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Ear pain after water got into the ear. Have ear infection with bleeding. Need antibiotics?

Hi, thank you for taking my question. I am very concerned about my Thai friend who was squirted with water in Bangkok's recent Songkhran festival. He got water in his ear. He has now a very bad infection which began as an earache. There was blood involved. He has been to the hospital twice and is still in much pain. His mother is now taking him yet another hospital. It appears that the water was infected...maybe it came from a canal or river water? What do you think has happened here and which antibiotics should he take?
Asked On : Tue, 23 Apr 2013
Answers:  3 Views:  54
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General & Family Physician 's  Response
Hello & thanks for your Q - it seems like he has ear infection thr contaminated water
Usually bug called Pseudomonas causes ear inf thr' contaminated water
It will need checking by sending of swabs for microbiology test but in any case he will need to be on oral antibiotics like ciprofloxacin - but I must stress that ear canal needs checking as well by a Dr to make sure if there is no damage to ear drum
Untreated ear infection can spread further & may prove dangerous

Hope he gets well soon
Thanks
Answered: Tue, 23 Apr 2013
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General & Family Physician Dr. J Kingson John David's  Response
Hi
Thanks for using Health Care Magic Forum,

As your friend is infected with contaminated water and noticed blood, there is chance of infection to persist if untreated at earlies
Keep the Ear Dry (Do not use cotton swab much as infection can spread thru inner structures)
Look for any foreign particle left insitu and if there is discharge from that ear,
Instill Ciplox ear drop 6th hourly in affected ear .
Tab ibuprofen twice a day
Tab levoflox orally twice a day for 5 days

I Hope I Provided Useful Information. Do ask Furthur Questions to help You get well soon.
Regards
Dr.J.Kingson John David
Answered: Wed, 24 Apr 2013
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Allergist and Immunologist Dr. Suman Kumar's  Response
THERE MIGHT BE SWEELING AND INFECTION LEADING TO THE CODITION
TAKE CEFIXIME 200 MG BD
DICLOFENIC BD
APPLY CLINDAMYCIN GEL LOCALLY IN EAR TDS
NEOSPORIN H EAR DROPS 2 DROPS NIGHT
KEEP COTTON OVR CANAL 24 HRS
TAKE ANTIBIOTIC 5 DAYS
REST FOR 10 DAYS
YOU WILL BE OK
BUT BE SURE NO WATER IN EAR FOR NEXT 2 WK
Answered: Tue, 23 Apr 2013
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