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Medicine prescribed for HEARING ISSUES.Is this right approach?

Resolved Question:

My sister Mrs. Anita Phukan is having issues pertaining to hearing. She has consulted with Apollo Hospital and they have prescribed some medicine (report attached). She is asked try these medicine for a month and go for surgery if no improvement is observed within this month.

Please suggest whether this would be he right approach ..

Shall appreciate your early response.

Regards,

Rajiv Phukan


Category: ENT Specialist

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Category: ENT Specialist
Dr. Sunil Jalan is online now

Expert:  Dr. Sunil Jalan replied 4 Days.

Hello,

Thanks for posting your query at DoctorSpring.com

I can understand your sisters problem

She is suffering from hearing loss (both sides) since 6months

According to prescreption, her ear drum(tympanic membrane is intact or normal. But her audiogram shows right sided nerve deafness, left sided mixed hearing loss.

But tympanometry shows both side A type curve.

This is not correct for otosclerosis.

As for otpsclerosis there is mainly conductive loss only not nerve deafness. And we get As type curve not A type.

Second if this is the hearing loss. Right side will not improve with surgery, left also difficult.

So I will suggest you to repeat audiogram from a different place .

Till that you can continue same medication. But don't plan for surgery.

Hope this helps, fell free to ask further queries.

Best regards




Dr. Sunil Jalan


Patient replied :

Dr. Jalan,
Thank you for your valuable input. As per your suggestion we have once again carried out audiogram, report of the same attached herewith for your review.
Shall appreciate if you could suggest the best possible treatment for her.
Regards,
Rajiv Phukan


Expert:  Dr. Sunil Jalan replied 3 Days.

Dear sir,

Your repeat audiogram shows right mild , left moderately severe mixed hearing loss. Surgery will not help much.
with this left sided hearing aid will be best option.


Hope this helps, fell free to ask further queries.

Best regards


Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)


Patient replied :

Dear Sir,
Thank you for your quick response. One more question - is there anything needs to be done with the right ear and / or preventive action ?
Regards,
Rajiv Phukan


Expert:  Dr. Sunil Jalan replied 2 Days.

Hello.

For right ear protection-

Avoid loud noise( noise trauma)- avoid loud music

Avoid ototoxic drug - very few medicines are ototoxic- ask your doctor every time to avoid medicine which may affect hearing.

Hope this helps


Best regards


Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)


Dr. Sunil Jalan
Category: ENT Specialist
Experience: 
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
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