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Twitching in right eye, ringing in ears, headaches, lethargy. Treatment?

I have had over the past month twitching in my right eye which is moe noticeable after blowing nose , ringing in ears, noticed more out in cold weather... Last night I developed periods of intermittent ice pick pain in my right ear...sometimes my scalp on right side feels like it is crawling...I also have dull headaches from time to time...I wake up sometimes with lethargic feeling and fuzzy headed ness ...I am a 58 year old healthy male 6 feet 185 lbs... No drugs very little alcohol...are these things neuro sounding or symptoms of rumors etc?
Asked On : Wed, 2 Jan 2013
Answers:  1 Views:  347
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ENT Specialist 's  Response
HI I have gone through your mail as you said that you are having recurrent pinching pain in right ear,associated with ringing sound,these features are mainly occuring whenever you have cold,running nose and you were trying to blow your nose, you are having dull headech and twiching of right eye also,concidering all these symtoms I am suspecting that probably you are suffering from Acute rhinosinusitis with acute otitis media,this is because your nasal infection is extending to paranasal sinuses which is responsible for headech,this nasal infection also reaching to your ears via eustechian tube (tubular connection between throat and ear)thus giving pain & ringing sound in your ears.All these facts can be confirmed by following investigations-(1) C.T.Scan of paranasal sinuses (2) culture & sensitivity of nasal discharge,(3) pure tone audiometery, (4) Impedance audiometery.(5) Blood- CBC, ESR, blood sugar.After this good clinical examination by your is also very important, clinical findings of your doctor after corelating with investigations report will tell us about correct diagnosis only than one can plan for your treatment. Thanks.
Answered: Thu, 3 Jan 2013
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