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Suggest Treatment For Ear Pain With Discharge

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Posted on Mon, 29 Sep 2014
Question: Hello Doctor,

My brother XXXX of 42 years age have gone throgh tympanomastoidectomy operation once and after 8 months revision mastoidectomy once. Its been 3 months gone his mastoid cavity is not healing completely.
Very frequently he is feeling pain and heavyness on left side. Occasional discharge from ear. He is not a diabetic person. His current ENT surgeon have rechecked the histopathological test of the specimen taken out from his ear during operation for TB of ottitis but report was negative.
Its really been very tough for him to lead normal life. We are in XXXXXXX state Andhrapradesh and country XXXXXXX
What we should do now to get him cured with dry ear.

Thanking you,

With regards,
XXXX
doctor
Answered by Dr. Deepashree (23 minutes later)
Brief Answer:
vinegar wash and antibiotics.

Detailed Answer:
Hi, thanks for your query.
These are problems of mastoid cavity.
If I were your treating doctor, I would have prescribed antibiotics and anti inflammatory medicines when there is pain.
Regular ear cleaning is necessary by a specialist.
Regular vinegar wash, or instillation of 4 to 5 drops of vinegar to the ear everyday is advised.Kindly discuss all about this your treating doctor.
Hope my answers have helped you. Thanks.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Deepashree (39 minutes later)
Though Doctor have not given any anti inflammatory and antibiotic medicines but for last 20 days he have used vinegar and saline water solution thrice in a day.
Yesterday Doctor told him to stop putting the viegar/s.water solution as he have seen some white paste like material inside his ear. Can we do anything else to have better result? What could be the reason behind not curing of mastoid cavity? Does that mean cholestoma is still persist in the mastoid bone?
Will be grateful to get the answere.
doctor
Answered by Dr. Deepashree (2 hours later)
Brief Answer:
clinically examination is helpful.

Detailed Answer:
Hi

Exploratory tympanotomy to detect the cause is recommended.
CT scan to rule out fresh cholesteatoma.
You can discuss this with your doctor and get evaluated.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Deepashree

ENT Specialist

Practicing since :2004

Answered : 937 Questions

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Suggest Treatment For Ear Pain With Discharge

Brief Answer: vinegar wash and antibiotics. Detailed Answer: Hi, thanks for your query. These are problems of mastoid cavity. If I were your treating doctor, I would have prescribed antibiotics and anti inflammatory medicines when there is pain. Regular ear cleaning is necessary by a specialist. Regular vinegar wash, or instillation of 4 to 5 drops of vinegar to the ear everyday is advised.Kindly discuss all about this your treating doctor. Hope my answers have helped you. Thanks.