Serratiopeptidase, etc.

6. The patient is advised to take rest. Once the condition subsides completely then the patient needs a full evaluation including ear under microscope and audiometry.

7. The antianxiety medicines need to be taken seriously if the doctor has prescribed and taken properly as per instructions.

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Why the ear pain increased after using prescribed ear drops?
Query: Hello doctor,A few months back, I had ear pain and according to the doctor, I had a fungal infection and got my ear cleansed and prescribed some drops for my ear to be used. As I used those ear drops my ear pain got increased and it turned into a very severe pain that I start feeling that some fluid...  Read Full »
Dr. Mahmoud Ahmed Abelrahman Abouibrahim
Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I understand your concerns. Regarding your ear pain, it is most likely what is called otitis externa which is an infection of the outer canal of the ear most likely fungal. Wet ear is the most common cause also called swimmer's ear. The most appropriate management: ...  Read Full »
 
Can mold exposure cause an ear infection?
Query: Hello doctor, Last year, I noticed that my 3 year old's tonsils were very large. I contacted his doctor. But, he could not find anything wrong. I later noticed him yelling or talking loudly and asking me to repeat a lot. So, I had a hearing test done and he failed. They explained that he had a flui...  Read Full »
Dr. Priyanka Aggarwal
Audiologist

Answer: Hello, Welcome to icliniq.com. Your kid has a serous otitis media. The mild conductive hearing loss is due to this. In kids the most common cause is adenotonsillitis. My advice is to get a nasopharynx lateral view X-ray done for adenoids and send me the pictures. Give him an oral decongestant syrup ...  Read Full »
 
I have ear pain after removing ear wax. Is it serious?
Query: Hello doctor, I have been suffering from ear pain for the last two days and it has become really serious now. The entire right side of my face has gone numb and I am not able to hear properly in my right ear. I can listen to some hissing sound. I remember cleaning my ear with my fingers and tried to...  Read Full »
Dr. Baidya Nath Majhi
ENT Otolaryngologist

Answer: Hello, Welcome to icliniq.com. From your symptoms and history of ear cleaning, it is suggestive of otitis externa with ear wax. Do not worry too much. It is a soft tissue infection of your ear canal most probably due to finger nail trauma. You need to take some medication and precautions and it ...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Is it possible to cure my respiratory allergy and throat infection with some medicine?
Hi doctor, I am suffering from nose block, throat pain, fever, occasional running nose, and headache. I am taking Nasaf ...Read more »
Can inhaling enamel paint residual fumes cause health issues?
Hello doctor, I (66 years, 145 lbs) am using a can of enamel paint in my basement. Total of 1 to 2 minutes. Had a mask ...Read more »
Arthritis in Its Many Forms
Arthritis is defined as the inflammation of a joint. There are various types of arthritis and despite their similarities ...Read more »
 
 

Also Read Answers From