Treatment for ear pain more during monsoons.OTEX-AC.

Resolved question:
I have heavy ear pain. I m 28 years old female with 3 months old baby. I m more prone to ear infections during monsoons. Last one week my both ears are paining. I m feeling swelling inside. From outside also, if i touch it pains. Today i can feel skin little hard below my ears. There is tightness and i cannot open my jaw peopwrly. I tried hear but it was moment relief only. I used otex-ac drops. Not helping. Since i m breastfeedig my baby. I cannot go out to meet doc. Kindly advise.

Submitted: 4 Days
Category: ENT Specialist

Expert:  Dr. Sunil Jalan replied 4 Days.

Hello.
Thanks for using DoctorSpring.com.
I can understand your problem.
You are suffering from otitis externa ( infection of external ear).
As skin of ear is tightly adherent to underlying bone, minimal inflammation and movement around the ear will cause severe pain. That's why you have pain on opening the jaw and pressing on the ear.
We can start following medication (all are safe during breast feeding) -
Tab Ranitidine 150 mg, half an hour before food, two times for 5 days.
Cap. Amoxicillin 500 mg, after food, two times for 5 days.
Tab Levocetrizine 5 mg, once at bedtime, for 5 days
Tab Aceclofenac 100 mg, after food, two times daily for 5 days.
In case your pain worsens, you may need examination by local ENT doctor.
Hope this helps.
Best regards, Dr. Sunil Jalan, MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM),
ENT specialist.

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Patient replied :

Thanks doctor. ANy particular ear drops apart from med? is it safe to take medicines while feeding my baby?


Expert:  Dr. Sunil Jalan replied 3 Days.

Hello. Thank you for writing to us again.

Ear drops will not help because there is swelling in external ear canal

Aceoclofenac can be given with precaution if there is no history of bleeding disorder or gastric ulcer.

I think u can take Tab paracetamol ( calpol) 650 mg as and when required for pain relief instead of aceclofenac.

Hope this helps

Feel free to discuss further,

Regards


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

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Patient replied :

Hey doctor,
i got better with one dose of medicine. So i didnt complete the course recommended.
Now there is fluid like feeling in my ears. Skin feels very tender and itching inside.

i used otex ac but it didnt help.
What could be possible prob? Wht should be done?

regards


Expert:  Dr. Sunil Jalan replied 2 Days.

Hello,
Thank you for writing to us again.

As you have fluid like feeling/blocking sensation in ear with itching it may be eustachean tube(connecting tube between ear and nose).

But there is associated pain and tenderness also so this may be due to persistent infection as you did not complete medication or may be due to self cleaning.

There is possibility of fungal infection also

To confirm diagnosis you need examination by local ENT doctor.

You can start -

Tab. Levocetrizine 5 mg once in night for 5 days
Feel free to discuss further.
Hope this helps

Regards


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

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