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What causes ear infection followed by diarrhea, vomiting and muscle pain? - Online Doctor Chats

Date : 26-Mar-2014
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:I have had an ear infection (or what I thought) for 2 weeks. Now I have diarrhea, vomiting, muscle pain in my arms so bad I can barely lift them and my ear pain is so bad, I can barely open and close my mouth. Any ideas
User:I have had an ear infection (or what I thought) for 2 weeks. Now I have diarrhea, vomiting, muscle pain in my arms so bad I can barely lift them and my ear pain is so bad, I can barely open and close my mouth. Any ideas
Doctor:I would like to know more details about your symptoms to be better able to help you
Doctor:Is the pain getting better or worse?
User:It had gotten better but this morning is much worse
Doctor:Did you take the streptococcal test?
User:I have been on an oral antibiotic for 2 weeks and an additional ear drop for a week. No strep test
Doctor:Is the muscle pain only in arms or is present at other places?
User:My neck is sore, like my glands are swollen but no other muscle pain
Doctor:In which area of arms is the pain present?
User:biceps area
Doctor:Is it in the muscles or under the skin?
User:in the muscles
Doctor:Is there are muscle weakness present?
User:yesterday i felt weak all over but not really muscle weakness
Doctor:Was a throat swab or sputum culture done?
Doctor:Do you get sputum?
Doctor:I think you need radiological tests to see if the infection is spreading in the subcutaneous space in the neck
Doctor:Also you need tests to find the type of infection and its sensitivity to the type of antibiotics
Doctor:which anti8biotic have you taken
User:I was taking Augmentin but yesterday was switched to Clindomycin. The ear drops I can't remember the name but they are antibiotic and steroid.
Doctor:I think you should go for throat swab or sputum culture along with sensitivity to antibiotics
Doctor:Is the muscle pain spreading further?
User:ok. I will call my dr this morning.
Doctor:If it is not then it will clear up once the infection is gone
Doctor:I would also be worried about muscle getting necrosed
Doctor:So I would also run tests for muscles like creatine kinase etc
Doctor:Also get your ears checked by an ENT surgeon
User:I tried to get into ENT and they are booked for months
Doctor:since the ear drum may be getting inflammed or it may rupture
Doctor:I think your family physician can look into the ear canal and know
User:I have eczema in my ears which is what i think started this
Doctor:Antibiotics are usually advised when the suspicion of bacterial infection is high
Doctor:Eczema usually needs thick creams and steroids
Doctor:steroids can worsen the bacterial infection though
Doctor:What does usually work for your ear eczema?
User:what is strange is in the past when I got a flare up or infection from the eczema I had drainage. No drainage this time. Usually the eczema is kept under control with hydrocortizone
Doctor:It may be because it may be in middle ear
Doctor:Since you also have vomiting and diarhea it may be a different thing
Doctor:Usually vomiting and diarhea is viral and antibiotics are not needed
Doctor:So confirming a bacterial infection is usually needed
Doctor:Are you taking proper rehydration?
Doctor:It works well for virals
User:sipping water
Doctor:Is the water clean?
User:yes. we have a water filtration system and it has been tested
Doctor:Mostly virals clear up in 10 - 14 days7
Doctor:If it is a viral it should clear up soon
User:the ear infection has already been 14 days
Doctor:Bodys immunity clears up virals and most bacterials
Doctor:Among antibiotics two types are availabe
Doctor:bacteriostatic and bacteriocidal
Doctor:When bacteriostatic are not working bacteriocidal should be given
Doctor:But keeping in mind the presence of eczema and resistant bacteria in mind
Doctor:it is better to do culture and sensitivity on the infected fluids like sputum etc
Doctor:Do you have any question here?
User:no, thank you
Doctor:Also try antiallergic medicines to reduce secretyions
Doctor:and pain-killers to reduce inflammation
Doctor:antiallergics like cetrizine can be taken
Doctor:It is available over the counter
Doctor:Should also do sakline gargles to clear uo throat
Doctor:Take gatorade or pedialyte for rehydration
Doctor:It contains electrolytes which are needed
Doctor:Take care
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