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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fluid In Ear Drum After Grommet Insertion

Hello doctor My daughter s age is 13...When she was 9 year old we did a operation(She had fluid in her ear drum back..from her birth onwards she did nt get cold on her nose...Everything went her ear drum back...)So a tube fixed...And that also gone itself...But again she gats the same problem...Takes medicine....1.Mucolite(ambroxol hydrochloride tablets30g) 2.Bidanzen forte(serratiopeptidase tablets) Ent Dr advised to take those tabs 30 days..Her weight around:45kg..height 158cm..my id: YYYY@YYYY
Thu, 28 May 2020
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General Surgeon,  's  Response
Hi,

Noted the history about your 13 year old daughter, grommet was inserted when she was 9 for the fluid development, Recurrent problems and prescribed Mucolite and Bidanzen forte for 30 days.
The commonest causes for recurrent fluid in ear are one of the following:
Eustachian tube dysfunction due to recurrent nose and sinus problems.
Mastoid bone infection with accumulation of cholesteatoma or the small air spaces filled with edematous mucosa and infection.
Hence I would advise her the following:
Continue the medicines like Mucolite and Bidanzen Forte.
Consult an ENT Surgeon again and discuss the above mentioned causes so that he can go for ENT Endoscopy.
Clinical evaluation.
MRI of the mastoids.
Tests of blood.
Audiometry.
Once all the tests and investigations are done it is easy to find the cause and thus go for specific treatment as per the cause found.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT and General Surgeon
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Suggest Treatment For Fluid In Ear Drum After Grommet Insertion

Hi, Noted the history about your 13 year old daughter, grommet was inserted when she was 9 for the fluid development, Recurrent problems and prescribed Mucolite and Bidanzen forte for 30 days. The commonest causes for recurrent fluid in ear are one of the following: Eustachian tube dysfunction due to recurrent nose and sinus problems. Mastoid bone infection with accumulation of cholesteatoma or the small air spaces filled with edematous mucosa and infection. Hence I would advise her the following: Continue the medicines like Mucolite and Bidanzen Forte. Consult an ENT Surgeon again and discuss the above mentioned causes so that he can go for ENT Endoscopy. Clinical evaluation. MRI of the mastoids. Tests of blood. Audiometry. Once all the tests and investigations are done it is easy to find the cause and thus go for specific treatment as per the cause found. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT and General Surgeon