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Puss in the right ear due to chronic infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
Doctor :   Hi
User :   hi
Doctor :   how can i help you ?
User :   i have problem related to ent
User :   my right ear releases puss
Doctor :   ok
User :   and sometimes its aching
Doctor :   may i know your age, and how long u had this issues ?
User :   26
User :   since chldhood
User :   i feel irritation in ear and poke my ear
User :   is there any remedy for ths
Doctor :   this could be due to chronic infection called CSOM
Doctor :   Chronic suppurative otitis media
User :   can u explain ore
Doctor :   Presence of any persistant infection can be associated with hearing loss and perforation of the ear drum
User :   more
Doctor :   in such cases, the infection lasts longer
Doctor :   and recurrant attacks can cause itching, purulent discharge, recurrent sinusitis, and throat infections
Doctor :   and progressive hearing loss
Doctor :   the remedy, here, is an ear examination to check the exact status
Doctor :   and treatment with antibiotics for 2 weeks
Doctor :   once the infection is cleared, the next step is to correct the defect in the ear drum if present
Doctor :   this depends on the size of the defect
User :   does this require surgery
Doctor :   if less than 3 mm, it can heal with time
Doctor :   if greater than 5mm, the chances of healing is less
User :   what are the tests required to be done
Doctor :   and then surgery is the best way to correct the defect
Doctor :   as i said, an ear examination is all that is needed
User :   how critical is surgery is it minor or major
Doctor :   if there is any spread of infection, that can be determined with a CT scan
Doctor :   this is a very minor surgery, lasting for 1 hr max
User :   ok
Doctor :   and done under General anesthsia
User :   after surgery how many days are required to take bed rest
Doctor :   1 -2 days are enough
Doctor :   but the complete recovery of the ear will take 1 week
User :   also what are the complications if the surgery is not done.
Doctor :   the infection can end up forming prolonged damage to the inner ear, resulting in labyrinthitis,
User :   means?
Doctor :   and cholesteatoma, that can casue erosion of the temporal bone and finally infection entering the cranial cavity and causing brain abscess
Doctor :   thats a infection of the inner ear canals
Doctor :   this condition of yours needs to be treated effectively
Doctor :   so that complications like recurrent infections, hearing loss, brain abscess, mastoiditis, are prevented
Doctor :   it is better to get surgery, done ASAP, as this can improve alll your symptoms
Doctor :   and reduce complications
User :   ok
User :   i am worred abt surgery
Doctor :   there is nothing to be worried about surgery
Doctor :   u need to be worried about complications that can arise if not treated earlier
User :   ok
Doctor :   Do u have any other questions for me ?
Doctor :   Are you there ?
Doctor :   Are u there ?
User :   yes
User :   i have one question related to my mom
Doctor :   sure, please proceed,
User :   this is related to depresson and mental health
Doctor :   please notice the shortage of time
User :   she s suffern from schezophrena
Doctor :   ok
User :   thouth she s takng medcines
User :   she s not social
Doctor :   It seems that you have moved out of the chat session
Doctor :   please login again if you have any other medical query
Doctor :   bye for now
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