Welcome in H.C.M. for consultation.
I have gone through your query regarding perforation in ear drum of your child during cleaning of his ear, your son is also suffering from chronic sinusitis
and nasal allergy
As your son is suffering from chronic sinus infection
and associated allergy which is manifested as watery nasal discharge nose itching and post nasal drip
which is creating sore throat
. Infection from throat reaches to ear via Eustachian tube, giving rise to blockade in ear and later hurt and lastly followed by discharge.
For management point of view some basic investigations are necessary -
(1) C.T.scan of paranasal sinuses
(2) Culture and sensitivity of throat swab.
(3) C.T. scan of Ear ( HRCT
(5) Blood- CBC, ESR, blood sugar,
(6) Urine - Routine & Microscopic
Depending on clinical findings and there co-relation with investigations one should plan for treatment. But usually such cases are treated conservatively with excellent results, unfortunately if conservative treatment fails than surgical intervention becomes necessary.